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72 Cards in this Set

  • Front
  • Back
3 different levels of where official public health actions occur
national
state
local
which level of official public health actions has the primary responsibility to oversee public health
state
who organized USPHS
Department of Health and Human Service
what are the 6 operational components of Center Disease Control
environmental health
health promotion/education
prevention services
national insititute for occupational safety and health
professional development and training
center for infectious disease
when did WHO started (world health organization)
1948
what are the 3 technical services of WHO
epidemiology
statistics
technical publication
BUMED is comprised of what 8 components
medical & dental & nurse corps (3)
hospital corps/dental technicians (1)
medical service corps(1)
facilities provides medical/dental service
activities under command or support of BUMED
medical/dental department of other claimants and offices
what is the purpose of NMCPHC
ensure Navy and Marine Corps in prevention of disease and promotion of health
strategic plan is based on the goals of who
surgeon general
what the 3 key goal group of NMCPHC
deployment of medical surveillance
managing the health of population
promotion of health
what are the 3 objectives of deployment of medical surveillance
maximize readiness through surveillance and intervention

establish forward deployable capability for health surveillance/protection

training plan for deployment of medical surveillance
what are the 3 objectives of managing the health of populations
monitor and reduce injuries and illness via partnership

provide consultation and technical assistance to epidemiologist

promote preventive services
what are the 3 objectives of promotion of health
reduce # of behavioral risk factor
navy training plan for Promotion of Health
increase incorporation of health promotion practices
where is NEPMU 5 and where are their area of responsibility
located at San Diego, CA
AOR: west coast of Mississippi river, EASTPAC
where is NEPMU 6 and where are their area of responsibility
located at Pearl Harbor, HI
AOR: asian countries, indian ocean, WESTPAC
where is NEPMU 2 and where are their area of responsibility
located at Norfolk, VA
AOR: Europe, Africa, Southwest Asia, Atlantic ocean, Mediterranean sea, east coast of Mississippi river
who provides assistance and training in fields of preventive and occupational medicine including: environmental health, industrial hygiene, health promotion
NEPMU
who issues U.S Navy Regulation
SECNAV
who approves the U.S Navy Regulation
President
who issues the MANMED
Navy Surgeon General
who issues the NAVMED P-5010
BUMED
which chapter of MANMED deals with Preventive Medicine and Occupational Health
chapter 22
what are 5 other directives of significance
Naval Military Personnel Manual
Uniform Regulation
Naval Supply Manual
NAVENGCOM Design Manual
Naval Ships Technical Manual
what are the 9 chapters of NAVMED P-5010
food safety, living space/facilities, ventilation/heat stress, swimming pool/bathing place, water ashore, water afloat, waster water, entomology/pest control, preventive medicine for ground forces
what is the instruction for Quarantine Regulations of the Navy
OPNAVINST 6210.2
what is the purpose of preventive health assessment
consolidate medical, occupational health and risk screening services, medical record review, preventive counseling and risk communication under the umbrella of annual assessment
who is responsible for ensuring all service members complete the PHA
CO
what are 3 group of people provide CO status updates of personnel
CFL, Health Promotion personnel, Dental/FLT liaison
what are the 2 responsibilities of CFL, Health Promotion Personnel, Dental/FLT liaison
provide CO status update
assist individual and their commands in achieving and maintaining medical readiness
medical readiness elements are recommended by who
US Preventive Services Task Force
what are the sources used to complete PHA
DD Form 2766
Risk Assessment tool
Medical history review
Member interview
Physical exam
Computerized medical database
what are 8 preventive services counseling
diet & exercise, heat injury prevent, solar injury prevention
dental, tobacco/substance abuse
physical/sexual abuse, suicide/violence prevention
injury prevention
what are 3 PHA services
blood pressure measurement
height and weight measurement
colorectal cancer screening
at what age will annual fecal occult blood test be conducted
50
how often should normal risk member be screened for lipid
every 5 years
how often should high risk member be screened for lipid
every 5 years
at what should men and women begin their lipid screening
men: 35 yr
women: 45 yr
at what age should high risk member start their lipid screening
20
Cardiovascular Risk Factors Screening
READ pg 23
what are 2 factors should be listed in medical readiness for deployment
EFM (exceptional family member)
pregnancy requirement
what form will occupational risk and surveillance be documented on
DD 2766
what are 2 diseases HM exam for on a pelvic
cervical cancer
chlamydia screening
what are 3 female specfic health screening
pelvic
breast
mammography
at what age will every 2 year screening for mammogram is required
50-75
when should high risk women begin thier mammography
35 yr age
what is the age range for women to decide when to begin biennial screening
40-49
where is counseling documented and initiated
DD FORM 2766 Section 5
what is included on DD FORM 2766 Section 5
READ "EXCEPTIONS" PG 25
date, age, topic abbreviation code
READ "EXCEPTIONS" PG 25
what is the purpose of medical event reporting system
ensure timely & adequate response
estimate distribution, trend, and risk associated with event
develop policy and resource allocation or control
what are 7 incidences where medical report is required
reportable condition is suspected, outbreak among military/civilian, quaranteen of military plane/ship, nosocomial, medical event is unsual (i.e, when normal treatment does not cure disease), potential interest of BUMED, requested by NEPMU/NMCPHC/BUMED
who submits OPREP 3-navy blue message
CO
who maintain medical event surveillance program
CO
who submits report when reportable condition is suspected or confirmed
medical department representatives
what are 3 functions of NMCPHC
global surveillance/monitor medical event
analyze report to exam for trends & demographic important in epidemiology, maintain NDRS
what are 3 functions of NEPMU
regional surveillance/control
technical assistance to request activities
validate MER as directed by NMCPHC
how long do NEPMU keep MER on file
5 years
what is the preferred method for submitting report
NDRS
what are 3 ways of submitting MER
NDRS, naval message/standard naval correspondence via mail/email/fax, direct telephone
if timeliness is critical, how should you submitt the report
direct telephone or email with follow-on correspondence
what are the 5 information addressees (people who need the information)
patient's parent command
gainning command
local/state public health authorities
COC
preventive medicine components (i.e, army, air force, coast guard, navy)
what are some differences between minimal report and outbreak report
minimal report: Pt's name/SSN/command/branch/date of onset symptoms/disposition

outbreak report: # of ppl effected/location of outbreak/narrative
what are 6 components of narrative on outbreak report
how were the case defined
was it clinical or laboratory based
suspected source of outbreak
preventive measures taken
lesson learned
follow up
what is the report control symbol
MED 6220-3
what is the reference number for OPREP 3 Report
OPNAVINST 3100.6G
who is the primary addressee of OPREP 3
CNO
what are the other 4 information addressees of OPREP 3
unit is immediate superior in command
NEPMU
NMCPHC
BUMED (MED-24)
READ "MER INITIAL REPORT, MER FINAL REPORT" ON PG 32
READ "MER INITIAL REPORT, MER FINAL REPORT" ON PG 32
what goes on the subject line when submitting MER
MED 6220-3 (unclassified is preferred)
when should routine report submitted by
no later than 1st of each month to NEPMU
what is the time limit for submitting urgent reports
within 24 hr
outbreak associated with food/water and military personnel
what are the 5 causes of outbreak requires within 24 hr
viral
bacterial
parasitic
carbon monoxide poison
outbreak situation
what are the 4 routinely reportable conditions
read