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SUBJECT: DISEASE AND NON-BATTLE INJURY RATES DURING DESERT SHIELD/STORM DESCRIPTION: DESCRIBES DATA COLLECTION /REPORTING PROCEDURES, PROVIDES CASE DEFINITIONS FOR SYNDROMES REPORTED, SUMMARIZES PROBLEMS ENCOUNTERED. DTG: 1 JUL 91 DISEASE AND NON-BATTLE INJURY (DNBI) RATES REPORTED BY USCENTAF MEDICAL TREATMENT FACILITIES DURING OPERATIONS DESERT SHIELD/DESERT STORM I. INTRODUCTION. This document provides a chronology of the DNBI reporting system as it was developed and directed by USCENTAF, describes the data collection and reporting procedures employed, provides case definitions for the syndromes reported. lists and interprets the actual data reported summarizes problems encountered, and recommends corrective action for future deployments. II. REPORTING SYSTEM. 1. USCENTAF/SG desired theater-wide DNBI reporting to detect disease outbreaks and make prompt medical intervention possible. Such data was also recognized as invaluable for future medical mobility planning and for medical intelligence uses. 2. When USAF medical treatment facilities (MTFs) deployed under Operation DESERT SHIELD in early August 1990 no DNBI reporting requirement, system or guidance was in place. Needed was specific guidance on the desired data, the rate calculation method, and the report format and frequency. 3. USCENTAF/SG desired a reporting system that would be compatible with that used by the U.S. Army and Navy forces in the same theater of operations. However, since no joint service system was in places USCENTAF/SG elected to mirror the U.S. Navy list of reportable DNBI syndromes. 4. On 7 September 1990, USCENTAF/SG issued instructions for the collection of DNBI data to all USAF MTFs deployed in Oman, Saudi Arabia, Bahrain, United Arab Emirates ((UAE), and Qatar. The USAF squadron medical elements (SMEs) at Cairo West and Diego Garcia received this message and also participated. Weekly reporting by message to USCENTAF/SG and HQ TAC/SG began as of 10 September 1990. 5. The list of reportable syndromes was modified on 18 September 1990 by USCENTAF/SG. "Miscellaneous medical conditions" was replaced with sexually transmitted diseases", a syndrome not included in the U.S. Navy list. This modification was sent to USAF MTFs by message. 6. On 15 November 1990, another modification was made. USCENTCOM/CCSG issued instructions for a uniform reporting system for use by all U.S. forces. This new and final format included case definitions and is reflected in the attached data charts.
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