R 291359Z JAN 10 ALCOAST 047/10 COMDTNOTE 6010 SUBJ: ADDITIONAL FORCE HEALTH PROTECTION GUIDANCE - HAITI RELIEF OPERATIONS A. COAST GUARD MEDICAL MANUAL, COMDTINST 6000.1 (SERIES) B. COMDT COGARD WASHINGTON DC 142210Z JAN 10/ALCOAST 021/10 C. TECHNICAL GUIDE - PRACTICES FOR RESPIRATORY PROTECTION,COMDTINST 6260.2 (SERIES) 1. IN ALIGNMENT WITH THE DEPARTMENT OF DEFENSE SOUTHERN COMMAND (SOUTHCOM) GUIDANCE AND IN ACCORDANCE WITH REFERENCE A, COAST GUARD PERSONNEL DEPLOYING TO HAITI THAT MAY OR WILL GO ASHORE MUST COMPLETE THE REQUIREMENTS BELOW. IT IS THE RESPONSIBILITY OF THE UNIT COMMANDING OFFICER OR OFFICER IN CHARGE TO ENSURE COMPLIANCE. A. PRE-DEPLOYMENT HEALTH ASSESSMENT - COAST GUARD PERSONNEL MUST COMPLETE THE DD-FORM 2795 (PRE-DEPLOYMENT HEALTH ASSESSMENT) PRIOR TO DEPLOYING TO THE HAITIAN AREA OF OPERATIONS (AOR). THE COGNIZANT COAST GUARD MEDICAL OFFICER OR INDEPENDENT DUTY HEALTH SERVICES TECHNICIAN (IDHS) MUST REVIEW EACH SURVEY FOR PRE-DEPLOYMENT COMPLIANCE. COAST GUARD PERSONNEL WHO HAVE ALREADY DEPLOYED TO THE HAITIAN AOR ARE NOT REQUIRED TO COMPLETE THE PRE-DEPLOYMENT HEALTH ASSESSMENT. B. POST-DEPLOYMENT HEALTH ASSESSMENT - ALL ASHORE DEPLOYED PERSONNEL MUST COMPLETE THE DD-2796 (POST-DEPLOYMENT HEALTH ASSESSMENT) WITHIN 30 CALENDAR DAYS OF RETURNING TO THEIR HOMEPORT/UNIT REGARDLESS OF WHETHER A PRE-DEPLOYMENT ASSESSMENT WAS COMPLETED. THE COGNIZANT IDHS OR MEDICAL OFFICER MUST REVIEW THE DD-2796 WITH THE MEMBER (FACE TO FACE OR VIA TELEPHONE) AND PROVIDE APPROPRIATE FOLLOW-UP AS NEEDED. C. POST-DEPLOYMENT HEALTH REASSESSMENT (PDHRA) - ALL ASHORE DEPLOYED PERSONNEL MUST ALSO COMPLETE THE DD-2900 (PDHRA) AND REVIEW (FACE TO FACE OR VIA TELEPHONE) THE PDHRA WITH THEIR COGNIZANT IDHS OR MEDICAL OFFICER WITHIN 90 TO 180 CALENDAR DAYS OF RETURNING TO THEIR HOME PORT. THOSE COAST GUARD MEMBERS WHO DO NOT RECEIVE CARE AT A COAST GUARD CLINIC, MUST CALL THE DEPLOYMENT HEALTH CALL CENTER AT 1-888-PDHRA-99 (PRESS OPTION 3) TO COMPLETE THEIR PDHRA WITH A DOD CONTRACTED HEALTHCARE PROVIDER VIA THE TELEPHONE. THE DOD CONTRACTED HEALTHCARE PROVIDERS HAVE ACCESS TO THE EDHA AND WILL COMPLETE THE PDHRA ELECTRONICALLY. D. COMPLETING THESE DEPLOYMENT HEALTH ASSESSMENTS IS ESSENTIAL TO ASSIST THE MEDICAL AND SAFETY PROGRAMS IN IDENTIFYING HEALTH CONCERNS THAT MAY EMERGE FOLLOWING THIS DEPLOYMENT. ALL DEPLOYMENT HEALTH ASSESSMENTS MUST BE COMPLETED BY THE MEMBER USING THE ELECTRONIC DEPLOYMENT HEALTH ASSESSMENT (EDHA). ALL DEPLOYING / DEPLOYED MEMBERS WILL ACCESS THE NAVY EDHA LOCATED AT - HTTPS://WWW-NEHC.MED.NAVY.MIL/EDHA/. SELECT "NEW USER". WHEN ENTERING IN THE PASSPHRASE, THE ONLY LETTER CAPITALIZED IN THE PASSPHRASE IS THE C, ALL OF THE OTHER LETTERS ARE IN LOWER CASE. THE PASSPHRASE IS COASTIE1234(DOLLAR SIGN). ENTER THE REQUIRED INFORMATION THEN SELECT REGISTER. AFTER REGISTERING, SELECT CREATE A NEW SURVEY. SELECT THE REQUIRED DEPLOYMENT HEALTH SURVEY (DD FORM 2795, 2796 OR 2900). AFTER COMPLETING THE SURVEY, SELECT SAVE AND EXIT OUT OF THE PROGRAM. FOR SUBSEQUENT ACCESS TO THE EDHA, ENTER YOUR SOCIAL SECURITY NUMBER AS THE LOGIN ID AND ENTER YOUR PASSWORD. YOU MUST SEE YOUR IDHS OR MEDICAL OFFICER WITHIN 30 CALENDAR DAYS AFTER RETURN TO YOUR DUTY STATION TO REVIEW ANY HEALTH CARE NEEDS. E. THE COAST GUARD CLINIC OR IDHS RESPONSIBLE FOR REVIEWING UNIT MEDICAL READINESS IS RESPONSIBLE FOR ENSURING DEPLOYMENT HEALTH ASSESSMENTS ARE REVIEWED BY APPROPRIATE MEDICAL PERSONNEL. STEP BY STEP GUIDANCE ON HOW TO RUN AND REVIEW A DEPLOYMENT HEALTH UNIT REPORT VIA THE MEDICAL READINESS REPORTING SYSTEM (MRRS) IS POSTED ON THE CG-1121 WEBSITE AT WWW.USCG.MIL/HQ/CG/CG112/CG1121/DEPLOYMENTHEALTH.MED. COAST GUARD MEDICAL PERSONNEL SHOULD WORK CLOSELY WITH THEIR COGNIZANT SAFETY AND ENVIRONMENTAL HEALTH OFFICER (SEHO) FOR MEMBERS WHO HAVE HAD ACUTE OCCUPATIONAL EXPOSURES. 2. ADDITIONAL FORCE HEALTH PROTECTION GUIDANCE PER REFERENCE B INCLUDES THE FOLLOWING: A. TUBERCULOSIS RISK - COAST GUARD MEDICAL PERSONNEL SHOULD ENSURE ALL DEPLOYED PERSONNEL HAVE AT LEAST ONE BASELINE TUBERCULIN SKIN TEST (TST) RECORDED IN THE MEDICAL READINESS REPORTING SYSTEM (MRRS). COAST GUARD PERSONNEL WHO HAVE CLOSE CONTACT IN CONFINED QUARTERS WITH THE HAITIAN POPULATION, SHOULD CONTACT MEDICAL UPON THEIR RETURN HOME TO DETERMINE WHETHER ADDITIONAL FOLLOW-UP IS NECESSARY. B. HIV TESTING - MAY BE PERFORMED ON A CASE BY CASE BASIS BASED UPON EXPOSURE AND PER THE RECOMMENDATION OF THE COGNIZANT MEDICAL OFFICER. C. TYPHOID VACCINATION - COAST GUARD MEMBERS THAT MAY GO ASHORE MUST HAVE A CURRENT TYPHOID VACCINATION FOR THIS DEPLOYMENT. D. MALARIA PROPHYLAXIS - FOR COAST GUARD MEMBERS THAT MAY GO ASHORE, APPROPRIATE MEDICATION INCLUDES CHLOROQUINE OR DOXYCYCLINE AS PRESCRIBED BY THE COGNIZANT MEDICAL OFFICER. USE OF THESE MEDICATIONS IS AUTHORIZED FOR AVIATION PERSONNEL. MEMBERS MUST ENSURE THEY COMPLETE THE ENTIRE PROPHYLAXIS PROTOCOL AS PRESCRIBED BY THE MEDICAL OFFICER. E. DENGUE FEVER AND INSECT BITE PROTECTION - THERE IS NO MEDICAL PROPHYLAXIS FOR DENGUE FEVER. INSECT BITES CAN BE PREVENTED THROUGH COMBINED USE OF INSECT REPELLENT AND BARRIER METHODS SUCH AS WEARING LONG SLEEVED SHIRTS AND LONG PANTS WHEN OUTDOORS. SKIN REPELLENT SHOULD CONTAIN DEET. UNIFORMS SHOULD BE TREATED WITH PERMETHRIN. F. PERSONAL PROTECTIVE EQUIPMENT - COAST GUARD PERSONAL PROTECTIVE EQUIPMENT (PPE) PUSHPACKS HAVE BEEN DEPLOYED. PPE PUSHPACKS CONTAIN DISPOSABLE N-95 RESPIRATORS, DISPOSABLE NITRILE GLOVES, HAND- SANITIZING SOLUTION, AND SAFETY GOGGLES. SAFETY HAZARDS INCLUDING UNSTABLE STRUCTURES, FALLING BUILDING DEBRIS, AND SHARP OBJECTS RESULTING FROM DAMAGED FACILITIES REQUIRE THE USE OF HARD HATS, SAFETY GOGGLES, SAFETY SHOES, AND LEATHER WORKING GLOVES IN ADDITION TO THE PPE PUSHPACK ITEMS. SURGICAL FACEMASKS ARE INCLUDED FOR USE BY ILL MEMBERS OF THE PUBLIC. G. N-95 RESPIRATORS AND APPROPRIATE PPE MUST BE WORN IN ANY RECOVERY OPERATION AND WHEN EXPOSED TO DUSTY ENVIRONMENTS OR WHEN PROVIDING MEDICAL ASSISTANCE TO HAITIANS AS PART OF BLOODBORNE PATHOGEN PROTECTION. FIT-TESTING AND TRAINING IS MANDATED AS PER REFERENCE C. REFERENCE C. H. MEDICAL SURVEILLANCE - ALL COAST PERSONNEL INVOLVED IN HAITIAN OPERATIONS (ASHORE OR AFLOAT) WHO BELIEVE THEY WERE EXPOSED TO HAZARDS SUCH AS DUST OR AIRBORNE PARTICULATES, BLOODBORNE PATHOGENS, OR CHEMICALS, MUST FILL OUT THE ACUTE EXPOSURE FORM PER REFERENCE A, CHAPTER 12. 3. FOR PREVENTIVE MEDICINE QUESTIONS, CONTACT CDR ERICA SCHWARTZ, COMDT(CG-1121) AT (202)475-5172. FOR OPERATIONAL MEDICINE QUESTIONS CONTACT CAPT MARIO FAJARDO (HSWL OPMED) AT (510) 637-1225 OR CDR JEFF SALVON-HARMAN (HSWL OPMED) AT (757) 628-4331. FOR SAFETY OR ENVIRONMENTAL HEALTH QUESTIONS, CONTACT LCDR KIM CHESTEEN (HSWL DETACHED D7) AT (305)953-2370 OR CDR H. RHAMBAROSE (HSWL SUPACT) AT (757)647-1007. FOR ADDITIONAL PPE PUSHPACKS,CONTACT EITHER CAPT JOSELITO IGNACIO COMDT(CG-1133) AT (202)475-5210 OR MS.CAROLYN ONYE COMDT(CG-1133) AT (202)475-5214. 4. RELEASED BY RADM M. TEDESCO, DIRECTOR OF HEALTH, SAFETY AND WORK-LIFE. 5. INTERNET RELEASE AUTHORIZED.