Preventive-medicine-measu

Preventive Medicine Measures

CPT Steven L. Patterson 787-1215

Duty Non-Battle Injury ■

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80% of all hospital admissions in combat are not from combat wounds 20,000 Arab heat injuries in the 7 Day War 2000 deaths of 8000 doughboys shipped to WW I due to influenza

Insects Kill More People Than ALL Other Animals Combined ■ ■ ■ ■ ■ ■

Mosquitoes Ticks Bees Scorpions Fleas Flies

Vector Borne Diseases ■ ■ ■ ■ ■ ■ ■

Dengue Fever Malaria Hemorrhagic Fever Schistosomiasis Rocky Mountain Spotted Fever Lyme Disease Leishmaniasis

Personal Protective Measures ■ ■ ■ ■ ■

Immunizations DEET Permethrin Proper Wear of Uniform Chemoprofilaxis

Heat Injuries ■

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New water standard, 10 quarts Water Toxicity Have IV’s available Wet Bulb Acclimatization

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Alcohol/Caffeine Wear of Uniform Sunburn Work/Rest Cycle Repeat Injuries

Cold Injury ■ ■ ■ ■ ■ ■

Wear of Uniform Repeat of Injuries Dehydration Anti-perspirant on feet Sex and Race Tobacco Use

Diarrhea and Dysentery ■ ■ ■

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Dysentery is bloody diarrhea Almost Always from Food or Water Can incapacitate a entire unit Prevented by hand washing, good sanitation, and safe, approved food/water source

Deployments ■ ■ ■ ■

Preventive Medicine Threat Brief Food, Water, Ice, Fruit/Vegetables Inventory FST PPM’s

Field Sanitation Teams ■ ■ ■

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Trained in sanitation actions, 40 hours Advisor to commander, not work detail Need command support and money for equipment PM needs to be a command action

Site Selection

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Rodents/Unit Pets Insects Food and Water for above Trash Latrines

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Remote Site Problems

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– Food, Water, Education

Preventive Medicine Assets ■ ■ ■

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PM Detachments Division PM Center for Health Promotion and Preventive Medicine Veterinarian

Environmental Health Mission ■ ■ ■ ■ ■ ■ ■

Health Inspections Swimming Pools/Bathing Areas Barber Shops Regulated Medical Waste Hazardous Waste Pest Control Preventive Medicine Threat Briefs

Fringe Issues ■ ■ ■ ■ ■ ■ ■ ■

Depleted Uranium Anthrax Combat Stress STD’s/AIDS/Hepatitis C Hearing/Eye Protection Tobacco Skin Infections Dental Care

Fort Gordon Issues ■

Snakes are Protected – Eastern Hognosed is Threatened

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RCW Gopher Tortoise Protected Plants

Recent Issues ■ ■ ■ ■ ■

Aid Missions in Central America Sewage Dumping in Albania Soldiers Deploying/Returning “Sick” Fort Gordon fined $50,000 Majors thrown out of Alaska

Conclusion ■

Do what you mother told you to do. – Wash your hands – Don’t take stuff from strangers – (Use the DEET/Permethrin)

Questions?? CPT Steven L. Patterson 787-1215

NSN’s ■ ■

DEET Cream 6840-01-284-3982 (2 per) Permethrin – Can 6840-01-278-1336 (6 weeks/1 per uniform) – Bag 6840-01-345-0237 (Life of Uniform)

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Mosquito Nets 7210-00-266-9736 Poles 7210-00-267-5641