OUTBREAKS OF DIARRHEA.

File: 110796_aacrw_01.txt
Page: 01
Total Pages: 1
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     ~
     UNCLASSIFIED E F T 0 ~
     SUBJECT: OUTBREAKS OF DIARRHEA.
     1, THE FOLLOWING IS IN RESFONSE TO REPORTS OF OUTBREAKS OF DIARRHEA
     THROUGHOUT THE THEATER.
      A. COMMANDERS ARE RESPONSIBLE FOR THE HEALTH AND WELL BEING OF
     ASSIGNED FORCES. PUPLIC HEALTH ISSUES REQUIRE EMPHASIS DURING FIELD
     CONDITIONS.
     B. HISTORICALLY DISEASE AND NONBATTLE INJURY (DNBI) HAVE RESULTED
     IN MUCH GREATER FORCE ATTRITION DURING CONFLICTS THAN BATTLE. MOST
     DNBI'S ARE PREVENTABLE AND SHOULD NOT BE TOLERATED.
     C. COMMANDERS SHOULD UTILIZE MEDICAL PERSONNEL TO EVALUATE FOOD
     SOURCES. FOOD SERVING FACILITIES AND POTABLE WATER SOURCES. THIS
     IS PARTiCULARLY TRUE WHEN LOCAL SOURCES ARE USED: MANAGEMENT OF
     HUMAN WASTE AND AVAILABILITY OF HANDWASHING FACILITIES ALSO NEEDS TO
     BE MONITORED CLOSELY. WHEN ENVIRONMENTAL HEALTH AND BIOENVIRONMEN-
     TAL ENGINEERING PERSONNEL ARE NOT ASSIGNED FLIGHT SURGEONS AND
     AEROMEDICAL SPECIALISTS SHOULD BE USED. 
     D.- HANDWASHING FACILITIES MUST BE PROVIDED NEAR TOILETS. INADE-
     QUATE REMOVAL OF FECAL MATERIAL FROM HANDS IS A COMMON CAUSE OF GAS-
     TROINTESTINAL DISEASE DURING ADVERSE FIELD CONDITIONS.
     E.  MAJCOM/SGS HAVE BEEN REQUESTED TO AUGMENT DEPLOYED SQUADRON
     MEDICAL ELEMENTS (SMES) WITH 1 - 907X0 AND 1 -908X0 WHEN SMES ARE
     NOT CO-LOCATED WITH AN AIR.TRANSPORTABLE HOSPITAL (ATH). COMMANDERS
     NEED THE EXPERTISE OF THESE TWO AFSCS.
     2. USCENTAF FWD HQ ELEMENT/CC SENDS.-
     9. FOC: USCENTAF FWD/S9F ATTN COL BUTTS.
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