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Preventive Medicine Measures. CPT Steven L. Patterson 787-1215. Duty Non-Battle Injury. 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.
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Preventive Medicine Measures CPT Steven L. Patterson 787-1215
Duty Non-Battle Injury • 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 • Mosquitoes • Ticks • Bees • Scorpions • Fleas • Flies
Vector Borne Diseases • Dengue Fever • Malaria • Hemorrhagic Fever • Schistosomiasis • Rocky Mountain Spotted Fever • Lyme Disease • Leishmaniasis
Personal Protective Measures • Immunizations • DEET • Permethrin • Proper Wear of Uniform • Chemoprofilaxis
New water standard, 10 quarts Water Toxicity Have IV’s available Wet Bulb Acclimatization Alcohol/Caffeine Wear of Uniform Sunburn Work/Rest Cycle Repeat Injuries Heat Injuries
Cold Injury • Wear of Uniform • Repeat of Injuries • Dehydration • Anti-perspirant on feet • Sex and Race • Tobacco Use
Diarrhea and Dysentery • 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 • Preventive Medicine Threat Brief • Food, Water, Ice, Fruit/Vegetables • Inventory FST • PPM’s
Field Sanitation Teams • 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 • Rodents/Unit Pets • Insects • Food and Water for above • Trash • Latrines • Remote Site Problems • Food, Water, Education
Preventive Medicine Assets • PM Detachments • Division PM • Center for Health Promotion and Preventive Medicine • Veterinarian
Environmental Health Mission • Health Inspections • Swimming Pools/Bathing Areas • Barber Shops • Regulated Medical Waste • Hazardous Waste • Pest Control • Preventive Medicine Threat Briefs
Fringe Issues • Depleted Uranium • Anthrax • Combat Stress • STD’s/AIDS/Hepatitis C • Hearing/Eye Protection • Tobacco • Skin Infections • Dental Care
Fort Gordon Issues • Snakes are Protected • Eastern Hognosed is Threatened • RCW • Gopher Tortoise • Protected Plants
Recent Issues • Aid Missions in Central America • Sewage Dumping in Albania • Soldiers Deploying/Returning “Sick” • Fort Gordon fined $50,000 • Majors thrown out of Alaska
Conclusion • 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
NSN’s • 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) • Mosquito Nets 7210-00-266-9736 • Poles 7210-00-267-5641