% 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