%
IVINGTON
&
Mr.
BURLING
Wallace O.
April 21, 1980
Page Four
Green
4 and TSH by radioimmune assay - standard SMAC
for general screening purposes (Calcium,
2
Phosphorus, Alkaline Phosphatase and Choldsterol
included)
Thyroxine Binding Globulin determination
If indicated,
in selected cases,
needle a
iration
biopsy for cytological examination and possible
surgical intervention
b)
Leukemia screening to include:
—
—
History and physical examination
Complete peripheral bloodcount
Sedimentation rate
If indicated, in selected cases,
aspiration or biopsy
Cc)
bone marrpbw
Bone and Cartlige sarcoma screening to inclu
History and physical examination
é
Technitiumgg diphosphanate gamma imaging
Radiographic chest examination and skeletal
survey where indicated
If indicated, in selected cases, open or
—
—~
_
closed biopsies
dq)
Lenticular opacification screening to includ
_—
e)
Opthamological examination to include slit lamp
Skin cancer screening to include:
- History and physical examination
If indicated, in selected cases, inciziona]
excizional biopsies
or
All of the above studies must also be done on an approg riate
control group to provide meaningful statistical analyse IS and
conclusions.
The information which we are seeking is cruci eal to
the Government of
the Marshall
Islands
and to
the
Gove
‘of the United States in carrying out our shared determi
tion that the necessary medical treatment be provided
people of the Marshall Islands
ment
a7
all
affected by the United S ates
nuclear weapons testing program.
Public Law 96-205 re ntly
ited
‘enacted by the Congress commits the Government of the