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Table 12. New cases of notifiable diseases reported in the Trust Territory in

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Table 13. Deaths reported in the Trust Territory in calendar years 1967 and 1968 (listed in rank order of causes of deaths in 1968).

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Table 14. Infant deaths reported in the Trust Territory in calendar years 1967

and 1968 (listed in rank order of causes in 1968).

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*Of these 16 were from ill-defined and unknown causes.
**Of these 5 were from ill-defined and unknown causes.

scholarship program has separate funds
for medical education and training.

World Health Organization
(WHO), South Pacific Commission,
and East-West Center in Honolulu of-
fer postgraduate training fellowships
for medical and paramedical personnel.

During the review year, 61 students were studying on scholarships in medical and paramedical fields. For the third successive year, Micronesian students were admitted in January 1969 to Fiji Medical School for courses in medicine, dentistry, and other paramedical fields. Two Micronesians entered the University of Hawaii Medical School this year.

Medical officers receive postgraduate training in both general and special fields in hospitals in Guam, Hawaii, and New Zealand. This postgraduate training may be in one or more general or special fields such as surgery, obstetrics, medicine, anesthesia, or others, depending on the individual practitioner's interest and the Territory's needs. One female medical officer completed a 1-year special training course in obstetrics in New Zealand this year; two other medical officers completed 3 months of special

training in anesthesia at the U.S. Naval Hospital in Guam.

The WHO granted fellowships this year to a medical officer for continuing graduate education in public health administration at the University of Hawaii School of Public Health and to 3 graduate nurses for 1 year of clinical and public health nursing in New Zealand.

Micronesian medical officers this year also attended WHO seminars, on leprosy and tuberculosis, and on venereal disease control.

The East-West Center provides short-term postgraduate medical training for 3-6 month periods, and advanced training for paramedical health personnel. The Trust Territory Administration and the East-West Center this year sponsored a third annual field training program and medical conference in Majuro, Marshall Islands District. The East-West Center provided medical consultants. The Micronesian Medical Association held its annual meeting at the same time.

The supply of nurses is being improved both by increasing the enrollment of the Trust Territory School of Nursing, a 22-year program, and by

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The nutrition level of Micronesians in general is good. Nutritional experts who have previously made studies in the area found that, though food is limited in variety, it is adequate in quantity and nutritional value. The results of a 1954 nutrition study conducted under auspices of the South Pacific Commission (SPC) are available as SPC Technical Paper No. 83: "Diet and Nutrition in the Trust Territory of the Pacific Islands." In 1958-59 another study was made by a Food and Agriculture Organization nutritionist on loan to the SPC.


No drugs are manufactured in the Territory. Drugs and medicines are imported and sold through official channels except upon specific approval of the Commissioner for Health Serv ices or his authorized agents. Section 619 of the Code provides regulations for importation of drugs.

Studies have not been comprehensive enough to clarify all matters. As part of an overall public health program, emphasis is now given to educating the public and school children on nutritional values and requirements and better ways of food preparation to preserve nutrients.

Imported foodstuffs such as rice, flour and sugar, as well as canned fish





Alcoholic beverages are not manufactured on a commercial scale in the








at, U Atoll Kwajal

Territory. Importation of beer and Territory. Importation of beer and other alcoholic beverages subject to local control is permitted and occurs in all districts. Municipalities have local option and the residents decide, by vote, whether alcoholic beverages may be sold. Sizable tax revenue results from liquor imports and sales.

Part VII-Social Advancement

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progress has been made in the planning area during the reporting period. The broad planning program initiated last year has produced completed master plans for Darrit, Uliga, and Dalap islands, Majuro Atoll and Ebeye and Carlson islands, Kwajalein Atoll, Marshall Islands District; Kolonia and environs, Ponape District; Moen, Truk District; Koror and Southern Babelthuap, Palau District; Yap Islands, Yap District; and Saipan, Mariana Islands District. The plans were adopted to control and guide all governmental programs leading toward physical development of the Territory.

Pending passage of appropriate legislation by the Congress of Micronesia, an administrative directive was issued to authorize continuation of the planning committees originally appointed in each district to assist in formulating the plans. The same directive set up appropriate machinery to amend and update the plans.

A planning division was organized in the Department of Public Works. The division is now staffed with one professional planner, and 3 more professionals will be added in fiscal 1970. This division will provide technical assistance to the district planning agencies and will participate in capital improvement planning for the Govern


One of the best sources used in the master planning program was a detailed public health census taken in the spring of 1967 and published in the fall of that year. This document enum

erated some 13,000 housing units throughout the Territory. Of these, 15% showed no deterioration, 40% showed negligible deterioration, 33% needed moderate repair, and 9% were severely deteriorated. The extent of deterioration was unknown in 3% of the units. The condition of housing units varied from district to district. In Truk District, 58% of the housing was severely deteriorated or in need of moderate repair, while in Palau District, 71% either showed no evident deterioration or it was negligible.

Wood floors are in 65% of the

homes; floors of dirt (12%), concrete (10%), and bamboo (4%) are also used. Sheet metal (56%) is most often used on roofs, with thatch (36%), and concrete (2%) also used. Walls are generally of wood (51%), but sheet metal (21%), thatch (17%), and concrete (7%) are also used. Again, the type of material used varies considerably from district to district. In Yap District, 57% of the roofs are thatched as against only 2% in the Marianas. Palau and Yap districts have the highest incidence of bamboo floors. Variations also occur within districts, with natural materials used most often outside district centers and more expensive manufactured materials used in urban areas.

Five housing authorities in the Territory develop and administer low cost. housing and urban renewal projects: the Marianas, Ebeye (Marshalls), Truk, Angaur (Palau), and Yap. Each housing authority is a public body corporate of perpetual duration.

During fiscal 1969, the housing authorities engaged in the following projects:

-The Angaur Housing Authority made 4 loans of $2,000 each for home construction. Three of the

rs were completed by year's

d. and the fourth will be
started soon.

The Truk Housing Authority
made 8 loans totaling $25,960.
Seven houses were under con-
struction at year's end.

The Ebeye Housing Authority
financed extensive remodeling
for about 10 houses.

A new board of directors was
appointed and the special order
establishing the Mariana Islands
Housing Authority (MIHA) was
revised to give MIHA authority
to administer an $875,000 grant
to provide housing for the vic-
tims of Typhoon Jean. Regula-
tions were drawn up and a full-
time staff hired and trained in

govern the operation of district prisons and municipal jails. The staff's for penal institutions are selected from outstanding members of the Constabulary and are trained by the Director of Public Safety and the District Attorney.

The district administrator is responsible, through the Director of Public Safety or his authorized representative and the district sheriff, for the protection of all prisoners from

abuse and mistreatment. Hard labor

may be performed only on public projects directly affecting and benefiting the Micronesian people. Such labor may not exceed a 6-day work week of not more than 8 hours a day. Rehabilitative projects, including handicraft,

anticipation of the expanded fishing and gardening, are carried on in

loan program.

The 386-member Metalanim

Housing Cooperative (Ponape)
completed 11 homes. This suc-
cessful self-help housing project
has helped its members build 87
houses since its inception 5 years




Family controls and other social measures have prevented prostitution problems. It has not been necessary to institute special legislative control




Trust Territory rules and regulations for the Insular Constabulary

Yap and Palau districts. The proceeds from sales are used for the benefit of prisoners.

Prisoners are given medical examinations before confinement. Sleeping, cooking and dining space is provided in the prisons. Women prisoners are confined in separate rooms and a police matron is available at all times. Subsistence for prisoners is provided by the Administration though prisoners are permitted to receive gifts of food from friends and relatives. Whenever possible, confinement is within home districts. In certain cases, a prisoner who is convicted and sentenced in another district may be transferred to his home district at his request.

The High Commissioner has authority to pardon or parole any person convicted of a crime in the Trust Territory. A district administrator may pardon or parole any person convicted. of a crime and sentenced in his district to a fine of not more than $100 or imprisonment of not more

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