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-Patient care demands were heaviest early in the deployment

                    RECOMMENDATIONS

     1. Increase flight surgeon role in deployment preparations.

     2. Mobility planning should assume 60-90 rather than 30 days for resupply
of items such a personal hygiene supplies and prescription medications.

     3. Establish a mechanism to assure that those who deploy are medically
qualified to do so.

     4. Establish an Air Force food service which may be deployed if host nation
service is not acceptable for any reason.

     5. Assure base planners are aware of support requirements for the ATC as
outlined in the ATC ConOps.

     6. Assure that ATC communication needs are either carried organically
with the equipment pallet or are clearly identified and covered by bare base
communications planners.

     7. Assure that all ATC's are updated with the May 1990 Table of
Allowances.

     8. Increase the-supply of routine sick call drugs on the TA by 100% to cover
an expected population of 800.

     9. MAJCOM Surgeons, with the approval of wing commanders directly
appoint ATH commanders.   Consideration should be given to rank, operational
flight medicine background1 command experience/potential, motivation, health,
mission requirements etc. The 9356 billet on the ATH manning document should
always be filled by a flight surgeon with at least two years full time experience
whether or not that individual is also the ATH commander.

     10. Modi~ the ATO Concept of Operations to address multiple SME1s at a
single beddown.  The host wing commander should appoint the most qualified
SME as acting DBMS. This individual shall not have direct command authority
over the SME1s but shall coordinate their functions and act as medical advisor to
the wing commander.

     11. Assure MANFOR and UTC1s for the ATC manning package      include 1
SME 9356 flight surgeon, 2 SME 901XO aeromedical technicians, and 1 medical
group augmentee    ( 1 9346 family practice physician and 3 902X0 medical
technicians for non-flying ATC's). First choice for the medical group augmentee
is a 90270 SEl 496 Independent Duty Medical Technician, second is a 90850
military public health technician, third is an additional 90150.

     12. Establish an environmental monitoring UTO with one 908X0 military
public health technician and 1 907X0 bioenvironmental engineering technician

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