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Background
This page on PDHealth was created to provide information and assistance to healthcare providers
and Service members regarding potential deployment-related exposures. It contains links to fact sheets,
articles, Web pages and training materials. The information includes materials targeted to the deployment-related
exposures listed on the DD Form 2796, Post-Deployment Health Assessment (PDHA) (Jan 08) (Questions 9a, 16, 19 and 20)
and the DD Form 2900, Post-Deployment Health Reassessment (PDHRA) (Jan 08) (Questions 9a and10a).
GENERAL REFERENCES FOR DEPLOYMENT-RELATED EXPOSURES
- NMCPHC TM-PM 6490.2 Technical Guide for the Collection of Environmental Sampling Data Related to Environmental Health Site Assessments for Military Deployments, Dec 08 (This document establishes minimal criteria for environmental sampling in support of Environmental Health Site Assessments (EHSA) conducted during military deployments. It is a consensus effort of the three Services surveillance centers. Additional information can be found on the Navy and Marine Corps Public Health Center Expeditionary Preventive Medicine Web Page.)
- USACHPPM Deployment Resources for Healthcare Providers Page
USACHPPM Web Page with links to information on various deployment-related health conditions.
- VA, Veterans Health Initiative
Healthcare Provider Training Program on the following topics: Agent Orange, Caring for War Wounded, Cold Injury, Endemic Infectious Diseases of SW Asia, Gulf War, Health Effects from CBR Weapons, Hearing Impairment, Military Sexual Trauma, POW, PTSD, Radiation, Spinal Cord Injury, Traumatic Amputation, Traumatic Brain Injury, Visual Impairment.
Disease Exposure Reference
- Institute of Medicine, Gulf War and Health Reports: Volume 5 Infectious Disease, 16 Oct 06 (including OIF and OEF)
This report is the fifth volume produced by IOM for VA in response to a congressional mandate. A committee of nationally recognized experts in infectious diseases was appointed to evaluate the scientific and medical literature on long-term adverse human health outcomes associated with selected infectious diseases pertinent to Gulf War veterans. The following pathogens were selected: Brucella species (spp.), the cause of brucellosis; Campylobacter spp., nontyphoidal Salmonella spp. and Shigella spp., which cause diarrheal disease; Coxiella burnetii, the cause of Q fever; Leishmania spp., the cause of leishmaniasis; Mycobacterium tuberculosis, which causes tuberculosis; Plasmodium spp., the cause of malaria; and West Nile virus, the cause of West Nile fever.
- USACHPPM TG 273, Diagnosis and Treatment of Diseases of Tactical Importance to US Central Command, Oct 05
This Technical Guide was compiled to assist military physicians and physician assistants operating outside the continental United States (OCONUS) under the U.S. Central Command (USCENTCOM) manage diseases potentially found in that Area of Operations. The focus is on initial, not definitive, management outside of the hospital in assumed level of care I or II facility and a worst-case evacuation policy of 7 days.
- Emerging Health Concerns
(DHCC Web Page with information on the following topics: Acinetobacter, Acute Eosinophilic Pneumonia, Combat/Operational Stress, Depleted Uranium, Influenza, Leishmaniasis, Malaria, Mefloquine/Lariam, SARS, Traumatic Brain Injury, Tuberculosis and West Nile Virus.)
- Specific Conditions and Concerns (A-Z)
(DHCC Web Page with specific health conditions and concerns listed alphabetically.)
Chemical Exposure References
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USACHPPM TG 230, Chemical Exposure Guidelines for Deployed Military Personnel, Version 1.3, Updated May 03 with Addendum Jan 04
Technical Guide which provides military exposure guidelines (MEGs) for chemicals in air, water, and soil for use during deployments. Specific information is provided regarding the type and severity of health effects resulting from exposures to varying chemical concentrations, the primary organs/systems affected, odor /taste threshold information, and additional notes when available.
- USACHPPM Reference Document (RD) 230, Chemical Exposure Guidelines for Deployed Military Personnel, Version 1.3, Updated May 03
Reference Document which provides additional details associated with the scientific rationale and assumptions behind USACHPPM TG 230 Version 1.3 – Chemical Exposure Guidelines for Deployed Military Personnel.
- ATSDR Toxic Substances Portal
Department of Health and Human Services Agency for Toxic Substances and Disease Registry Web portal provides access to the best science, the latest research, and the most important information about toxic substances and how they affect health.
- NIOSH Pocket Guide to Chemical Hazards, NIOSH Publication No. 2005-149, Sep 05
The National Institute of Occupational Safety and Health produced this guide as a source of general industrial hygiene information on several hundred chemicals/classes for workers, employers, and occupational health professionals.
- TB MED 593, Guidelines for Field Waste Management, Sep 06
This bulletin provides technical guidance to the preventive medicine community on the proper management of waste in field settings. Types of waste include: solid nonhazardous waste (garbage and rubbish), hazardous and special waste, medical waste, human waste, and wastewater.)
- Weapons of Mass Destruction(DHCC Web Pages with information on biological, chemical and radiological WMDs and stress-related responses.)
- USACHPPM Fact Sheet, Basic Facts Regarding Chemical Exposure Standards and Guidelines, Mar 06 This fact sheet shows a generic example of the range of the types of airborne exposure standards and guidelines developed by various organizations for different applications.
Occupational/Environmental Health Surveillance References
- AR 11-35 Deployment Occupational Health and Environmental Health Risk Management, 16 May 07
Army Regulation which covers the policies, responsibilities, and procedures for managing risks associated with occupational
and environmental health threats during deployments.
- DoDI 6055.05, Occupational and Environmental Health (OEH), 11 Nov 08
This Department of Defense Instruction provides guidance for all activities related to preventing OEH-related illnesses for DoD personnel. OEH includes, but is not limited to, industrial hygiene (IH), ergonomics, occupational and environmental medicine (OEM), epidemiology, hearing conservation, radiation protection, OEH surveillance in military operations, engineering, and risk management of health hazards.
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DoD 6055.05-M Occupational Medical Examinations and Surveillance Manual, 2 May 07, Incorporating Change 1, 16 Sep 08
This Department of Defense Manual provides health professionals with information and references appropriate for
developing, performing, interpreting, and conducting occupational medical examinations and surveillance for Service
members as well as DoD civilian based on identified health risks associated with specific jobs, processes, and exposures
- Air Force Manual 48-155, Occupational and Environmental Health Exposure Controls, 1 Oct 08 This manual implements AFPD 48-1 and establishes procedures for determination of Occupational and Environmental Health (OEH) exposure controls.
- Air Force Manual 48-153 Health Risk Assesssment, 28 Mar 07 This manual provides guidance for all Air Force installations in performing health risk assessments for occupational and environmental health (OEH) threats in both home station and expeditionary operations.
- Air Force Manual 48-154 Occupational and Environmental Health Site Assessment, 28 Mar 07 .This manual standardizes procedures for developing and executing occupational and environmental health site assessments (OEHSA). This manual also provides guidance for occupational and environmental health (OEH) surveillance activities in both home station (i.e., garrison) and expeditionary (i.e., deployed) settings.
Environmental Surveillance References
- MHS News Story, Experts Explain Challenges Associated With Environmental Exposures, 21 Oct 09 A panel presentation at Evolving Paradigms II Conference in Sep 09 discussed types of frequent deployment-related exposure concerns, how medical surveillance programs could help detect exposure effects, and how medical providers should interact with affected veterans.
- MHS Conference 2007 Presentation, Deployment Health and Environmental Exposures in OIF/OEF
- USACHPPM Deployment Environmental Surveillance Program (DESP)
Program responsible for: facilitating consultative assistance, laboratory analyses, and on-site environmental surveillance to
deployed Preventive Medicine assets to identify, prevent, and reduce potential environmental health risks; providing spatial
and temporal analyses of the potential environmental health risks related to acute and chronic exposures using geographic
information systems (GIS) and integrating this information with health outcome data to identify necessary changes in medical
threat assessment and countermeasures; working with other DoD stakeholders to facilitate the development of policy, equipment,
and procedures for enhancing environmental exposure and medical surveillance activities; archiving all environmental surveillance
data to allow investigations of any future adverse health outcomes following a deployment; and developing environmental and
occupational hazard identification, exposure monitoring and risk assessment guidance suitable for military operations.
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CENTAF Memorandum, Policy for Documentation of Occupational and Environmental Conditions and Exposures, 10 Sep 03
This policy from US Central Command Air Forces: (a) directs CENTAF Medical Units to generate a site Environmental and Occupational Health Workplace Exposure Data (EOHWED) summary and place a copy into each members’ deployed medical record, (b) directs Bioenvironmental Engineering (BE) use of the Global Expeditionary Medical System (GEMS), (c) establishes new BE industrial hygiene program instructions, and (d) provides direction for documentation of deployment-site environmental conditions in an Environmental Health Site Assessment (EHSA).
Exposure by Location References
- Deployments by Operation
This DHCC Web Page contains information relating to specific deployments organized by name of the operation.
The information includes backgrounds, health outcomes and concerns, climate and geography, preventive measures,
environmental exposures, and related links.
Deployments by Country
This DHCC Web Page contains information relating to specific deployments arranged by country. The information includes backgrounds, health outcomes and concerns, climate and geography, preventive measures, environmental exposures, and related links.
Deployment Atlas, Feb 04
This atlas was produced by the Deployment Health Clinical Center to provide Service members with important
information to help them stay healthy and safe during deployment. The information includes area-specific
descriptions of diseases and environmental exposures with recommendations for practical preventive measures.
The areas included in the atlas are: Afghanistan, Balkans, Iraq, Kuwait, Philippines, South Korea, West Africa,
and United States and Territories.)
CDC Health Information for International Travel (Yellow Book)
CDC publishes the Yellow Book every two years as a reference for those who advise
international travelers of health risks. The Yellow Book is written primarily for health care providers,
although others might find it useful.)
World Health Organization (WHO) International Travel and Health Book
This report, which is updated annually, provides information on the main health risks for travelers.
Related Links
PDHA/PDHRA-SPECIFIC DEPLOYMENT-RELATED EXPOSURES
General Exposure Information
Health Care Provider
Alcohol-Related Problems
Animal Bites
Animal Bodies
Biological Warfare Agents
Blast or Motor Vehicle Accident
Health Care Provider
Chemical Warfare Agents
Chlorine Gas
Depleted Uranium
Excessive Vibration
Fog Oils (Smoke Screen)
Health Care Provider
Patient
Garbage
Human Body, Body Fluids, Body Parts, or Dead Bodies
Industrial Pollution - Toxic Chemicals
Insect Bites
Ionizing Radiation Health Care Provider
Patient
JP8 or Other Fuels
- FHP&R Fact Sheet, Military Vehicle and Aircraft Exhaust for Service members and their Famillies, 14 Apr 08
- USACHPPM Fact Sheet, JP-8 - Medical, May 03
- AFIOH Fact Sheet, Jet Fuel Propellant (JP8), 5 Aug 01
- ATSDR ToxFAQs for JP-5 & JP-8, Aug 99
- ATSDR ToxFAQs for JP-4 & JP-7, Sep 96
- ATSDR ToxFAQs for Fuel Oils, Sep 96
- ATSDR ToxFAQs for Automotive Gasoline, Sep 96
- ATSDR ToxFAQs for Total Petroleum Hydrocarbons (TPH), Aug 99
Lasers
Health Care Provider
Patient
Loud Noises
Metal Fragments
Other Exposures to Toxic Chemicals or Materials
Paints Health Care Provider
Patient
Pesticides
Health Care Provider
Patient
Radar/Microwaves
Health Care Provider
Patient
Sand/Dust Health Care Provider
Patient
Smoke from Burning Trash or Feces
Health Care Provider
Patient
- Burn Pits Action Center Web Site (Created for people who would like more information about the burn pits, including the studies released by the military by a spokesperson for Congressman Tim Bishop.).
- CNN.com Article, VA to Look into Effects of 'Burn Pits' on Veterans, 17 Mar 09
- USACHPPM Fact Sheet, Balad Burn Pit, Dec 08
- Deployment Health and Family Readiness Library Fact Sheet, Burning Trash and Human Waste Exposures For Service Members and their Families, 1 Jul 08
- USACHPPM Fact Sheet, PAH, PNA Compounds, Apr 05
- AFIOH Fact Sheet, Open Pit Burning, 23 Aug 04
- USACHPPM Fact Sheet, Solid Waste Burning (Trash and Feces Fires) - Individual, May 03
- ATSDR ToxFAQs for Polycyclic Aromatic Hydrocarbons (PAH), Sep 96
Smoke from Oil Fire Health Care Provider
Patient
Solvents
Health Care Provider
Patient
Tent Heater Smoke Health Care Provider
Patient
Traumatic Brain Injury
Tuberculosis
Vaccines
Vehicle or Truck Exhaust Fumes Health Care Provider
Patient
Warfare Agents
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