The Marshall Islands are a sprawling chain of volcanic islands and coral atolls in the central Pacific Ocean, between Hawaii and the Philippines. In the 1940s the Bikini Atoll became famous for the testing of the atomic bomb.
The population of just under 55 thousand is spread over hundreds of islands. The major hospital is in Majuro and Ebeye, with clinics at a few other locations. There are no ENT doctors and the physicians at the local hospital are usually trained in the Philippines.
The incidence of otitis media is well over 7% in the population under 12 years of age. With the lack of treatment, children develop perforations, chronic otitis media, and cholesteatomas. As a result, hearing loss occurs and children with undiagnosed ear disease perform poorly in school.
In conjunction with the University of Hawaii Department of Disabilities, GEO participates in annual trips to the Marshalls to screen for congenital deafness and surgically treatable ear disease.
GEO provides surgical and diagnostic services in both Majuro and Ebeye along with audiology services from Hawaii and the mainland.