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File: 120396_sep96_decls67_0001.txt
Page: 0001
Total Pages: 1

Subject: COLLECTION AND TRANSPORTATION SUSPECTED BW INCIDENT SPECIMEN    

Unit: OTSG        

Parent Organization: HSC         

Box ID: BX003203

Folder Title: COLLECTION AND TRANSPORTATION OF SUSPECTED BW                                                   

Document Number:          1

Folder SEQ  #:         12


                  -DEDICATED TO                                                                                                                                        Al@ @J
                  EXCELLENCE IN                                                                                                                    THINK VIDED---@
                  'COMMUNICATIONS'                                                       SECRET- UNCLASSIFIE*D**!LECONFERENCING'
                                                                                         OPERATIONS                                                CALL 697-1111401*
                                                                                         SUPPORT DIRECTORATE
                  PPIDRITY                                 ZYUW RULSBUAD685 3241900                    (I)-* BACXGRWND INFORMATION @TYPE OF LIMIT ATTACKED,
                  P 2019007 NDV 90 ZYP                                                                OPERAT10NAL SCENARIO WHEN SUSPECTED ATTACK TOOK PLACE, EXACT LOCATION
                  Fy, BUMEP, WASHINGTON DCI/27//                                                      OF ATTACK AND DESCRIPTION OF TERRAIN, DATE, TIME OF DAY, WEATHER
                  INFO DA WASHMTDN DC//,     - '              AF BOLLING AFB DC//SGHR//               CONDITIONS, SUSPECTED DELIVERY MODE, VEHICLE, DP, SOURCE OF AGENT).
                     HQ USAF WASHINGTON      /SGH@/                                                    (2@@ DETAILED CLINICAL HISTORY AND AUTOPSY FINDINGS (If
                  P 130649Z NOV 90                                                                    APPROPRIATE) INCLUDING TIME Of DEATH, PLACE, DATE AND TIME OF
                  FV, COMUSNAVLOGSUPFOR//Ngl/                                                         COLLECTION, PROSECUTOR AND UNIT.
                  TO USCINCCENT//CCSG//                    CM'L WASHINGTON DC//MED//                  4. @ SPEC19EN PACKAGING AND TRANSPORTATION:
                     COMUSHARCENT//SURG//                       (A) @ ALL SPECIMENS, EXCEPT FORMALIN FIXED TISSUE, S40ULD BE
                     DOMED WASHII+JTON DC//00/024/1        COMIDEASTFORI/014//                        TRANSPORTED FROZEN (OR AS COLD AS POSSIBLE IF UNABLE TO FREEZE) AS
                     CG FIRST P.APDIV/ISURG/I              CG THIRD MAW//SURG//                       M AFTER COLLECTION AS POSSIBLE.
                     CG FIRST FSSG//SURG//                 CTG ONE FIVE ZERO PT          SIX          (8)@ PRIOR TO SHIPMENT OF SPECIMENS, CONTACT THE FOLLOWING:
                     CTG ONE FIVE ZERO PT EIGHT                                                       LCDR B. MERRELL, MSC, USN OR LT A. RICHARDS, NSC, USK
                     DIRWRAIR WASHINGTON DC//SGRD-UWK//                                               NAVY FORWARD LABORATORY/H&S LABORATORY
                     MEOTRE FAC COMFORT                    MEDTRE FAC MERCY                           (BERTHING: RV, 157)
                     FLEHOSP FIVE                                                                     ECHO NED
                     NAVEP4PVNTMEDU TWO NORFOLK VA//JJJ//                                             AL JUBAIL, SAUDI ARABIA
                     NAVENPVNTMEOU FIVE SAN DIEGO CA//JJJ//                                           CNNG:
                     HAVENPVNTMEDU SIX PEARL HARBOR HI//JJJ//                                         TELEPHONE: 341-0912 OR 341-0510
                     NAVENPVNTMEDU SEVEN NAPLES IT//JJJ//                                             TASS LINE: IST FSSG 188 (MARINE LIAISON)
                     NAVENVIRHLTHCEN NORFOLK VA//JJJ//                                                HOSPITAL MONITORS THE FOLLOWING NETS:
                     NAVMEDRSCHU THREE CAIRO EG//IJJ//                                                FSSG CMD I (GREEN)          TAR NIGH-, TIME @RED)
     MAGTF DAY (RED)
                  . . . . . .//NO6440//                                                               JOINT MED REG (RED)         TAP. DAYLIGHT (RED)
                  OPER/DESEPT SHIELD//                                                                (C)-* TRANSPORT OR SHIP BY EXPEDITIOUS 14EANS TO:
                  MSGID/SYS.RRM/COMUSNAVLOraSUPFOR/-/NOV//                                            NAVY FORWARD LABORATORY/H&S LABORATORY
                  AMPN/SUBJ: COLLECTION AND TRANSPORTATION OF SUSPECTED BIOLOGICAL                    MED DET, 1ST FSSG
                  WARFARE (BW) INCIDENT SPECIMENS (U)//                                               H&S COMPANY
                  RMKS/1. @ BACKGROUND: THE THREAT OF BIOLOGICAL WARFARE (BW) WITHIN                  AL JUBAIL, SAUDI ARABIA
                  THIS THEATER OF OPERATIONS IS CONSIDERED TO BE VERY HIGH. SUSPECTED                 ATTN: LCDR 14ERRELL OR LT RICHARDS
                  SW ATTACKS OR INCIDENTS HAVE SIGNIFICANT MILITARY, POLITICAL, AND                   (D)@ FOR ASSISTANCE WITH COLLECTION, TRANSPORTATION, OR PROCESSING
                  MEDICAL IMPLICATIONS AND THEREFORE MUST BE TREATED AND INVESTIGATED                 OF SPECIMENS OR OTHER INFOP.MATIDN REGARDING BW AGENTS, CONTACT EITHER
                  WITH THIS IN MIND. THE NAVY FORWARD LABORATORY HAS THE CAPABILITY TO                Of THE ABOVE INDIVIDUALS.
                  IDENTIFY THOSE BW AGENTS CONSIDERED TO BE THE MAJOR THREAT VITHIN THE               5.-"RESULTS: POSITIVE RESULTS OBTAINED AT THE NAVY FORWARD LAS
                  THEATER. THE FOLLOWING INFORMATION IS A GUIDE TO THE COLLECTION OF                  WILL BE CONSIDERED PRESUMPTIVE AND WILL REQUIRE CONFIRMATION BY
                  SPECIMENS ASSOCIATED WITH A SUSPECTED BW INCIDENT.                                  USAMR]ID, FORT DETRICK, 140. PRIOR TO GENERAL RELEASE, PRESUMPTIVE
 FORWARDED ONLY TO THE NAVCEN7 SURGEON.
                  (A) " EXPOSED PERSONNEL: ACUTE SERUM (20ML, 7 14L  RED TOP X 3)                     6.@SAFETY Of MEDICAL PERSDNNEL:
                  SHDULD BE COLLECTED AS SON AS POSSIBLE FOLLOWING THE ONSET OF                       (A) WITHIN THE INCIDENT AREA: AS OPERATIONALLY APPROPRIATE.
                  SYMPTOMS. IN ADDITION, SERUM SHOULD BE COLLECTED AT THIS TIME FROM                  (B) REAR MIT: CLINICAL SPECIMENS ASSDCIATED WITH TYPICAL B@'
                  ALL PERSONNEL INVOLVED IN THE SUSPECTED ATTACK.  CONVALESCENT SERLIM                AGENTS DO NOT POSE A THREAT TO MEDICAL/LABORATORY PERSDNNEL. GOOD
                  SHOULD BE COLLECTED AGAIN FROM ALL SURVIVORS AND MEMBERS OF THE                     BARRIER AND INFECTIOUS MATERIAL/WASTE PRECAUTIONS SUCH AS THOSE USED
                  ATTACKED UNIT IN 3-4 WEEKS.                                                         FOR HEPATITIS PROVIDES ADEQUATE PROTECTION FOR BOTH MEDICAL AND
                  (B)@AUTOPSY SAMPLES:                                                                LABDRATORY PERSONNEL. PERSONNEL SHOULD REALIZE THAT BLOOD AND TISSUE
                  (1)@TISSUE: COLLECT IN DUPLICATE, (1) 25-50 GRAMS FR07EN FOR                        SPECIMENS CONTAINING LARGE NUMBERS OF VEGETATIVE ANTHRAX ORGANIS14S
                  MICRO/TOX, (2) FORMALIN FIXED FOR HISTOPATHOLOGY. ORGANS TO BE                      MAY SPORULATE WHEN EXPOSED TO AIR. THESE SPORES ARE RESISTANT TO
                  SAMPLED INCLUDE LUNG, 14fDIASTINAL LYMPHRODES, SPLEEN, AND LIVER,                   READY DISINFECTION AND MAY POSE A RESIDUAL HAZARD ON SURFACES.
                  OBVIOUS LESIONS SHOULD BE SAMPLED AS WELL AS ADJACENT NORMAL TISSUE.                7. (U) RELEASED BY CART 0. BOUCK//
                  (2)@BLOOD: AT LEAST 20 ML SHDULD BE OBTAINED AND SUBMITTED AS                       DECL/DADR/I BT
                  EITHER SERUM OR CLOT/CELLS.
                  (C ENVIRONMENTAL SPECIMENS:
AMPLING OF POSSIBLE ENVIRONMENTAL SOURCES AFTER A SUSPECTED
                  BW INCIDENT IS IMPORTANT IN DETER14INING THE TYPE OF AGENT AND METHOD
                  OF DELIVERY.
                  A) @ TISSUE AND BLOOD FROM DEAD ANIMALS SHOULD BE SAMPLED AS
                  ABOVE FOR HUMAN SPECIMENS.
                  (B) @ WATER AND FOOD SAMPLES SHOULD BE COLLECTED IN AVAILABLE
                  CONTAINERS (IE. URINE SPECIMEN CUPS, -WHIRL- PLASTIC BAGS, PLASTIC           DECLASSII
                  BAGS. ETC).                                                                  ON: 20 NOV 96
                  (C) @ POWDERS OR RESIDUES FROM SURFACES AND/OR VEGETATION
                  SNDULD BE CAREFULLY PLACED IN APPROPRIATE CONTAINERS AND TIGHTLY             BY: SEC ARMY (DAMH) UNDER SEC 3.4 EO
                  SEALED (CONTACT PERSONNEL BELOW).
                  (2)@ WHILE ENVIRONMENTAL SAMPLING AFTER A SUSPECTED BW INCIDENT IS           12958
                  APPROPRIATE, ROUTINE SURVEILLANCE OF POTENTIAL BW SOURCES OR TARGETS,
                  SUCH AS WATER, FOOD, AND SURFACES IS CONSIDERED NEITHER FEASIBLE NOR
                  REALISTIC.
                  3.@ SPECIMEN LABELING:
                  (A) @ CONTAINER: PATIENT'S NAME. SSN, UNIT (AND KTF IF DIFFERENT),
                  DATE.
                  (B)@ OTHER REQUIRED INFORMATION (WITH APPROPRIATE SECURITY
                  CLASSIFICATION):
                  ACTION                                                (U,F)
                  INFO AOC CRISIS l(l) SCB REVIEW(L)
                  +CDRUSAITAC FTNEADE NO //AIAIT-SR//
                  +CDR USAITAC WASH DC

                                       MCN=90325/27488             TOR-90325/1653Z                    TAD-90325/1657Z        CDSN-MA0466
                                                                                                                                         PAGE 1       OF     I
SIFIE[Y                             30649Z NOV 90

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Document 1 f:/Week-36/BX003203/COLLECTION AND TRANSPORTATION OF SUSPECTED BW/collection and transportation suspected bw incid:1125961012547
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = COLLECTION AND TRANSPORTATION OF SUSPECTED BW
Folder Seq # = 12
Subject = COLLECTION AND TRANSPORTATION SUSPECTED BW INCID
Document Seq # = 1
Document Date =
Scan Date =
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 = 25-NOV-1996