1. ENLISTED ADVANCEMENT REVIEW COURSE e4
TOPIC : MANMED CH 22
PM/OCC HEALTH
FACILITATOR : HM1(FMF) CASTILLEJA, JORGE
PHONE/ /

2. LEARNING OBJECTIVES
Review all sections of Ch 22
Review questions

3. ASSOCIATE THE SECTION W/ THE REFERENCE FOR TEST PURPOSES.
IMPORTANT NOTE!!
ASSOCIATE THE SECTION W/ THE REFERENCE FOR TEST PURPOSES.

4. SEC I: GENERAL Instructions applicable are issued by: BUMED Commanders
OIC
MO/SMDR: Establish health standards and recommending how to best implement the standards to CO/OIC/CMDRS
Technical Advice from:
NEPMU/NMCPHC/Other Navy PMT resources

5. SEC II: EH Cognizant Medical Authority(Command) must:
Inspections, Investigations
Indoc/training of staff for most up to date info
Coopertation with civilian authorities/other govt affiliates for all matters public health w/in vicinity
Record Keeping(inspections,investigations,etc.)
Informing OIC/CO/CDR of all changes
Prep/track local reports as requested by OIC/CO/CDR

6. SEC III: Sanitary standards for living/rec spaces
CMA via PMA responsible for inspection, prep reports, and ensure EVERYTHING is up to instruction of the following:
Living spaces/rec facilities/berthing & sanitary afloat/Hospitals/med facilities
Confinement fac’s: PMA does preop and any changes must be approved by TYPE CDR, ECHELON II/III CMD, & NPC(PERS-68)
Pools: MO/MDR recommend changes per the PMA’s inspections to the CO/OIC/CDR.

7. SEC IV: FOOD/H20 MO/MDR resp. for:
Ensure food facilities are w/in standards(P-5010-??)
Report issues/recommendation/changes to CO/OIC/CDR
All aspects of water safety and ensuring up to instruction standards.
CO/OIC/CDR: ration water in emergency
TYCOM/AOR Surgeon may designate more stringent requirements depending on ops.

8. SEC V: ALL WASTE MO/MDR responsible for inspx/enforcing standards on:
Solid Waste Management
Sewage Disposal
Medical Waste Management

9. SEC VI: Communicable DZ Report
MO/SMDR responsible for:
Prev/control/training/investigations/monitor/trx/reporting/recommend to CO.
NEPMU: support for all aspects CDz, FMF support B4 deploying.
NMPHC: Source material/experts
NCMI: Health info on global level.
STD: Education is most important. (6200=PM)
NMPHC tool- SHARP
TB,HIV,Rabies,Recruit Strep, & malaria
Each has individual instruction due to prolonged impact.

10. SEC VI cont: MDR responsible for: Submitting report (MER)
Co-op with other agencies

11. SEC VII: IMMZ
Administer in acc w/:
BUMEDINST

12. SEC VIII: Insect/pest/rodent
MO w/ Public Works and Ento responsible for all aspects in this section to ensure compliance w/:
OPNAVINST series, Pest Management Programs
NAVMED P-5010, Manual of Naval Preventive Medicine, Chapter 8

13. SEC IX: Quarantine DZ subject to QT: Cholera Diptheria Infx TB Plague
Smallpox YF
Any VHF(Crimean-congo, Ebola, Lassa, Marburg)
SARS
Influenza

14. SEC X: FIELD SANITATION
MO/SMDR resp for:
Ensure everything planned is in accordance w/
NAVMED P-5010, Manual of Naval Preventive Medicine, Chapter 9
NAVMED P-5010, Manual of Naval Preventive Medicine, Chapter 1
TB MED 577/NAVMED P /AFMAN _IP
BUMEDINST series, Immunizations and Chemoprophylaxis

15. SEC XI: OCC MED CIV injured are beneficiaries of: OCC HEALTH EXAMS:
DOL & OWCP
OCC HEALTH EXAMS:
Pre employment - Fit for duty
Workers comp case - Disability Retirement
Other OCC Health Services:
ER - Referral - Counseling - Immz
Trx requested by physician
Med transport(ER/NON ER)
Support to ICPAs(??)
Ed/trng

16. SEC XI CONT.. Part of medical surveillance program
OCC OPTO:
Part of medical surveillance program
For mil/civ deploying and enrolled in MEDSURVPROG w/ vision req.
Vision screening as pre employment(if needed)
Civ who needing prescription must provide employer with current prescription for industrial safety eyewear.
All funding is responsibility of supported command.

17. SEC XI cont.. OCC AUDIO: Workplace visits:
Part of Command Hearing Conservation Program and includes:
Hearing test(at risk personnel)
HPD’s (cmd responsible for cost)
Education
Must ID at risk personnel
Disenroll via IH, OP AUDIOLOGIST, or OC Doc for at risk personnel
Anything with unusual noise health effects DIRECT TO NMPHC.
Audio Techs always supervised
Exclude individuals with signigicant PTS must be considered high risk.
If person on HCP has three audiograms that show changes must see provider before returning to work.
Workplace visits:
By Occ health specialist

18. SEC XII: RAD HEALTH AT BUMED CMD ACTIVITIES responsibility is on:
CDR/CO/OIC to delegate responsibility for program.
ON ship it falls on MED DEPT.
RAD safety/control prog is nonmedical responsibility except at BUMED CMD Activity.
Guidance for instruction by EPA/USNRC
MDR responsibility
RHO
OCC RAD exposure:
Non ionizing radiation
Ionizing radiation

19. SEC XIII: IH
Anticipate, recognize, eval, and control workplace hazards by:
Survey, walk thru, investigate to help control :
Chem/phys/bio/ergonomic hazards
DOEHRS- Record Keeping
IH Support from:
MTF/NEPMU/NMCPHC/CIHL

20. Acronyms AOR: Area of Responsibility
CBR: Chemical, Biological, or Radiological
CDC/USPHS: Centers for Disease Control and Prevention/United States
Public Health Service
CIHL: Comprehensive Industrial Hygiene Labs
DERAT: Deratization
DOEHRS: Defense Occupational and Environmental Health
Readiness System
HCP: Hearing Conservation Program
HPD: Hearing Protective Devices
ICPA: Injury Compensation Program Administrators

21. Acronyms IH: Industrial Hygiene
NAVMED PDC: Navy Medicine Professional Development Center
NEPMU: Navy Environmental and Preventive Medicine Unit
NMCI: National Center for Medical Intelligence
NMCPHC: Navy and Marine Corps Public Health Center
NOTAL: Not to All
OEM: Occupational and Environmental Medicine
OPM: Office of Personnel Management

22. Acronyms OWCP: Office of Workers' Compensation Programs
PPE: Personal Protective Equipment
PTS: Permanent Threshold Shift
SHARP: Sexual Health and Responsibility Program
TYCOM: Type Commander
USTRANSCOM: United States Transportation Command
WHO: World Health Organization