1. Supervise Compliance with Preventive Medicine Measures (PMM)1

2. Reasons for Vulnerability
Harshness of the environment
Natural defenses reduced by fatigue
and exposure
Breakdown in basic sanitation 19

3. The number of active duty military inpatients dispositioned
from U.S. Army MTFs located in Iraq and Afghanistan. 8

4. Medical Threat Components
Heat - the most lethal
Cold
Arthropods
Foodborne and waterborne diseases
Toxic industrial materials (TIMs)
Noise hazards
Other 6

5. Medical Threat - Heat Reduce heat injuries by -
• Enforcing the work/rest cycles
• Encouraging Soldiers to eat all meals
• Adjusting workloads 4

6. Types of Heat Injury Heat cramps Heat exhaustion
Heatstroke - a medical emergency 7

7. Medical Threat - Cold Reduce cold injuries:
• Wash feet daily / Wear clean dry socks
• Use warming areas when available
• Eat all meals
• Drink plenty of water/nonalcoholic fluids
• Exercise to stay warm

8. Types of Cold Injuries Chilblain Immersion foot Trench foot Frostbite
General hypothermia 9

9. Arthropodborne Diseases
Mosquito – malaria, yellow fever,
dengue fever, encephalitis
Sand fly – sand fly fever, leishmaniasis
Body lice – epidemic typhus
Hard ticks – Lyme disease 10

10. Rodentborne Diseases Fleas – plague, endemic typhus
Mites – scrub typhus 11

11. Waterborne Diseases Typhoid fever Cholera Traveler’s diarrhea
Hepatitis A 12

12. Foodborne Diseases Traveler’s diarrhea Cholera Salmonellosis Hepatitis13

13. Toxic Industrial Materials (TIMs)
Carbon monoxide
Hydrogen chloride
Bore/gun gases
Solvents, greases, insecticides, and oils 14

14. TIMs - Effects Skin irritation Asphyxiation
Central nervous system depression
Death 15

15. Hazardous Noise - Sources
Weapons
Aircraft
Most military vehicles and generators 16

16. Hazardous Noise - Effects
Temporary loss of hearing
Permanent loss of hearing 17

17. Hazardous Noise Reduction
Ensure your Soldiers--
• Wear earplugs
• Do not remove inserts from aircraft helmets
• Avoid unnecessary exposure
• Limit exposure to short periods of time
• Clean hearing protectors 17

18. Medical Threat - Other Skin disease Altitude sickness
Poisonous plants and animals
Tobacco use
Poor medical intelligence 18

19. Individual PMM 1 Cold Heat Arthropods Poisonous plants and animals
Contaminated food and water
Human waste
Soil and common objects 18

20. Individual PMM 2 Hygiene Proper nutrition Stress
Sexually transmitted diseases
HIV/AIDS
Tobacco 18

21. Field Sanitation Team Requirements 1 FST for every company-sized unit
subject to deployment in a field environment
Health care specialists (68W) organic or
attached to deployed units will normally
be the FST team members 57

22. Field Sanitation Team Requirements 2
If medical personnel are not organic to the
unit, two Soldiers will be selected. One must
be an NCO, and neither will have less than
six months remaining in the unit 58

23. Field Sanitation Team Responsibilities 1
Inspects unit water containers and trailers
Checks unit water supplies for chlorine
residual
Chlorinates the water if necessary
Monitors field food service operations 59

24. Field Sanitation Team Responsibilities 2
Monitors waste disposal operations
Controls of arthropods, rodents, and other
animals in unit area
Trains unit personal in individual PMMs
Monitors status of PMM in unit 60

25. Field Sanitation Team Responsibilities 3
Assists is selecting the unit bivouac site
Supervises construction of field sanitation
devices
Monitors unit personnel when applying
individual PMM 61

26. Field Sanitation Team Steps to excellence Select the best Soldiers
Schedule for FST training
Use the FST for FTXs and predeployment
training
Don’t let the FST just exist on paper! 62