Preventive Medicine Measures

1
Preventive Medicine Measures

• CPT Steven L. Patterson
• 787-1215

2
Duty Non-Battle Injury

• 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

3
Insects Kill More People Than ALL Other Animals
Combined

• Mosquitoes
• Ticks
• Bees
• Scorpions
• Fleas
• Flies

4
Vector Borne Diseases

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

5
Personal Protective Measures

• Immunizations
• DEET
• Permethrin
• Proper Wear of Uniform
• Chemoprofilaxis

6
Heat Injuries

• New water standard, 10 quarts
• Water Toxicity
• Have IVs available
• Wet Bulb
• Acclimatization

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

7
Cold Injury

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

8
Diarrhea and Dysentery

• 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

9
Deployments

• Preventive Medicine Threat Brief
• Food, Water, Ice, Fruit/Vegetables
• Inventory FST
• PPMs

10
Field Sanitation Teams

• 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

11
Site Selection

• Rodents/Unit Pets
• Insects
• Food and Water for above
• Trash
• Latrines
• Remote Site Problems
• Food, Water, Education

12
Preventive Medicine Assets

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

13
Environmental Health Mission

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

14
Fringe Issues

• Depleted Uranium
• Anthrax
• Combat Stress
• STDs/AIDS/Hepatitis C
• Hearing/Eye Protection
• Tobacco
• Skin Infections
• Dental Care

15
Fort Gordon Issues

• Snakes are Protected
• Eastern Hognosed is Threatened
• RCW
• Gopher Tortoise
• Protected Plants

16
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

17
Conclusion

• Do what you mother told you to do.
• Wash your hands
• Dont take stuff from strangers
• (Use the DEET/Permethrin)

18
Questions??

• CPT Steven L. Patterson
• 787-1215

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NSNs

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