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File: 123096_sep96_decls23_0050.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
2. Army Medical Laboratory
Convalescent samples should be obtained from survivors and other members of the attacked 996 General Laboratory
unit 3-4 weeks later. C/O ARCENF SURGEON
f. Tularemia. Same as for plague (above). Saudi Arabia
TEL: COM 0 1 1-966-1-477-7777
3. Autopsy Samples
All tissue samples should be collected in duplicate aliquots: one (25-50 gm) to
freeze for microbiologyltoxicology and one in formalin for histapathology. Organs sampled 3. USAMR]ID (ATTN: SGRD-U]D-E)
should include lung, inediastinal lymph nodes, spleen, and liver. Obvious lesions and Fort Detrick
adjacent normal tissue should be taken from affected areas in any orgm. Frederick, MD 21702-5011
Postmortem blood (up to 20 ml) should be obtained and submitted as serum and TEL: AV 343-7193/7244
cloucells. COM 301-663-7193/7244
FAX: COM 301-663-2492
brief description of illness and gross autopsy findings; place, date, and time of death; place, If spmific questions arise regarding specimen collection, processing, or shipment,
date, and time of collection; prosmtor and unit. contact USAMRIID (above) for instmctions.
Samples for analysis should be kept as cold as possible, preferably frozen. Formalin_
fixed material must not be frozen,
C. Specimen Handling and Shipment
1. Specimen Handling.
a: Processing. All specimens from suspected biological warfare casualties
should be submitted through the routine diagnostic laboratory chain for processing. Samples
must be clearly marked for special diagnostic testing, and chain-of-custody procedures
maintained.
b: Labeling. All serum samples should be completely labeled with patient's
name, SSN, unit, date, and medical facility to receive results. Routine laboratory slips
should be included with each sample. Data on laboratory slips should include number of
disease days and the reason that samples were obtained.
c: Packaging. Semm should be contained in plastic screw-cap vials, which
are securely s@ed. If possible, each serum sample should be individually placed in a
second plastic vial or zip-l@k bag to prevent leakage. All specimens should be contained in
a metal shipping can or other secondary container. Sufficient absorbent material should be
packed to prevent leakage outside the container. '[be entire contents should be placed in mi
ontainer with cold packs or dry ice.
d: Addresses. It is the responsibility of the laboratory officer, in concert with
the physician, to ensure that suspect specimens are submitted correctly and expeditiously to a
special diagnostic laboratory. These specialized testing/reference laboratory facilities will be
available at several locations; the facility appropriate for a given unit or location will be
guided by unit SOP. Sites established as of this writing include the following:
I. Naval Medical Unit
CIO NAVCENT Surgeon
COM USNAVLOGSUPFOR//N-9//
Bahrain
TEL: COM 0 1 1-973-728-877
91
90
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
Document Date =
Scan Date =
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 = 17-DEC-1996