NIACT Module 1 Intro May 17'ppt

1
Personal Protection Reducing the Threat of
Disease and Non-Battle Injury Introduction/Pre-De
ployment
Navy Individual Augmentee Combat Training Center
(NIACT) Fort Jackson, South Carolina
2
Disease/Injury Prevention Starts with You!

• Environmental/occupational health hazards and
  inadequate personal preparation adversely affect
  operational readiness
• Most disease and non-battle injuries occur
  because preventive techniques were not
  consistently practiced or personnel were not
  prepared
• Know your role in prevention!

Historical accounts of wars, battles, and
military training consistently relate that the
greatest loss of forces was not caused by combat
wounds rather the majority of losses were the
result of disease and non-battle injury (DNBI).
3
Module 1 - Pre-deployment Preparation

• The following presentation consists of four
  modules to help you prepare for deployment
• Information in this module addresses
  pre-deployment preparation and includes
• Your preventive medicine team
• Physical fitness, nutrition, medical/dental
  requirements, travel considerations and stress
  management
• Successful completion of each module will allow
  you to make informed decisions about your health,
  reducing your risk of injury and disease.

4
Youre Not Alone!The Preventive Medicine Team

• Preventive Medicine (PM) personnel are highly
  trained individuals responsible for ensuring
  Preventive Medicine Programs are effective
• PM personnel are the source of accurate, timely
  information to ensure your health.
• Become familiar with members of your PM Team
  (Environmental Health Officer, Preventive
  Medicine Physician, Entomologist, Preventive
  Medicine Technician, Independent Duty Corpsman)

5
Prevention Must Become Part of Your Daily Routine

• Learning and consistently practicing the
  following simple techniques will significantly
  reduce your risk of injury and acquiring disease
• For example.

6
Physical Fitness

• Components of Physical Fitness
• Muscle Strength
• Muscle Endurance
• Cardio-respiratory Endurance
• Flexibility

7
Physical Fitness

• Develop a personal exercise plan, use it and make
  it a routine (before, during and after
  deployment)
• Warm-up (light aerobic activity)
• Progressive Stretching
• Physical Activity
• Sport training (sport specific activity)
• Muscular strength/Endurance training (resistance
  training)
• Aerobic/Anaerobic training (running, swimming,
  circuits)
• Cool down (light aerobic activity)
• Stretch (cool down stretch to aid recovery)

8
Physical Fitness

• Injury prevention
• Always warm-up and cool down properly
• Progress slowly
• Strengthen the musculature around joints to
  protect them
• Run on softer flat surfaces when possible
• Alternate weight bearing and non-weight bearing
  aerobic activities
• Rest and eat well

9
Nutrition

• Nutrition
• Eating a balanced diet is essential for good
  health
• Muscle strength
• Muscle endurance
• Flexibility
• Cardiovascular endurance
• Body composition
• Mental acuity/awareness

10
Nutrition

• Nutrition Guidelines
• Eat a variety of foods
• Balance food intake with physical activity
• Choose a diet
• With plenty of grain, fruits and vegetables
• Rich in fiber
• Low in fat
• Moderate in sugars
• Moderate in salt and sodium
• Stay hydrated!

11
Medical/Dental Requirements

• Medical, Dental Vision Screening
• Prescription Medication
• If you require medication which may not be
  available through normal supply systems, talk
  with your provider to obtain a 6-month supply, or
  enough for the duration of the operation
• Ensure immunizations are current.
• Obtain and take chemoprophylaxis as instructed
• Complete Pre-deployment Health Assessment (DD
  Form 2795)

12
Personal Gear

• Assemble appropriate clothing, gear and personal
  hygiene items
• Anti-fungal cream/powder and shower shoes
• Insect repellent, sunscreen, eye and hearing
  protection, lip balm, skin lotion
• Cotton underwear (10 changes)
• Toothbrush, Dental Floss, Fluoride Toothpaste
• Ensure uniforms are treated with permethrin
• DEET
• Become comfortable with your uniform and 782 gear
• Wear new boots
• Wear gas mask/MOPP gear

13
Oral Hygiene

• Brush twice-daily
• Daily in difficult tactical environments
• Floss daily
• Seek medical attention at the onset of any dental
  problems

14
Female Specific Deployment Preparation

• Feminine Hygiene Products (non-deodorant tampons,
  sanitary napkins, panty liners menstrual cramp
  reliever)
• Yeast infection medication (two courses of
  vaginal treatment)
• Portable Urinary Device
• For use by female personnel to reduce time needed
  to urinate and resolve privacy issues when
  latrines are not available (convoys, field
  operations) NSN 8530-01-470-2805

If using birth control pills, continue as
prescribed to regulate menstrual cycles and avoid
problems resulting from inconsistent use
15
Air Travel

• Air travel can cause certain stresses on the
  traveler
• Effects of Altitude
• Oxygen
• Gas Expansion
• Cabin Environment
• Air Quality
• Humidity
• Motion
• Space
• Jet Lag
• The following information will make your travel
  much easier

16
Altitude

• Pressurized cabins are analogous to the
  atmosphere present at 5000-8000ft above sea level
• Less oxygen available
• Combination of reduced oxygen, inactivity and
  lack of sleep can lead to dizziness
• Practice arm and leg exercises before standing
• Gas expansion within the body
• Swallow, chew or yawn during descent
• Avoid gas forming foods or liquids before flight

17
Cabin Environment

• Air Quality
• Half the air in cabins is fresh/half
  re-circulated. Total air exchange is 20 to 30
  per hour.
• Air quality normally equals or exceeds standards
• Humidity
• Fairly dry lt20
• Minimize discomfort of dryness by
• Drink water
• Limit consumption of caffeinated drinks
• Wear glasses instead of contact lenses
• Apply skin moisturizer

18
Cabin Environment

• Motion
• For those susceptible
• Sit over the wing
• Sit by a window
• Keep your seat belt fastened
• Consult a physician concerning medication
• Space
• Crowding in aircraft may result in immobility
• Risk of blood clots
• Wear lose clothing
• Place nothing in the seat in front of you to
  allow stretching
• Drink mainly water
• Walk about the cabin every 60-90 minutes

19
Jet Lag

• Jet lag is associated with air travel especially
  when crossing multiple time zones
• Tips to diminish the effects
• Rest well before the flight
• Try to move 1-2 hours toward the destination time
  before flight
• Eat lightly before and during the flight
• Once departed, reset watches and other activities
  to the destination time
• Drink water and fruit juices in-flight

20
Jet Lag

• Tips Continued
• Consider using caffeinated beverages
  strategically during the day to mask fatigue but
  avoid use within 4-6 hours of bedtime
• Wear loose, comfortable clothing
• Schedule outdoor activities for the first few
  days of arrival
• After arrival, adjust to destination time as soon
  as possible
• Limit naps to a single nap of 30-40 minutes or
  less.
• At the new destination, go to bed and awaken at
  the appropriate time for that location

21
Stress
Fear and physical signs or symptoms of stress are
normal reactions before and during combat or
other dangerous/life-threatening situations

• PREVENTION
• Talk about what is happening with your buddies
• Learn ways to relax quickly
• Quickly integrate new replacements
• Give each other moral support
• Care for your buddies and work together Recognize
  the symptoms of depression
• Seek or encourage help, talk with your shipmates,
  physician, Chaplain, Corpsman

22
Acknowledgements

• U.S. Army Center for Health Promotion
  Preventive Medicine, Aberdeen Proving Ground, MD
• Navy Environmental Health Center, Portsmouth, VA