Navmed P-5010

Front 1

Chapter 6 of the P-5010 provides information for

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Safe and proper potable water handling procedures
for United States Naval Ships (USNS)

Front 2

The responsiblity for the design, construction, and maintenance of the shipboard potable water systems, including treatment facilities and processes to assure that safe drinking water is available at all times.

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The Naval Sea Systems Command (NAVSEASYSCOM) is responsible.

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The responsiblity for promulgating instructions for ship-to-shore potable water connections and for providing potable water from an approved source when the ship is berthed at a naval facility.

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The Naval Facilities Engineering Command (NAVFACENGCOM)

Front 4

Who is responsible for establishing and promulgating health standards for water quality afloat.

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Chief, BUMED

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who will promulgate appropriate instructions, notices, or other publications to reflect afloat water quality requirements.

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BUMED

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Who will set forth shipboard requirements for medical surveillance of potable water systems.

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BUMED

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Who is responsible for issuing the necessary implementing directives to ensure that adequate water sanitation standards are provided and enforced in each ship within the command.

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Area, Fleet, and Subordinate Commanders

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The engineering department of the ship is responsible to the commanding officer or master for implementing the requirements of ?

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NAVSEASYSCOM

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The engineering officer is responsible for?

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The chloride and hydrogenion (pH) testing of the ship’s potable water.

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The engineering department shall ensure minimum halogen residuals are maintained at a potable water tank before?

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Before placing the tank on-line to the potable water distribution system.

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The medical department representative (MDR) is responsible for conducting?

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a medical surveillance program of the potable water system including collection of samples for coliform bacteria testing as prescribed and daily halogen residuals from the distribution system.

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Avoid making water while operating in?

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Harbors or from polluted seawater

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Seawater shall be assumed polluted when?

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Ships are operated in close formation

Front 14

Source water in harbors or ship navigation lanes is likely to be contaminated by?

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Fuel/oil slicks or other pollutant sources.

Front 15

What are the four Potable Water Sources for Naval Ships?

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(1) Distillation, RO, or other NAVSEAapproved water production technology.
(2) Shore-to-ship delivery from an approved source.
(3) Shore-to-ship delivery from an unapproved source
(4) Ship-to-ship.

Front 16

Health concerns regarding potable water quality may include what parameters?

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Physical, Chemical, and Bacteriological Parameters.

Front 17

Use of seawater in food services spaces including sculleries is?

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Prohibited and seawater outlets in these spaces must be removed.

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Seawater use aboard ships is limited to?

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Fire mains, decontamination, and for marine
sanitation devices (MSDs) flushing.

Front 19

If unusual conditions require drastic restrictions in the use
of potable water, the allowances should not be less than?

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2 gallons per man per day to be used for drinking and cooking purposes.

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For new ship constructions, __ gallons per day per man is specified by NAVSEA for design considerations.

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50

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Definition of Vector.

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The term vector refers to organisms, primarily arthropods and rodents, which play a significant role in the transmission of disease to man.

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who bears the basic responsibility for the maintenance of an adequate vector and economic pest control program.

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Commanders of all shore activities of the Department of the Navy.

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theresponsibility for the maintenance of an adequate vector and economic pest control is normally delegated
to what department?

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The medical and public works departments

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Afloat who is assigned responsibility for maintaining
effective and safe shipboard pest control programs?

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Commanders afloat.

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Specifically, the medical department is responsible to the commanding officer for:

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(1) Inspections and surveys
(2) Recommendations relating to sanitation standards
(3) Evaluation of the effectiveness of control measures.
(4) Inspections and recommendations to ensure that pesticides are used safely following current directives.
(5) Provide information on personal protective measures
Coordination with civilian and other governmental agencies
(7) Compliance with all appropriate public health quarantine measures.
(8) Reviewing and approving activity pest management plans.

Front 26

Pesticides may be classified on the basis of use, life stage of the pest to be controlled what are they?

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Acaricide.
Fungicide.
Herbicide.
Insecticide.
Rodenticide.
Molluscicide.

Front 27

Classification of insecticides may be subdivided on the basis of the life stage against which they are used and they are?

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Adulticide.
Larvicide.
Ovicide.

Front 28

Pediculus humanus humanus is known as?

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Body louse

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Pediculus humanus capitusis known as?

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Head louse

Front 30

Hatching of the human louse eggs is greatly reduced or prevented by exposure to temperatures above what degree of (C) and (F)?

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37.8 degrees C (100 degrees F)

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Head and body lice are normally acquired by?

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Personal contact, by wearing infested clothing, or by using contaminated objects such as combs and brushes.

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The crab louse is primarily found where?

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Upon hair in the pubic and anal regions.

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Human louse control measures should be coordinated with who?

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Medical officer

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Preventive Measures. The following preventive measures, especially during crowded shipboard and tenting or refugee operations, should be taken:

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(a) Avoid physical contact with louse-infested individuals and materials.
(b) Observe personal cleanliness
(c) Avoid overcrowding
(d) Instruct personnel

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Individual Treatment Measures for Head and Crab Lice?

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Insecticidal ointment and shampoos issued by the medical department.

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For treatment of body lice infestations consist of?

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wash all clothing and bedding in hot water and repeat in 7 to 10 days

Front 37

Based upon their habitats, mites of medical importance may be classified into four groups:

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(1) Nest Inhabiting Mites.
(2) Mites Parasitic on Birds and Rodents.
(3) Mites Parasitic on Man.
(4) Food-Infesting Mites.

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The oriental rat flea, Xenopsylla cheopis, is of great importance in the transmission of?

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The plague bacillus

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Brown or gray rat, comparatively large animal, weighing approximately 280-480 gm (10-17 oz), with a tail that does not exceed the combined length of head and body.

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Norway Rat or Rattus Norvegicus

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This rat prefers to burrow for
nesting and is mainly found in basements in drains and sewer lines, and in the holds and decks of ships.

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Norway Rat or Rattus Norvegicus

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Preferred foods include meat, fish, or flesh mixed with a diet of grains, vegetables, and fruit. In the absence of these, any foodstuffs may be eaten.

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Norway Rat or Rattus Norvegicus

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The Gray bellied rat is a good climber and may be found living in trees, vines, building lofts, overhead wiring, and upper decks of ships.

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Alexandrian or Roof Rat

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This rat's body is generally elongated, the ears are long
and the tail exceeds the combined length of the head and body.

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Alexandrian or Roof Rat

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These rats prefer seeds, cereals, vegetables, fruit and grass, but may subsist on leather goods, chocolate, and
even weaker members of its own kind.

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Alexandrian or Roof Rat

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This pest is commonly associated with man and may cause serious damage to foodstuffs?
and other valuable materials.

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House mouse,
Mus musculus

Front 46

Foreign quarantine regulations require that what be used by naval vessels when berthing in ports where plague is endemic to prevent introduction of rodents?

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Rat guards

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Rat guards should be a minimum of _____ in diameter and mounted at least ____ from the closest point to the shore or _____ from the ship.

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36 inches in diameter
6 feet from shore
2 feet from the ship

Front 48

These are the method of choice for rodent infestations control aboard ship.

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Glue boards and snap traps

Front 49

These certificates are required for naval vessels entering most foreign portsand requirements for this certification are detailed what BUMEDINST?

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Deratization Certification
(ie.)A certificateof Deratization (rat-free) or a Deratization
Exemption Certificate
BUMEDINST 6250.14

Front 50

Disinsection should always be accomplished on leaving ports and airports where?

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Yellow fever, Malaria, or Plague is endemic.

Front 51

In choosing a raw water source, consider the following factors:

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Quantity
Quality
Accessibility

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When consitering the Quality of a water soures what factors may aply

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(1) Is the water free of significant contamination
(2) Is the water objectionable
(3) Is the water source protected
(4) Can the water be treated adequately

Front 53

This is the most common field water purification system in use and will produce potable water from contaminated sources including fresh, brackish, or sea water.

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ROWPU

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This is a transportable quickresponse water purification system capable of aerating, clarifying, filtering and disinfecting contaminated water.

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ERDLATOR

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This process is used to disinfect water containers and distribution systems initially (before they are used) or when they have become contaminated.

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Superchlorination

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Iodine tablets which are completely yellow or brown or those which stick together or crumble easily are

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No longer effective and must be discarded or surveyed.

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Iodine tablets in good ondition should be what in appearance.

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steel-gray

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Add how many tablets to each canteen full of any type of water.

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2

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5 gallon container will take how many tablets of iodine

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40

Front 60

First GI can is for

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collecting garbage

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Second GI can is for

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Prewash and will contain
a hot detergent solution and a brush.

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Third GI can is for

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Washing and will contain
a hot detergent solution and a brush.

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Fourth GI can is for

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Rinsing and will contain clean hot water held at a rolling boil

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Fifth GI can is for

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Final sanitizing rinse and
will contain clean hot water held at a rolling boil.

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The MRE presently has a shelf life of

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48 months.

Front 66

The tray packs are hermetically-sealed half-size steam table containers in which up to how many servings of food maybe contained?

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36

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The tray pack are heated by immersion in boiling water for how long?

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15 to 45 minutes.

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Cat hole, device during short halts and dug to measure what?

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It is dug 8 to 12 inches in diameter and 6 to 12 inches deep.

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In temporary bivouacs (1 to 3 days), the straddle trench is used unless more permanent facilities are provided. It measures:

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Trenches are built 1 foot wide, 2½ feet deep, and 4 feet long.

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Location for latrines should be

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100 feet from water source
100 yards from food service
50 feet from berthing

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Straddle Trench Latrine serve ___ people and accommodate ___ people at one time.

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25 and 2

Front 72

Deep Pit Latrine is required
for every what number of people.

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50

Front 73

Burn-Barrel Latrine is desirable where the soil conditions are

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hard, rocky or frozen making digging difficult and where water tables are high

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Burn-Barrel Latrine consists of what mixture?

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Mix 4 parts diesel fuel to one part gasoline.

Front 75

These temporary latrines are indicated when higher ground water levels or rock formations prevent the digging of a deep pit.

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Mound Latrines

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The top of the Mound Latrines is at least how wide and how long.

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6 feet wide and 12 feet long

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These temporary latrines require specialized drilling equipment

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Bored Hole Latrines

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Bored Hole Latrines measures?

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An 18 inch diameter hole is bored to a depth of 15 to 20 feet

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Bored Hole Latrines accomidate what number of people?

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Constructed on the basis of 8 per 100 people,

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This temporary latrine is most effectively used in sandy soils.

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Urine soakage pit

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Urine soakage pit is dug to what measurements?

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It is dug 4 feet square by 4 feet deep

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A 10 foot long, “V” or “U” shaped latrine is made of sheet metal or wood and is called?

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Urine Trough

Front 83

These are painful and severe cramps of the voluntary muscles

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Heat cramps

Front 84

This occurs when there is
excessive pooling of the blood in the extremities

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Heat Syncope

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This results from peripheral vascular collapse due to excessive water and salt depletion

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Heat exhaustion

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Symptoms of this condition include profuse sweating, headache, weakness, pallor, nausea, vomiting, mild dyspnea, and palpitations.

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Heat exhaustion

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This condition result of the collapse of the thermal regulatory mechanism IS A MEDICAL EMERGENCY!

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Heatstroke

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Early symptoms may include dizziness, weakness, nausea, headache, confusion, disorientation, drowsiness and irrational behavior.

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Heatstroke

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The optimum temperature for drinking water is?

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between 50 and 60 degrees F

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WBGT stands for what?

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Wet Bulb, Globe Temperature

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What is the most effective means of assessing the effect of heat stress on the human body.

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Wet Bulb, Globe Temperature (WBGT) Index

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What flag is flown when the WBGT Index is <80.

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A white flag is flown at this condition level.

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What flag is flown when the WBGT Index is between 80 and 84.9?

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A green flag is flown at this
condition level.

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What flag is flown when the WBGT Index is between 85 and 87.9

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A yellow (amber) flag is flown at this condition level.

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What flag is flown when the WBGT Index is between 88 and 89.9

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A red flag is flown at this condition level.

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When the WBGT index is 90 or above what flag is flown?

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A black flag is flown at this level.

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Physical training and strenuous exercise must be suspended for all personnel when what flag is flown.

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A black flag is flown

Front 98

Strenuous exercise and activity must be curtailed for new and unacclimatized personnel in what flag condition?

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A yellow
(amber) flag is flown

Front 99

This is a serious condition which may occur in as little as 24 hours in environments where
the water temperature is below 50 degrees.

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Immersion syndrome

Front 100

This condition occurs from exposure to ambient or windchill temperature below freezing.

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Frostbite