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82 terms

Med threat/IPMM/Unit Level PMM/Field Waste Disposal/Personnel Resp./Prev Med Comm/

Collective term used to designate all potential or continuing enemy and environmental conditions
Med threat
Describes a person who is not a battle casualty but who is lost to his/her organization
DNBI(Disease non battle injury)
Occurrence of disease in a population free of disease
Defined as "excused from duty for medical reasons"
Medical noneffective
1.Environmental factors: These include humidity, significant elevations above sea level, heat, and cold
2.Disease caused by zoonotic/animal bites
3.Diseases endemic to the area
3 components of medical threat
Heat (which is most lethal)
Arthopod borne illness
4 major threats to military operations
Pests and other Arthropods
3 minor military threats to operations
1.Harshness of environment and tactical situation
2.Disruption of the body's natural defenses
3.Breakdowns in basic sanitation
4.Consumption of unauthorized rations including locally procured and scavenged
Four reasons for DNBI(Disease Non battle injuries)
What is a WBGT comprised of
Wet bulb, dry bulb, and globe
High ambient air temperature, low wind velocity, and High humidity
Environmental factors contributing to heat stress
radiant heat(solar load)
Thermal radiation
Rate of body heat loss is inversely proportional to surrounding air temperature(lower the ambient air temperature, the quicker the rate of body heat loss)
Ambient air temperatures effect during cold weather
The higher the moisture content, especially on the skin, the greater the heat loss
Humidity's effect during cold weather
The faster the wind blows, the colder the temperature becomes(wind chill)
Wind velocity
Caution in performing extremely intense physical exertion
White flag <80 degrees
Marginal heat stress limit for all personnel
Discretion required in heavy exercise for unacclimatized personnel
Green flag 80-84.9 degrees
Curtail strenuous exercise and activity for new and unacclimatized personnel for first three weeks of heat exposure
Yellow flag 85-87.9 degrees
Curtail strenuous excercise for personnel with less than 12 weeks training in hot weather
Red Flag 88-89 degrees
Suspend all physical training and strenuous excercise
Black flag >90 degrees
2 types of Non-freezing cold injuries
Hypothermia and Immersion syndrome
Occurs from exposure to ambient or windchill temperature below freezing
Frostbite (freezing cold injury)
What are the four types of heat injuries
1.Heat cramps
2. Heat syncope
3. Heat exhaustion(temp above 104 consider Heat Stroke)
4. Heat stroke
Take all prescribed prophylaxis, use DOD repellent system, apply permethrin to uniforms,practice good personnel hygiene
Specific IPPM for arthropod borne diseases
Avoid food,drink,or ice from unapproved sources, drink approved water,(boiling water does not provide any lasting disinfecting features)
Specific IPPM for Diarrheal diseases
Wear protection in all areas with constant or high level noise, wear ballistic eyewear, use safe approved solvents
Specific IPPM for Non-Battle Injuries
Physical fit personnel are less likely to get sick,use caution when excercising,bathe frequently(genitals,armpits,and feet)
Specific IPPM for poor physical and mental fitness
Cooling and Hydration
Treatment for heat cramps
Cooling,hydration, and IV fluid replacement
Treatment for Heat Syncope
Move patient to a shaded place, cooling, monitor rectal temperature
Treatment for Heat Exhaustion
Cool the body as quickly as possible to lower body temperature
Treatment for Heat stroke
Request medical info from the AO, Confirm all personnel have up 2 date imms, ensure each service member recieves imms
Staff responsiblities before deployment
Maintain medical surveillance, ensure personnel use work rest cycle,coordinate with the suppy and logistics, ensure water is procurred from approved sources
Staff responsibilites during deployment
Ensure personnel continues to take prescribed prophylaxis, monitor personnel for signs of illness, continue post deployment medical surveillance reporting
Staff responsibilties after deployment
Meet with FST members early and regularly to ensure requirements and guidnace are clearly established,ensure required field sanitation devices on hand are operational,reinforce command emphasis regarding prescribed imms
Commands responsibilites prior to deployment(Commander,Excecutive Officer,SEL)
Ensure , incoordination with the FST setup and construction and maintenance of showers, latrines and hand washing devices,Ensure drinking water supply are from US approved sources,rotate personnel with outside exposure to extreme heat or cold
Commands responsibilities during deployment(Commander,Excecutive Officer, SEL)
Reinforce command emphasis regarding continued use of prophylaxsis, monitor personnel for signs of illness,ensuring affected personnel recieve prompt medical attention, ensure FST material are checked and restocked immediately upon return
Command's responsibilities post deployment(Commander,Excecutive Officer,SEL)
1.Human waste
4.Liquid waste
5.Infectious waste
Five types of waste
AR 40-5
Preventive Medicine
NAVMED P-5010, Chptr 9
FM 21-10
Field Hygiene and Sanitation
FM 21-10-1
Unit field sanitation team
FM 4-02.17
Prev med services
FM 8-33
Control of communicable disease manual
The distances for latrines from gradient water source
100 feet downstream
Distance for latrines from dining facility
100 yards
Latrines must be how many yards from unit area
Reasonably accessible 30yds away
Human waste can be disposed if by
Burial or Burning(which can only be used in the states during combat)
Garbage can be disposed of by
Burial or incineration
Rubbish can be disposed of by
Burial or incineration
Liquid waste can be disposed of by
Grease trap with soakage pit
Infectious waste can be disposed of by
marking with infectious waste,handled by trained professionals and incinerated between 1400-2000 degrees Fahrenheit
Ratios for devices to dispose of human waste for males and females
4% male
6% Female
12inch deep hole
8-12 diameter
used only on march, never overnight
Cat hole latrines
4 foot by 1foot pit thats 2 1/2 feet deep that can accommodate 25 individuals
Straddle trench
6 1/2 feet deep pit that is either 7 1/2 or 3 1/2 feet long and 2 feet wide, uses four or 2 seats and is for temporary camps up to 5 weeks
Deep pit latrine
6 foot deep, 7 1/2 feet long and 2 feet wide used in areas with high water table
Mound latrine
Uses 55gallon drum whole or half and waste is burned daily
Burn out latrine
4X4X4 soakage pit and pipes should be 1 foot in diameter and 36 inches long
Pipe urinal
Dug about 2 feet wide and 3 to 4 feet deep or enough to accomodate garbage for the first day and is extended as required. Suitable for 2 days or more
Continuous trench
What are 2 types of incinerators
Barrel and Inclined plane
2 five gallon cans suspended by ropes that should accompany all waste facilities
Hand washing devices
All urinals must have ...
soakage pits
Preserve unit combat effectiveness
Primary mission of preventive medicine personnel
Field conditions pose greater risk for communicable disease and injury because
-increased exposure
-reduced resistance to disease
- disruption of basic hygiene and sanitation
Contains all information necessary for providing health and service support during the operation by including attachments to specific units,methods supplies and personnel to implement sanitation programs and amount of supplies to be carried by all units
Health service appendix elements of the O-PLAN
Key document in which all occurrences, actions, and results are recorded and contains what two sections
Preventive Medicine Journal
Opening page and Narrative summary section
On deployments less than 6 months you have how long to submit a AAR(after action report)
For deployments of 6 months or more you have how many days
15days and 30 days
Maintain preventive medicine and vector control AMAL for use in MEF sized Opps.
Maintains preventive medicine sized AMAL
Responsible for all waste generated in their areas
Unit Commanders
Consists of PMM used by the individual service
Echelon 1
PVNTMED support is provided by the PVNTMED section of all Army divisons,MMB,ACR an seperae brigades
Echelon 2
Small mobile PVNTMED detachments and elements from Aera medical Laboratory and Support
Responsibilites of PVNTMED assests PVNTMED detachment
Echelon 4
Provided by preventive medicine units in CONUS
Echelon 5
comprised of Preventive medicine Officer(MC,MAJ,60C) and EHO or ESO
Division prev med section
comprised of 2 officers and 9 enlisted personnel(EHO or ESO,Sanitary Engineer and entomologist and is completely mobile
Preventive medicine detachments
One PMS is assigned to support deployed forces
ACR(Armed Calvary Regiment)
Comprised of one ESO and EO(engineering),one 68S(E1-E4)
BCT(brigade combat teams)
When was the concept of field sanitation team developed
During WW2
In a field sanitation team, one member must be an..
NCO (CPL or above)
Supports FST, appoints FST, Provides adequate resources to implement program