.f ... induce~ by the exposure will continue to be carried out. These include a cancer- oriented examination, disorders, hematologic special attention to endocrinologic testing, and other items detailed as presented population in May 1985. in the long-term plan of the medical program The BNL program will continue to evaluate the exposed for evidence of increased risk of disorders which might be indirectly related to their exposure. The goal of this effort is a clinical one: prevention For the most part, these will be serologic and early diagnosis and treatment. /--; surveys of the type performed in the past for hepatitis B, toxoplasmosis, and prolactinomas. will continue The basic requirements for carrying out a survey of this sort to be that it have clinical relevance to exposed populati~n. COROLLARIES 1. The number of exposed persons will have decreased by only 20 percent by 1997. 2. Duplication of health care provided by the 4AHCP and the RMI government should be minimized. 3. On Atoll medical care for all Rongelap and Utirik residents at the time of the annual visits should be continued. PLANS 1. Maintain present examination procedures by ship for at least the next five years. 2. Trim primary care involvement; close Ebeye unit; discontinue the large autumn survey; trim pharmacy. 3. All adult inhabitants diagnostic of Rongelap and Utirik will be offered the same and therapeutic options as the exposed~a~ the time of the surveys, except the medical referrals of nonexposed and funded by either the RMI or 4AHCP. 9 persons will be to