1. POSITIVE TEST TYPE/SUBTYPE WEEK 3TOTAL TO DATE (21 Jan) Influenza A4871,711 Influenza A (H1) Seasonal00 Influenza A (H3) Seasonal317 Pandemic 2009 H1N144200 Influenza B421 Influenza A/B716 Total5451,965 San Diego County Influenza Detections Reported, FY 2013-14  MILVAX reports: 21JAN ◦ Active Duty Navy: 92% ◦ TYCOM summary: 95% ◦ PACIFIC TYCOM:  AIRPAC: 98%  SUBPAC: 92%  SURFPAC: 98%  RDML Gillingham’s vaccination goal is to be at least 95% Navy wide by the end of this month.  VACCINATE STRAGGLERS

2.  TRI-SERVICE FOOD CODE (TSFC) UPDATE ◦ Next Course: March 11-12, 2014  HEALTH PROMOTIONS DIVISION ◦ GOALS:  100% IN PERSON CONTACT WITH SHIP MEDICAL  80% OF SHIPS USE ONE OR MORE OF OUR HP SERVICES  AT LEAST 20% INCREASE FROM CY13 IN TOTAL SHIPS RECEIVING BLUE H AWARD

3.  Accidental CHT discharge believed to be caused by cleaning chemicals being dumped by berthing cleaners into VCHT system through drains, toilets, or sinks.  Navy Divers working under the water about 20 feet from discharge.  IMPACT: Diving operations stopped immediately. There were 4 divers from that team became ill within 72 hours. Another diver who used the effected diving equipment the following day also became ill. A few of the ill diver’s family members became ill as well.  Take Away: ◦ Ensure shipboard personnel are trained on importance of proper disposal of cleaning chemicals. ◦ Contact NEPMU5 to get further guidance and assessment of situation immediately