R 042200Z JUN 10

ALCOAST 286/10

COMDTNOTE 06610

SUBJ: MEDICAL GUIDANCE FOR COAST GUARD PERSONNEL SERVING WITH THE DEEPWATER HORIZON RESPONSE IN THE GULF REGION

A. COAST GUARD MEDICAL MANUAL, COMDTINST M6000.1 (SERIES)

B. HEALTH CARE FOR COAST GUARD CIVILIAN EMPLOYEES, COMDTINST

12792.3 (SERIES)

1. MEDICAL READINESS - COAST GUARD ACTIVE DUTY (AD) AND READY RESERVE (SELRES AND IRR) PERSONNEL MUST ENSURE, PRIOR AND POST DEPLOYMENT, THEY ARE GREEN (IN COAST GUARD BUSINESS INTELLIGENCE

(CGBI)) WITH THEIR INDIVIDUAL MEDICAL READINESS METRICS (IAW REF A, CHAPTER 6). SELRES MEMBERS MUST PROMPTLY NOTIFY THE COAST GUARD VIA THE CHAIN OF COMMAND OF ANY PHYSICAL CONDITION OR OTHER FACTOR THAT WOULD AFFECT THE MEMBERS IMMEDIATE AVAILABILITY FOR ACTIVE MILITARY SERVICE.

2. DEPLOYMENT HEALTH ASSESSMENTS - DODS DEPLOYMENT HEALTH ASSESSMENTS (PRE-DEPLOYMENT AND POST-DEPLOYMENT HEALTH ASSESSMENTS) ARE INTENDED FOR USE RELATED TO EXPEDITIONARY DEPLOYMENTS PER REF A, CHAPTER 6, AND ARE NOT PRESENTLY REQUIRED FOR DEEPWATER HORIZON RESPONSE.

3. MEDICAL SURVEILLANCE -

A. DEPLOYED COAST GUARD PERSONNEL WHO ARE CONCERNED THEY MAY HAVE BEEN EXPOSED TO HAZARDS REQUIRING FURTHER FOLLOW-UP, SHOULD FILL OUT THE ELECTRONIC VERSION OF THE SIGNIFICANT EVENT/ACUTE EXPOSURE (SE/AE) FORM (IAW REFERENCE A, CHAPTER 12). THE ELECTRONIC SE/AE EXPOSURE FORM CAN BE LOCATED AT HTTP://APPS.MLCA.USCG.MIL/KDIV/KSEOMSEP.

B. OMSEP EXAMINATIONS - OMSEP EXAMINATIONS, INCLUDING ENROLLMENT, PERIODIC AND END OF EXPOSURE/EMPLOYMENT EXAMS, ARE REQUIRED AS DELINEATED IN REF A, CHAPTER 12. PERSONNEL ACTIVELY ENGAGED FOR 30 OR MORE DAYS PER CALENDAR YEAR IN THE FOLLOWING OCCUPATIONS SHALL BE ENROLLED IN OMSEP: RESIDENT INSPECTORS, POLLUTION INVESTIGATORS, MARINE SAFETY (GENERAL), PORT SAFETY (GENERAL), VESSEL INSPECTORS OR MARINE INVESTIGATORS AND FIREFIGHTERS. THESE INDIVIDUALS SHALL COMPLETE THEIR OMSEP EXAMINATION PRIOR TO DEPLOYMENT TO FIELD OPERATIONS.

C. LIMITED PERIODIC HEALTH ASSESSMENT - DURING THE DEMOBILIZATION PROCESS ALL READY RESERVE MEMBERS RETURNING TO DRILLING STATUS SHALL COMPLETE A LIMITED PHA CONSISTING OF A FACE-TO-FACE INTERVIEW WITH A HEALTH SERVICES TECHNICIAN. MEMBERS REPORTING A CHANGE IN HEALTH DURING DEPLOYMENT SHALL BE EVALUATED BY A MEDICAL OFFICER FOR A PROBLEM FOCUSED EXAMINATION AND REFERRED TO THE OMSEP COORDINATOR AS NEEDED. ENCOUNTERS SHALL BE ENTERED INTO THE ELECTRONIC HEALTH RECORD. RESERVISTS MUST COMPLETE THIS LIMITED PHA PRIOR TO RELEASE FROM ACTIVE STATUS. THIS LIMITED PHA DOES NOT REPLACE THE ANNUAL PHA REQUIREMENT. RELEASE FROM ACTIVE DUTY COMPREHENSIVE EXAMINATIONS ARE NOT REQUIRED FOR THIS DEPLOYMENT.

4. CIVILIAN EMPLOYEES AND AUXILIARY MEMBERS ON ORDERS ASSIGNED WITHIN THE AFFECTED AREA OR ON ORDERS TO RESPOND, ARE AUTHORIZED TO BE SEEN BY COAST GUARD HEALTH CARE PROVIDERS FOR MEDICAL CONDITIONS ARISING DURING DEPLOYMENT PER REF A AND B.

5. THE NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH

(NIOSH) WILL BE CONDUCTING A PRE-EVENT AND POST-EVENT SURVEY FOR ALL INDIVIDUALS DEPLOYED TO THE GULF WHO ARE ASSISTING WITH THE OIL CLEAN-UP. COAST GUARD PERSONNEL ARE STRONGLY ENCOURAGED TO COMPLETE THE SURVEY. THE WEB-BASED SURVEY WILL BE AVAILABLE ON THE FOLLOWING NIOSH WEBSITE - HTTP://WWW.CDC.GOV/NIOSH/TOPICS/OILSPILLRESPONSE.

6. FOR QUESTIONS PERTAINING TO THIS ALCOAST CONTACT CAPT BRENT PENNINGTON, COMDT (CG-1121) AT (202) 475-5170 OR CDR TED CHIN,

COMDT(CG-1133) AT (202) 475-5212. 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 JACOB WAMSLEY (HSWL SUPACT) AT (757) 628-4403.

7. RELEASED BY RADM MARK J. TEDESCO, DIRECTOR OF HEALTH, SAFETY AND WORK-LIFE.

8. INTERNET RELEASE IS AUTHORIZED.