&—
oo
5.
Definition of Comorehensive Healch Care
The contractor should use the following definition of comerehengive
health care:
Primary Care
Primary care is the care received when che satient first seeks
from the medical care system. The care at that soint would ine
Care and creacment of “ne simpler and/or more commen ilinesses,
determine tre nead for consultation with or referral to medical
in addition ts immediate care, orimary care ray“alsoinclude on
responsibilisy fer sne satient in Seth healcn maintenance and wJerapy.
Seconcary Care
Secondary care is the
cara provided by medical ssecialistes who
do not have first contact with the patient,
fsr example, neursideists,
internists, and darmatologists. This care generally cannot de
at the primary care level and is obtained upen consultation or
through the srimary health care system.
deferral
Tertiary Care
Tertiary care consists of services provided by highly specializdé medical
. personnel, for exarple, neurslogists and neuresurgecns. Such s@rvices
generally reqaire highly sophisticated tachnological and supe
facilities,
such as intensive care units and specialised surgical facilicied. These
specialized services and facilities generally are not available fat she
seconcary care level.
(
Article [limSsecific Task
6.
Responsibilicies of the Contractor
Tne Cerparmment of the interior raquires the’ contractor to offer
by mid-November, on at least the following:
fa) A
glan to srevis
easar25
;
Bcvics,
,th care
pecples of Jikini, Snewetak, ery and Ctirik, nea for the
additional atolis iJ shay have Seen affeccad by radiation from
nuclear weapons esting sroqram. in deciding whether the reoplas
<7
additicnal atslis Rave been so affected, <he Secretasy would conbider
information obtained from on-site health evaluations of the peogle of
these atolis, and cthez relevant information presanted to hin.
It would be
anticiscazsd shat che nealte evaluations woul’ ¢
onatolis-of-th
the Nerthern Marsnail is: anes. sevondthe fourspe
nitially
Thesequence_i5_whisnstoliswouls 5e investigatedwouldbe¢s
following consultation with thie recresentatives of tne peopia of
tamatsecsedatollsandsovermment
she
of she Marshall ts3iands.
Off