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               (9) Preventive Medicine impact statement: vaccine.
 
            b.  Prevalent diseases - Hepatitis, Cholera, Anthrax (Iraq).

            c.  Preventive Medicine measures necessary on and off-base: Vaccine.

             d. Specific "DOs" and "DON'Ts"
 
               (1) All personnel - clothing restrictions, gender segregation, some
        hand gestures considered offensive.  
 
                (2) Females - Driving restrictions off-base, further clothing rescric-
        tions.
 
            e. Medical facilities
                
               (1) See 7a (1)
 
               (2) N/A

               (3) Our unit was the Aeromedical Staging Facility
 
        8. Flight Medicine Program - N/A
 
        9. Observation and Recommendations - (see "Lessons Learned", attached)
 
       10. Commander's Summary  
 
       a. The 34-APSS was deployed to Dhahran, Saudi Arabia on 19 OCT 90. The
       amount of time given to personnel to deploy was insufficient. Personnel were
       given less than 24 hours notice to report to McGuire AFB, NJ. This left limited
       time for reservists to adequately take care of their personal affairs, which
       lead to many problems while they were in Saudi Arabia.
        
        b. After being in Dhahran for almost three (3) months, the unit was notified
        to move 600 miles north. In less than two (2) weeks, 68 personnel with their
        personal belongings, 49 pallets of equipment, three (3) 44-passenger buses and two
        ambulances had to be packed and moved. Also, a 200 bed ASF had to be set up
        and operational. If not-for the outstanding performance of unit members, this 
        move would not have been successful. Lack of logistical support and limited
        availability of airlift for personnel and pallets further delayed moving the ASF.
 
        c. Supplies and equipment needed by unit members were not obtainable in-
        theater. Most supplies were received through 34 APSS personnel at McGuire AFB.
        Due to circumstances beyond unit control, some shipments were never received.
        Supplies and equipment needed to prepare for casualties were delayed due to mis-
        labeling of pallets (i.e. wrong destination). Also at that time, troop move-
        ment pre-empted supply movement.
 
        d. Training in wartime skills for nurses and medical technicians need to be
        improved. Many of the personnel did not have sufficient training in those skills
        needed to adequately care for casualties. Many nurses assigned had experience in
        public health, obstetrics, etc., which did not adequately prepare them for the
        types of injuries seen in-theater.
 

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