(Truk District) Tab A HEADQUARTERS OF THE GOVERNOR, EASTERN CAROLINES, AND OF THE CIVIL ADMINISTRATOR, TRUK DISTRICT Commander Ee Re Nelson, Jr., UseSe Navy, is Governor, Eastern Carolines, and Civil Administrator, Truk District. The Eastern Carolines includes both the Ponape and Truk Districts. Commander Nelson has served in his present assignment for 11 months, and prior thereto attended a seminar in civil administration. A. Administrative program. (a) Self-government. The islands of the Truk District that were visited during this inspection were making good progress in self-government. The District has thirty-nine municipalities which recently have been organized as such at the desire of the native population concerned. These municipalities correspond with few exceptions to the number of individual permanently populated islands in the District. There is no native regional council in the Truk District. An "exchange of ideas" program has been in effect within the District, and is fostered by field trip officers and by visits of native officials to CivAd headquarters. This program is designed to promote discussions on governmental, economic, health and educational matters, and is proving beneficial. Community courts appeared to be functioning satisfactor- ily. Finances and budgets of communities in the Truk District have not been satisfactory, and the Civil Administrator temp~ orarily is exercising control of procedures in connection with these matters in an attempt to place this phase of selfgovernment on a sound basis. ‘Seer egh (b) Health and sanitation, (1) Medical services for the Truk District are supervised by the senior U.S. naval medical officer attached to the Civil Administratorts staff. Native health aides on the islands inspected had been trained at the CivAd main dispensary on Moen Island (Truk atoll), and appeared capable. Further training of native health aides is being undertaken at the CivAd main dispensary in accordance witn plans for further improvement. Medical records in the outlying islands inspected were not satisfactory, and medical supplies had not been maintained in sufficient supply by field trips. The immunization program in the outlying islands of the Truk District needs attention. For recommendations on overall supervision of the medical services in the Trust Territory, see page 10 ’ of the main body of this Report. - 62 -

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