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File: 970207_aadch_005.txtoffered to reduce their incidence. Hepatitis B vaccine should be started for all medics at the time of deployment when mass casualties are anticipated. Reserve and Guard units need to implement hospital employee health programs consistent with their gaining medical facility (Hepatitis B, Rubella, Rubeola, and perhaps TB and Chickenpox). ARC Aeromedical Staging Facility, air evacuation and CONUS MTF backfill personnel, in many cases, were not protected. 9. Patient Decontamination Issues: Even though the procedures were untested, the group expressed confidence in contamination control team capabilities. Recommend wording changes in the regulation to clarify that the EHO oversees operations, but the team chief may direct operations in the contamination control facility on a continuous basis. One individual had tested the Multiman Intermittent Cooling System (MICS) with an environmental control unit (ECU). He reported~air flow was inadequate. Additional evaluation and perhaps modification is required. Scissors had a short life span when used around chlorine. Spraying scissors with WD-40 and placing them in plastic bags increased the life span. Recommend USAFSAM/EDZ develop a course for contamination control ' teem members. 10. Medical Intelligence Issues: Information was available and predeployment briefings were appropriate. Support from commanders for prevention of heat injury was excellent. The deployment site, when known by the ATH commander, was sometimes not shared with the MIO. More specific briefings could have been provided if this information was made available. The site would not have to be mentioned to all deploying forces to have an effective brief. TAC Regulation 400-10 authorizes the MIO access to this information. 11. Occupational Health Issues: The following guidance is from TAC 400-10, pare 2-7 g (6). This guidance was followed and is appropriate. "Occupational health examinations and occupational health education are normally not required during deployments. However, occupational illnesses should be monitored and corrective measures recommended. In some cases education will be necessary. It may be necessary to fit and train personnel on the use of respirators and hearing protective devices." 12. Equipment, Supplies, Transportation, References a. TA 896, Sections V, Y (ATH): Delete all patient decontamination items (established a separate TA for decor), insect repellent, inking pads, ink and gloves. Separate BEE and EH items into 2 sections. Add non-disposable ear plugs in assorted sizes, 6 holding thermometers and 2 thermometer holders. Increase the number of dial thermometers from 7 to 24. b. TA 889, (SME): Only 2 items on the TA were for EH; a 3
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