Sociocultural Impacts on Cancer Control in The U.S. Affiliated Pacific Island Jurisdictions

Large disparities in cancer services and cancer outcomes exist between the United States and the United States Associated Pacific Island Jurisdictions (USAPIJ) [Commonwealth of the Northern Marianas, Guam, American Samoa, Republic of the Marshall Islands, Republic of Palau, Federated States of Micronesia] The USAPIJ have systematically advocated through disparity networks,. developed a regional cancer council, organized jurisdiction cancer coalitions, written individual and regional strategic comprehensive cancer control, plans, and are now implementing those plans. The USAPIJ have leveraged their assets to now have Federally funded projects that will allow the development of a Pacific Regional Cancer Registry and will sustain the Cancer Coalitions. The Pacific region has received a CDC designation as a Center for Excellence t

Annual Program Progress Report under DOE/PHRI Cooperative Agreement: (July 1, 2001-June 30, 2002)

OAK B188 DOE/PHRI Special Medical Care Program in the Republic of the Marshall Islands (RMI)Annual Program Progress Report. The DOE Marshall Islands Medical Program continued, in this it's 48th year, to provide medical surveillance for the exposed population from Rongelap and Utrik and the additional DOE patients. The program was inaugurated in 1954 by the Atomic Energy Commission following the exposure of Marshallese to fallout from a nuclear test (Castle Bravo) at Bikini Atoll. This year marks the fourth year in which the program has been carried out by PHRI under a cooperative agreement with DOE. The DOERHRI Special Medical Care Program, awarded the cooperative agreement on August 28, 1998, commenced its health care program on January 15, 1999, on Kwajalein and January 22, 1999, on Majuro. This report details the program for the July 1, 2001, through the June 30, 2002, period. The program provides year-round, on-site medical care to the DOE patient population residing in the Republic of the Marshall Islands (RMI) and annual examinations to those patients living in Hawaii and on the Continental U.S

Quarterly Program Progress Report April 1, 2002-June 30, 2002

DOE B188 DOE/PHRI Special Medical Care Program in the Republic of the Marshall Islands (RMI)Quarterly Program Progress Report The DOE/PHRI Special Medical Care Program continues to provide, on a year round basis, a broad spectrum of medical care to the DOE patient population. During the fourth quarter of Year 4, the following medical services were provided: (1) Annual medical examinations for the DOE patient population (see Exhibit 1 for details). (2) Medications for the DOE patient population. (3) Preventive and primary medical care to the DOE patient population in the RMI as time and resources permit. (4) Additional manpower for the outpatient clinics at Ebeye and Majuro Hospitals (see Exhibit 2 for details). (5) Ancillary services such as labs, radiology and pharmacy in coordination with Kwajalein Hospital, Majuro Hospital and the 177 Health Care Program (177 HCP). (6) Referrals to Ebeye Hospital, Majuro Hospital and Kwajalein Hospital as necessary. (7) Referrals to Straub Clinic and Hospital in Honolulu as necessary (for details see Exhibit 1). (8) Monitored and adjusted monthly annual examination schedules based on equipment failure at Kwajalein. In addition to the above, the program was also involved in the following activities during this quarter: (1) Organized and conducted continuing medical education (CME) talks for the program's RMI staff and other RMI healthcare workers. (2) Held meetings with RMI government officials and Local Atoll government officials. (3) Input past medical records into the Electronic Medical Record (EMR) system. (4) Made adjustments to and created more templates for the EMR system. (5) Coordinated with the Public Health Departments on Majuro and Ebeye. (6) Met with PEACESAT to discuss possible collaboration on high speed Internet access. (7) Looked for opportunities to expand the program's telehealth capabilities. (8) Participated in the DOE-RMI Meeting in Honolulu. (9) Finalized the agreement with the RMI Ministry of Health and Environment (MOHE) and Majuro Hospital to hire Dr. Marie Lanwi on a part-time basis. (10) Held a Community Advisory Group (CAG) Meeting and Community Meeting on Majuro. (11) Negotiated with Kwajalein with regards to the increase in laboratory and procedure costs and continuing Mammography services for the DOE patient population. (12) Met with DOE in Honolulu to discuss the next year's program and budget. (13) Trained new residents in the use of the electronic medical record system. (14) Conducted electronic medical record audits. (15) Participated in a training session for the appointment scheduler module by Physician Micro System, Inc. on the EMR system. (16) Worked on the Year 5 Continuation Application and Budget. (17) Finalized the Memorandum of Understanding (MOU) with 177. (18) Worked with DOE and Bechtel Nevada (BN) to reduce PHRI program costs to meet an increase in referral costs paid by Bechtel. This report details the additions and changes to the program for the April 1, 2002-June 30, 2002 period