* U.8. GOVERNMENT FAINTING OF FICE:

Mrs. Ruth Van Cleve

FH 7E-EO3-897

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CONCURRMENCES

Islands generally and for residents of the atolls of Likiep, Wotje,
Afiluk, Jemo, Mejit and Enewetak specifically, particularly for those
who were on Likiep, Wotje, Ailuk, Jemo and Mejfit atolls at the time
of the testing.

2)

That the Department of Interior obtain records of Trust

Territory referrals of cancer cases to hospitals at Guam and Panope,
and at the Trippler Hospital fn Honolulu.

3)

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That the Department of Energy conduct a survey of the

appropriate population of Likiep atoll as soon as possible, but
probably in the October-December 1979 time frame. This survey |

would be based upon the information already obtained by the Marshall
Islands Government, but would enlarge upon that in both form and
substance. All relevant persons would be interviewed.

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In addition, at the appropriate time we would request that the proper
authorities in the Marshall Islands inform and explain to the appropriatg/__//9_
people what activities and studies will be conducted, the reasons for
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them, and what the people may expect to occur.
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The information obtained from Likiep and from the records requested

should serve to indicate the extent to which populations on other
atolls (e.g., Afluk, Wotje, Mejit) similarly may need to be surveyed.

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4) Depending upon information obtained via 1, 2, and 3 above,
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a medical team might be dispatched to the Likfep atoll during the
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first half of calendar year 1980 1f Indicated by results of the survey.

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We feel that the above procedures--to identify the persons of potential | TG, SYMBOL
concern, to obtain base line vital statistics, to obtain additional and ADASEV
more thorough {information built upon the base already established prior) etn
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to providing a medical team--will provide an assessment of and be
responsive to the situation at Likiep in the most professional manner.

We are préparing to move forward on item 3 above and will look forward
_ to any information which can be obtained regarding 1 and 2 above, and
the letter of June 29.
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We trust that this proposed plan will meet the needs of the situation
and be acceptable to the Department of Interior.

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Sincerel
Criginal s ened by

Ruth C. Clusen
Environment
Aegistant Secretary for

bec:

MDr. Weyzen, OHER “>
Y. Deal, OESD
Mr. McCraw, OESD

aheeRuth C. Clusen
Assistant Secretary for Environment

Dr, Pratt, BNL

Mr. Ray, NV

Wachholz‘s Files
Ciusen's Files
DOE FORM AD-9 (1277)
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