for the trusteeship, and in accordance with the Health Service Policy,” planning for a central leprosarium forthe area was begun. It was feared that leprosy, endemic throughout the Trust Territory, was prevalent and widespread, and first estimates by medicalofficials, based on a survey of the disease made on Guam in the late 1930's, placed the possible numberof cases at 350. The definite number could not be learned until a complete medical survey of the area was made. By September 1947, fifty-two cases were isolated; “others were known to exist but the patients remained on their home islands, segregated only by community arrangement. Under such conditions it was not possible to provide specific treatment andfacilities necessary for their care. The first recommendation for the establishment of a central leprosarium to be located on Tinian and provide care for patients from the Trust Territory, Guam and American Samoa, was made by ComMarianas on July 31, 1947." CinCPacFlt preferred to postpone action until the medical survey ship USS WHIDBEYhad gatheredstatistics on the disease * but DepHiComTerPaclsobjected to a delayof possibly three years while the survey was being conducted and urged that interim arrangements be made at the earliest practicable date to care for the lepers.” HiComTerPacls thereupon agreed to establishment of temporaryfacilities and instructed DepHiComTerPacls to submit a proposal for a leper colony that would also provide adequate dispensary andsickbayfacilities.*! DepHiComTerPacls submitted his proposal in December 1947 but at that time recommendedthat the leprosarium be established on Saipan rather than on Tinian. Dueto rollup and cutback operations in the fall of 1947, a site in the Kagmanarea of Saipan had become available and was more desirable than the Tinian location in that it had the advantages of “being more favorably located for logistic support and medical supervision from the permanent naval establishment and the civil administration unit,” and possessed “adequate suitable land for cultivation, a beach for fishing and an ample.water supply.” SL ” Supra, p. 855, fF. vo 20 . Jaluit, 11: Truk, 4; Saipan, 6: Yap, 23; Palau, 4: Ponape. 4. m ComMarianas ltr ser rérar dtd gr Jul 47. os CinCPacFit ist end dtd 20 Aug 47 to ComMarianas Itr ser 16121. 2 DepHiComTerPacls ltr ser 139 dtd 17 Sep 47. np ComTerPacls rst end ser 6169 dtd 16 Oct 1947 to Dep] fiComTerPacls ltr ser 139. DepHiComTerPacls ltr ser 589 dtd 19 Dee 45, 901 SOObOuI

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