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File: 091896_aug96_decls27_0001.txt
Page: 0001
Total Pages: 3

Subject: MEDICAL SURVEILLANCE REPORT  19 JUL 91                          

Box  ID: BX005154

Document Number:          5

Folder Title: 212TH MED DET  OA  MEDICAL SURVEILLANCE REPORTS   05 AUG - 05 SEP 91                            

Folder Seq #:         74

Unit: 22D SUPCOM  

Parent Organzation: ARCENT      










                                  MEDICAL SURVELLANCE REPORT               Pa.@e 11
                                      REPORT AS OF  -------- t .-I'lE) DATE:LqL(g I
             NAME OF UNIT/CLINJC:@

             POPULATION SI-E:
                               ----------------------------------
                              MALE              FEMALE    15
                                        T
             PATIENTS SEEN:                ----        -----------


                 REFERRED To HOSPITAL: -
                     PATIENTS REFERRED T6 CISPITAL:    ----------
                 GYN                       p          f
                 FOLLOW-UF VISITS: -----------------------------



                 r,(.DLD INJURY ----------
                 DIARRHEAL DISEASE-----@   -----
                 l'-'INC)r-OLDC-'CAL PROBLEMS  -------
                 HEAT INJURY  -----------------
                 (DPTHALMOLOC,117A[, PROBLEMS -----
                     INFECTION -----------------
                     INJURY   ----- :5 ------- -----
                 ORTHOPEDIC   ---- ------------
                 PREGNANCY    --------------------
                 PSYC;HIATRIC CONDITIONS  -------
                 SEXUALLY TRANSMITTED DISEASE:
                     U MALE   -------------------
                     :t FEMALE    ---
                     # CONTACT-S--R@ACH    D/OR TREATED  -----------------
                 ST@IN CONDITIONS
                 TRAUMA  ........    --------
                 UPPER RESPIRATORY
                 VAC,INITIS   -------------
                 ALL DTHER CONDITIONS --- ------

             2.  REPORTABLE DISEASE:
                 A.  VIRAL HEPATITIS               L. MENINGOCOCCAL DIS   ) --------
                 B.  HEAT STROKE                   M. PLAGUE  --------------------
                 ,:. ANTHRAX  --------             N. RABIES -----------
                 D.  BOTULISM --------------       0. Q FEVER --------     --------
ISTOSOMIASTS    ----------
                 F.  CHOLERA  ......  .......
                                   i-iEMk-.iiAH-AClt- FFVVR ----
                 H.  DENGUE FEVER --- 4@  -----    Q. SPIROCHAETAL Di      -------
                 1.  fiELMINTHIC INF. @ ------     R. TRACHOMA  ------     -------
                 J.  LEISHMANTASIS _@ ------- -    S. TOXOPLASMOSIS _      -------
                 i'. MALARIA  ......./---------    T. TYPHOID  -------     -------
                                                   U. TYPHUS  --------     -------
                                                   V. OTHER (EFECIFY)      -------


             PROBLEM INDENTIFICATION:

             CORRECTIVE ACTIONS:                                        Appendix B

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Document 3 f:/Week-34/BX005154/212TH MED DET OA MEDICAL SURVEILLANCE REPORTS 05 AUG - 05 SEP 91/medical surveillance report 19 jul 91:09139616140762
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-34
Box ID = BX005154
Unit = 22D SUPCOM
Parent Organization = ARCENT
Folder Title = 212TH MED DET OA MEDICAL SURVEILLANCE REPORTS 05 AUG - 05 SEP 91
Folder Seq # = 74
Subject = MEDICAL SURVEILLANCE REPORT 19 JUL 91
Document Seq # = 62
Document Date =
Scan Date = 30-AUG-1996
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 13-SEP-1996