SECRET FOR TRAINING ONLY
Return to Index
HEADQUARTERS, CFC 9518
Seoul, ROK
1 June 19XX
APPENDIX 7 TO ANNEX Q TO CFC OPLAN (KOREA) 9518X-XX
PREVENTIVE MEDICINE
REFERENCES:
a. DST 1-18oh-00-82, "Handbook of Diseases of Military Importance," Dec. 82.
b. FM 8-33/NAVMED P-5038, "Control of Communicable Diseases in Man," 31 May 1991.
c. Technical Information Memorandum No. 24, "Contingency Pest Management Pocket Guide," 14
April 1986.
d. AR 40-562/NAVMEDCOMINST 6230.3/AFR 161-13/CG COMDTINST M6320.4D,
"Immunizations and Chemoprophylaxis," 7 October 1988.
e. NAVMED P-5010, "Manual of Navy Preventive Medicine."
f. USPACOM Pamphlet, "Staying Healthy in South Korea," 27 July 1994.
1. Purpose. To provide the concept of operations, define the threat, and assign tasks for preventive
medicine support of CFC operations in Korea.
2. Definitions and Assumptions
a. The public health problems in Korea represent a significant concern for US personnel.
b. Living conditions have subsequently deteriorated and public health problems are expected to
worsen significantly.
c. A possible cholera epidemic could plague refugees and/or NEO operations and will present a
significant potential threat to CFC forces.
d. Unsanitary conditions in and around populated areas have made diarrheal diseases a principal
threat.
e. During the rainy and winter seasons movement of personnel and equipment will be adversely
impacted.
f. The mosquito population will increase significantly during the rainy season, thus increasing the
exposure to vector-borne diseases.
3. Concept of the Operation. Preventive medicine countermeasures will provide basic protection for
deployed US Forces.
Q-7-1
SECRET FOR TRAINING ONLY
SECRET FOR TRAINING ONLY
a. Preventive medicine priorities are:
(1) Priority 1. Water Surveillance.
(a) Determine quartermaster water unit locations.
(b) Survey, sample, and analyze raw water sources and production water.
(c) Ensure that water point personnel understand Free Chlorine residual
requirements of 2 PPM at the point of distribution.
(d) Record and promptly report sample results of water surveillance to
quartermaster water personnel and to the Surgeon's Office.
(2) Priority 2. General Preventive Medicine Support.
(a) Monitor disease and non-battle injuries at medical treatment facilities to detect
trends that could indicate a breakdown in sanitation, etc. Results of medical monitoring should be evaluated
at each level of command. Unusual results detected at any level should be brought to the attention of
appropriate preventive medicine and command officials.
(b) Evaluate and provide appropriate recommendations to improve sanitation of
food service operations and facilities, troop housing, water supplies, industrial hygiene, and other
environmental problems within the supported area.
(c) Evaluate waste (solid waste, liquid waste) storage and disposal to reduce
communal rodent, fly, and vespid wasp problems. Tasks include the following:
a. Evaluate hazardous waste, and medical infectious waste storage and
disposal.
b. Provide field sanitation training support.
b. Immunizations. The following immunizations are recommended:
(a) All routine vaccines (DTP, or Td, Hib, MMR, polio, varicella, influenza, and
pneumococcal) should be kept up-to-date.
(b) Cholera. Although limited in effectiveness, vaccination may be appropriate for
persons living or working in less than sanitary conditions for more than 3 months where medical facilities are
unavailable. Vaccinations are also appropriate for personnel with impaired gastric defenses who will be
exposed to unsanitary conditions.
(c) Hepatitis A. Consider active immunization with hepatitis A vaccine or passive
immunization with immune globulin (IG) for all. It is particularly important for personnel living in or visiting
rural areas, eating or drinking in settings of poor or uncertain sanitation, or who will have close contact with
local persons (especially young children) in settings with poor sanitary conditions.
(d) Hepatitis B. If destined for river basin areas, vaccination is advised for health
care workers and persons anticipating direct contact with blood from or sexual contact with inhabitants.
Q-7-2
SECRET FOR TRAINING ONLY
SECRET FOR TRAINING ONLY
(e) Rabies. Pre-exposure vaccination should be considered for persons staying
longer than 30 days.
(f) Typhoid. Vaccination should be considered for individuals staying longer than 3
weeks.
(g) Yellow Fever. Vaccination should be considered for individuals working outside
of urban areas.
c. Report preventive medicine issues through medical channels to the JTF Korea Surgeon.
d. CFC preventive medicine policies are:
(1) Provide assistance in the control of water-borne diseases.
(2) Provide assistance in the control of arthropod and rodent-borne diseases including
technical consultation, entomological surveillance, and reinforcement of units’ organic pest management
capabilities.
(3) Provide assistance and guidance in the placement and construction of food service
facilities, field showers, and latrines.
(4) Provide assistance in the control of food-borne diseases by monitoring food service
operations and providing guidance to commanders.
(5) Provide assistance in the control of excessive occupational/environmental exposures to
such hazards as radiation, toxic gases, noise, and climatic extremes.
(6) Provide policy guidance and monitoring compliance for immunization and drug
prophylaxis activities.
(7) Provide assistance to intelligence analysts in evaluating elements of medical threat.
(8) Provide guidance in developing plans for wash down retrograde operations and
agricultural pest inspection points during airhead/port operations reload.
(9) Provide medical intelligence inbriefings and outbriefings for incoming and outgoing
personnel at all A/SPOD’s.
e. CFC will provide laboratory services in support of preventive medicine personnel.
f. CFC Service Components will deploy with organic and assigned veterinary support.
g. Report formats. TBP.
4. Health Threat
a. Food-borne and water-borne diseases. These diseases are common and include Japanese
encephalitis, filariais, diarrheal diseases, helminthic infections, and viral hepatitis.
(1) Influenza – common.
Q-7-3
SECRET FOR TRAINING ONLY
SECRET FOR TRAINING ONLY
(2) Sexual transmitted diseases – occurs.
(3) Tuberculosis – occurs.
b. Insect-borne diseases. These diseases, including malaria and yellow fever, are an important
cause of ill health in rural areas.
(1) Japanese encephaplitis – occurs.
(2) Diarrheal disease – occurs.
(3) Korean hemorrhagic fever – occurs.
(4) Scrub Typhus - occurs.
(5) Hepatitis A – common.
(6) Onchocerciasis (river blindness) – occurs (isolated cases in rural areas; the bites of
black flies, the carrier, may also transmit other filarial parasites or cause unpleasant and sometimes sever
hemorrhagic reactions.
c. Other hazards.
(1) Diseases such as measles and diphtheria are common.
(2) Influenza risk extends throughout the year.
(3) Rabies – occurs.
d. Animals. Poisonous snakes are common, as are scorpions, spiders, and centipedes.
5. Tasks. The number one goal for commanders and preventive medicine units is to maintain the health of
the troops and appropriately use resources to do so. The following tasks are essential in accomplishing this
mission:
a. Ensure clean water.
b. Appropriate use of personal protective measures.
c. Epidemiological services.
d. Ensure safe sanitation.
e. Vector control.
f. Provide minimum diagnostic capabilities.
g. Provide disease and injury prevention, to include comprehensive troop education programs.
Q-7-4
SECRET FOR TRAINING ONLY
SECRET FOR TRAINING ONLY
6. Coordinating Instructions
a. Preventive Medicine units will effect direct liaison with quartermaster water purification and
distribution units within their geographical area of support.
b. Preventive medicine units must effect direct liaison with veterinary units to coordinate the
evaluation of ice plants and potable water plants, as well as, to assist in pest management operations in and
around food storage and distribution points.
c. Preventive medicine units must effect direct liaison with medical treatment facilities within their
geographical support area to facilitate and insure collection of information to prepare health reports and
SITREPS.
Q-7-5
SECRET FOR TRAINING ONLY