Preventive Medicine Measures CPT Steven L Patterson 787

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Preventive Medicine Measures CPT Steven L. Patterson 787 -1215

Preventive Medicine Measures CPT Steven L. Patterson 787 -1215

Duty Non-Battle Injury n n n 80% of all hospital admissions in combat are

Duty Non-Battle Injury n n n 80% of all hospital admissions in combat are not from combat wounds 20, 000 Arab heat injuries in the 7 Day War 2000 deaths of 8000 doughboys shipped to WW I due to influenza

Insects Kill More People Than ALL Other Animals Combined n n n Mosquitoes Ticks

Insects Kill More People Than ALL Other Animals Combined n n n Mosquitoes Ticks Bees Scorpions Fleas Flies

Vector Borne Diseases n n n n Dengue Fever Malaria Hemorrhagic Fever Schistosomiasis Rocky

Vector Borne Diseases n n n n Dengue Fever Malaria Hemorrhagic Fever Schistosomiasis Rocky Mountain Spotted Fever Lyme Disease Leishmaniasis

Personal Protective Measures n n n Immunizations DEET Permethrin Proper Wear of Uniform Chemoprofilaxis

Personal Protective Measures n n n Immunizations DEET Permethrin Proper Wear of Uniform Chemoprofilaxis

Heat Injuries n n n New water standard, 10 quarts Water Toxicity Have IV’s

Heat Injuries n n n New water standard, 10 quarts Water Toxicity Have IV’s available Wet Bulb Acclimatization n n Alcohol/Caffeine Wear of Uniform Sunburn Work/Rest Cycle Repeat Injuries

Cold Injury n n n Wear of Uniform Repeat of Injuries Dehydration Anti-perspirant on

Cold Injury n n n Wear of Uniform Repeat of Injuries Dehydration Anti-perspirant on feet Sex and Race Tobacco Use

Diarrhea and Dysentery n n Dysentery is bloody diarrhea Almost Always from Food or

Diarrhea and Dysentery n n Dysentery is bloody diarrhea Almost Always from Food or Water Can incapacitate a entire unit Prevented by hand washing, good sanitation, and safe, approved food/water source

Deployments n n Preventive Medicine Threat Brief Food, Water, Ice, Fruit/Vegetables Inventory FST PPM’s

Deployments n n Preventive Medicine Threat Brief Food, Water, Ice, Fruit/Vegetables Inventory FST PPM’s

Field Sanitation Teams n n Trained in sanitation actions, 40 hours Advisor to commander,

Field Sanitation Teams n n Trained in sanitation actions, 40 hours Advisor to commander, not work detail Need command support and money for equipment PM needs to be a command action

Site Selection n Rodents/Unit Pets Insects Food and Water for above Trash Latrines n

Site Selection n Rodents/Unit Pets Insects Food and Water for above Trash Latrines n Remote Site Problems n n – Food, Water, Education

Preventive Medicine Assets n n PM Detachments Division PM Center for Health Promotion and

Preventive Medicine Assets n n PM Detachments Division PM Center for Health Promotion and Preventive Medicine Veterinarian

Environmental Health Mission n n n Health Inspections Swimming Pools/Bathing Areas Barber Shops Regulated

Environmental Health Mission n n n Health Inspections Swimming Pools/Bathing Areas Barber Shops Regulated Medical Waste Hazardous Waste Pest Control Preventive Medicine Threat Briefs

Fringe Issues n n n n Depleted Uranium Anthrax Combat Stress STD’s/AIDS/Hepatitis C Hearing/Eye

Fringe Issues n n n n Depleted Uranium Anthrax Combat Stress STD’s/AIDS/Hepatitis C Hearing/Eye Protection Tobacco Skin Infections Dental Care

Fort Gordon Issues n Snakes are Protected – Eastern Hognosed is Threatened n n

Fort Gordon Issues n Snakes are Protected – Eastern Hognosed is Threatened n n n RCW Gopher Tortoise Protected Plants

Recent Issues n n n Aid Missions in Central America Sewage Dumping in Albania

Recent Issues n n n Aid Missions in Central America Sewage Dumping in Albania Soldiers Deploying/Returning “Sick” Fort Gordon fined $50, 000 Majors thrown out of Alaska

Conclusion n Do what you mother told you to do. – Wash your hands

Conclusion n Do what you mother told you to do. – Wash your hands – Don’t take stuff from strangers – (Use the DEET/Permethrin)

Questions? ? CPT Steven L. Patterson 787 -1215

Questions? ? CPT Steven L. Patterson 787 -1215

NSN’s n n DEET Cream 6840 -01 -284 -3982 (2 per) Permethrin – Can

NSN’s n n DEET Cream 6840 -01 -284 -3982 (2 per) Permethrin – Can 6840 -01 -278 -1336 (6 weeks/1 per uniform) – Bag 6840 -01 -345 -0237 (Life of Uniform) n n Mosquito Nets 7210 -00 -266 -9736 Poles 7210 -00 -267 -5641