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Notes/Changes
• Briefer – MODIFY THIS PRESENTATION TO SUIT YOUR
NEEDS
– if service members are completing the health assessment
through AKO you may hide/omit/modify the slides for use if the
service member is filling out the hard copy form DD 2796
– If service member is completing the health assessment out of
theater you may delete all health assessment slides
• V03.06 – added Post-Deployment Health Reassessment Form
information
• V03.07 – added whooping cough information, updated keymedical threats
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OPERATION
ENDURING
FREEDOM
Redeployment Preventive
Medicine Measures (Afghanistan)
Prepared by:
U.S. Army Center for Health Promotion and Preventive Medicine
(800) 222-9698/ DSN 584-4375/(410) 436-4375http://usachppm.apgea.army.mil
Presenter’s Name
Presenter’s CommandLocal Contact Information
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Background
• Your risk of illness and disease does
not stop because you are leaving the
area of operations.
• You may have been exposed to
conditions which require continued
medical care
• Return home and stay safe and healthy
• Keep your family and loved ones
healthy
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Redeployment Health Guide
This guide is for use by all active/reserve component
military, civilian, retiree, and contractor personnel. Any
individual who is returning from any type of military
operation should keep and refer to this guide.
• Unfold YOUR Redeployment Guide
• Basic information and resources
• Reference Guide for this Briefing
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Key Medical Threats
• Malaria
• Tuberculosis
• Whooping Cough
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Malaria
• Blood parasite transmitted by mosquitoes
– Continue taking your malaria medication while on R&Rleave and on TDY so that you are protected from themoment you return
– If redeploying, continue to take your malaria medicationuntil told to stop by unit medical personnel
– Take the complete course (14 days) of terminalmalaria medication (primaquine) to kill anyremaining dormant parasites
• Ensure you personally know your G6PD status before taking thismedication. Do not take primaquine if blood testing reveals that youare G6PD-deficient
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Tuberculosis
• Close contact with local nationals (LNs) may haveexposed you to tuberculosis while in theater.
• Tuberculosis is a slow infection that can take monthsor years to infect the lungs and cause symptoms of disease
• A simple skin test can be used to test you for possibleexposure to the disease
• You must return 2-3 days after the test to have it readand documented by a health care professional
• Skin testing allows for early detection and treatment
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Whooping Cough (1 of 2)
• Whooping cough – also called pertussis – is an extremelycontagious infection of the respiratory tract You may beill with pertussis if you have had coughing lasting morethan two weeks with any of the following: – heavy bouts of coughing (coughing attacks)
– a high-pitched “whoop” sound at the end of coughing attacks asyou gasp for air
– vomiting after a heavy bout of cough
• Although generally causing a mild or moderate diseaseamong adults, pertussis can be fatal in the very young
• you were vaccinated against this disease as a child, butyour immunity may have decreased over time
• an adult booster vaccination is available
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Whooping Cough (2 of 2)
• Seek treatment if you experience coughing spells lasting longer than two weeks with any of the following: – breathing in with a high pitch sound
– heavy bouts of coughing
– or vomiting after heavy coughing
• Antibiotics are available• If ill with whooping cough, you are most contagious for three
weeks after you have started coughing, unless treated
• If you have whooping cough or were exposed to someone whohas whooping cough: – avoid contact with infants (less than 12 months old)
– avoid contact with pregnant women• If contact is unavoidable in the performance of your duties seek
medical treatment to prevent the spread of infection
FOR MORE INFORMATION CONTACT YOUR HEALTHCAREPROVIDER PRIOR TO CONTACT
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BRIEFER NOTE
HIDDEN SLIDE
BRIEFER – DELETE/HIDE/MODIFY THE NEXTSECTION REGARDING REDEPLOYMENTHEALTH ASSESSMENTS AS NECESSARY
SOME INDIVIDUALS MAY NOT BECOMPLETING REDEPLOYMENT HEALTHASSESSMENTS IN THEATER
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DEPLOYMENT HEALTH
ASSESSMENTS
• Available through AKO under the “Self Service ” tab click “My Medical”, thenselect “My Medical Readiness Data”
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DEPLOYMENT HEALTH
ASSESSMENTS
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Post-Deployment
Health
Assessment
Form
Page 1: Service
Member
Administrative
Information
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Post-Deployment
Health Assessment Form• DD Form 2796 must be completed no more
than 30 days prior to departing for homestation
• Page 1: Administrative information
–Deployment location
–Country, list all
–Operation Enduring Freedom
*You will need your DD 2796 in hand to depart from theater*
Do not pack it in your bags
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Post-Deployment
Health Assessment Form• Page 2: Service Member Report
– Report vaccinations, medications, and health careduring deployment process
– Report experiences, symptoms or concerns
• Page 3: Service Member Report – Report possible exposures and duration
– Identify potentially hazardous situations that mayconcern you
*You will need your DD 2796 to out-process from theater*
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Post-Deployment
Health
Assessment
Form
Page 4: Health
Care Provider
Assessment
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Reunion with Family and Friends
• Reunion is a part of the deployment cycle andcan be filled with joy and stress. Reintegrationinto the family structure is a critical process.
• Refer to the A Soldier and Family Guide toRedeploying for things to remember duringreunion with family and friends.
• Chaplains and counselors
are available to help copewith homecoming stress
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Homecoming Stress
• Do not expect things to be exactly the same,especially if returning from a long deployment
•Ease back into roles; do not rush things
• Children may be withdrawn
• Spouse may be moody or depressed
• Financial and property issues may requireimmediate attention
• If needed, seek counseling from Chaplain or medical personnel
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DoD Deployment Health
Clinical Center
Walter Reed Army Medical Center
6900 Georgia Avenue, NW
Building 2, Room 3G04
Washington, DC 20307-5001
Phone: (202) 782-3577
DSN: 662-3577
Toll Free Help Line: (800) 796-9699
Europe Toll Free: 00800-8666-8666
http://www.pdhealth.mil
Remember “deploymenthealth.mil”
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Summary
• Continue taking your malaria medication until
directed otherwise by unit medical personnel
• Continue taking malaria medication while on R&Rleave or TDY
• Determine your G6PD status and unless deficient
take the full 14 days of primaquine after
redeployment
• If infectious with whooping cough, seek medical
care at least five days prior to close contact with
infants and women who are pregnant
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Conclusion
It is important to the US military and the Nation
that you enjoy good health as you rejoin
your family and friends upon return to home
station.
If you have health problems or concerns, it is
critical that you let someone know. It will
not delay your departure for home station.
What are your questions?