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143 Cards in this Set

  • Front
  • Back

4 functions of environmental health

Vector and pest control


Food hygiene and safety


Occupational health and safety


Environmental monitoring


Communicable diseases prevention and control


Water quality monitoring and analysis

DNBI Definition

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

4 organisations available for 4th line EH support

AMD- army medical directorate


CAM- raf centre of aviation medicine


INM- institute of naval medicine


DMS(W)- defence medical services Whittington

Notifiable disease

It is any disease that is required by law to be reported to government authorities/ local authorities

3 roles and responsibilities of CHA

Identify hazards within an AOR


Undertake threat assessments


Implement force health protection measures


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

State 2 cold related illness PREVENTION Measures

Water intake


Nutritional intake


Environmental condo(WBGT)


Wet/dry drills


Work intensity


Layered clothing


Acclimatisation


Individual risk factors


Clothing and equipment

What would an FMED 85 need to be completed?

When it is suspected that someone has an infectious communicable disease


When you have confirmation that someone has an infectious communicable disease

Ingestion borne diseases of military importance


WILDCATSGP

Worms


Infective hepatitis


Leptospirosis


Dysentery (bacillary)


Cholera


Amoebic dysentery


Typhoid


Schistosomiasis


Gastroenteritis


Polio

General prevention and control measures that can be employed at the SOURCE of ingestion borne diseases

Treatment of cases


Health education


Isolation


Notification/investigation


Disinfection if patient discharge, utensils, bedding etc



General prevention and control measures that can be employed at the ROUTE of ingestion borne disease

Treatment/ protection of water supply


Good waste disposal


Good food preparation and correct storage


Cleanliness of premises, crockery, utensils


Good personal hygiene of food handlers


Medical screening of all catering staff


Insect and rodent control


Camp siting


Field sanitation/ hygiene

Who is the TARGET of disease

A healthy but susceptible human or animal

Routes organisms enter the body

Eyes


Mouth


Nose


Genitals


Anus


Injection


Open cuts and sores

Chain of infection

SOURCE


ROUTE


TARGET

5 C’s (sources of disease)

Corpse


Convalescent


Carrier


Case


Contact

Ways food and water can get contaminated

Poor waste disposal


Poor food hygiene


Untreated water


Rodents


Flies and cockroaches

Communicable

A disease that passes between animal and human, human and animal

Non communicable

A disease that cannot be passed. From animal to human, humans to animal

Micro organisms that spread communicable disease

Bacteria


Viruses


Fungi


Parasites

How often are epiNATO recorded and collected

Weekly

2 methods of clinical waste disposal

Sharps box


Bagging

2 types of insecticide in the military

Residual


Knockdown

2 pieces of equipment used to spread insecticides

Swingfog


Compression sprayer

Define outbreak

Two or more cases of communicable disease which are/ may be linked by time and/or space

5 steps of health risk management process

Hazard identification


Identification of the population at risk


Risk assessment


Risk management


Monitoring activities( audit& surveillance)

Climatic injuries military personnel can get in a cold climate

Frost bite


Frost nip


Hypothermia


Wind burn


Trench foot


Contact injuries


Carbon monoxide poisoning


Snow blindness

2 principles of risk management

Prevention and control

Case definition

An individual suffering from a disease with recognisable signs and symptoms

Carrier definition

An apparently healthy human or animal that harbours potential pathogenic organisms and can possibly transmit these pathogens to others

Contact definition

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

2 principles of risk management

Prevention and control

Case definition

An individual suffering from a disease with recognisable signs and symptoms

Carrier definition

An apparently healthy human or animal that harbours potential pathogenic organisms and can possibly transmit these pathogens to others

Contact definition

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

Corpse definition

A dead or decaying human or animal that may be capable of transmitting disease

2 principles of risk management

Prevention and control

Case definition

An individual suffering from a disease with recognisable signs and symptoms

Carrier definition

An apparently healthy human or animal that harbours potential pathogenic organisms and can possibly transmit these pathogens to others

Contact definition

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

Corpse definition

A dead or decaying human or animal that may be capable of transmitting disease

Convalescent definition

A human or animal who is recovering from a disease but is still infective

2 main ways contact disease can spread

Indirect


Direct

What is EpiNATO and where is it used

It is a nato health surveillance system used in deployed military environments

What is USSR and name some

Urine- funnel urinal, female urinal


Soil- deep trench Latrine, bag latrine


Sullage- improvised strainer and soakage pit, royal engineers grease trap and soakage pit


Refuse- burns pit, oil drum incinerator

Reporting procedures for a case of climatic illness

Template form jsp 539


Heat and cold injury template on dmicp

2 types of freezing cold injury

Frost nip


Frost bite

Contact disease

Herpes


Warts


STI’s


HIV


Veruca


Scabies


Impetigo


Gingivitis

How often should water sampling be Carried out

Daily- chlorine testing


Weekly- bacteriological testing


Quarterly- chemical testing

How long do you stay in short halt camp

Up to 24hrs

How long do you stay in short halt camp

Up to 24hrs

How long do you stay in a temporary camp

24hrs to 7 days

How long would u stay in a semi permanent camp

7 days to 6months

How long would you stay in a permanent camp

6 months +

Requirements to look for when you are selecting a water source

Fast flowing


Upstream from industrial discharges


Upstream from human habitats


Oxygenated


Have minimal vegetation

Advantages of incinerating and burning waste

Reduces the size of waste


Heat produced can be reused


Makes the waste less attractive to pests( renders waste harmless)

3 medical force protection hazards

Chemical hazard


Biological hazard


Physical hazard

types of external DNBI’s that could be identified during a health risk management process

Climate


Disease


Flora and fauna


EIH- environmental industrial hazards

Personalities involved in 1st line EH support

CHA


CHD


CO


Unit medical staff( can accept CMT, UMO)

Roles and responsibilities of CHD Personnel

Maintain unit water supply


Identify and control disease vectors and pests


Apply and maintain appropriate op sanitation measures

USSR

Urine


Soil ( faecal matter)


Sullage( contaminated water)


Refuse( rubbish)

USSR

Urine


Soil ( faecal matter)


Sullage( contaminated water)


Refuse( rubbish)

5 methods of auditing and surveillance used in the health risk management process

Lab reports


FMED 85


Specific monitoring


EHT audits


Local medical intelligence

Roles and responsibilities of CMT in the medical force protection

Policy’s and procedures


Monitoring and investigating


Training and advice

USSR

Urine


Soil ( faecal matter)


Sullage( contaminated water)


Refuse( rubbish)

5 methods of auditing and surveillance used in the health risk management process

Lab reports


FMED 85


Specific monitoring


EHT audits


Local medical intelligence

Roles and responsibilities of CMT in the medical force protection

Policy’s and procedures


Monitoring and investigating


Training and advice

What is health

A state of complete PHYSICAL , MENTAL, and SOCIAL-WELL-BEING and not merely the ABSENCES of DISEASE

USSR

Urine


Soil ( faecal matter)


Sullage( contaminated water)


Refuse( rubbish)

5 methods of auditing and surveillance used in the health risk management process

Lab reports


FMED 85


Specific monitoring


EHT audits


Local medical intelligence

Roles and responsibilities of CMT in the medical force protection

Policy’s and procedures


Monitoring and investigating


Training and advice

What is health

A state of complete PHYSICAL , MENTAL, and SOCIAL-WELL-BEING and not merely the ABSENCES of DISEASE

3 impacts does communicable disease have on the fighting force

Manpower wastage


Waste limited resources


Unit mission failure

USSR

Urine


Soil ( faecal matter)


Sullage( contaminated water)


Refuse( rubbish)

5 methods of auditing and surveillance used in the health risk management process

Lab reports


FMED 85


Specific monitoring


EHT audits


Local medical intelligence

Roles and responsibilities of CMT in the medical force protection

Policy’s and procedures


Monitoring and investigating


Training and advice

What is health

A state of complete PHYSICAL , MENTAL, and SOCIAL-WELL-BEING and not merely the ABSENCES of DISEASE

3 impacts does communicable disease have on the fighting force

Manpower wastage


Waste limited resources


Unit mission failure

Types of internal DNBI’s that could be identified during the health risk management process

Disease


Waste


Food and water


Premises


Processes

Population at risk when calculating the health risk management process

Friendly forces


Local civilian population


Local employed civilians


Prisoners of war


Detained personnel

What is the name of the kit test used for the residual chlorine level in water

Lovibond check it

When should you de taste water?

Only Immediately before the water will be consumed or used

WBGT stand for

Wet bulb globe thermometer

2 methods of soil disposal used in semi permanent Camp

Deep trench Latrine


Receptacle Latrine/ wag bag

Devices used for incinerating refuse in semi permanent camp

Oil drum incinerator


Inclined plan incinerator


Burns pit


Semi enclosed incinerator

What is the name of the chemical used to disinfect bulk water supplies

Calcium hypochlorite

Occasions when the contact period for water disinfection will be increased from 15 to 30mins

When there is no test kit available


When the temperature is <5 degrees


When schistosomiasis is known to be present or suspected

What is the WBGT used for

To measure environmental conditions

2 main methods used to disinfect water and provide examples each

Physical disinfection- boiling


Chemical disinfection- calcium hypochlorite

What’s the name of the form used for notification of an infectious communicable diseases

FMED 85

What’s the name of the form used for notification of an infectious communicable diseases

FMED 85

What’s the purpose of clarifying water

To remove/ filter suspended impurities to improve the effectiveness of chemical disinfectants

What are three main items of PPE you would wear when handling clinical waste

Gloves/ Apron/ lab coat


Protective eye wear


Latex vinyl gloves

2 contamination categories found in water and examples

Suspended- leaves/ twigs/ sand/ grit/ sediments/ sewage/ diseased organisms


Dissolvents- chemical/ toxic waste/ detergents/ salts/ pesticides/ chemical war agents/ heavy metals

Name a method of soil disposal in a temporary camp

Shallow trench Latrine

Methods of urine disposal used in semi permanent camp

Funnel urinal


Female urinal


Trough urinal

Name a method of sullage disposal used in a temporary camp

Improvised grease strainer and soakage pit

Name a method of sullage disposal used in a temporary camp

Improvised grease strainer and soakage pit

2 main considerations when selecting a water source

Quality and quantity

Under normal circumstances how much time should you give calcium hypochlorite disinfect water

15mins

Name a method of sullage disposal used in a temporary camp

Improvised grease strainer and soakage pit

2 main considerations when selecting a water source

Quality and quantity

Under normal circumstances how much time should you give calcium hypochlorite disinfect water

15mins

Name the chemical used to achieve the 6th principle of water purification

Sodium thiosulphate or sodium thiosulphate penetahydrate crystals

Name a method of sullage disposal used in a temporary camp

Improvised grease strainer and soakage pit

2 main considerations when selecting a water source

Quality and quantity

Under normal circumstances how much time should you give calcium hypochlorite disinfect water

15mins

Name the chemical used to achieve the 6th principle of water purification

Sodium thiosulphate or sodium thiosulphate penetahydrate crystals

Diseases associated with water

Worms


Infective hepatitis


Leptospirosis


Dysentery( bacillary)


Cholera


Amoebic dysentery


Typhoid


Schistosomiasis


Gastroenteritis


Polio

Name a method of sullage disposal used in a temporary camp

Improvised grease strainer and soakage pit

2 main considerations when selecting a water source

Quality and quantity

Under normal circumstances how much time should you give calcium hypochlorite disinfect water

15mins

Name the chemical used to achieve the 6th principle of water purification

Sodium thiosulphate or sodium thiosulphate penetahydrate crystals

Diseases associated with water

Worms


Infective hepatitis


Leptospirosis


Dysentery( bacillary)


Cholera


Amoebic dysentery


Typhoid


Schistosomiasis


Gastroenteritis


Polio

Each stage of the Principles of water purification

Selection of source


Clarification


Disinfection


Contact period


Test


Detaste

Name a method of sullage disposal used in a temporary camp

Improvised grease strainer and soakage pit

2 main considerations when selecting a water source

Quality and quantity

Under normal circumstances how much time should you give calcium hypochlorite disinfect water

15mins

Name the chemical used to achieve the 6th principle of water purification

Sodium thiosulphate or sodium thiosulphate penetahydrate crystals

Diseases associated with water

Worms


Infective hepatitis


Leptospirosis


Dysentery( bacillary)


Cholera


Amoebic dysentery


Typhoid


Schistosomiasis


Gastroenteritis


Polio

Each stage of the Principles of water purification

Selection of source


Clarification


Disinfection


Contact period


Test


Detaste

Arthropod diseases

Leishmaniasis


Malaria


Yellow fever


Plague


Epidemic typhus


Relapsing fever


Trypanosomiasis


Encephalitis


Murine typhus


Scrub typhus

When recce for water how far upstream should you check

2km

Airborne diseases

Chicken pox


Measle mumps and rubella


Scarlet fever


Diphtheria


Pertussis


Avian flu/ swine flu/ flu


Meningitis


Tb


Common cold


Anthrax


Small pox

Method of clarify water

Filtration


Sedimentation

Climatic injuries in hot climate

Heat stroke


Heat exhaustion


Heat cramps


Heat syncope( fainting)


Sunburn


Prickly heat

Who has the Overall responsibilities for the health and safety of soldiers in a regiment

CO- commanding officer

How long does it take to acclimatise

10- 14 days

What would the FMED 85 be sent after completion

Single service focal point/ AMD


Consultant in communicable disease control(CCDC)/proper officer(uk)


One copy retained


As locally instructed


Regional command(RC) EH staff

What would the FMED 85 be sent after completion

Single service focal point/ AMD


Consultant in communicable disease control(CCDC)/proper officer(uk)


One copy retained


As locally instructed


Regional command(RC) EH staff

Describe biological transmission of an arthropod disease

An insect carries a disease organisms within its body


These multiply inside the insect and pass to humans through taking of a blood meal.

What would the FMED 85 be sent after completion

Single service focal point/ AMD


Consultant in communicable disease control(CCDC)/proper officer(uk)


One copy retained


As locally instructed


Regional command(RC) EH staff

Describe biological transmission of an arthropod disease

An insect carries a disease organisms within its body


These multiply inside the insect and pass to humans through taking of a blood meal.

Describe mechanical transmission of an arthropod disease

The insect is carrying a pathogen on its body or jaws or in its faeces


Transmission is caused by bite, defecation or deposition from the body onto food, surfaces or person.

What would the FMED 85 be sent after completion

Single service focal point/ AMD


Consultant in communicable disease control(CCDC)/proper officer(uk)


One copy retained


As locally instructed


Regional command(RC) EH staff

Describe biological transmission of an arthropod disease

An insect carries a disease organisms within its body


These multiply inside the insect and pass to humans through taking of a blood meal.

Describe mechanical transmission of an arthropod disease

The insect is carrying a pathogen on its body or jaws or in its faeces


Transmission is caused by bite, defecation or deposition from the body onto food, surfaces or person.

Name the joint service publication number for climatic injury prevention and treatment in the armed forces

JSP 539

What would the FMED 85 be sent after completion

Single service focal point/ AMD


Consultant in communicable disease control(CCDC)/proper officer(uk)


One copy retained


As locally instructed


Regional command(RC) EH staff

Describe biological transmission of an arthropod disease

An insect carries a disease organisms within its body


These multiply inside the insect and pass to humans through taking of a blood meal.

Describe mechanical transmission of an arthropod disease

The insect is carrying a pathogen on its body or jaws or in its faeces


Transmission is caused by bite, defecation or deposition from the body onto food, surfaces or person.

Name the joint service publication number for climatic injury prevention and treatment in the armed forces

JSP 539

State the heat illness prevention measures

Water intake


Nutritional intake


Work intensity


WBGT


Clothing and equipment


Sunscreen


Individual risk factors


Acclimatisation


Shaded area/ shelter

Advantages of effective waste management

Minimise the risk of disease


Discourage pest vectors


Prevent water/ food contamination


Maintain comfort and moral

List control measures for the control of arthropod borne diseases at TARGET

Using insect repellent


Personal hygiene


Health education


Vaccination/ immunisation


Use a barrier( mosquito sleep net)


Camp hygiene measures including waste disposal or unit dry days


Clothing( wearing appropriate clothing)


Avoidance of infected areas( avoidance acceptable)


Chemoprophylaxis