Protecting Those Who Serve Strategies to Protect the Health of Deployed U.S. Forces (2000) / Chapter Skim
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Executive Summary
Executive Summary
Pages 1-8
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The overwhelming victory that they achieved in the Gulf War has been shadowed by subsequent concerns about the long-term health status of those who served. Various constituencies, including a significant number of veterans, speculate that unidentified risk factors led to chronic, medically unexplained illnesses, and these constituencies challenge the depth of the military's commitment to protect the health of deployed troops.
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Further delay could result in unnecessary risks to service members and could jeopardize the accomplishment of future missions. The committee recognizes the critical importance of integrated health risk assessment, improved medical surveillance, accurate troop location information, and exposure monitoring to force health protection.
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This will require assessing common concerns of the affected populations and evaluating whether the contents of risk assessments address those issues critical to cultivating effective risk management and trust in the process. 1.2 Incidents involving toxic industrial chemicals should be among the scenarios used for military training exercises and war
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STRATEGY 2 Collect and manage environmental data and personnel location, biological samples, and activity data to facilitate analysis of deployment exposures and to support clinical care and public health activities. Recommendations 2.1 DoD should assign single responsibility for collecting, managing, and integrating information on non-battle-related hazards.
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Recommendations 3.1 DoD should provide training in the contemporary principles of health risk assessment and health risk management to leaders at all levels to convey understanding of the capabilities and uncertainties in these processes. 3.2 DoD should institutionalize training in risk communication for commanders and health care providers.
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STRATEGY 4 Accelerate implementation of a health surveillance system that spans the service life cycle and that continues after separation from service. Recommendations 4.1 DoD should establish clear leadership authority and accountability to coordinate preventive medicine including environmental and health surveillance, training, and investigation within and across the individual services and DoD.
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STRATEGY 6 Implement a joint computerized patient record and other automated record keeping that meets the information needs of those involved with individual care and military public health.
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6.4 DoD should establish an external advisory board that reports to the Secretary of Defense to provide ongoing review and advice regarding the military health information system's strategy and implementation. 6.5 DoD should include immunization data, ambulatory care data, and data from deployment exposures with immediate medical implications in the individual medical records and should develop a mechanism for linking individual records to other databases with information about deployment exposures.
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