Medical After Action Report

File: 970207_aadcr_006.txt
Page: 006
Total Pages: 15
  
      avoidance of fresh vegetables and unbottled water. No problems
      were noted with food borne outbreaks.

                      e. Insects and animals affecting health were not
      noted to be a problem. 

                     f. There were no poisonous plants or fish.
                                                 
                    g. Food and dairy products were provided by inspected
      contract dining facilities.

      9. Veterinary Service  Impact Statement: The only veterinary
      services utilized were from the Army which was collocated with us
      in a different part of the terminal. They provided us with
      insecticide for use in the drains of the floor which were breeding
      mosquitoes. This insecticide was successful but applications
      needed to be repeated at regular intervals.  
       
      10. Preventive Medicine Impact Statement:

      a. Other than briefings to avoid food borne illness and head
      exposure, preventative medicine measures were limited to
      immunizations, vaccines, and medications designed to limit the
      possible effect of biological and chemical warfare. Serum immune
      globulin was given to prevent Hepatitis A (no reactions noted).
      An additional vaccine was given in January with a booster two weeks
      later. Local reactions and myalgia were reported but medical care  
      was not sought for these and pyridostigmine tablets were taken
      three times daily for 1-2 weeks to minimize any exposure to nerve
      agents. Members noted the expected cholinergic reactions of
      cramping, diarrhea, urgency, frequency and other minor reactions,
      none of which were considered significant in our members.

          b. Prevalent Diseases: None
 
          c. Preventive Medicine measures necessary were primarily
      related to avoiding fresh f~uits and vegetables while off-base and
      the drinking of unbottled water or use of ice off-base to avoid
      Hepatitis A. Antimalarial agents were not used at our locale.
 
         d. As with all DOD personnel, our staff was briefed on local
     customs and courtesies including prohibition against relations with
     indigenous personnel, use of alcohol, refraining from eating,
     smoking or playing music during daylight hours of Ramadan. Other
     "taboos" regarding such as eating with the left hand while in
     public, and appropriate dress of women in public, were briefed.

          e. Medical Facilitles:
                (1) Military medical support available included the 31st
    and 354th ATH and the 8th Arlay Evacuation Hospital at KFIA. Air
    Force facilities were used for the routine medical care of our
    staff and Army medical facilities were utilized to RON unstable
    patients admitted into the ASF and to provide medical care for our