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offered to reduce their incidence. Hepatitis B vaccine should be started for all 
medics at the time of deployment when mass casualties are anticipated. Reserve and 
Guard units need to implement hospital employee health programs consistent with 
their gaining medical facility (Hepatitis B, Rubella, Rubeola, and perhaps TB and 
Chickenpox). ARC Aeromedical Staging Facility, air evacuation and CONUS MTF 
backfill personnel, in many cases, were not protected.

	9. Patient Decontamination Issues: Even though the procedures were untested, 
the group expressed confidence in contamination control team capabilities. 
Recommend wording changes in the regulation to clarify that the EHO oversees 
operations, but the team chief may direct operations in the contamination control 
facility on a continuous basis. One individual had tested the Multiman 
Intermittent Cooling System (MICS) with an environmental control unit (ECU). He 
reported air flow was inadequate. Additional evaluation and perhaps modification 
is required. Scissors had a short life span when used around chlorine. Spraying 
scissors with WD-40 and placing them in plastic bags increased the life span. 
Recommend USAFSAM/EDZ develop a course for contamination control team members.

	10. Medical Intelligence Issues: Information was available and predeployment 
briefings were appropriate. Support from commanders for prevention of heat injury 
was excellent. The deployment 'site, when known by the ATH commander, was 
sometimes not shared with the MIO. More specific briefings could have been 
provided if this information was made available. The site would not have to be 
mentioned to all deploying forces to have an effective brief. TAC Regulation 
400-10 authorizes the MIO access to this information.

	11. Occupational Health Issues: The following guidance is fro ~ R 400-10, 
pare 2-7 g (6). This guidance was followed and is appropriate. "occupational 
health examinations and occupational health education are normally not required 
during deployments. However, occupational illnesses should be monitored and 
corrective measures recommended. In some cases education will be necessary. It may 
be necessary to fit and train personnel on the use of respirators and hearing 
protective devices."

	12. Equipment, Supplies, Transportation, References

		a. TA 896, Sections V, Y (ATH): Delete all patient decontamination 
items (established a separate TA for decor), insect repellent, inking pads, ink 
and gloves. Separate BEE and EH items into 2 sections. Add non-disposable ear 
plugs in assorted sizes, 6 holding thermometers and 2 thermometer holders. 
Increase the number of dial thermometers from 7 to 24.

		b. TA 889, (SME)-: Only 2 items on the TA were for EH; a

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