thyroid patients, four emergency medical evacuations were brought in from the outer islands. The addition of 18 Marshallese patients presented serious problems to the ship in regards to sleeping areas and food. I was informed by Mr. Munk that the ship was “almost out of food" when we returned to Kwajalein. A few minor problems in ship support developed during the voyage. were: They 1) The cook was very susceptible to seasickness and very little food was provided while the ship was underway. was superb. 2) His cooking at anchor or at dockside The main hatch dog for the watertight hatch between the medical berthing area and the head was fabricated from light strap aluminum. It bent as soon as the ship began to roll heavily and the weight of the door, smashing against the insulated bulkhead dented it badly. Again, the hatch presented a hazard to the medical party in the berthing area. 3) A second watertight hatch leading from the forecastle to the well deck was also secured inadequately with a light hook. This heavy hatch again broke loose during heavy rolling and was finally secured by a line (Please see Enclosure V, photographs of latches and bulkheads). 4) The cargo containers (vans), that had been converted into the medical examination rooms developed a number of severe leaks during the heavy rains. occasions. This restricted our operations on several In addition, the canvas cover between the vans also leaked during heavy rains. A rerigging of the canvas and repairs of the leaking roof will be necessary before the next medical survey. Summary : In summary, the addition of the Bikinians at the Last moment necessitated the vapid modification of the staffing and logistic plans. These plans need to be fixed 8-12 weeks before the survey to allow for professional staff planning, schedule as well i.e. the guest consultants teaching schedules and professional as material EC 0975? lead time. We did the best we could with the