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Suggested Citation:"Appendix B: Statement of Task." Institute of Medicine. 1999. Strategies to Protect the Health of Deployed U.S. Forces: Medical Surveillance, Record Keeping, and Risk Reduction. Washington, DC: The National Academies Press. doi: 10.17226/9711.
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Page 213
Suggested Citation:"Appendix B: Statement of Task." Institute of Medicine. 1999. Strategies to Protect the Health of Deployed U.S. Forces: Medical Surveillance, Record Keeping, and Risk Reduction. Washington, DC: The National Academies Press. doi: 10.17226/9711.
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Page 214

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APPENDIX B Statement of Task Major Unit: Institute of Medicine Division, Office, or Board: Medical Follow-Up Agency Subject: Strategies to Protect the Health of Deployed U.S. Forces, Subtask 2.4 Staff Officer Name: Lois Joellenbeck Statement of Task: The project will advise DoD tU.S. Department of Defense] on a long-term strategy for protecting the health of our nation's military person- nel when deployed to unfamiliar environments. Drawing on the lessons of pre- vious conflicts, it will advise the DoD with regard to a strategy for managing the health and exposure issues faced during deployments; these include infectious agents, vaccines, drug interactions, and stress. It also will include adverse reac- tions to chemical or biological warfare agents and other substances. The project will address the problem of limited and variable data in the past, and in the de- velopment of a prospective strategy for improved handling of health and expo- sure issues in future deployments. Subtask 2.4 concerns medical protection, health consequences and treatment, and medical record keeping. Specific issues to be addressed include: . Prevention of adverse health outcomes that could result from exposures to threats and risks including chemical warfare and biological warfare, infectious disease, psychological stress, heat and cold injuries, unintentional injuries; . Requirements for compliance with active duty retention standards; . Pre-deployment screening, physical evaluation, risk education for troops and medical personnel; . Vaccine and other prophylactic agents; 213

214 STRATEGIESTOPROTECTTHEHEALTHOFDEPLOYED U.S. FORCES . Improvements in risk communication with military personnel in order to minimize stress casualties among exposed, or potentially exposed personnel; Improvements in the reintegration of all troops to the home environment; . Treatment of the health consequences of prevention failures, including battle injuries, DNBI "disease and non-battle injury], acute management, and long term follow-up; . Surveillance for short- and long-term outcomes, to include adverse repro- ductive outcomes; and . Improvement in keeping medical records, perhaps using entirely new technology, in documenting exposures, treatment, tracking of individuals through the medical evacuation system, and health/administrative outcomes. Sponsorts): Department of Defense Date of Statement: 11/21/97

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Nine years after Operations Desert Shield and Desert Storm (the Gulf War) ended in June 1991, uncertainty and questions remain about illnesses reported in a substantial percentage of the 697,000 service members who were deployed. Even though it was a short conflict with very few battle casualties or immediately recognized disease or non-battle injuries, the events of the Gulf War and the experiences of the ensuing years have made clear many potentially instructive aspects of the deployment and its hazards. Since the Gulf War, several other large deployments have also occurred, including deployments to Haiti and Somalia. Major deployments to Bosnia, Southwest Asia, and, most recently, Kosovo are ongoing as this report is written. This report draws on lessons learned from some of these deployments to consider strategies to protect the health of troops in future deployments. In the spring of 1996, Deputy Secretary of Defense John White met with leadership of the National Research Council and the Institute of Medicine to explore the prospect of an independent, proactive effort to learn from lessons of the Gulf War and to develop a strategy to better protect the health of troops in future deployments.

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