ell-
(e)
Current sractice
Annualcosts for the medical monitoring, folicw up care, and
monitoring frogram of tne Depar=ment of Enersy for tha secple
and Utirik currently are in the range ef $3-4 mitiion.
FY 80, che entire health Sucget of the Marsh
Sh.2miliisn.
tn con
zslands_Gov
This amount had to provide curative and preventi
Care and programs for a population of over 30,000 seople, many
On cuter islands. This amount supported the major hospital at
which serves as the only major in-patient facility in the Marsh
The current hospital facility in Majuro has 90 beds and is in v
condition, but foranewhospitalhavebeenaporopriated
addition to the Majuro hospital and an Zheve sub-hospital, the
Health Deparsment supports some 56 ocut-isiand dispensaries.
these are uncer-manned and ili-equipped.
5§
Administrative and professicnal staffing of the health services
Marshalls basrot-met—minimim_acceptable health standards in thg
In an attempt to improve health care, the Marshall Isiands Gove
sase.
recently concludedanagreemenrwitha“medicalcare_adiunc=” a
Seventh-DayAdventistMissioninGuam to take over the control
management.of-health services f=om. the Ministryof HealthServiges.
This new health care_service agency should be brought_intsany_
exercisebythe.contractor-at.an earlystage.
(f)
Special Problems Related to Diversity of zesiden
Monitoring and special health care for the people of Roncelap,
Bikini, and Enewetax mis=_providednot_only_in their _home_at
in_othexMarshallislancs
whereconsicerable numbe
individuals cow reside_eizher temporary_or permanent
Por example, there often are as many Rongelarese and Otirikese
Ebeye and/or Majuro as are in resicence on Rongelap and Ctirik
The past and current medical program under the auspices of the
of Energy has had to be tailored to the placeswheresheresice
living. at the_time.cf.the quarterly or_annual.surveys. Tis 5a
be expected to continue in_she_futureandmst_be_an_inteera
proposedcare.
Large numbers of Bikinians also are scattered throughcut the }
and these individuals also will be entitled to sedical care.
the people of Snewetak, Raving iived on tae isolatedatoll of 0
for the past 34 years, are the most cohesive qroup, under the
return program to the atoll of Fmewetak, four communities will
existence. There will be new communities on (1) Enewetak Isian
Madren Island, and on (3) Japtan Island in the southern farc of Enewetak
Atoll.
Distance between these islands is too great to permit
Local health facility. For the foreseeable fsture also, there
likely will be an Enewetak community of varying size on (4) Oje
Atoll, which ‘s 124 niles southsast of Enewetak, and this
must be provided with nedical care.