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APPENDIX J Joint Chiefs of Staff Memorandum on Deployment Health Surveillance and Readiness, December 1998 Available on line at: www.amsa.army.mil. 263

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:~t ~3~ ~8 . , . ~c'mer US. I--;. ~ T {~ ~Q~s:F am: I: U~S c~t my.' . .. . ~ ~ Em. St~l,61~:' ~.~;t ,, ~ I,.. 264 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES - W I.-: .. '. . ~.m'l:~.~. O. -em. cE OF .. of Amp. ~t ~ mad ~ .. Us- A~e ~d ... . ~ ~ ~ ~ ~ - - .. Em. Amp. ~d

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APPENDIX J 265 t ~ -A ~ ... ~ ~ . ~ Hi ~ ~ 3-. :~.,,n,,:k I,,,, ~ t~ I: . :~t 1,53 ~t -~.~..~4 I: - I~ ~:~., ~ J~.~ -

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266 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES CNCLOSI}EtE A O~EE"1 G1lmAlV~E 1. Deplo~t De~. P`or the purpose of Clot health su~i31~nce. ~ detIo~ent is ~ieE1n`:0 as it troop movement resulting from ~ J~5,{urL3fmd And deplo~rr~t Aver for SO ~on~i~Uou~ Libya or Beater ~ ~ I~-1~ location outside the United States that does not have ~ pcm~aner~t ~ Wiling medical treatment Facility Lo c., funded by the Dense Health Arm. Routine shipboard operating ~.t arc not anticipated to inane find apportions ashore lair over 30 ~ntinucu$ da~ are At from the reguire~nent~ for pap- ~ pOSt-~tptO~t 11~lt~ asse~m~. a. Weekly DELI reporting in strongly en~urag~i oil ~ routirle basin. s~het}~er in godson or deployed. ~ famlit~ ~ seamless tension to]~t operations b. If teat duration of deployment is ur`~n~ teen the surveillance requirements des~:d ire this e',olosure (pro and post-~plo~rlent he~ltl, as$~srner~ts health reed mess, and ~T rep owns ~11~ adhere to c. ~e b - eline surveillance req~itelnents des~ibeci In thIs encI~Llrc Should the augmented as necessary based upon }realty threat ~essrrwrlts 2. P=~.p~ym~. The panicled command, through d~p~merlL o~s Nor separate in$t.~tio~ Gil] tOq~3~ ~ 5~d,5 ~ supporting CINCH to ace4mpli~ ~e following at the hosts A. or proccssing station ~ We deploying 5~nrj~e member it. Health ~Threat! Countermeas~ rim Inform berg ice mergers o~ all known potential hearth threats. lo include ~r~mic ~ise,~cs; injuries nuclear. bi~o~cal or chemical (~' co.~r~inan~ the tndus~1 CO3~pOUD8~; combM and cieployment-rela~d stress; clirnatic cowmen: Phi other enviror~me~1 heath throws Such as use ~or~-~.pp=~ pesticide]. Gwen preventive medicine countermeasures ~11 be employed. to inclllde apprc~ria~ pe=~nal pro measurer an~ usc cfger~onal pro,t=tive eguipment. ~ Heals Re~di~. Complete ~nriiviciua1 filth Madison" prime - rim tncludlng the ~]lourir. { ~ ~ {m~urliz~tiD

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APPENDIX J ~) D0D h~in~murn E~3~er~. ~vlu~ be ~ u~t in tela~- dipht.herE.a ir id. hcpatiti.s A Al~hlMR Phi polio. 1~:1 Scrvice-spe~iic Reg ~ I. Add. F:e fel ~ A1~31 48- 1 ~ O. 40-562 E; UhlEDINST 62313 1 ~ . am, ~ ~ COhl~IN' ~1623 ~ . iEr Immur~lzatian.s and Chca`oprophvI~.~. 1 i4~emoer 1995 1~mPI~.S ~1~C 7e110= [arm. ~ ht pair ~ typhoid. art pa gu~ ) D6ipl~r~~$p0~.;ii~t R~c,uirctne~ts Based upon the ~phim.l location. the un3iiec-3 c4.~.~.~3 ~[! dete;~eir~e addition! immiu~li~ti~l~ ~ b0~0 p=ph~]i~ Otis Ills i~i~i0~ ~ allied other individual al per~na1 ptomaine me a.~ures (.~h as i1epeller't. ber3~g r ~d ~i~if~rm iIIlpr~,~tiOTe) (~) h<.c filial Scam Update the So rviee.$peeiiic medley record din :F Mood typc; ) ~,'icdicatiO;.,fal~i,~s Special du~ q~raliRc~tions (Li) titian FCC~rli Pro- diploma at healt~i a$$~e nt ~ m, (E) Surnmaw sheet of past me<3ica1 emblems ~) HIV within p=vi0~3 19: Creche brim d.~.t p~:~O$~: HE Preening and pr~leployrnent scram sample). (~) Wt~F~1~5 eked t=t writhe ~4 month. For previous PPo erter~. hand1c JAW Serial= pulley. (~ USA sample on file To ~Rr~rL the unitfi~35vidual Millers o:F0I4A specirncres Art file. contact the DOD ADA S~cLmen Repository (UL.3iC,~ 30 1 -~95- 4379. fax 301~95-~. or e-~.il afrss~afio os~ mi1) (~ Current ph~LesI exam or =~rn~nt IAW Same polisher. [~ ~ ent~ C1~s ~ ~ it. 1:~ DO-day s~ppl.>r Hi- pr~cnpt:Eon medtcation=. 267

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268 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES fS1 Squired McKee! equipment. ~1~. gas mask X hang aids. denta1 cnhodo~tic cqu~pmcut. at.. { 103 Pow art al ~cupaticnat healt ~ equipment (reap ~raiory prc0~r, I~e ~ Ned pro te cticn. and per$~1 exp churn dos~ mct<:~) . preens new. (1 1 ~ No unrested he al~ p~ ob1~s {P-4 proofs limbed Bum status. c. FIcalth Used. Conduct p~:pl~m~nt heath ass=~ents the (one and orocc~ng instrnetions at Enclo$~ ~- 3. During D~plo~e~t The Amid commar`d u~i31 provit[e guidance a sll~pert, lo: ~ Ensure DNEl suwe111~e da~ i:; ~llecte<1 and MAUI using the for and Instru~s at Enclosur`: C. b. E$~1i~h procedures for documenting anci report~r~g moss reportable medical Ants I,~t~ci at Ex~clo:;~re ~ ~r to ~e US Axmy ~ledical Sorh,eiitar.~e, Actor (balsa] publication. Hi Ser`~= Reportable E~M~ts.'4 version IN ~ ty I996 for gUi j5,13~t,3 and c~e deDnit;ions Upon ~n presumptive as well ~s confirmed reportable me~ilca1 events. c. Ensure, Sie~-spe,~c ~rcceciu~ ale maintained ~r approp~ archiving of health cio~ume~ts (MINI. p~t~cidc~. arid c,rL4ironme,~ sunimI~e ciata) Ad chords Llnrlividuat health treatment prwid 0, Provide troop commanders It, ;`p~f~p~at;e a~d [imply hand Anus in~Om,~tion. e. Base<1 upon the tilF~t as~$mem a~d Acid pro~ide~i ~ the S~ inch ~ oIrlt imp lernentation u~structions ~ ~ OD 1 C4go.~' H Implemen~n and Application oi Spirit NIedica1 Surveillant= Or Deployments. Sandlot systematic anti eomp~hertswe progr~ at ~ eillancc~ ~se~rU ~d prcvention ~ cceupation~ anti en~ro~1 health hey. f Ensure the interim of oce~p~ional health =d safety panty. g. At past C,0~ol operations chief ~e it pest Ant (1P~E} pro grmn de~ccibeci Ix D0D 1 ~ ~ 50.7,. "D OD Pes ~ DIE Sternest Pro~=r~. 22 Abaft lags Her pesticides =e ~r~ploy~ ensure th~ Else of drily D0D hippy] pC5ti~iCiE~. 4 P~-~ent

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APPENDIX J at. ~1~ ~,d Ed ~[i~ ~ ~i31 pro ~ =~ ~ =~ ~pp~ ~ 1 } mid - it p ~{ depi~d - ~t health amen us~g ED a, fan processing guetlance aq Ene]~re E. t21 I0q~rlq in Se Reich ~ rrtedn~q~rs ~n ne Ad of T~dqica} - Ed nation upon at Up to hadn't pmoessing station ba3~d on remew ~d. Its trt,~T~t t0~d.~6 t thaws. the p~t-deplo~q.mt health 8~88dT.~q Ott fo1l~q and why pent health ~q~ei31an~ data q5] Not me~q1~1 qri~rief to deployed Service no c'~ al, It I~TB1~ even ~d e~ usurer are un~q~nq -n vi;or~rr`eTr~1 ~s~ s In after Born Upon (~d (51 Develop ~ En. d.~lq~ 1~s 1~d q ~ lo bait ~ Morgan Lessons Lady System atolls) ~ ' ma_ Id ~ $upp~rq ing Em_ =~ Amp t~ =0,0~01~ ~ following at the ~ drone sq.at~n or p=~h,~d~, Aim inn ~[ q Alp Em - ~l0~ng ~d~r~q~ meld_ ~ t 1) Con~nq k tuteroulosiq~ Ring q~i~hin 1 beer LEE r~dq-plo~q or goner IA ~ Se - ~e =~id in requirements 12) ~11~ inhere indicated her Service polio. ~ serum Copy fbq. E1W testing arts storage in to serum ret 13) Conriq~:t adqUit.ona1 healt}~ -~er,1s andfor health dchriel ir'dicate~i by health throws or=onts occurrug .n theater 269

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270 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES ENCLOSI=E ~ F~I]EPLOYIVIENT HEALTH ASSE5$S~ EROS P~OCE~q~ GUm~CE : 1. Ser~lce n,embers Abet c~ or re-~lida~ ~e huh ammo Alla at their home motor or promising station ungirt 30 days or their deplo - crib. 2. ~e own must be adm~3~red and ~ irnmc~l,;~tely m~ed hy ~ health ~ are provider. [he pr~icier can be ~ melodic or corpsrrmn for ad~in~ering and initia3Tey re~teu~r~ the que..Stioc~n~ire. Houtev~, positive ~Tspon~.s ~ questions 2-4 ~d 7-8 must be re~rreci ~ ~ phy.sIci~.. physician ~.~ist~t nT~r.$eT or indep~.~ier~t du~ medics techr~icr*n ~ Copies of ~< Impend ~ ~ ust be phased in the Serve e mambos peg medical mr oral Ad. origit`~.3s Grin be immed.atal`- ior~rd~ to BED D0P10YEn~F] ~ SUET ~ ll~nC~ Team Aim. O 1 13 1~urg Fig . ~ bite 701 F~.s CL1U='h.. NFI1 LiHi~ 22041. ~q3N 751-7153 |~,;~. ~r72~T AT 4742) Or CO~Or1~ 7~-~81 71 ~S {~t q727 or de7421. 4. ~e DST provides the ~ ~ Army C; nter for Health F7ro~.otion Ad Pr~r~tive Me~lic,0e (LI=CHP~h4) with ~ preciepl~w~t heath a~$sir.~.t da~e an monthly brig for lui lesion he the Defense ~l~,dic~-e $~ i1Lan~ Sys~rn (DISH, 5 13SACHPP\I provides the Spirit Staff ~r~ifi~ corr~nands. ~d the which with periacidc ~re.~ci ar~al~is r=or~ ~n ~e ~ 4~pEe~d pr~depl~r~< ret heals ~.~.~.b.~ B~ En, ~ ~ [0 ~ ~ ~ ~ ~ ~

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APPENDIX -J PRE-DEPLO7hlENT l4~alt3, Assessment I hi ST F\tl ~Tl0~ 5 F RIVACY ACT ~ F ~ B~ Please read am q~r~ti~ ~h,~|cly ra`:d calf DerDre n~arxlr~ yr,~r <;el~tion~. Pr~vir4~ ~ re spouse r.=t~ qu=tiD,n. ,, you uc All understand ~ question, ask ma arimin ;Slrak ~ Locatlo~ bt Operallon ~ Dep3~ment. Eor~ ~ Au. tt~li. Alrica. Sw A~a SE A~ ia LiSL-ue~Lry (IF l~;hlO~rYNy =-- 1 ~. . O r-entral Arncri ~heme ~ ~mLion: ~ia {OI;~rj rD r-~r~ wn 4 South Aru Otisrar Last Heme ~'s U3~ l~rn~o.~; ~ I IJ~ III--I I I ~ Soclal $ocur1~ N.um.bor I I ILI I I i 1 1 1 1 I lJ~1 1 ~ I I l-m-~l ~ I I Flrs! t4arr ~ |-~ I I l-i -: 1 1 ul cos tm~~ ~~ ~| ~I I r I ~- --1 ~ Pay G~nk Gendu ~ er~ice ~F.a. F] r;h 0~mpc ~nt ~ ~-' ~ O1 0 W, O h1 3ir, 0 ~r For ~ Actrv~ Ouly 4 -2 O 02 O W? O FeFna ~ .~rny O Mrat~n al ~uard Ed '0 ~ ~O WA O C=st G48 ~ ~Serves O EE O Q ~O Other ~ Nl~rine CDrps ~ Cilv~li~r, r~o~mFnont ~rnp - ~ ET O O? ~ hl ~O N~n~oveTuner~t |~:on~l ~npl~e L) ED O 06 ~ 0~:, ~ ~th~ 1. Wo ~ you ~ay yc~r ~e~lih in ge~;sral Is 2. 0D ~DU he ~e. an' nnc~iG31 Or de`;1~[ pro414sn~ 3. ArR ~DU a;reenily on a pr~'ile, ~r l.ghL du~, ar are ~DU un~rgoir~ ~ ~1~1 toard? ~ ~eller~t ~ Ve~ ~ 4 ~d O F~;F O `OF O 'f~ai O hir, Air. ~u pregr`gnl~ ~ - LES ORW) ~ Oon't r0 cu;renl~ ha`~ ~ny ~;c~lions ar con~rh, ~twe ~F he~lih? PIr~ase Ir$1 ~ur ~n~ms: 0~, 0 ~ Ves ~ hl~ 1 cerdi~ lh~l tti.wnsras on 1hts ~rm OF. tn~ se ~'t'1~ r.~ ~De . ~ ig n~ ~ r~ - Dep~yTnnnt 1l~iig, ~~'~t Ou~i~l~iz. D t - ) APPR~ED S_F'TEM BEFe 1 sei 271 22E19

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272 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES Cat 1251 ~ Ian inli3rvi~rrr.~;3rr~ or p83tj3r~, din .~1~rrir~ pr~t~lr=~ Ore rear. anti rim by ~ of S=~. Ore ~ "9 =Y ~ mud ~ lh r~u.lip~ preblt~s Furler 4~[r~OlOliGh of ;~Llern lo be 4~ in dice ~rd REFEiR~L INDICATED None Cardiac ~r;~ba~F~r30~1 Walrus n33ctirJn ~ Anal O Or~rm^~ic OE~ ~ ED O Fare by firms Faligu~b, h~l~j.e, &141tis~tram core'~lair~t ~1 O Ou O ~N ~ henna Roth ~urol4g~ OrthrJF - ir Preg~3n~r Pulmonary Other F I hAL 1'LDlOAL DISPOSITI ON Cc~rn~nl$: Itf net rd~loyable. expFain] Indr=te the timers of e~h or the Blowing .s )2o t:lA j~ r r,dj=F (hr~t tri~ir~ r>Or~pi~ler-[ 0 ~ ~edical in~m~at~nshr~btdisiri~ O $~num ~ror HlV ~rs~vn wit!~in 12 r~rTh~ Immuei~li~a cun~nt ,q, p~ sr~r~ranir`g ~hia epl~i~lD r,3 ~t Dep[~ahls t ~3rtiFy lhat Ihi' ~ViC~r pFrJOc i~ has bae~ c - ~1~, Pf OV i{1O F ' ~ 5 ign~ ~U. ~ ar.c ~ . 3~: D3te (mmldr~m} 1 ~ 1/~1-Jil:.~ ~ 1 ~ P~e~r~ ~1m ~an~ht Q~5 i~nn~i ~D ~~ ~F~F4~vrFO [i EPTEiLlBER ~ Jg9$ 2~t.

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APPENDIX J EN~$URE WEEE;1`Y Orson AND NON-~1~E IMPLY REPOSIT INSTRITOTEONS Dmense nod h~on-~ttle ~ ~s - The VIt~ S - s of to Unit 4e main ce=~n (or A. ~e ~d real battle injury l:~NBI] BEES is that they ~ an implant ~ at }he unit 1~1. The are Me Nital slgrm of isle unit.- an ~,=~ ANTI sys~m ~r kr4~1e Abnormal rates se~ to fame medical attention or' ~ problem area imn,~ OCR for page 263
274 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES 6. F.tna1 ctispo$ition inn one of the foH~wirl~ categories. ~ F~11 duty. PIP light BLIMP testim~d number of cia~`p. rP Stek in quoters lest~ma.~6 number of 6~) rP OF in-i admissions. UP_ ~1 cate~pa~ (~e deFir~i~lor~s =e hi at the end o~ this cnclos~Fol. Sick catI joke IF their alectr~n~e egulvalents chit b~ retuned by medtoa1 unit at the ccr~cl'~.~ior~ o~ the ci~plo~nent Arch fill chill the weedy DOPE reportp [CP11~P these "Pt - -P+ Record the .dP.~is~`i~ fiats in ~e spaces pro~eci ~ the top of the Mom ~ troop sP~er~th refers to Else number of troops being ekes c~e oPE by t}~P~ reporting mcdic;~3 unit. Obtair~ cleric-~p strength for the reporting period from the S-1 f J- L . . He~ew, the sick call log a~d adci up ~e 460ta1 number of new ~=s ~X~44~ 'me seen da~g ~e entire week ire each D~HI catered- ~1t ir1 do- app~,~Late blood ^~d up the ~t4~i [idol and record the nutnbe. in 4~ ~p4~0 prairie. To {~1~1~ GORE r4atear4 divide +~e t~ta1 num+q~r of p4~ticA'ts se~ in even cannery ~ the average troop strength arid Nips ~ 100 For the ~eco1~;ic Ca~60~,rr the FEMALE troop s+~ngth must be used 4~clI1~ the rats noc the to drop Betroth. Chamber to 4ea1enla~ 4~ ~ ~r4~11 ~ ;q BI to+~1 rate . E~nmpl.. aware hers 20 denrmtologico] ma chin Derek in oO0 try the peach= would b~ Cal - as tallow: 20 de~10~31 case~ - ~ ci SOO ~s then 0 ~ ~ 100 - 4% Next adri up he t~t4~1 rlllm45er of It light duty dOYB, lit duty (18755 =15 h~lT JI~I P8t~ClI' 80~45~SiElT~ in each catcgo~r, and ill in apprap~late block.

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APPENDIX J C=np~rc Pi rates for each category with the sU~tRd reference rate for that category Mere is required Or the On ~Probl~rr~s identified - Corrective Acorns Ebr all categones where r~s are abovs the suggested roar - ~e Intel. Who c4mp~1~g rates keep the following. i~rrrlation in n,irld; a. ^e suggested reference ra~s are on~ truer ~d Would be used as ~ rough guide only. Ah CENG Surgeon or AID Su~n may modify the -~estcd Reference ~- b~d upon theater s`~ctfic ~s b. Exceeding ~ rate by ~ 146 is not necessarily an indicabor: of sigr~flcar~t prowlers. However going from heaths s~$~d rate ~ twice the su~d raw probably indieat~ Tut them is health problem needing immediate att~tior~. e 5~di~1 su~d reierer~ rates a" not int=de.d to ad `1 up ~ the total HEIDI Bud reference ta~ Art ink category could ~e ~ high rate - thout causers the tote mt to exceed t1:e reierren~ rate - ~t~nUort ~ the i,~ciividual c~t~ is appropriate Phi nee,e,~$~ 'n this Vitro. Alle,~tively, the; tool DNSI raw could be high `~t calming ~ndi`~dua1 categories to exe,e,~d their r~er=~ ~s - tte,ntion to systemic problems c,~sir~g genie al sick call Wits ~ rim is appropriate a.r~ci newest In this Aquatic. d. Use cornmor~ sense ire .nte~rct~g the DNBI m~s l=ck Dim! ramp over time ~H c~npa.re cu~t THAI rates Dim yom unit ~ put DELI rams for co~npamble I. 6. Report weekly DN5T ~a to the unit com~n~r and ~ m - ;=l pet at higher echelons (= need ire the first p~aph of those first Lions) 275

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276 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES ~ DEEilNl`TIOBIS Notes: 1. Chant only the initial wait. Do not count ~11~-~p Chin 2. All initial sick can visits should te plank in ~ category. ~ if in doubt about which category, necks the best A. 4. Estimate ~ hi 11~ht du~ lost work Ads. or adrr~sI~ results from ,nit$~1 Gaits CombatIOp=~1 Am B.~.~1~s - Acute ree.~ion to sPtr~s~ ~ transient Aiders ~ cceur without any apparent merino di*P0Prd~ in ret to ==pt~na1 physical anti ~n~1 ~Ptr~*Ps. A1~o Sr~lUciesP p~- t~urrmti~ sums ci,~rder which ~s as ~ delayeci ~ Wretch Capons to stressful Writ or mtuatior~ oF ~ ex~ptiorm11y threa~.~g or ca~$~4phm I. 0th~ ={h~ - ~i$ OCR for page 263
APPENDIX J 1~, Other - ~y injury not included in Clle prewiousI~ defined theory ribs. Ophth~lTnalogi~ - Any acute riiagnos~ irl~-~ving the eye, including piglet co~ctimris. my. Tomcat abrast~n. loretgn Boise Anon problen~s etc. D=s not brie routine ref~m~1 for g1~s (r~on-=ut~. P~y~a~icq. M~tM Disorders - ~y Con~r~tio~lly derailed ps~hf~c qrliso~LeI ~ qwq~ll as be}~aqvio~ ch - ~e anci qi~q'.~qrb~ ~ nc~al q^on~qu~T which is either on Lit norms If na.r~ Mar, or is coupled is itch ~usu~ Al Symptoms each as parallels -tory - AM ~ila~is of Me lq owed rF-~plra~ At LET as hron~qi~` pnq-,U=Ortia, F-~mph/~en=. reactive 'winy Be. and ply or the dippy m~;lr~ry t.~q~,l. equity ~ "Roman W] OCR for page 263
278 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES jWEE=Y D=l ~0~ It: _ Troop strer`~h: Anus Peered I OO013 brow _ ~u~F ~3~) ln~du~ Pr~=l~ ~port: Phor`~: . _ .. . . . ~i]: =~GORr ~ Isu=~nI - Pa . . ~ . S0~ ~1~. . . 0.196 _ . D*~=3~ - ._ . 0. ~_ m. ~l~w ~ ~ ~ C~col~gE~ ~ . F ~_ . O.- _ ecIea~e-~3;5por~ l .. ...... ~0* _ - ' - T Lear - . ~^ 1.0` _ ~u~. ~r~l~ I 1 ~_ . Ceil ,oule ~1.0% _ ._ - ~_ 0-~% ~ lay - it. 85 ~_ " _ . __ On% _ . on , . . . - . o.ESq ~_ Fc~rr ll~lued _ .. _ _ ~t~~, _ _ hk ~. _ T~L P~} , . 4 ~_ . DAYS OF I~T LIOEIT W~C D1 ~DA~ . . 1 ~" _ _ = _= _ .... _ _.. . ...._ . _= ~~1 1 . _ . . 1 ~l . 3 F~P | .. ~_ . ~eRrqbk I . 4. . . D ~1 .. ~_ Problems ~ti5~: C~etive A~; n - I Et~omng p4~ foe ~ol~t Dep}o~e~"

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APPENDIX J 13~CLOS~ ~ ~$3DRVICE REPORTS= MEDICS E~NT LIST bi~sLs f~t~rax Bi~gi~3 warf~ want Expo~urc Botuti~h B=~1~1s C~hpyl~ - r CaFb~ ~4n=~e Poisoning C~ tic - ~= ~]~m ~ciritotdom~si~ d Wander Inj~ (ALE, Fr4stl'E~ H"~th~nia Inhere Ape l~ns~cl~d Cr"t-por[di=Es ~14sp~ DIphtl~[a E { 301i 01 o7.H'~' Eh~ic l[~E~ E=e,ph~l[Us Fd3arIasis ~^ttas1s Gon4~rhm H. It~tlu~e, irehrasi~re Har~tavinus ini.'r,~ t l~rl~ Hem It H"t Stroke HE For [lepaUtEs A EIepad~s HepadU 1rz0~ mat Poisoning l~=tlos. is l~ishm~ndasts IAI]) Leish~= C,utaneo~s I~Elrn~0, M~we~tan~ ~i~h~iasis. Unspec lint, mitral L~pr~ LeptospLrosts 279 Ll~lL=io Lame Di~ Claim LAll] heals. FaIcLp~m hams. ILL harm, Ov~e hl~=ia, U~speciFi~i Malaria, bias Meaner. Girl Di~;e hI=i~gitis septicemia Murnps ~ ss~s Plague EM=~aL ~eurn~ia P~LEoIrL~liti~ ~ Finer E~.bi~s, Hutton lap~l:ng For El.hc~rr'atic, l; Ever, ~,~e REtt li'~l]~ F~,~ F<=,~ ~oun~in Sp~ci F=er RUbe,LIa Salmorl,~]l=~s Schists, 5omLa,ois Shi~l]~1 Srn~l~x S - pto~. Group A. Ir~=E" Aphelia (All) S~hilIs4 C~Lt~L Awhile, Intent Swahili. ~m~f8 Swahili. Te ~4s e Shock S~me Tr[chinom T~La - ~10~, ul~r~rli~ ~phO[ci F~,F Typhus F~,r l.Tr.~lritie3. Non-~onoeo~sLL V=,~Ln~,, Aci~rcrse Errant 4r~ri~,r]1~, ~ Duct Or,Ly Yc]1~- Fr,vr,r

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280 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES ENCLOSURE E FOST-DEE~ENT ~;ALTE! A5;SESSM3~IT} FORM PROCEE;S=O GIlIDA~E 1 So - ice members meat complete the health smut few or theater, pro Ply Others 5 dam prior to r~epl~ back ~ Amid how ~4n 2. -e form mu" be admir~ist~ed and the i~rnedi~ely r~ed ~ ~ health c~ prmid~r. - ~ prowler con bc ~ Weds or chessman for adnti~Isteri~g and grit ruining the questi4~1r~. ~F~ pCSiti~ IS must b roi=T~d to ~ p}`y~l~ ph~lc3~ ~st~ no. ~: ir`~epender~ cited ne,dic,al ~iCI ~ Copies of the ~n~pleted forte mu" be place{) 3r1 the S~= Ember ~ p~m~ent m~ciic~ rearm Or in the deployed medical sword For ~= to ~ permanent medteal record upon ~i~l~Tr~cnt to whir harm ~on. Snarls ~11 be immediately ~r~rderi ~ 1 he Dep1~ner~t S`2~re'll~" Team 1~= 51 tD L~sburg Pow. Suit 701. Palls {:huteh. Virginla' 2204 I' DS~ 7Bl- PP1 53 [ext. 4;P~ pP or 474~ or c,omme,rciaI Idly SSl-~l53 (ext. 472'iP or 4'i,4~. 4 Pow DE;T provide the- liPS Artery Ce,r~r for ~1~ Pr~notioxt ~ Pmv~tl~ ~Ied~tne (I.F68CHPP~) with ~ pat deploP~T~ent health as~sPmP~nt [~ ~` data b~ on ~ rnonthly basso [or irecl=Pion in ~e Pei"~ns~ Me~1 Su - Mince s~m (DOSS). 5. t1~Pm pm - PUP the ~t Stalk the u~iiieri coln~nds, and APT Serials urith pe~o`.ic ~ ar~alyPsie repute on the plow post-~cpIo~nt health ~Pse~mm`t form.

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APPENDIX J 232~T P O ST- D~ PLOYS E ~ Health A~- a~t I NSTRU Trio ~S PRIVACY A~ OF i9" Please read Edith Replica =~ and Drolly merry ma~rq~ Our sr~l~r~ns. Provide a mix Or ~T8 OCR for page 263
282 STRATEGIES TO PROTECT THE HEALTH OF DEPLOYED U.S. FORCES Me1 inlernq~exiar~ OF patent, the ~1~ing Patents Ore Doled arm calcgori:= ~ Revi~v ct S~tcrn~, Mr.~ Man one ~3] tE row for poller let Pith r~ultiple problems Further Costar ~LlalIon far ~rrab[~n ~ be dam in. Away ~ . ,, . . . . _ .. .. REF~=L ~ND10ATED r.D None O Cardiac 4 That f OF~rat'Dnal Strew Resection 4 Dental O Dranina~lc~'ic ~ EAT Awe Framily Pro~rr~s ~ F311g~s, hl~lse, h~lt~r~lem c~mpdair~l A, G1 tar,., Abet ~ raven Flatly 4 Ncur0pj: r~hopedD: P',egn3n~ ~ Pulmran~ ry r.) Either Ampere; EXPOSL]RE COHOEgNS tOurlng dop1~nen~ Frc~ider gee questlon~ ~ ~ ~ on that rearm ret ~ form nvirc~relental r,~=uFaliraem1 ~ cent or Basic rated O Rono Ind=:e ~ straw; ~[ Axe r;! 11m following: Ye s ~o 3 ~ h4~di=Lthrest ~Er.iefing ~np~r~ ~ O O hymnal in~n~al'~n sheet disiribu~ O 0 Fosr.~Ployr~ant serum ~p~ln~ mII=I - , it rewire I Art; that Delis review ~rocr,~s has ~ cornbread, Pee ~ i der ~ ~ ~ igr~i~ture a ad ~ corm: Hale (h~nVU~) mlm/l.l I..L] ~st~Epl~r~nt ~ - ,~c~z'~4 rl=~i~~ha A$4 (1iAlAPPF