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43 Cards in this Set

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What is force Health protection?

‘The conservation of the fighting potential of a force so that it is healthy and fully capable’

What is a disease non-battle injury (DNBI)?

‘A person who is not a battle casualty, but who is lost to an organisation by reason of disease or injury’

DNBI Threats external:

Climate


Disease


Flora and fauna


EIH

DNBI Threats internal:

Disease


Food and water


Waste


Premises


Processes

The main Med Force Protection hazards are:

Biological


Chemical


Physical

Health risk management is the application of two principles, which are?

Prevent


Control

Define hazard:

‘Anything that can cause harm’

Define risk:

‘The likelihood of that hazard causing harm’


Risk = likelihood x severity

What are the four lines of EH support?

1st line support


2nd line support


3rd line support


4th line support

Who are involved in 1st line support?

Unit medical staff


Combat health adviser


Combat health duties personnel

Roles of CMT Medics:

Policy and procedures


Advice and training


Monitoring and investigation

Key responsibilities of CHD?

Apply and maintain appropriate Op sanitation measures


Identify and control disease vectors and pests


Maintain unit water supplies

CHD Op sanitation capabilities:

Advice for different types of camps


Recommend most appropriate appliances


Maintenance of appliances


The benefits of having CHD trained personnel are:

Self sufficient


Proactive pest control


Improved sanitation


Water safety


Lower DNBI


Maintain operational efficiency


Intelligent tasking of EH team

Some constraints of CHD personnel include:

Lack of space


Proximity to sleeping/eating areas


Logistics


High tempo of activity

CHD vector control capabilities:

Advise for different types of camp


Effective tool


Maintenance of equipment

Roles of the combat health advisers:

Identifying hazards in the AOR


Undertaking threat assessments/hazard recognition


Implementing force health protection measures


Advise the CoC on the measures necessary to manage/mitigate risks

CHA specific tasks:

Completion of Tier 1 EIH risk assessment


Management of the CHD trained personnel


Medical force protection using the health risk management model


Involvement with OTX planning

Who are involved in the 2nd line of EH support?

Deployed EH team (can be individual)

Who are involved in the 3rd line of EH support?

RAF station environmental technicians


Army regional command EH teams


Navy environmental officers

Who are involved in the 4th line of EH support?

Commander field army medical support branch


RAF centre of aviation medicine (CAM)


Institute of naval medicine


DMS (W)

Define ‘Health’

‘A state of complete physical, mental and social well-being and not merely the absence of disease’

Define ‘disease’

‘Any state that is a departure from positive health, whether the departure is physical or mental’

Disease can have a major impact on a military force these include:

Manpower wastage


Unit mission failure


Wastes limited unit resources

Define ‘communicable disease’

‘Diseases that are transmitted from an infected person, animal or insect either directly or indirectly to a susceptible host’

Define ‘non-communicable’

‘Disease which cannot be spread from an infected person, animal or insect such as:


Climate


Physical


Cancers


Dietary deficiencies/excesses

What is the 3 link chain of infection?

Source


Route


Target

5 potential sources of disease:

Carrier - an apparently healthy human/animal that harbours potentially pathogenic organisms


Corpse a dead or decaying human/animal capable of transmitting disease


Convalescent - recovering but still infectious


Case - an individual suffering from a disease with recognisable signs and symptoms


Contact - a human or animal who has been exposed to a disease and as a result may have contracted it

4 potential routes of disease are:

Airborne


Ingestion


Contact/animal


Arthropod


The target is:

‘Healthy but susceptible human’

What is a notifiable disease?

‘Any disease that is required by law to be reported to government authorities’

Types of waste generated in the field include?

U - urine


S - soil


S - sullage


R - refuse

USSR

Typs of camp include:

Short halt - upto 24hrs


Temporary - 24hrs to 7 days


Semi permanent- 7 days to 6 months


Permanent - 6 months +


What are the purposes of good waste management?

Minimise the risk of disease


Prevent water/food contamination


Discourage pest vectors


Maintain comfort and morale

Temporary camp improvised appliances include:

U - shallow trench urinal


1 trench per 250 men


24 hours usage



S - shallow trench latrine


5 trenches per first 100 personnel


3 trenches per additional 100


Max usage e days or 3/4 full



S - improvised grease strainer and soakag pit



R - refuse/ash pit


1 per 100 personnel


24hrs usage

Semi permanent camp improvised appliances include:

pit


1 funnel per 25 men


4 funnels per pit


6 months usage


Female urinal and soakage pit


1 per 25 females


6 months usage


U - funnel urinal and soakage pit1 funnel per 25 men4 funnels per pit6 months usage Female urinal and soakage pit1 per 25 females6 months usageS - deep trench latrine5 seats for first 100 personnel 3 seats per additional 1006 months usage S - grease trapR - oil drum incinerator



S - deep trench latrine


5 seats for first 100 personnel


3 seats per additional 100


6 months usage



S - grease trap



R - oil drum incinerator

Camp siting selection stage:

Location


Terrain


Access

What must be taken into consideration?

Basic principles that must be observed when setting out a camp include:

- Front of camp facing prevailing wind


- Accommodation at the front


- Sanitary facilities down wind of accommodation


- latrines away from kitchens and water sources



Clinical waste can pose the following hazards:

- waste which unless rendered safe may prove hazardous or cause infection to any person coming into contact with


- waste which consists wholly or partly of human or animal tissue


- drugs or other pharmaceutical products


- swabs and dressings


- syringes, needles or other sharp instruments

What 2 methods are commonly used in the military, to dispose of clinical waste?

Bagging


Sharps box

What safety precautions are adopted to help reduce the risk posed from hazards of clinical waste?

1. Good hygiene discipline


2. Nitrile or vinyl gloves


3. Gloves to be worn for handling items for disposal and disinfecting surfaces


4. Change gloves after each task


5. Protective eye glasses and face mask


6. Gowns/apron/labcoats to be worn


7. Minimise contact with clinical waste

Health risk management


Step 1 - what is hazard identification?

To identify all potential hazards to the health of PAR.


Consider all potential hazards within the area your responsible for.


Hazard risk management process


Step 2- identifying potential populations at risk.


Examples of possible PAR:


Friendly forces


Locally employed civilians


Local civilians


war/detained personnel