Operational Medicine 2001
Field Medical Service School
Student Handbook

MEDICAL INTELLIGENCE

FMST 0606

17 Dec 99

TERMINAL LEARNING OBJECTIVES:

1.      Given the requirement, operational plan and resources, provide medical intelligence to support mission requirements, per the references.  (FMST.06.07)

ENABLING LEARNING OBJECTIVES:

1.      Without the aid of reference materials and given a list, select the purpose of medical intelligence, per the student handbook  (FMST.06.07a)

2.      Without the aid of reference material and given a list, describe the benefits of medical intelligence to the tactical commander, per the student handbook.  (FMST.06.07b)

3.      Without the aid of reference material and given a list of medical intelligence factors, select the factors contained in a medical intelligence report, per the student handbook.  (FMST.06.07c)

4.      Without the aid of reference materials and given a list of medical intelligence sources, select five sources, per the student handbook.  (FMST.06.07d)

5.      Without the aid of reference materials and given a list, sequence the steps for utilizing medical intelligence in pre-deployment preparation, per the student handbook. (FMST.06.07e)

6.      Without the aid of reference materials and given a list, identify the procedures for post-deployment reporting of relevant medical intelligence, per the student handbook. (FMST.06.07f)

OUTLINE

A.     Purpose of Medical Intelligence:

1. To gather and interpret pertinent medical, economic, social and environmental information to decrease or eliminate the risk of disease to Marines in the field in order to help maintain a constant state of combat readiness.

B.     Benefits to the Tactical Commander:

1. The more information a Tactical Commander has going into any operational area,

the better he can prepare and educate his troops. Specific benefits include:

a.       Understanding the mission complexities

b.      Having unknown factors reduced or eliminated which can drain valuable resources for which the unit may not have prepared for

c.       Planning logistics for the known contingencies and taking appropriate manpower and supplies to reduce loss and improve battle efficiency

d.      Educating troops to possible hazards and dangers to keep combat readiness high

C.     Medical Intelligence Factors:

1. Environmental Conditions:

a.       Topography

b.      Climate

c.       Water

d.      Pollution

2. Urban Conditions:

a.       Population

b.      Living and Sanitary Conditions

c.       Industrial Pollution

3. Infectious Diseases:

a.       Short incubation – i.e. Gonorrhea (2-7 days)

b.      Long incubation – i.e. Hepatitis B (60-90 days)

4. Preventive Medicine Recommendations:

a.       Major threats – i.e. Sanitation (if a natural disaster were to occur)

b.      Pre-deployment information  - proper immunizations and chemoprophylaxis for troops entering specific areas

c.       Deployment information – i.e. local water sources, vector control and management

d.      Post-deployment information – i.e. After action reports, terminal prophylaxis

5. Disease Vector Profile:

a.       Short incubation – i.e. Dengue Fever (5-7 days)

b.      Long incubation – i.e. Filariasis (90-180 days)

6. Operational Information:

a.       American Offices – i.e. Embassies, Defense Attaches

b.      Joint Forces

7. Medical Capabilities:

a.       Civilian health resources available in immediate area

b.      Military health resources available in immediate area

8. Location:

a.       Actual location of operation to surrounding countries

D.     Sources of Medical Intelligence.

1. Navy Preventive Medicine Agencies

a.       Commanding Officer, Naval Environmental Health Center

2510 Walmer Ave, Norfolk VA 23513-2617

Phone:  (757) 462-5500  DSN 253-5500

Web site: www-nehc.med.navy.mil/

b.      Navy Environmental and Preventive Medicine Units (EPMU)

1.      Officer in Charge, EPMU #2

1887 Powhatan Street, Norfolk VA  23511-3394

Phone: (727) 444-7671  DSN 564-7671

Web site: www-nehc.med.navy.mil/nepmu2/

2.      Officer in Charge, EPMU #5

3235 Albacore Alley, Naval Station, San Diego CA 92136-5199

Phone:  (619) 556-7070  DSN 526-7070

Web site:  http://trout.nosc.mil/~nepmu5/

3.      Officer in Charge, EPMU #6

1215 North Road, Pearl Harbor, HI 96860-4477 

Phone: (808) 473-0555  DSN 315-473-0555

Web site: http://nepmu6.navy.mil/

                   4.  Officer in Charge, EPMU #7           (Sigonella, Sicily)

                        PSC 824  Box 2760

                        FPO AE  09623-2760

                        Phone:  011-39-095-56-4101  DSN  624-4101

c.       Disease Vector Ecology and Control Center (DVECC)

1.      Officer in Charge, DVECC

Box 43, Naval Air Station, Jacksonville, FL  32212-0043

Phone:  (904) 542-2424  DSN 942-2424

Web site: http://199.208.118.32/ndvecc/

2.      Officer in Charge, DVECC

19950 7^th Ave NE Suite 201, Poulsbo, WA  98370-7405

Phone: (360) 315-4450  DSN 322-4450

Web site:  http://164.221.226.57/ndvecc/

    2.  G2/S2 Intelligence:

a.       Provides information of local area based on tactical importance

b.      Reconnaissance units on patrol areas can provide valuable information

    3.  Resource Material:

a.       After Action Reports from previous deployments

b.      Advance Party Reports

    4.  National, State, and Local Health Officials in Area of Operation:

a.       These agencies, including embassies or diplomatic centers, can provide up-to-date information on health issues such as epidemics occurring in the community

    5.  Publications

a.       Medical Environmental Disease Intelligence and Countermeasures (MEDIC).

This product is a two disk CD produced annually by the Armed Forces medical Intelligence Center, Fort Detrick, MD

b.      P-5038,  Control of Communicable Diseases Manual

c.       MCWP 4-11.1, Health Service Support Operations

d.      NAVMED P-5010, Manual of Naval Preventive Medicine

e.       Health Information for International Travel, 1999-2000 published by the Center for Disease Control and Prevention, Atlanta, CA

f.        World Health Organization (WHO) Report on Communicable Diseases

E.  Pre-Deployment Preparation:

1.      Gather information from your list of medical intelligence sources

2.      Plan accordingly based on the knowledge of the operational area

a.       Select supplies and personnel trained to perform mission

b.      Ensure medical readiness -  i.e. immunizations and prophylaxis

3.      Educate your troops:

a.       Provide inservice classes for medical personnel

b.      Conduct subsequent classes for personnel to update them on diseases, prevention, and control methods for area of operation

4.      Complete the Pre-Deployment Health Assessments at home stations or

mobilization processing stations

F.      Post-Deployment Reporting:

1. Purpose:  To update medical intelligence and ensure no reoccurrance of past

mistakes.

2. Methods of reporting:

a.       After Action Reports or Marine Corps Lessons Learned (MCLL)

b.      Gather disease surveillance reports and summarize

c.       Ensure post-deployment health Asssessments are complete

d.      Post prophylaxis is complete and documented

REFERENCE (S):

1.  Health Service Support Operations (MCWP 4-11.1)

2.  Preventive Medicine Manual (NAVMED P-5010)

3.  Armed Forces Medical Intelligence Center (DOD Directive 6420.1)

4.  Combat Health Support in Specific Environments (FM 8-10-1)

5.  Operational Health Service support (NWP 4-02)

6.  Medical Intelligence in a Theater of Operations (FM-8-10-8)

7.  Medical Intelligence (NWP 4-02.3 Part B  )

Field Medical Service School
Camp Pendleton, California

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Operational Medicine 2001
Health Care in Military Settings

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