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...
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