MEDICAL SURVEILLANCE REPORT 19 JUL 91

File: 091896_aug96_decls27_0003.txt
Page: 0003
Total Pages: 3

Subject: MEDICAL SURVEILLANCE REPORT  19 JUL 91                          

Box  ID: BX005154

Document Number:          5

Folder Title: 212TH MED DET  OA  MEDICAL SURVEILLANCE REPORTS   05 AUG - 05 SEP 91                            

Folder Seq #:         74

Unit: 22D SUPCOM  

Parent Organzation: ARCENT      










                                  MEDICAL SURVELLANCE REPORT                Page 11


                                      REPORT AS OF             I %lE) DATE:        Cl
            NAME OF UNIT/CLINIC:--@-@@--Y-o

            POPULATION SIZE:
                              ----------------------------------

            PATIENTS SEEN: MALE                 FEMALE

                REFERRED TO HOSPITAL:            L
                GYN PATIENTS REFERRED To HOSPITA
                FOLLOW-UP VISITS:


                -:'Y! E:@
                COLD INJURY
                DIARRHEAL I)!SEASE ------
                i-,YNCir-OLOC4ICAL FROBLFMB ---
                HEAT INJURY
                ,DPTHALMOLOGICAL FR!RBE
                   INFECTION
                  INJURY
                ORTHOPEDIC
                PREGNANCY
                PSYCHIATRIC CONDITIONS
                SEXUALLY TRANSMITT
                   U MALE         -F 7DISEASE:
                           -------     --------
                   # FEMALE         0
                              -----   ---------
                   # CONTACTS REACHED AND/OR TREATED
                SKIN CONDITIONS
                TRAUMA
                UPPER RESPIRATORYJISEASE
                VAC,INITIS
                ALL OTHER CONDITI 8


            2.  REPORTABLE DISEASE:
                A. VIRAL HEPATITIS                L. MEN I N,30,:OCC-A D I S
                B. HEAT STROKE  --- -----         M. PLAGUE
                C. ANTHRAX                        N. RABIES
                D. BOTULISM                       0.
                                                       FEVER
                E. BRUCELLOSIS                    P. SCHISTOEOMIASIS
                F. CHOLERA
                ,-,. :.R7MEA,i-,,U4C-,D HEMC.@F-.'iAC,!,-- F77VER
                H. DENGUE FEVER                   Q. SPIROCHARTAL DIS
                1. HELMINTHIC IN@.-               R. TRACHOMA  ---------
                J. LEISHMANIASIS                  S. TOXOPLASMOSIS
                      T. TYPHOID
                                                  U. TYPHUS
                                                  V. OTHER (EFEt:.IFY)


            PROBLEM INDENTIFICATION:


            CORRECTIVE ACTIONS:                                        Appendix B

Document 3 f:/Week-34/BX005154/212TH MED DET OA MEDICAL SURVEILLANCE REPORTS 05 AUG - 05 SEP 91/medical surveillance report 19 jul 91:09139616140762
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-34
Box ID = BX005154
Unit = 22D SUPCOM
Parent Organization = ARCENT
Folder Title = 212TH MED DET OA MEDICAL SURVEILLANCE REPORTS 05 AUG - 05 SEP 91
Folder Seq # = 74
Subject = MEDICAL SURVEILLANCE REPORT 19 JUL 91
Document Seq # = 62
Document Date =
Scan Date = 30-AUG-1996
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 13-SEP-1996