Operational Preventive Medicine – Flashcards

Unlock all answers in this set

Unlock answers
question
Organized political violence
answer
Conflict is distinguished from peace by the introduction of...
question
Stability and Supportt Operations can include
answer
Noncombatant evacuation operations(NEO) Foreign Humanitarian assistance and disaster relief Combating terrorism Nation Assistance Security Assistance Counter-drug operations Show of Force....etc
question
Combat Health Support is defined as: CHS
answer
those actions encompassing all military health-related activities taken or programs established to further US national goals, objectives and missions.
question
CHS plays a significant role in nation assistance by:
answer
1. Assisting with the development and refinement of the host-nation HN medical infrastructure 2. Providing and maintaining the basic necessities of life for the general population through HN civilian medical programs. 3. Providing assistance in establishing, repairing, or improving basic health and sanitation services.
question
the role of the CHS commander is to
answer
direct every CHS operation towards a clearly defined, decisive and attainable objective. there must be UNITY.
question
the Principles of war that apply in stability and support operations are...
answer
Unity of Effort, Legitimacy, Perseverance, Restraint, and Security.
question
Legitimacy
answer
involves sustaining the peoples willingness to accept the right of the government to govern or of a group or agency to make and carry out decisions.
question
Perseverance
answer
in stability and support operations, strategic goals may be accomplished by long term involvement, plans, and programs. Short-duration operations will occur, but these operations must also be viewed as to their impact on the long-term strategic goals.
question
Restraint
answer
stability and support operations place constraints on the potential actions that can be accomplished and the rules of engagement (ROE) governing these actions. Imprudent action outside the ROE may in fact have a detrimental effect on the attainment of strategic goals and objectives.
question
Security
answer
the security of US forces abroad is PARAMOUNT. Commanders and planners must be aware of the ever-present danger that can exist from the various groups, factions or other governments.
question
CHS personnel must be prepared to:
answer
defend themselves and their patients should the need arise.
question
Battlefield Rules in order of precedence are to:
answer
1. maintain a PRESENCE with the service member ( BE THERE) 2. Maintain the health of the command. 3. Save LIVES 4. Clear the battlefield 5. Provide state-of the art care. 6. Ensure the early return to duty (RTD) of sick, injured, or wounded service members.
question
DNBI
answer
is the major cause of service member ineffectiveness in this environment.
question
before combat and combat suppport troops
answer
CHS personnel will arive in the AO...
question
NEO are conducted to
answer
evacuate civilian noncombatants and nonessential military personnel from locations in a foreign host nation suring time of endangerment to a designated safe haven.
question
NEO
answer
these operations are of short duration and consist of rapidly inserting a force, occupying an objective, and withdrawing as planned.
question
Preventive medicine support provided to NEO consists of:
answer
-Assessment of the medical threat during planning phase and during operation. -Assessment of potential for transferring diseases back to the US. -Assist in the determination of potential sources of food and water.
question
the three basic categories of Domestic support activities.
answer
1. Disaster assistance 2. Community assistance 3. Environmental assistance
question
Preventive medicine support provided for disaster operations includes
answer
1. Assessment of endemic diseases prevalent in the AO( even those considered to be at a low epidemiological level.) 2. Determination of the state of the public works and services (sanitation, water sources, and garbage pickup) 3. and support to temporary camps to reduce rodent and arthropod breeding grounds; establish sanitation facilities; provide training ( education) in field sanitation, personal hygiene and preventive medicine measures PMM, and inspect water supplies, ice etc
question
the US military strategy rests on the four pillars of.. in regards to Environmental Assistance.
answer
1. Compliance 2. Restoration 3. Prevention 4. Conservation.
question
Compliance
answer
includes responding to small-scale hazardous material spills and regulatory support to other government agencies.
question
Restoration
answer
involves cleaning up contamination from past operations.
question
Prevention
answer
is developing and sharing new technologies that reduce pollution generation.
question
Conversation
answer
focuses on the preservation of natural and cultural resources such as wetlands preservation and fighting wildland fires.
question
Foreign Humanitarian Assistance programs
answer
relieve or reduce the results of natural or man-made disasters or other conditions such as human pain, disease, hunger, or deprivation that present a serious threat to life or result in great property damage or loss.
question
Disaster relief operations provide
answer
emergency assistance to victims of natural or man-made disasters abroad. these operations are responses to requests for immediate help and rehabilitation from foreign governments or international agencies.
question
Disaster relief operations may include
answer
Refugee assistance Food programs Medical treatment and care Other civilian welfare programs
question
Refugee Operations
answer
may entail the rescue of individuals fleeing a nation and the establishment of temporary safe havens to house and care for these people. PMT support may be required to ensure: sufficient sanitation, disease surveillance, water, and food wholesomeness.
question
Peace Support Operations
answer
Encompass a wide range of activities which establish or sustain peaceful conditions or foster the conditions essential to establishing peace. Include essentially diplomatic activities to support diplomacy in peacekeeping and peace enforcement. Other activities which support peace operations may include humanitarian assistance and nation assistance.
question
Peacekeeping Operations
answer
include such activities as monitoring and supervising truces to facilitate diplomatic efforts to reach a political settlement of the dispute.
question
Peace Enforcement Operations
answer
are a form of combat, armed intervention, or the physical threa of armed intervention. They are used to compel compliance with international sanctions or resolutions and include combat operations to establish or reestablish conditions conducive to peace such as forcible seperation of belligerents. the role of the PMT in this type of operation is Medical Threat and sanitation and disruption of garbage disposal, water and sewer services.
question
Most stability and support operations require traditional PVNTMED support which are?
answer
assess medical threat, disease surveillance/investigation, OEH surveillance, vector control, education in PMM, informing the chain of command.
question
The aspects to determine base camp location include:
answer
1. Identify available land, facilities, and/or equipment 2. Determine if the site meets mission requirements 3. Determine applicable standards: by purpose of camp(refugee camp,base camp)/ by organization establishing camp( us forces, world health)
question
Location considerations?
answer
Primary: position to perform mission and inherent force protection. Secondary: Political and Economic.
question
Some areas of consideration in site selection include: ???
answer
presence of TIC/TIM or HM/HW hazards(including asbestos and PCBs), Industrial facilities in the area that may subject personnel to contaminants, Potential for dust or noise, Landfills and waste dumps, Drainage( both to and from the site), Proximity to civilian populations, Adequate space for HM/HW and POL storage and protection, Adequate space for latrine and gray water facilities. Existing enviromental infrastructure, such as water and sewer, Overall safety of structures on the site, Proximity to areas of standing water that may spread illness, Possible endangered species or critical habitats, Presence of historical, cultural, or religious sites. Interference with the normal routine of the local civilians.
question
Planners use environmental surveys to: ???
answer
ensure that any hazards from HM/HW, POL, CBRN contamination, disease vectors, and other contamination sources( such as open sewers or medical waste) are identified and mitigated, if possible, before the unit occupies the site.
question
An EBS environmental baseline survey helps to determine: ???
answer
determine site condition before occupation, thereby limiting liability to US forces for any damage incurred.
question
what is the exact purpose of EBS?
answer
1. protection of service personnel( eliminating,minimizing, or mitigating environmental health risks to Service members) 2. Sustainability determination of a designated location 3. Sensitivities involved with cultural or archetectural consideration. 4. Minimizing any potential US liability for the condition of a site at the time US forces depart. 5. Used to determine the environmental impact of property use by military forces and the level of environmental restoration needed prior to returning the property upon their departure.
question
what is the jist of EBS?
answer
is conducted to determine whether a parcel of land is acceptable for military use and it documents the proposed sites existing environmental conditions and the likelihood of last or ongoing activities that may have created environmental safety or health problems.
question
types of Environmental surveys?
answer
1. EBS 2. Closure report. 3. ECR enviromental conditions report: which is conducted periodically and is included in the closure report. not less than on a quarterly basis.
question
the Three types of Environmental survillance assessments.
answer
1. EH short term ( phase I) assessment 2. EH long-term ( phase II) assessment 3. Environmental Reconnaissance
question
Environmental short-term Assessment (phase I)
answer
is conducted during initial entry to a site to determine the baseline environmental conditions at a location where US forces will be or are stationed or have a tendency to visit during a deployment for MORE THAN 30 DAYS. base camps, police stations, headquarters, checkpoints, communications points.
question
Environmental long-term assessment( phase II)
answer
is designed as a second step in the characterization of the environment at a base camp, its purpose is to monitor the service members exposure to contaminants in the environment during the length of the deployment. The data collected during this period is used to monitor trends in the contamination of the environment and potential effects on deployment forces.
question
Environmental Reconnaissance
answer
is performed preventive medicine personnel, engineers, civil affairs or special operations personnel to enhance environmental health intelligence estimates
question
is the Environmental Reconnaissance checklist
answer
USACHPPM TG 251 for use in conducting recon.
question
the purpose of Preventive medicine site survey
answer
- are conducted to evaluate a units preventive medicine status. - conducted periodically as determined by ESO or Surgeon in command to ensure maintenance of a healthy environment.
question
sequence of events in preventive medicine site survey :
answer
1. receipt of mission 2. Research historical data 3. Obtain necessary clearances 4. Gather equipment/ supplies 5. perform introductions to site command/staff 6. Conduct surveillance IAW unit SOPs, references, policies and /or guidance 7. determine units level of PVNTMED compliance 8. Record all data 9. brief site commander or staff 10. guard all data IAW security measures 11 Archive reports/records IAW unit SOP
question
the Geneva Conventions rules concern:
answer
Violence Discrimination children safety, honor, family rights, religious practices, manners and customs.
question
The geneva convention purpose is
answer
to limit and prevent human suffering and it protects people who are not or are no longer participating in hostilities.
question
under international humanitarian law, individuals subject to protected status are:
answer
People not taking part in the fighting are protected: -civilians - Medics -Chaplains -Humanitarian aid workers, and people who can no longer fight: wounded or sick service members and POWs
question
2 types of Protection;
answer
1. Protection from ATTACK 2. Protection upon CAPTURE
question
Retained Personnel
answer
If captured, medical personnel are "_______ ________" not POWs: can only be required to perform medical duties, must receive all benefits that POW recieve and be retained only as long as needed to care for wounded.
question
how are MTFs marked.
answer
All us medical facilities/transports must display the emblem of the Geneva Conventions. the RED CROSS and RED CRESCENT.
question
protected medical transports include:
answer
1. Ambulances 2. Medical Ships 3. Medical Aircraft
question
what are the 4 detainee categories:
answer
1. Enemy prisoner of war EPW 2. Civilian internee CI 3. Retained person RP 4. Other detainees OD
question
what are the 5Ss
answer
Search, segregate, silence, safeguard, speed.
question
treatment of Detainees includes.
answer
1. all detainees are required to be afforded certain rights. 2. Always treat a captured person as a POW initially 3. 5Ss 4. Medical standard of care for detainees is the same as for US Forces. priority is based in severity of injury.
question
Actions upon Capture
answer
Non-injured detainees will be evacuated as quickly as possible Sick and wounded detainees will be evacuated separately. Cavity searches.
question
Rules of cavity searches:
answer
should be performed for valid medical reasons- not part of routine intake PE. are conducted only if there is a reasonable belief detainee is concealing items. and conducted by same gender, if possible.
question
detainees should be provided sufficient
answer
food, water, clothing, shelter and medical attention.
question
what can jeopardize the geneva protection for dedicated medical evacuation vehicles?
answer
mounting of offensive weapons.
question
definition of EPW is:
answer
one who, while engaged in combat under orders of his or her government is captured by the armed forces of the enemy.
question
EPWs can be:
answer
Members of the armed forces, organized militia, or volunteer corps. Person who accompany the armed forces without actually being a member ( mercenaries) Merchant Marines or civilian aircraft crew not qualifying for more favorable treatment. Individuals who, on the approach of the enemy, spontaneously take up arms to resist invading forces.
question
RP retained personnel can be defined as:
answer
Medical personnel who are members of the medical service of their armed forces. Medical personnel exclusively engaged search for, collection, transport or treatment of the wounded or sick, Prevention of Disease, and staff admin of medical units and establishments exclusively. Chaplains attached to enemy armed forces Staff of National Red Cross societies duly recognized and authorized by their governments.
question
Civilian internee can be defined as:
answer
a civilian who is interned during armed conflict or occupation for security reasons or for protection or because he or she has committed an offense against detaining power.
question
Other Detainee can be defined as:
answer
Persons in the custody of US Armed Forces who have not been classified as an EPW, RP or CI. until legal status is ascertained by competent authority.
question
Area requirements for 5,000 person EPW Camp
answer
5 acres total camp space broken in to two categories: 3.6 acres for living spaces 1.4 for latrines and admin spaces.
question
how much space is provided for each occupant?
answer
3.5 square yards of floor space.
question
Refuse and Excreta Disposal requirements for detainee
answer
-Proper disposal of human excreta creates first barrier to excreta related disease. - sanitary supplies, service and facilities necessary for their personal cleanliness and sanitation will be provided. -separate sanitary facilities will be provided for each sex. - Detainees will have at their disposal, day and night, latrine facilities conforming to sanitary rules of the military.
question
For Field Expedient 1-3 days holding time what type of latrine is needed?
answer
a long slit trench latrine, will be used for urination and defecation. 30 m from natural bodies of water, 100m from messing and 15m from living spaces.
question
for longer holding times what type of latrine is needed?
answer
construction of 100 deep-pit, 4-hole latrines
question
how many refuse collection containers are required for camp residents?
answer
200: 33 gallon refuse collection containers. ( 1/25 camp residents)
question
417 refuse collection containers are required:
answer
if camp residents will be preparing their own food. PM personnel will be required to ensure containers are covered and emptied daily to prevetn overflow.
question
what temperatures and length of time is requred to kill all stages of louse on them. WASH
answer
at least 15 minutes at 130 degrees F ( 54 degrees C)
question
when drying what temps and length of time will provide additional assurance that all lice and their nits are killed?
answer
140 degrees F ( 60 degrees C) and 15 minutes
question
Lindane Lotion.
answer
what can be prescribed by medical staff on-site, for individual treatment for head lice, crab lice, and scabies mites.
question
Clothing requirements
answer
5,000 orange jump suits or other generic coverall if various sizes pre-treated with permethrin are needed to protect EPWs and also control spread of disease.
question
Filth Flies
answer
which type of flies will be a major preventive medicine issue especially during warm weather.
question
potable water requirements for EPW
answer
a minimum of 20,000 gal/day to the camp. residents(4 gal/person/day) if preparing food ( 8 gal/person/day)
question
how many water buffaloes are required to be filled daily.
answer
20, 400-gallon water tanks on trailers, every time the containers are filled , they must be inspected for proper sanitary reqs.
question
Humanitarian rations:
answer
do not contain any meat products and are preferred to MREs if there are any dietary restrictions.
question
what are the Three Major Communicable diseases
answer
Diarrheal diseases, tuberculosis and Malaria.
question
DA Form 2664-R is Weight Register(Prisoner of War)
answer
is used to conduct an initial medical screening and weigh-in of each detainee. Its purpose is to monitor the general state of health, nutrition and cleanliness of prisoners and to detect contagious diseases, esp tuberculosis, veneral disease, lice, louse-borne diseases and HIV.
question
what information is collected for a dead EPW,RP,CI.
answer
Full name of deceased Interment serial number ISN of deceased Date, place, and cause of death Statement that the death was, or was not, result of deceased own misconduct.
question
what form is filled out by the attending medical officer and appropriate camp commander as a "certificate of death."
answer
DA Form 2669-R
question
for what reasons may a body be cremated.
answer
only due to imperative hygiene reasons, the detainee's religion, or the detainees request for cremation. When a body is cremated, this fact together wirh the reasons will be set forth in the death certificate DA Form 2669-R
question
All persons will be respected as human beings they will be protected against all acts of violence to include:
answer
Rape, Forced prostitution, Assault and theft, Insults, Public curiosity, Bodily injury, Reprisals of any kind. No SCIENTIFIC EXPERIEMENTS.
question
Which types of detainee deaths require the camp commander to appoint an officer to investigate and report
answer
1. Each death or serious injury caused by guards or suspected to have been caused by guards or sentries, another detainee, or any other person. 2. Each suicide or death resulting from unnatural or unknown causes.
question
Three goals for professional relief agencies
answer
1. reduce suffering 2. reduce secondary risk and provide security 3. Prepare disaster area to resume full responsibility ASAP
question
What is the chronological order of events/ aspects of a disaster.
answer
1. Initial rescuers are victoms or from the zone of fringe impact 2. Professional relief agencies arrive at Day+2 or Day+3 3. Professional agencies must be requested. 4. Mission of organizied relief is to prepare area for self-care.
question
4 types of camps
answer
1. Reception or transit center 2 Self-settled 3.Planned temporary settlements 4. Extensions to temporary settlements.
question
Reception or transit center is defined as:
answer
where displaced people or refugees stay for short periods. A reception and transit center should be treated in the same way as a planned temporary settlement if it is: Large, having >2,000 people Expected to last a long time.
question
Self-settled is defined as
answer
where people have settled spontaneously, yet require partial relocation, provision of infrastructure and sustainable environmental resources.
question
Planned temporary settlements are:
answer
where settlements are constructed and serviced by physical planners in advance of arrival of people( e.g. from reception or transit centers)
question
Extensions to temporary settlements:
answer
where extension to settlement is required to accomodate new arrivals (e.g. from reception or transit centers.)
question
Components of Camp Assessment Program
answer
things to consider: Number of people affected, their current location, Security factors for people affected and relief agencies, current ot threatened water and sanitation related diseases, current water and food distribution, key people, vulnerable population.
question
Critical
answer
in extreme situations, there may not be enough waer available to meet physiological needs, and in these cases a survival level of potable drinking water is ________?
question
water requirements for refugee/internally displaced personnel
answer
15 L/person/day the water point should have a flow of 0.125 L /second and one water collection point for 250 people 500m max distance from shelter two collection/storage containers per household.10-20L and 20L
question
Water treatment options
answer
Chlorination 0.2-0.5 ppm slow sand filtration boiling water( uses the most fuel, not ideal)
question
access and number of facilites for excreta
answer
maximum of 20 people per facility segregated by sex no more than 50m from dwellings, or 1 minutes walk.
question
Requirements for internally displaced refugee camps
answer
Water, Sanitation, Food safety, Shelter, and Control of Communicable Diseases.
question
information
answer
unevaluated material of every description that may be used in production of intelligence.
question
Intelligence
answer
product resulting from collection processing, integration, analysis, evaluation and interpretation of available information concerning foreign countries or areas
question
Strategic intelligence
answer
required by national and allied decision makers to formulate policy and military plans at national and international levels.
question
Tactical intelligence
answer
Required by corps level and below commanders to develop an estimate of situation and to project enemy intentions in sufficient time to select and execute most effective friendly course of action to defeat the enemy.
question
Scientific intelligence
answer
product of collection, evaluation analysis and interpretation of foreign scientific information, applied research and in applied engineering techniques.
question
Technical intelligence
answer
knowledge of foreign technological developments and performance and operational capabilities of foreign material which have or may eventually have a pratical application for military purposes. Communications-electronic, weapons-munitions, nuclear, biological and chemical, medical and mobility.
question
why is medical intelligence significant?
answer
it is critical to strategic and tactical planning and opertaions to conserve fighting stregth.
question
at a tactical level, objective of medical intelligence is to provide intelligence evaluation and analyses of following factors in the theater:
answer
Conditions concerning people or animals Epidemiological information ( incidence, distribution and control of infectious diseases Plants Enemys field health service support New weapons systems or employment methods that could alter health service support planning factors. Medical implications of contamination from NBC weapons based on employment tactics and chemical or biological agents used. Antidotes to protect against the nbc threats Weather and/or terrain implications.
question
intelligence preparation of battlefield functions
answer
-Function one- Battlefield area evaluation -Function 2- Terrain analysis -Function 3- Weather analysis -Function 4- Threat evaluation, how the enemy would fight w/out weather and terrain restrictions -Function 5- Threat integration, how the enemy would actually fight in consideration of weather/terrain.
question
HSS health service support must consider the enemys
answer
-strength, disposition and combat efficiency - ability to generate combat casualties by causing injury or disease -ability to impact the HSS operations of the command -health and fitness -Field HSS system - Attitude towards the Geneva Conventions
question
Considerations of the AO
answer
- terrain -weather -Civilian population and enemy prisoners of war -Disease -Local resources -NBC threat
question
for strategic sources, who is the sole producer of required medical scientific and technical intelligence and general medical intelligence for the DoD?
answer
AFMIC Armed Forces Medical Intelligence Center.
question
what is the objective of medical intelligence at a strategic level?
answer
to contribute to formulation of national and international policy predicted in part on foreign military and civilian capabilities of the medical or biological scientific community.
question
Tactical Sources:
answer
in a theater of operations, intelligence is the staff responsibility of the military intelligence officer( S2 or G2) and those specialized mil intel units in the combat zone.
question
the medical staff officer.
answer
who establishes priority information requirements and information requirements with the supporting intelligence officer?
question
what are the types of military briefings
answer
Information briefs and Decision briefings
question
information briefs are:
answer
presented in order to inform listener, deal primarily with facts, do not involve presenter including his or her conclusion or recommendations and must include orderly, objective, accurate, clear and concise facts.
question
Decision briefs are:
answer
presented in order to obtain a decision from person being briefed, contain essentially same elements of information briefing, but are usually broader and more comprehensive in scope and content. referred to as"oral staff studies"
question
Preventive medicine technician conducts:
answer
-briefings for multiple proponents/echelons -training for deploying soldiers -training for FST certification -training for other PVNTMED measures, food, heat and cold injuries, and other misc training topics (HIV, STDs and Role of 68S)
question
what are the four preparation steps for a briefing?
answer
PLAN PREPARE EXECUTE and ASSESS
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New