CHAPTER 1: Introduction to the Medical Threat
Section I. MESSAGE TO THE UNIT COMMANDER
DISEASE AND NONBATTLE INJURY
A DNBI casualty can be defined as a military person
who is lost to an organization by reason of disease or injury, and who
is not a battle casualty. This definition includes persons who are
dying of disease or injury due to accidents directly related to the
operation or mission to which they were deployed.
The acronym, DNBI, does not include service members
missing involuntarily because of enemy action or being interned by the
enemy (as a prisoner of war). The total number of DNBI casualties is
evaluated to identify DNBI rates per number of service members in an
operation. The DNBI rates are critical in evaluating the effectiveness
of PVNTMED missions within the area of operations (AO) and in
determining the health of a force within an operation.
Historically, in every conflict the US has been
involved in, only 20 percent of all hospital admissions have been from
combat injuries. The other 80 percent have been from DNBI. Excluded
from these figures are vast numbers of service members with decreased
combat effectiveness due to DNBI not serious enough for hospital
admission.
Preventive medicine measures are simple, common sense
actions that any service member can perform and every leader must
know. The application of PMM can significantly reduce time loss due to
DNBI.
How Much Time Does Your Unit Spend Training Service
Members on.
YOUR RESPONSIBILITY
You are responsible for all aspects of health and
sanitation of your command. Only you can make command decisions
concerning the health of your unit in consideration of the.
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Mission.
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Medical threat.
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Condition of troops.
DO NOT LET THIS HAPPEN TO YOU
Togatabu Island, 1942: The 134th Artillery
and the 404th Engineer Battalions were part of a task force preparing
to attack Guadalcanal. Fifty-five percent of the engineers and
sixty-five percent of the artillerymen contracted a disease called
filariasis transmitted by mosquitoes.
Both units had to be replaced (medically evacuated)
without seeing any enemy action because they were not combat ready.
The use of insect repellents and insecticides and the elimination of
standing water would have prevented this.
Merrill's Marauders: Disease was an
important detractor to this famous unit. The medical threat faced by
the Marauders in the jungles of Burma was great. Everyone was sick,
but some had to stay and fight. Evacuation was limited to those with
high fever and severe illness. One entire platoon cut the seats from
their pants because severe diarrhea had to be relieved during
gunfights. After a bold and successful attack on a major airfield,
Merrill's Marauders were so decimated by disease that they were
disbanded.
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TABLE OF CONTENTS
PREFACE
CHAPTER 1. INTRODUCTION TO THE MEDICAL
THREAT
Section I. Message to the Unit Commander
Section II. The Medical Threat and
Principles of Preventive
Medicine Measures
CHAPTER 2. INDIVIDUAL PREVENTIVE MEDICINE
MEASURES
Section I. Heat Injuries
Section II. Cold Injuries
Section III. Arthropods and Other Animals
of Medical Importance
Section IV. Poisonous Plants and Toxic
Fruits
Section V. Food-/Water-/Wasteborne
Disease/Illness
Section VI. Personal Hygiene and Physical
and Mental Fitness
Section VII. Noise
Section VIII. Toxic Industrial
Chemicals/Materials
CHAPTER 3. LEADERS. PREVENTIVE MEDICINE
MEASURES
Section I. Heat Injuries
Section II. Cold Injuries
Section III. Arthropods and Other Animals
of Medical Importance
Section IV. Poisonous Plants and Toxic
Fruits
Section V. Food-/Water-/Wasteborne
Disease/Illness
Section VI. Personal Hygiene and Physical
and Mental Fitness.
Section VII. Noise
Section VIII. Toxic Industrial
Chemicals/Materials
CHAPTER 4. UNIT FIELD SANITATION TEAM
Field Sanitation Team Concept
Scope of Field Sanitation Team Operations
Field Sanitation Team Tasks
Selection of Personnel
Training
How to Make Your Field Sanitation Team the
Best in the Command
APPENDIX A. UNIT-LEVEL PREVENTIVE MEDICINE
MEASURES TASKS
TASK 1. Control Biting Insects
TASK 2. Use the 1-Gallon or 2-Gallon
Compressed Air Sprayer
TASK 3. Control Domestic Rodents
TASK 4. Prevent Injuries Due to Venomous
Snakebite
TASK 5. Inspect Unit Food Service
Operations
TASK 6. Inspect Water Containers
TASK 7. Check Unit Water Supply for
Chlorine Residual
TASK 8. Chlorinate Water Supplies
TASK 9. Set Up, Construct, and Maintain
Field Waste Disposal Devices
TASK 10. Construct and Maintain Field
Handwashing and Shower Devices
GLOSSARY
REFERENCES
INDEX
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