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NAVY ADVANCEMENT SEP 2019 > BUMEDINST 6230.16A > Flashcards

BUMEDINST 6230.16A Flashcards

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1
Q

WHAT IS BUMEDINST 6230.16A?

A

BUMED INSTRUCTION 6230.16A MALARIA PREVENTION AND CONTROL

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2
Q

CONCERNING BUMEDINST 6230.16A, FROM WHAT ENTITY IS THE INSTRUCTION “FROM:”?

A

FROM: CHIEF, BUREAU OF MEDICINE AND SURGERY

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3
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS THE LISTED SUBJECT?

A

SUBJ: MALARIA PREVENTION AND CONTROL

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4
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (A)?

A

(A) DOD DIRECTIVE 6200.04 OF 9 OCTOBER 2004

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5
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (B)?

A

(B) WORLD HEALTH ORGANIZATION, WORLD MALARIA REPORT, 2015 (NOTAL)

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6
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (C)?

A

(C) BUMEDINST 6220.12C

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7
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (D)?

A

(D) NMCPHC-TIM 6250.1, NAVY MARINE CORPS PUBLIC HEALTH CENTER GUIDE TO MALARIA PREVENTION AND CONTROL, 2015

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8
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (E)?

A

(E) ASD(HA) POLICY MEMO 13-002 OF 15 APR 2013

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9
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (F)?

A

(F) AFPMB TECHNICAL GUIDE 24: CONTINGENCY PEST MANAGEMENT GUIDE, AUGUST 2012

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10
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS REFERENCE (G)?

A

(G) AFPMB TECHNICAL GUIDE 36: PERSONAL PROTECTIVE TECHNIQUES AGAINST INSECTS AND OTHER ARTHROPODS OF MILITARY SIGNIFICANCE, OCTOBER 2015

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11
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS ENCLOSURE (1)?

A

(1) NAVY MEDICINE MALARIA PREVENTION AND CONTROL RESOURCES (ONLY ENCLOSURE)

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12
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS THE STATED PURPOSE?

A

PURPOSE. TO PROVIDE GUIDELINES, PER REFERENCE (A), TO COMMANDING OFFICERS AND MEDICAL DEPARTMENT PERSONNEL ON ASSESSING RISK, AND PREVENTING ADN TREATING MALARIA AMONG ACTIVE DUTY PERSONNEL, OTHER BENEFICIARIES, AND CIVILIAN EMPLOYEES OF THE U.S. GOVERNMENT.

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13
Q

CONCERNING BUMEDINST 6230.16A, WHAT DOES BUMEDINST 6230.16A CANCEL?

A

CANCELLATION. BUMEDINST 6230.16.

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14
Q

CONCERNING BUMEDINST 6230.16A, WHAT IS THE STATED SCOPE OF BUMEDINST 6230.16A?

A

SCOPE. THIS INSTRUCTION APPLIES TO ALL SHIPS AND STATION WITH MEDICAL DEPARTMENT PERSONNEL.

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15
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, IN WHAT ENVIRONMENTS IS MALARIA ONE OF THE MOST DEADLY DISEASES?

A

MALARIA IS ONE OF THE MOST DEADLY DISEASES IN TROPICAL AND SUBTROPICAL REGIONS.

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16
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, HOW DOES MALARIA PRESENT A THREAT TO THE MILITARY?

A

IT IS A THREAT TO INDIVIDUAL HEALTH AND CAN SERIOUSLY IMPAIR THE MISSION READINESS OF MILITARY UNITS.

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17
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, MALARIA IS ENDEMIC IN HOW MUCH OF THE WORLD AND HOW DOES THIS AFFECT U.S. NAVY OPERATIONS?

A

FOTY PERCENT OF THE WORLD IS ENDEMIC FOR MALARIA LEADING TO APPROXIMATELY 500 MILLION CASES AND OVER ONE MILLION DEATHS ANNUALLY, PER REFERENCE (B). THE MAJORITY OF THESE CASES OCCUR IN REGIONS WHERE U.S. NAVY FORCES CURRENTLY OR HISTORICALLY OPERATE.

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18
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, WHY ARE U.S. FORCES SUSCEPTIBLE TO MALARIA?

A

ALTHOUGH MANY ENDEMIC COUNTRY ADULT NATIONALS HAVE SOME DEGREE OF IMMUNITY, MOST U.S. FORCES LACK THIS LIMITED PROTECTION AREE SUSCEPTIBLE TO POTENTIALLY LETHAL INFECTIONS WITHOUT THE PROPER USE OF FORCE HEALTH PROTECTION MEASURES AND COMMAND ENFORCEMENT.

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19
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, WHAT HAPPENED IN 2003 TO A MARINE EXPEDITIONARY UNIT?

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A

IN 2003, A MARINE EXPEDITIONARY UNIT ON A MISSION TO LIBERIA SUFFERED A 44 PERCENT ATTACK RATE (69 OF 157 SPENDING NIGHTS ASHORE) AND AN ATTACK RATE OF 28 PERCENT OVERAL (80 OF 290 WHO WENT ASHORE). IN THIS INCIDENT, MALARIA COMPROMISED THE MISSION BECAUSE SERVICE MEMBERS DID NOT USE PERSONAL PROTECTIVE MEASURES (PPM) OR TAKE THEIR MEDICATIONS FOR PROPHYLAXIS OF MALARIA.

20
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, HOW ARE SHIPBOARD PERSONNEL AT RISK WITH MALARIA?

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A

SHIPBOARD PERSONNEL ARE AT RISK WHEN VISITING PORTS WITH KNOWN MALARIA TRANSMISSION.

21
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, PER REFERENCE (C), WHAT IS MALARIA?

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A

MALARIA IS AN ARMED SERVICES REPORTABLE DISEASE, PER REFERENCE (C).

22
Q

CONCERNING BUMEDINST 6230.16A BACKGROUND, WHAT ADDITIONAL REPORTING IS REQUIRED FOR MALARIA?

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A

IN ADDITION TO THE MEDICAL EVENT REPORTING BY REFERENCE (C), ALL CASES SHOULD ALSO BE REPORTED THROUGH THE CHAIN OF COMMAND IN ORDER TO ENSURE COMMAND SURGEONS AND OPERATIONAL COMMANDERS ARE AWARE OF ANY DEVELOPING MALARIA THREATS TO THEIR OPERATIONS AND FORCES.

23
Q

CONCERNING BUMEDINST 6230.16A, HOW CAN THE POTENTIAL ADVERSE IMPACT OF MALARIA ON U.S. FORCES BE MINIMIZED?

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A

THE POTENTIAL ADVERSE IMPACT OF MALARIA ON U.S. FORCES AND AUXILIARY PERSONNEL CAN BE GREATLY MINIMIZED BY PROPER PREVENTION, TREATMENT, SURVEILLANCE, AND VECTOR CONTROL ACTIVITIES.

24
Q

CONCERNING BUMEDINST 6230.16A, IN ORDER TO MINIMIZE THE EFFECTS OF MALARIA ON U.S. FORCES, THE COMMANDING OFFICER, NAVY AND MARINE CORPS PUBLIC HEALTH CENTER (NMCPHC) WILL DO WHAT?

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A

THE COMMANDING OFFICER, NAVY AND MARINE CORPS PUBLIC HEALTH CENTER (NMCPHC) WILL ENSURE REFERENCE (D) IS REVISED, AS NEEDED, WITH CURRENT INFORMATION AND PREVENTION AND TREATMENT OF MALARIA AND VECTOR SURVEILLANCE AND CONTROL MEASURES, AVAILABLE AT: WEBSITE.

25
CONCERNING BUMEDINST 6230.16A, IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT CONCERNING LOCATION-SPECIFIC GUIDANCE ON MALARIA PREVENTION?
(1) OBTAIN LOCATION-SPECIFIED GUIDANCE ON MALARIA PREVENTION USING THE RESOURCES IN PARAGRAPH 6. CONTACT THE APPROPRIATE NAVY ENVIRONMENTAL AND PREVENTATIVE MEDICINE UNIT (NAVENPVNTMEDU) BEFORE DEPLOYMENT TO MALARIA-ENDEMIC AREAS FOR CURRENT AREA-SPECIFIC RISK ASSESSMENT, PREVENTION, AND TREATMENT RECOMMENDATIONS. SEE ENCLOSURE (1) FOR LOCAL NAVENPVNTMEDU POINT OF CONTACT INFORMATION.
26
CONCERNING BUMEDINST 6230.16A, IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT TO ADVISE AND ASSIST LINE COMMANDERS IN ALL ASPECTS OF MALARIA PREVENTION AND CONTROL?
(2) ADVISE AND ASSIST LINE COMMANDERS IN ALL ASPECTS OF MALARIA PREVENTION AND CONTROL. UNIT OR MAJOR COMMAND MEDICAL PERSONNEL WILL ENSURE LINE COMMANDERS AND THEIR STAFF ARE EDUCATED ON MALARIA THREATS AND PREVENTION MEASURES FOR ANY UNIT DEPLOYMENTS OR OPERATIONS WHERE A POTENTIAL MALARIA THREAT EXISTS. MEDICAL PLANNING SHOULD ALSO INCLUDE ESTIMATES ON THE QUANTITY OF MALARIA COUNTERMEASURES NEEDED FOR THE DURATION OF THE DEPLOYMENT OR OPERATION (MEDICATION, REPELLENTS, ETC.).
27
IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT CONCERNING G6PD DEFICIENCY?
(3) VERIFY GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD) DEFICIENCY STATUS PRIOR TO PRESCRIBING MEDICATION FOR MALARIA PROPHYLAXIS. PRIOR TO DEPLOYMENT, MEDICAL DEPARTMENT PERSONNEL WILL SCREEN THE RECORDS OF ALL DEPLOYERS IN ORDER TO IDENTIFY AND EVALUATE ALL G6PD DEFICIENT INDIVIDUALS AND DETERMINE THEIR NEED FOR SPECIAL CHEMOPROPHYLAXIS AND TREATMENT PROTOCOLS WHEN TRAVELING, TRANSITING THROUGH, OR DEPLOYING TO MALARIA-RISK AREAS. AS PART OF UNIT READINESS, ALL NAVY AND MARINE CORPS PERSONNEL SHOULD HAVE A DOCUMENTED G6PD DEFICIENCY STATUS. MEDICAL DEPARTMENT PERSONNEL SUPPORTING JOINT OPERATIONS SHOULD RECOGNIZE THAT NOT ALL SERVICES TRACK G6PD STATUS.
28
IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT IN REGARDS TO PROVIDING ADVICE AND MALARIA CHEMOPROPHLAXIS TO ACTIVE DUTY PERSONNEL, RESERVISTS ON ORDERS, AND CIVILIAN EMPLOYEES TRAVELING OT MALARIA RISK AREAS?
(4) PROVIDE ADVICE AND MALARIA CHEMOPROPHYLAXIS TO ACTIVE DUTY PERSONNEL, RESERVISTS ON ORDERS, AND CIVILIAN EMPLOYEES TRAVELING TO MALARIA RISK AREAS ON TEMPORARY ADDITIONAL DUTY OR OTHER OFFICIAL TRAVEL. THE SAME SHOULD BE PROVIDED FOR ACTIVE DUTY PERSONNEL AND THEIR DEPENDENTS TRAVELING TO MALARIA-ENDEMIC AREAS ON LEAVE.
29
IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT IN REGARDS TO SPECIAL OPERATIONS AND SPECIAL DUTY PERSONNEL?
(5) ENSURE SPECIAL OPERATIONS AND SPECIAL DUTY PERSONNEL RECEIVE PHARMACEUTICALS ONLY WHEN AUTHORIZED BY THE FLIGHT SURGEON, DIVING MEDICAL OFFICER, OR ASSIGNED MEDICAL SUPPORT. MEDICAL STAFF SHOULD CONSULT WITH FLIGHT SURGEONS OR DIVING MEDICAL OFFICERS REGARDING AUTHORIZED MEDICATIONS FOR THIS POPULATION..
30
IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT IN REGARDS TO DOCUMENTATION OF MALARIA CHEMOPROPHYLAXIS?
(6) DOCUMENT IN THE MEDICAL RECORD ALL MALARIA CHEMOPROPHYLAXIS, PHARMACEUTICAL ISSUES, ADVERSE REACTIONS, MALARIA TREATMENTS, AND G6PD DEFICIENCY STATUS.
31
IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT CONCERNING REPORTING SUSPECTED OR CONFIRMED MALARIA CASES?
(7) REPORT SUSPECTED OR CONFIRMED MALARIA CASES TO THE APPROPRIATE COMMAND SURGEON (NUMBERED FLEET, MARINE EXPEDITIONARY FORCE, TYPE COMMAND, OR JOINT FORCE COMMAND). ALSO PROVIDE A MEDICAL EVENT REPORT FOR ALL SUSPSECT OR CONFIRMED MALARIA CASES TO NMCPHC USING THE DISEASE REPORTING SYSTEM INTERNET (DRSi) OR ANOTHER AUTHORIZED METHOD, PER REFERENCE (C). A MALARIA MEDICAL EVENT REPORT SHOULD INCLUDE INFORMATION ON CHEMOPROPHYLAXIS (MEDICATIONS(S) ORDERED, NUMBER O FPILLS ORDERED), LENGTH OF TRAVEL IN MALARIA RISK AREA, POTENTIAL COUNTRIES OF EXPOSURE, AND CIRUMSTANCES SURROUNDING EXPOSURE (WHETHER DUTY RELATED, PPM USED, ETC.). FURTHER INFORMATION ON REPORTING, INCLUDING ACCOUNT ACCESS TO DRSi, CAN BE FOUND AT: WEBSITE.
32
IN ORDER TO SUPPORT THE COMMANDER’S FORCE HEALTH PROTECTION EFFORTS, MEDICAL DEPARTMENT PERSONNEL WILL DO WHAT WHEN DEALING WITH FEBRILE ILLNESS WHEN MEDICAL HISTORY INCLUDES TRAVEL TO MALARIA-ENDEMIC AREAS?
(8) CONSIDER MALARIA IN ALL DIAGNOSES OF FEBRILE ILLNESS WHEN MEDICAL HISTORY INCLUDES TRAVEL TO MALARIA-ENDEMIC AREAS. OBTAIN A COMPLETE HISTORY OF TRAVEL FOR THE 6 MONTHS PRIOR TO ILLNESS. DEPARTMENT OF DEFENSE (DOD) PERSONNEL WHO ORIGINATED FROM MALARIA-ENDEMIC REGIONS PRIOR TO ENLISTMENT OR COMMISSIONING MAY HAVE DEVELOPED LIMITED IMMUNITY. THESE INDIVIDUALS WILL BECOME SUSCEPTIBLE IF THEY LIVE OUTSIDE MALARIA-ENDEMIC ARES FOR PROLONGED PERIODS. PERSONNEL TAHT REVISET HOMES OF ORIGIN MAY DEVELOP MALARIA AFTER LOSING THIS LIMITED IMMUNITY.
33
CONCERNING BUMEDINST 6230.16A, WHAT IS THE RESPONSIBILITY OF HEALTHCARE PROVIDERS IN REGARDS TO MALARIA PROPHYLAXIS?
HEALTHCARE PROVIDERS MUST BE FAMILIAR AND COMPLY WITH ALL POLICY AND REQUIREMENTS CONCERNING THE USE OF MEFLOQUINE (LARIAM) FOR MALARIA PROPHYLAXIS, PER REFERENCE (E). MEFLOQUINE MAY COAUSE PSYCHIATRIC SYMPTOMS WHEN USED FOR PROPHYLAXIS. IT IS THEREFORE DESIGNATED AS A PROPHYLAXIS OPTION ONLY FOR INDIVIDUALS WITH INTOLERANCE OR CONTRAINDICATION TO FIRST LINE MEDICATION. IT IS CONTRAINDICATED FOR USE IWTH HTOSE WHO HAVE A HISTORY OF SEIZURE DISORDER AND THOSE IWTH SPECIFIC NEUROLOGICAL OR BEHAVIORAL DISORDERS, TO INCLUDE SUICIDAL AND HOMICIDAL IDEATION, AND POST-TRUAMATIC STRESS DISORDER. MEDICAL PROVIDERS PRESCRIBING INDIVIDUALS MEFLOQUINE MUST ENSURE PROPER MEDICAL RECORD DOCUMENTATION OF SCREENING CONTRAINDICATIONS, COUNSELING, AND DISTRIBUTION OF THE MEDICATION GUIDE AND WALLET CARD. THE MEDICATION GUIDE AND WALLET CARD ARE AVAILABLE AT: WEBSITE.
34
CONCERNING BUMEDINST 6230.16A, WHAT DOES HSS STAND FOR?
HEALTH SERVICE SUPPORT
35
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, TO WHAT RESOURCES SHOULD BE REFERRED FOR DIRECTION WHEN AND IF MALARIA CHEMOPROPHYLAXIS IS REQUIRED?
(A) INCLUDE LOCAL OR OPERATIONAL COMMANDER DIRECTIVES, OPERATION PLANS, AND HEALTH SERVICE SUPPORT (HSS) ANNEXES. MOST OPERATION OR EXERCISE PLANS WILL CONTAIN AN HSS ANNEX OR HSS GUIDANCE. MEDICAL PERSONNEL DEPLOYING OR PREPARING TO DEPLOY SHOUL DREFER TO THE RELEVANT PLAN FOR LOCALITY SPECIFIC MALARIA PREVENTION AND CONTROL GUIDANCE. THE HSS ANNEX SHOULD DIRECT WHEN AND IF MALARIA CHEMOPROPHYLAXIS IS REQUIRED. IT SHOULD ALSO PROVIDE FORCE HEALTH PROTECTION GUIDANCE NEEDED TO MINIMIZE THE MALARIA RISK.
36
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, WHAT CAN PROVIDE CURRENT ARE-SPECIFIC RISK ASSESSMENT AND PREVENTION AND TREATMENT RECOMMENDATIONS?
THE SUPPORTING NAVENPVTMEDU CAN PROVIDE CURRENT AREA-SPECIFIC RISK ASSESSMENT AND PREVENTION AND TREATMENT RECOMMENDATIONS. SEE ENCLOSURE (1) FOR NAVENPVNTMEDU POINT OF CONTACT INFORMATION.
37
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, FROM WHAT RESOURCE SHOULD MEDICAL GUIDANCE OR RISK ESTIMATES BE OBTAINED?
(C) CURRENT MEDICAL GUIDANCE OR RISK ESTIMATES FROM THE NATIONAL CENTER FOR MEDICAL INTELLIGENCE (NCMI). MEDICAL PLANNERS OR UNIT MEDICAL PERSONNEL SHOULD OBTAIN ACCESS TO THE NCMI WEB SITE AT: WEBSITE FOR CURRENT DOD RISK ESTIMATES OF THE MALARIA BURDEN IN PLANNED AREA OF OPERATIONS OR DEPLOYMENTS. THE NCMI RISK ESTIMATE ALSO ASSISTS WITH SELECTION OF MALARIA CHEMOPROPHYLAXIS AGENTS.
38
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, WHAT REFERENCE IS THE PRIMARY SOURCE OF GUIDANCE ON MALARIA PREVENTION AND CONTROL?
(D) THE NMCPHC GUIDE TO MALARIA PREVENTION AND CONTROL, REFERENCE (D), IS A PRIMARY SOURCE OF GUIDANCE ON MALARIA PREVENTION AND CONTROL. IT INCLUDES INFORMATION ABOUT COMMAND DIRECTED PPM, INDIVIDUAL CHEMOPROPHYLAXIS, PHARMACOLOGY OF ANTI-MALARIA AGENTS, DIAGNOSIS AND TREATMENT, CLINICAL DISEASE PRESENTATION, AN DMANAGEMENT OF G6PD DEFICIENT PERSONNEL. THE GUID IS AVAILABLE AT: WEBSITE.
39
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, WHAT RESOURCE PROVIDES MALARIA INFORMATION NOT COVERED BY DOD OR DEPARTMENT OF NAVY SPECIFIC GUIDANCE?
(E) THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WEB SITE ON MALARIA AND TRAVELERS AT: WEBSITE PROVIDES GENERAL AND MALARIA SPECIFIC TRAVEL INFORMATION BY COUNTRY, PREVENTION (PPM AND CHMOPROPHYLAXIS), AND TREATMENT RECOMMENDATIONS FOR MALARIA NOT COVERED BY DOD OR DEPARTMENT OF NAVY SPECIFIC GUIDANCE.
40
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, WHAT RESOURCE PROVIDES INFORMATION ON MOSQUITO SURVEILLANCE AND CONTROL?
(F) INFORMATION ON MOSQUITO SURVEILLANCE AND CONTROL IS PROVIDED IN REFERENCES (F) AND (G) AVAILABLE AT: WEBSITE (NOTE THAT REFERENCE (F) IS AVAILABLE BY CAC ACCESS ONLY)
41
CONCERNING BUMEDINST 6230.16A, REGARDING INFORMATIONAL RESOURCES, WHAT RESOURCE PROVIDES GUIDANCE ON DIAGNOSTIC TESTS FOR MALARIA?
(G) INFORMATION ON CURRENT DIAGNOSTIC TESTS FOR MALARIA IS AVAILABLE FROM THE CDC AT: WEBSITE.
42
CONCERNING BUMEDINST 6230.16A, HOW MUST RECORDS BE MANAGED?
RECORDS MANAGEMENT. RECORDS CREATED AS A RESULT OF THIS INSTRUCTION, REGARDLESS OF MEDIA AND FORMAT, MUST BE MANAGED PER SECNAV M-5210.1 OF JANUARY 2012.
43
CONCERNING BUMEDINST 6230.16A, WHEN MUST BUMEDINST 6230.16A BE REVIEWED?
REVIEW AND EFFECTIVE DATE. PER OPNAVINST 5215.17A REVIEW THIS INSTRUCTION ANNUALLY ON THE ANNIVERSARY O FITS EFFECTIVE DATE TO ENSURE APLICABILITY, CURRENCY, AND CONSISTENCY WITH FEDERAL, DOD, SECRETARY OF THE NAVY, AND NAVY POLICY AND STATUTORY AUTHORITY USING OPNAVINST 5215/40 REVIEW OF INSTRUCTION.
44
CONCERNING BUMEDINST 6230.16A, REPORTS ARE REQUIRED TO BE AUTHORIZED BY WHAT?
INFORMATIONAL MANAGEMENT CONTROL. THE REPORTS REQUIRED IN THIS INSTRUCTION ARE AUTHORIZED BY SECNAV M-5214.1 OF DECEMBER 2005.
45
CONCERNING BUMEDINST 6230.16A, WAS SIGNED BY WHOM?
C. FORREST FAISON III (ADMIRAL)
46
CONCERNING BUMEDINST 6230.16A, WHAT ARE THE NAVY MEDICINE MALARIA PREVENTION AND CONTROL RESOURCES IN ENCLOSURE 1?
NAVY MEDICINE MALARIA PREVENTION AND CONTROL RESOURCES: - NAVY ENVIRONMENTAL AND PREVENTIVE MEDICINE UNIT NUMBER 2 - NAVY ENVIRONMENTAL AND PREVENTIVE MEDICINE UNIT NUMBER 5 - NAVY ENVIRONMENTAL AND PREVENTATIVE MEDICINE UNIT NUMBER 6 - NAVY ENVIRONMENTAL PREVENTIVE MEDICINE UNIT NUMBER 7 - NAVY ENTOMOLOGY CENTER OF EXCELLENCE

NAVY ADVANCEMENT SEP 2019 (13 decks)

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