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		e. Make clear in the instructions that follow-up visits are or are not to be 
counted as cases. 
 
		f. Consider a separate category for snake, animal and /or insect bites. 
 
		g. Some SMEs reportedly experienced high rates of acute dental cases, 
primarily in Air Reserve Component personnel. Consider adding this category of cases to 
the reporting system if this category is considered useful by medical planners. 
 
		g. Define the responsibilities of administration and environmental health 
sections to ensure cooperation and accuracy in data collection efforts. 
 
	2. Pursue the establishment of a joint service system for adoption by the unified 
commands. 
 
VIII. COMMENTS: In spite of the disadvantage of starting without an established reporting 
system and the other problems mentioned above, the data collection effort was 
overwhelmingly successful. The data was extremely important to medical and line commanders 
during Operations DESERT SHIELD/DESERT STORM and will be very useful to future planning. 
This success can only be attributed to the responsive and innovative leadership of 
USCENTAF/SG and to the flexibility and aggressive response of USAF Environmental Health 
personnel. 
 
2 Atch 
1. DNBI Data Graphs 
2. DNBI Data Tables 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HQ TAC/SGPM/Col Butts/mac/574-4601/1 Jul 91 
 
 
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