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File: 110196_aacaa_03.txtproducts have been of acceptable quality, and with the exception of some discolored meats, have not required rejection or throwing out. A local bakery requesting a contract with this base was originally rejected due to a major structural defect which allowed gold to grow on the walls. The defective room was remodeled, and subse- quently approved by our EHO technician, and later by the Army vet erinary services. MOBS are also monitored at this base for quality, temperature storage, and dates of expiration. Food service at this base is contracted. Food handler physicals were performed on approximately 40 individuals to obtain 20 needed employees. A physical exam, chest X-ray, and stool specimen were obtained. Disqualifications were equally divided for stool parasites, abnormal cheat X-rays, and poor hygiene (especially oral). Disqualified workers were referred to local physicians for treatment. 9. The arrival of the 111th Army Reserve Contingency Hospital at a nearby site provided sub-specialty consultant as well as some staging concerns for anticipated aeroevacuation casualties. The availability of an ophthalmologist , urologist, and a full time or-- thopedist was a particularly valuable addition to our delivery of medical care. Patients with these problems had been previously airlifted or seen by specialists at the host-nation hospital. The air-evacuation system. It has been anticipated that patients would arrive at this air base (OMAD) and be transported by ground ambu- lance However, no aeromedical staging facility is located at this base. Current arrangements are for a nine member team to man a two section temper tent prior to and during patient on and off loading. Our clinic has agreed to provide any back-up response for emergen- cies and unexpected arrivals. 10. Aeromedical concerns centered around clearest, altered circadian rhythms, and flying duties while taking medication. Dur- ing the initial air war, aircrews were completing 12 to 20 bout duty days with 12 to 16 hours crew rest. For example, 41 ECS crew days lasted 12 to 15 hours, followed typically by 16 hours of crew rest. Show times for aircrews would push back four to eight hours daily (for example, day #1/0100; day '2/0500; day a]/ 0900; day ,4/1300, act.). While flying this schedule, several crew members complained of sleep disturbances, as well as fatigue and drowsiness when performing crew duties. These problems were more common among mission crew members than flight crews. A survey was distributed by the 41 ECS Flight surgeon to aircrews, eliciting an 80% response rate. A majority of flyers noted difficulty with rotating show times, and almost unanimously fixed show times; even if it .meant crew rest would be limited to 12 hours. the 41 ECS DO event- ually arranged a schedule with either two day or two night sorties followed by a 24 hour rest period. (for example, day ,1/0100 show; two crews performed mission planning and provided aircrews to replace ONIF'ed hard crew members. This rotation limited show time changes to six bourn rather than 24 hours, and provided crew mem bers a 24 bour break every third day.
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