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OCR for page 263
APPENDIX J
Joint Chiefs of Staff Memorandum on
Deployment Health Surveillance and Readiness,
December 1998
Available on line at: www.amsa.army.mil.
263
OCR for page 264
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264 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
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OCR for page 265
APPENDIX J
265
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OCR for page 266
266 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
CNCLOSI}EtE A
O~EE"1 G1lmAlV~E
1. Deplo~t De~. P`or the purpose of Clot health su~i31~nce. ~
detIo~ent is ~ieE1n`:0 as it troop movement resulting from ~ J~5,{urL3fmd
And deplo~rr~t Aver for SO ~on~i~Uou~ Libya or Beater ~ ~ I~-1~
location outside the United States that does not have ~ pcm~aner~t ~ Wiling
medical treatment Facility Lo c., funded by the Dense Health Arm.
Routine shipboard operating ~.t arc not anticipated to inane find
apportions ashore lair over 30 ~ntinucu$ da~ are At from the
reguire~nent~ for pap- ~ pOSt-~tptO~t 11~lt~ asse~m~.
a. Weekly DELI reporting in strongly en~urag~i oil ~ routirle basin.
s~het}~er in godson or deployed. ~ famlit~ ~ seamless tension to]~t
operations
b. If teat duration of deployment is ur`~n~ teen the surveillance
requirements des~:d ire this e',olosure (pro and post-~plo~rlent he~ltl,
as$~srner~ts health reed mess, and ~T rep owns ~11~ adhere to
c. ~e b - eline surveillance req~itelnents des~ibeci In thIs encI~Llrc
Should the augmented as necessary based upon }realty threat ~essrrwrlts
2. P=~.p~ym~. The panicled command, through d~p~merlL o~s
Nor separate in$t.~tio~ Gil] tOq~3~ ~ 5~d,5 ~ supporting CINCH
to ace4mpli~ ~e following at the hosts A. or proccssing station ~ We
deploying 5~nrj~e member
it. Health ~Threat! Countermeas~ rim Inform berg ice mergers o~ all known
potential hearth threats. lo include ~r~mic ~ise,~cs; injuries nuclear.
bi~o~cal or chemical (~' co.~r~inan~ the tndus~1 CO3~pOUD8~;
combM and cieployment-rela~d stress; clirnatic cowmen: Phi other
enviror~me~1 heath throws Such as use ~or~-~.pp=~ pesticide].
Gwen preventive medicine countermeasures ~11 be employed. to inclllde
apprc~ria~ pe=~nal pro measurer an~ usc cfger~onal pro,t=tive
eguipment.
~ Heals Re~di~. Complete ~nriiviciua1 filth Madison" prime - rim
tncludlng the ~]lourir.
{ ~ ~ {m~urliz~tiD
OCR for page 267
APPENDIX J
~) D0D h~in~murn E~3~er~. ~vlu~ be ~ u~t in tela~-
dipht.herE.a ir id. hcpatiti.s A Al~hlMR Phi polio.
1~:1 Scrvice-spe~iic Reg ~ I. Add. F:e fel ~ A1~31 48- 1 ~ O.
40-562 E; UhlEDINST 62313 1 ~ . am, ~ ~ COhl~IN' ~1623 ~ . iEr
Immur~lzatian.s and Chca`oprophvI~.~. 1 i4~emoer 1995 1~mPI~.S ~1~C
7e110= [arm. ~ ht pair ~ typhoid. art pa gu~
) D6ipl~r~~$p0~.;ii~t R~c,uirctne~ts Based upon the
~phim.l location. the un3iiec-3 c4.~.~.~3 ~[! dete;~eir~e addition!
immiu~li~ti~l~ ~ b0~0 p=ph~]i~ Otis Ills i~i~i0~ ~ allied other individual al per~na1
ptomaine me a.~ures (.~h as i1epeller't. ber3~g r ~d ~i~if~rm
iIIlpr~,~tiOTe)
(~) h<.c filial Scam Update the So rviee.$peeiiic medley record din
:F Mood typc;
) ~,'icdicatiO;.,fal~i,~s
Special du~ q~raliRc~tions
(Li) titian FCC~rli
Pro- diploma at healt~i a$$~e nt ~ m,
(E) Surnmaw sheet of past me<3ica1 emblems
~) HIV within p=vi0~3 19: Creche brim d.~.t p~:~O$~: HE
Preening and pr~leployrnent scram sample).
(~) Wt~F~1~5 eked t=t writhe ~4 month. For previous PPo
erter~. hand1c JAW Serial= pulley.
(~ USA sample on file To ~Rr~rL the unitfi~35vidual Millers o:F0I4A
specirncres Art file. contact the DOD ADA S~cLmen Repository (UL.3iC,~ 30 1 -~95-
4379. fax 301~95-~. or e-~.il afrss~afio os~ mi1)
(~ Current ph~LesI exam or =~rn~nt IAW Same polisher.
[~ ~ ent~ C1~s ~ ~ it.
1:~ DO-day s~ppl.>r Hi- pr~cnpt:Eon medtcation=.
267
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268 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
fS1 Squired McKee! equipment. ~1~. gas mask X hang
aids. denta1 cnhodo~tic cqu~pmcut. at..
{ 103 Pow art al ~cupaticnat healt ~ equipment (reap ~raiory prc0~r,
I~e ~ Ned pro te cticn. and per$~1 exp churn dos~ mct<:~) .
preens new.
(1 1 ~ No unrested he al~ p~ ob1~s {P-4 proofs limbed Bum status.
c. FIcalth Used. Conduct p~:pl~m~nt heath ass=~ents
the (one and orocc~ng instrnetions at Enclo$~ ~-
3. During D~plo~e~t The Amid commar`d u~i31 provit[e guidance a
sll~pert, lo:
~ Ensure DNEl suwe111~e da~ i:; ~llecte<1 and MAUI using the for
and Instru~s at Enclosur`: C.
b. E$~1i~h procedures for documenting anci report~r~g moss reportable
medical Ants I,~t~ci at Ex~clo:;~re ~ ~r to ~e US Axmy ~ledical
Sorh,eiitar.~e, Actor (balsa] publication. Hi Ser`~= Reportable E~M~ts.'4
version IN ~ ty I996 for gUi j5,13~t,3 and c~e deDnit;ions Upon ~n
presumptive as well ~s confirmed reportable me~ilca1 events.
c. Ensure, Sie~-spe,~c ~rcceciu~ ale maintained ~r approp~
archiving of health cio~ume~ts (MINI. p~t~cidc~. arid c,rL4ironme,~
sunimI~e ciata) Ad chords Llnrlividuat health treatment prwid
0, Provide troop commanders It, ;`p~f~p~at;e a~d [imply hand Anus
in~Om,~tion.
e. Base<1 upon the tilF~t as~$mem a~d Acid pro~ide~i ~ the
S~ inch ~ oIrlt imp lernentation u~structions ~ ~ OD 1 C4go.~' H Implemen~n
and Application oi Spirit NIedica1 Surveillant= Or Deployments. Sandlot
systematic anti eomp~hertswe progr~ at ~ eillancc~ ~se~rU ~d
prcvention ~ cceupation~ anti en~ro~1 health hey.
f Ensure the interim of oce~p~ional health =d safety panty.
g. At past C,0~ol operations chief ~e it pest Ant
(1P~E} pro grmn de~ccibeci Ix D0D 1 ~ ~ 50.7,. "D OD Pes ~ DIE Sternest Pro~=r~.
22 Abaft lags Her pesticides =e ~r~ploy~ ensure th~ Else of drily D0D
hippy] pC5ti~iCiE~.
4 P~-~ent
OCR for page 269
APPENDIX J
at. ~1~ ~,d Ed ~[i~ ~ ~i31 pro ~ =~ ~ =~ ~pp~
~ 1 } mid - it p ~{ depi~d - ~t health amen us~g ED a, fan
processing guetlance aq Ene]~re E.
t21 I0q~rlq in Se Reich ~ rrtedn~q~rs ~n ne Ad of T~dqica} - Ed nation upon at Up
to hadn't pmoessing station ba3~d on remew ~d. Its trt,~T~t t0~d.~6 t
thaws. the p~t-deplo~q.mt health 8~88dT.~q Ott fo1l~q and why pent
health ~q~ei31an~ data
q5] Not me~q1~1 qri~rief to deployed Service no c'~ al,
It I~TB1~ even ~d e~ usurer
are un~q~nq -n vi;or~rr`eTr~1 ~s~ s In after Born Upon (~d
(51 Develop ~ En. d.~lq~ 1~s 1~d q ~ lo bait ~ Morgan
Lessons Lady System atolls)
~ ' ma_ Id ~ $upp~rq ing Em_ =~ Amp t~ =0,0~01~ ~
following at the ~ drone sq.at~n or p=~h,~d~, Aim inn ~[ q Alp Em - ~l0~ng ~d~r~q~
meld_ ~
t 1) Con~nq k tuteroulosiq~ Ring q~i~hin 1 beer LEE r~dq-plo~q or
goner IA ~ Se - ~e =~id in requirements
12) ~11~ inhere indicated her Service polio. ~ serum Copy fbq. E1W
testing arts storage in to serum ret
13) Conriq~:t adqUit.ona1 healt}~ -~er,1s andfor health dchriel
ir'dicate~i by health throws or=onts occurrug .n theater
269
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270 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
ENCLOSI=E ~
F~I]EPLOYIVIENT HEALTH ASSE5$S~ EROS
P~OCE~q~ GUm~CE :
1. Ser~lce n,embers Abet c~ or re-~lida~ ~e huh ammo Alla
at their home motor or promising station ungirt 30 days or their deplo - crib.
2. ~e own must be adm~3~red and ~ irnmc~l,;~tely m~ed hy ~ health
~ are provider. [he pr~icier can be ~ melodic or corpsrrmn for ad~in~ering and
initia3Tey re~teu~r~ the que..Stioc~n~ire. Houtev~, positive ~Tspon~.s ~ questions
2-4 ~d 7-8 must be re~rreci ~ ~ phy.sIci~.. physician ~.~ist~t nT~r.$eT or
indep~.~ier~t du~ medics techr~icr*n
~ Copies of ~< Impend ~ ~ ust be phased in the Serve e mambos
peg medical mr oral Ad. origit`~.3s Grin be immed.atal`- ior~rd~ to BED
D0P10YEn~F] ~ SUET ~ ll~nC~ Team Aim. O 1 13 1~urg Fig . ~ bite 701 F~.s
CL1U='h.. NFI1 LiHi~ 22041. ~q3N 751-7153 |~,;~. ~r72~T AT 4742) Or CO~Or1~
7~-~81 71 ~S {~t q727 or de7421.
4. ~e DST provides the ~ ~ Army C; nter for Health F7ro~.otion Ad Pr~r~tive
Me~lic,0e (LI=CHP~h4) with ~ preciepl~w~t heath a~$sir.~.t da~e an
monthly brig for lui lesion he the Defense ~l~,dic~-e $~ i1Lan~ Sys~rn
(DISH,
5 13SACHPP\I provides the Spirit Staff ~r~ifi~ corr~nands. ~d the which
with periacidc ~re.~ci ar~al~is r=or~ ~n ~e ~ 4~pEe~d pr~depl~r~< ret heals
~.~.~.b.~ B~ En, ~ ~ [0 ~ ~ ~ ~ ~ ~
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Representative terms from entire chapter:
fame medical
APPENDIX
-J
PRE-DEPLO7hlENT l4~alt3, Assessment
I hi ST F\tl ~Tl0~ 5 F RIVACY ACT ~ F ~ B~
Please read am q~r~ti~ ~h,~|cly ra`:d calf DerDre n~arxlr~ yr,~r <;el~tion~. Pr~vir4~ ~ re spouse
r.=t~ qu=tiD,n. ,, you uc All understand ~ question, ask ma arimin ;Slrak ~
Locatlo~ bt Operallon ~ Dep3~ment.
Eor~ ~ Au. tt~li.
Alrica.
Sw A~a
SE A~ ia
LiSL-ue~Lry (IF l~;hlO~rYNy
=-- 1
~. .
O r-entral Arncri ~heme ~ ~mLion:
~ia {OI;~rj rD r-~r~ wn
4 South Aru
Otisrar
Last Heme
~'s U3~ l~rn~o.~;
~ I IJ~ III--I I I ~
Soclal $ocur1~ N.um.bor
I I ILI I I i 1 1 1 1 I lJ~1 1 ~ I I l-m-~l ~ I I
Flrs! t4arr ~
|-~ I I l-i -: 1 1
ul cos tm~~ ~~
~| ~I I r I ~- --1 ~
Pay G~nk Gendu ~ er~ice ~F.a. F] r;h 0~mpc ~nt
~ ~-' ~ O1 0 W, O h1 3ir, 0 ~r For ~ Actrv~ Ouly
4 -2 O 02 O W? O FeFna ~ .~rny O Mrat~n al ~uard
Ed '0 ~ ~O WA O C=st G48 ~ ~Serves
O EE O Q ~O Other ~ Nl~rine CDrps ~ Cilv~li~r, r~o~mFnont ~rnp - ~
ET O O? ~ hl ~O N~n~oveTuner~t |~:on~l ~npl~e
L) ED O 06 ~ 0~:, ~ ~th~
1. Wo ~ you ~ay yc~r ~e~lih in ge~;sral Is
2. 0D ~DU he ~e. an' nnc~iG31 Or de`;1~[ pro414sn~
3. ArR ~DU a;reenily on a pr~'ile, ~r l.ghL du~, ar are ~DU un~rgoir~ ~ ~1~1 toard?
~ ~eller~t ~ Ve~ ~ 4 ~d O F~;F
O `OF
O 'f~ai O hir,
Air. ~u pregr`gnl~ ~ - LES ORW) ~ Oon't r
272 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
Cat
1251 ~
Ian inli3rvi~rrr.~;3rr~ or p83tj3r~, din .~1~rrir~ pr~t~lr=~ Ore rear. anti rim by ~ of S=~. Ore ~ "9 =Y ~ ¢
mud ~ lh r~u.lip~ preblt~s Furler 4~[r~OlOliGh of ;~Llern lo be 4~ in dice ~rd
REFEiR~L INDICATED
None
Cardiac
~r;~ba~F~r30~1 Walrus n33ctirJn
~ Anal
O Or~rm^~ic
OE~
~ ED
O Fare by firms
Faligu~b, h~l~j.e, &141tis~tram core'~lair~t
~1
O Ou
O ~N
~ henna Roth
~urol4g~
OrthrJF - ir
Preg~3n~r
Pulmonary
Other
F I hAL 1'LDlOAL DISPOSITI ON
Cc~rn~nl$: Itf net rd~loyable. expFain]
Indr=te the timers of e¢~h or the Blowing
.s )2o t:lA
j~ r r,dj=F (hr~t tri~ir~ r>Or~pi~ler-[
0 ~ ~edical in~m~at~nshr~btdisiri~
O
$~num ~ror HlV ~rs~vn wit!~in 12 r~rTh~
Immuei~li~a cun~nt
,q, p~ sr~r~ranir`g ~hia
epl~i~lD r,3 ~t Dep[~ahls
t ~3rtiFy lhat Ihi' ~ViC~r pFrJOc i~ has bae~ c - ~1~,
Pf OV i{1O F ' ~ 5 ign~ ~U. ~ ar.c ~ . 3~:
D3te (mmldr~m}
1 ~ 1/~1-Jil:.~ ~ 1 ~
P~e~r~ ~1m ~an~ht Q~5 i~nn~i
~D ~~ ~F~F4~vrFO [i EPTEiLlBER ~ Jg9$
2~t.
APPENDIX J
EN~$URE
WEEE;1`Y Orson AND NON-~1~E IMPLY REPOSIT
INSTRITOTEONS
Dmense nod h~on-~ttle ~ ~s - The VIt~ S - s of to Unit
4e main ce=~n (or A. ~e ~d real battle injury l:~NBI] BEES is
that they ~ an implant ~ at }he unit 1~1. The are Me Nital slgrm of isle
unit.- an ~,=~ ANTI sys~m ~r kr4~1e Abnormal rates se~ to fame
medical attention or' ~ problem area imn,~
274 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
6. F.tna1 ctispo$ition inn one of the foH~wirl~ categories.
~ F~11 duty.
PIP light BLIMP testim~d number of cia~`p.
rP Stek in quoters lest~ma.~6 number of 6~)
rP OF in-i admissions.
UP_ ~1 cate~pa~ (~e deFir~i~lor~s =e hi at the end o~ this
cnclos~Fol.
Sick catI joke IF their alectr~n~e egulvalents chit b~ retuned by
medtoa1 unit at the ccr~cl'~.~ior~ o~ the ci~plo~nent
Arch fill chill the weedy DOPE reportp [CP11~P these "Pt - -P+
Record the .dP.~is~`i~ fiats in ~e spaces pro~eci ~ the top of
the Mom ~ troop sP~er~th refers to Else number of troops being
ekes c~e oPE by t}~P~ reporting mcdic;~3 unit. Obtair~ cleric-~p
strength for the reporting period from the S-1 f J- L .
. He~ew, the sick call log a~d adci up ~e 460ta1 number of new ~=s
~X~44~ 'me seen da~g ~e entire week ire each D~HI
catered- ~1t ir1 do- app~,~Late blood ^~d up the ~t4~i [idol and
record the nutnbe. in 4~ ~p4~0 prairie.
To {~1~1~ GORE r4atear4 divide +~e t~ta1 num+q~r of p4~ticA'ts se~ in
even cannery ~ the average troop strength arid Nips ~ 100 For
the ~eco1~;ic Ca~60~,rr the FEMALE troop s+~ngth must be used
4~clI1~ the rats noc the to drop Betroth. Chamber to
4ea1enla~ 4~ ~ ~r4~11 ~ ;q BI to+~1 rate .
E~nmpl.. aware hers 20 denrmtologico] ma chin Derek in oO0
try the peach= would b~ Cal - as tallow:
20 de~10~31 case~ - ~ ci
SOO ~s
then 0 ~ ~ 100 - 4%
Next adri up he t~t4~1 rlllm45er of It light duty dOYB, lit duty
(18755 =15 h~lT JI~I P8t~ClI' 80~45~SiElT~ in each catcgo~r, and ill in
apprap~late block.
APPENDIX J
C=np~rc Pi rates for each category with the sU~tRd
reference rate for that category Mere is required Or the
On ~Probl~rr~s identified - Corrective Acorns Ebr all categones
where r~s are abovs the suggested roar - ~e Intel. Who c4mp~1~g
rates keep the following. i~rrrlation in n,irld;
a. ^e suggested reference ra~s are on~ truer ~d Would
be used as ~ rough guide only. Ah CENG Surgeon or AID
Su~n may modify the -~estcd Reference ~- b~d
upon theater s`~ctfic ~s
b. Exceeding ~ rate by ~ 146 is not necessarily an indicabor: of
sigr~flcar~t prowlers. However going from heaths s~$~d
rate ~ twice the su~d raw probably indieat~ Tut them is
health problem needing immediate att~tior~.
¢e 5~di~1 su~d reierer~ rates a" not int=de.d to ad `1
up ~ the total HEIDI Bud reference ta~ Art ink
category could ~e ~ high rate - thout causers the tote mt
to exceed t1:e reierren~ rate - ~t~nUort ~ the i,~ciividual
c~t~ is appropriate Phi nee,e,~$~ 'n this Vitro.
Alle,~tively, the; tool DNSI raw could be high `~t
calming ~ndi`~dua1 categories to exe,e,~d their r~er=~ ~s -
tte,ntion to systemic problems c,~sir~g genie al sick call Wits
~ rim is appropriate a.r~ci newest In this Aquatic.
d. Use cornmor~ sense ire .nte~rct~g the DNBI m~s l=ck Dim!
ramp over time ~H c~npa.re cu~t THAI rates Dim yom
unit ~ put DELI rams for co~npamble I.
6. Report weekly DN5T ~a to the unit com~n~r and ~ m - ;=l
pet at higher echelons (= need ire the first p~aph of those
first Lions)
275
276 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
~ DEEilNl`TIOBIS
Notes: 1. Chant only the initial wait. Do not count ~11~-~p Chin
2. All initial sick can visits should te plank in ~ category.
~ if in doubt about which category, necks the best A.
4. Estimate ~ hi 11~ht du~ lost work Ads. or adrr~sI~ results
from ,nit$~1 Gaits
CombatIOp=~1 Am B.~.~1~s - Acute ree.~ion to sPtr~s~ ~
transient Aiders ~ cceur without any apparent merino di*P0Prd~ in
ret to ==pt~na1 physical anti ~n~1 ~Ptr~*Ps. A1~o Sr~lUciesP p~-
t~urrmti~ sums ci,~rder which ~s as ~ delayeci ~ Wretch Capons to
stressful Writ or mtuatior~ oF ~ ex~ptiorm11y threa~.~g or ca~$~4phm
I.
0th~ ={h~ - ~i$
APPENDIX J
1~, Other - ~y injury not included in Clle prewiousI~ defined theory
ribs.
Ophth~lTnalogi~ - Any acute riiagnos~ irl~-~ving the eye, including piglet
co~ctimris. my. Tomcat abrast~n. loretgn Boise Anon problen~s etc. D=s
not brie routine ref~m~1 for g1~s (r~on-=ut~.
P~y~a~icq. M~tM Disorders - ~y Con~r~tio~lly derailed ps~hf~c
qrliso~LeI ~ qwq~ll as be}~aqvio~ ch - ~e anci qi~q'.~qrb~ ~ nc~al q^on~qu~T
which is either on Lit norms If na.r~ Mar, or is coupled is itch ~usu~ Al
Symptoms each as parallels
-tory - AM ~ila~is of Me lq owed rF-~plra~ At LET as hron~qi~`
pnq-,U=Ortia, F-~mph/~en=. reactive 'winy Be. and ply or the dippy
m~;lr~ry t.~q~,l. equity ~ "Roman W]
278 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
jWEE=Y D=l ~0~
It: _ Troop strer`~h:
Anus Peered I OO013 brow _ ~u~F ~3~)
ln~du~ Pr~=l~ ~port:
Phor`~:
. _ .. . . .
~i]:
=~GORr ~ Isu=~nI
- Pa . . ~ .
S0~ ~1~. . . 0.196 _ .
D*~=3~ - ._ . 0. ~_
m. ~¢l~w ~ ~ ~
C~col~gE~ ~ . F ~_
. O.- _
ecIea~e-~3;5por~ l .. ...... ~0* _ - ' - T
Lear - . ~^ 1.0` _
~u~. ~r~l~ I 1 ~_ .
Ceil ,oule ~1.0% _
._ - ~_ 0-~% ~
lay - it. 85 ~_
" _ . __ On% _ .
on
, . . . -
. o.ESq ~_
Fc~rr ll~lued _ .. _ _
~t~~, _ _
hk ~. _
T~L P~} , . 4 ~_ .
DAYS OF I~T
LIOEIT W~C
D1 ~DA~
. . 1
~"
_ _ =
_=
_ ....
_
_.. .
...._ .
_=
~~1 1 . _ .
. 1 ~l .
3
F~P | .. ~_ .
~eRrqbk I . 4. .
. D ~1 .. ~_
Problems ~ti5~:
C~etive A~;
n - I Et~omng p4~ foe ~ol~t Dep}o~e~"
APPENDIX J
13~CLOS~ ~
~$3DRVICE REPORTS= MEDICS E~NT LIST
bi~sLs
f~t~rax
Bi~gi~3 warf~ want Expo~urc
Botuti~h
B=~1~1s
C~hpyl~ - r
CaFb~ ~4n=~e Poisoning
C~ tic - ~=
~]~m
~ciritotdom~si~
d Wander Inj~ (ALE,
Fr4stl'E~
H"~th~nia
Inhere Ape
l~ns~cl~d
Cr"t-por[di=Es
~14sp~
DIphtl~[a
E { 301i 01 o7.H'~'
Eh~ic l[~E~
E=e,ph~l[Us
Fd3arIasis
~^ttas1s
Gon4~rhm
H. It~tlu~e, irehrasi~re
Har~tavinus ini.'r,~
t l~rl~
Hem It
H"t Stroke
HE For
[lepaUtEs A
EIepad~s
HepadU
1rz0~
mat Poisoning
l~=tlos. is
l~ishm~ndasts IAI])
Leish~= C,utaneo~s
I~Elrn~0, M~we~tan~
~i~h~iasis. Unspec
lint, mitral
L~pr~
LeptospLrosts
279
Ll~lL=io
Lame Di~
Claim LAll]
heals. FaIcLp~m
hams. ILL
harm, Ov~e
hl~=ia, U~speciFi~i
Malaria, bias
Meaner.
Girl Di~;e
hI=i~gitis
septicemia
Murnps
~ ss~s
Plague
EM=~aL ~eurn~ia
P~LEoIrL~liti~
~ Finer
E~.bi~s, Hutton
lap~l:ng For
El.hc~rr'atic, l; Ever, ~,~e
REtt li'~l]~ F~,~
F<=,~ ~oun~in Sp~ci F=er
RUbe,LIa
Salmorl,~]l=~s
Schists, 5omLa,ois
Shi~l]~1
Srn~l~x
S - pto~. Group A. Ir~=E"
Aphelia (All)
S~hilIs4 C~Lt~L
Awhile, Intent
Swahili. ~m~f8
Swahili. Te
~4s
e Shock S~me
Tr[chinom
T~La
- ~10~,
ul~r~rli~
~phO[ci F~,F
Typhus F~,r
l.Tr.~lritie3. Non-~onoeo~sLL
V=,~Ln~,, Aci~rcrse Errant
4r~ri~,r]1~, ~ Duct Or,Ly
Yc]1~- Fr,vr,r
280 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
ENCLOSURE E
FOST-DEE~ENT ~;ALTE! A5;SESSM3~IT} FORM
PROCEE;S=O GIlIDA~E
1 So - ice members meat complete the health smut few or theater,
pro Ply Others 5 dam prior to r~epl~ back ~ Amid how ~4n
2. -e form mu" be admir~ist~ed and the i~rnedi~ely r~ed ~ ~ health
c~ prmid~r. - ~ prowler con bc ~ Weds or chessman for adnti~Isteri~g and
grit ruining the questi4~1r~. ~F~ pCSiti~ IS must b
roi=T~d to ~ p}`y~l~ ph~lc3~ ~st~ no. ~: ir`~epender~ cited
ne,dic,al ~iCI
~ Copies of the ~n~pleted forte mu" be place{) 3r1 the S~= Ember ~
p~m~ent m~ciic~ rearm Or in the deployed medical sword For ~= to
~ permanent medteal record upon ~i~l~Tr~cnt to whir harm ~on.
Snarls ~11 be immediately ~r~rderi ~ 1 he Dep1~ner~t S`2~re'll~" Team
1~= 51 tD L~sburg Pow. Suit 701. Palls {:huteh. Virginla' 2204 I' DS~ 7Bl-
PP1 53 [ext. 4;P~ pP or 474~ or c,omme,rciaI Idly SSl-~l53 (ext. 472'iP or 4'i,4~.
4 Pow DE;T provide the- liPS Artery Ce,r~r for ~1~ Pr~notioxt ~ Pmv~tl~
~Ied~tne (I.F68CHPP~) with ~ pat deploP~T~ent health as~sPmP~nt [~ ~` data
b~ on ~ rnonthly basso [or irecl=Pion in ~e Pei"~ns~ Me~1 Su - Mince
s~m (DOSS).
5. t1~Pm pm - PUP the ~t Stalk the u~iiieri coln~nds, and APT
Serials urith pe~o`.ic ~¢ ar~alyPsie repute on the plow post-~cpIo~nt
health ~Pse~mm`t form.
APPENDIX J
232~T
P O ST- D~ PLOYS E ~ Health A~- a~t
I NSTRU Trio ~S PRIVACY A~ OF i9"
Please read Edith Replica =~ and Drolly merry ma~rq~ Our sr~l~r~ns. Provide a mix
Or ~T8
282 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES
Me1 inlernq~exiar~ OF patent, the ~1~ing Patents Ore Doled arm calcgori:= ~ Revi~v ct S~tcrn~, Mr.~ Man one ~3] tE
row for poller let Pith r~ultiple problems Further Costar ~LlalIon far ~rrab[~n ~ be dam in. Away ~
. ,, . . . . _ .. ..
REF~=L ~ND10ATED
r.D None
O Cardiac
4 That f OF~rat'Dnal Strew Resection
4 Dental
O Dranina~lc~'ic
~ EAT
Awe
Framily Pro~rr~s
~ F311g~s, hl~lse, h~lt~r~lem c~mpdair~l
A, G1
tar,.,
Abet
~ raven Flatly
4 Ncur0pj:
r~hopedD:
P',egn3n~
~ Pulmran~ ry
r.) Either
Ampere;
EXPOSL]RE COHOEgNS tOurlng dop1~nen~
Frc~ider gee questlon~ ~ ~ ~ on that rearm ret ~ form
nvirc~relental
r,~=uFaliraem1
~ cent or Basic rated
O Rono
Ind=:e ~ straw; ~[ Axe r;! 11m following:
Ye s ~o
3 ~ h4~di=Lthrest ~Er.iefing ~np~r~
~ O O hymnal in~n~al'~n sheet disiribu~
O
0 Fosr.~Ployr~ant serum ~p~ln~ mII=I - , it rewire
I Art; that Delis review ~rocr,~s has ~ cornbread,
Pee ~ i der ~ ~ ~ igr~i~ture a ad ~ corm:
Hale (h~nVU~)
mlm/l.l I..L]
~st~Epl~r~nt ~ - ,~c~z'~4 rl=~i~~ha
A$4 (1iAlAPPF
