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                                         MEDICAL LESSONS LEARNED
                                               DESERT SHIELD/STORM
      
       CATEGORY: Mobility
      
       ISSUE/ITEM:
      
       SUBJECT: Medical Qualification for World Wide Duty
      
       BACKGROUND: In absence of AF Form 422, Physical Profile Serial Report, USAF
       personnel are presumed fit for world wide deployment; AFR 28-4 specifies it an
       individual responsibility to self-identify any medical conditions which may
       interfere with duty performance at the employment location.
      
      DISCUSSION: Early feedback from deployed medics indicated that high numbers of
      personnel were deployed in Desert Storm who should not have been, due to various
      physical ailments or limitations. Numerous observations on this theme have been
      reported to this MAJCOM.
      
                                MAJCOM and local policies vary widely in regards to ensuring medical
      fitness for deployment. While some bases conduct thorough screening of each
      individual upon initial appointment to a mobility position and/or repeat
      screenings with each deployment/exercise, other facilities have no procedures
      established, other than to execute 422s when appropriate.
      
      ACTION RECOMMENDED:
      
                              (1) Determine if observation is or is not valid, or is/is not a
      USAF unique problem.
      
                               (2) Determine appropriate mobility screening procedures, if
      required, and add to AFR 28-4, MOP 17
      
      SUGGESTED OPRs/OCRs: HQ USAF/SGHR/SGPA
      
      SUBMITTER: Terry W. Clarke/Capt/HQ ATC/SGAX
                                    [(b)(2)]
                                        

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