WEEKLY MEDICAL SURVEILLANCE REPORT

File: 970101_sep96_decls56_0001.txt
Page: 0001
Total Pages: 1

Subject: WEEKLY MEDICAL SURVEILLANCE REPORT                              

Unit: OTSG        

Parent Organization: HSC         

Box  ID: BX003205

Folder Title: WEEKLY MEDICAL SURVEILLANCE REPORT                                                              

Document Number:          1

Folder Seq  #:          4












                              WEEKLY MEDICAL SURVEILLANCE REPORT
    [Route all reports thru Command channels to CDR, 227th Med. Det.
    (Epidemiology), APO NY 09657, copy furnished Corps Su@geon's Office.]
                                                -r
    Full Name of Reporting Medical Unit:
    Date Completed:
    Dates covered:     Fr-o-m ---------------       (Sun.) thru                          (Sat.)
                              --7------ --------                    -----------------
    Average size of population supported:        -----------

    CONDITIONS                                    No. Pts./wk    *REPORTABLE CONDITIONS(#/wk)
                          -------------------------------           ---------------------------
                      0                  --------------------

                                                    Dec    Der-
                                                                       A. Viral Hepatitis     .....
    1.   Orthopedic Conditions                    .1                   B. Heat Stroke         -----
    2.   Trauma                                    3?0       @3        C. Pregnancy           -----
                                                                       D. Anthrax
    3.   Diar-heal Illness                                             E. Botulism
                                                                       F. Brucellosis
    4.   Respiratory Disease                                           G. Cholera
                                                                       H. Crimean-Congo
    5.   Skin Conditions                                                  lferiorritagic Fev  ......
                                                                       1. Dengue Fever
    S.   Psychiatric Conditions                                        J. Helminthic Inf   - -----
                                                                       K. I.eishmantasis
--- L.         flataria            -----
                                                                       M. fieningaroccal Dis.__
    9.   Cold Injury                               ---- &I.            N. Plague              -----
                                                                       Q.- Rabies
    9.   Eye Disease, Injury                       3                   P .L) Fever            -----
                                                                       Q. Schistasomiasis
    10.  Gynecologic,   Obstetric Condts.                              R. SpirocliaE-tal
                                                                       S. Trachoma
    11.  Sexually Transmitted Disease                                  T. Tr)yoplaqmosis      -----
                                                                       kt. Tvphotd
    12.  Follow-up Visits                         12009     ?Oa        V. I'vplius
    13.  All Other Conditions                    a; 1 -7 (O  I         W .Other (-.Rperify)   .....
                                                                                   Ato t' a// 'tlegt@p"--t
    14.  TOTAL




    Problem Identification

    Corrective Action


       OEPORTABLE CONDITIONS_are                                     -L!i 1 L4!t.    -119.t@Oi @ -0-1 u s t


    This form may be reproduced.

Document 1 f:/Week-36/BX003205/WEEKLY MEDICAL SURVEILLANCE REPORT/weekly medical surveillance report:12249609314157
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003205
Unit = OTSG
Parent Organization = HSC
Folder Title = WEEKLY MEDICAL SURVEILLANCE REPORT
Folder Seq # = 4
Subject = WEEKLY MEDICAL SURVEILLANCE REPORT
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 = 24-DEC-1996