urst — ; Y 41195 TRIP REPORT Brookhaven National Laboratory ~ Marshall Islands Survey May - June 1979 The second Brookhaven National Laboratory survey of the Marshall Islands in calendar 1979 covered the period from early May through mid-June. (Please see Enclosure I for itinerary of participants). This survey was unique in that we had been asked to include physical examinations for the people of Bikini - living on Majuro - in addition to the regular study group. The addition of the group greatly expanded the logistic requirements of the survey. We had originally planned for a pediatric survey, Sick call and selected thyroid re-examinations of the exposed and the comparison populations. The Bikini group received the complete workup designed for the study group. This workup required the assistance of two additional physicians, two technicians, and one administrative assistant. A new precedent had been established by the whole-body counting group shortly before this survey of granting reimbursement to the Bikinians coming from Edgit Island for the studies. for transportation and meals, Each of these patients was to receive $10 however, apparently people other than Edgit people received compensation and it finally became a standard procedure to pay all patients $10 going through the whole-body counter. An attempt was made . to integrate the whole-body counting visit with the medical examinations but severe scheduling problems arose, requiring several visits, and payments to many Bikinians. by the medical examination team. A total of 102 Bikinians were seen Some of these patients required several re-appointments to complete their examinations. The mechanisms and guidelines for the reimbursement of this group needs a careful reevaluation and a formal Statement of limitations as soon as possible. Pe SootKkdG