Preventive Medicine

Preventive Medicine Army Regulation 40-5
15 October 1990 Effective: 14 November 1990
PIN: 000500-000 CHANGES Change Summary The glossary of this publication contains copyright material. Copyright
1977, American National Standards Institute.
This revision-- * Consolidates AR 40-5, AR 40-26, and AR 40-554. * Adds responsibilities for commanders (chaps 1, 9, and 12) and
preventive medicine personnel (chaps 1, 2, 4, 5, 6, and 10). * Adds information on the Preventive Dentistry Program, community health
nursing activities, disease and climatic injury prevention and control,
medical examinations, spirometry surveillance, community and family
health, nonionizing radiation registry, sanitation, and field preventive
medicine (chaps 2, 3, 4, 5, 6, 9, 12, and 14). * Deletes the appendix on ice manufacture sanitation in AR 40-5. * Rescinds RCS MED-292 (DA Form 3898-R (Report of Tuberculosis Detection
and Control)). * Adds DD Form 2493-1 (Asbestos Exposure, Part I--Initial Medical
Questionnaire). * Adds DD Form 2493-2 (Asbestos Exposure, Part II--Periodic Medical
Questionnaire). * Adds DA Form 3897-R (Tuberculosis Registry). * Adds DA Form 5931 (Occupational Health Patient Form). * Adds DA Form 5932 (USAREUR Occupational Health Form). * Adds DA Form 5933 (Occupational Health Patient Form--Supplemental). * Adds DA Form 5934 (Korea Occupational Health Encounter Form). * Adds DA Poster 40-5 (Lyme Disease Warning). TITLE-PAGE Title Page PICTURE 1 History.
This UPDATE printing publishes a revision of this publication. Because
the publication has been extensively revised, the changed portions have
not been highlighted. Summary.
This regulation is a consolidation of several regulations that cover the
Army's preventive medicine program. It establishes practical measures
for
the preservation and promotion of health and the prevention of disease
and
injury. This regulation implements Executive Order 12196 and DOD
Instructions 6050.5, 6055.1, 6055.5, and 6055.12. Applicability.
This regulation applies to facilities controlled by the Army and to all
elements of the Army. This includes military personnel on active duty;
U.S. Army Reserve or Army National Guard personnel on active duty or in
drill status; U.S. Military Academy cadets; U.S. Army Reserve Officer
Training Corps cadets, when engaged in directed training activities;
foreign national military personnel assigned to Army components; and
civilian personnel and nonappropriated fund employees who are employed
by
the Army on a worldwide basis. Army management control process.
This regulation is subject to the requirements of AR 11-2. This
regulation
contains internal control provisions but does not contain checklists for
conducting internal control reviews. These checklists are contained in
DA
Circular 11-88-7. Supplementation.
Supplementation of this regulation by the principal HQDA officials and
major Army commands listed below is permitted. Supplementation is
prohibited by all other elements without prior approval of HQDA
(SGPS-PSP), 5109 Leesburg Pike, Falls Church, VA 22041-3258. If
supplements are issued, one copy of each will be furnished to HQDA
(SGPS-PSP), 5109 Leesburg Pike, Falls Church, VA 22041-3258.
a. Office of the Chief of Engineers.
b. National Guard Bureau.
c. Office of the Chief, Army Reserve.
d. U.S. Army Training and Doctrine Command.
e. Forces Command.
f. U.S. Army Health Services Command.
g. U.S. Army Materiel Command.
h. U.S. Army, Europe.
i. Eighth U.S. Army.
j. U.S. Army South. Interim changes.
Interim changes to this regulation are not official unless they are
authenticated by the Administrative Assistant to the Secretary of the
Army. Users will destroy interim changes on their expiration dates
unless
sooner superseded or rescinded. Suggested improvements.
The proponent agency of this regulation is the Office of The Surgeon
General. Users are invited to send comments and suggested improvements
on
DA Form 2028 (Recommended Changes to Publications and Blank Forms)
directly to HQDA (SGPS-PSP), 5109 Leesburg Pike, Falls Church, VA
22041-3258. Distribution.
Distribution of this publication is made in accordance with the
requirements on DA Form 12-09-E, block number 2058, intended for command
level C for Active Army, Army National Guard, and U.S. Army Reserve
(applicable to all Army elements); and command level A for Active Army
and
Army National Guard and D for U.S. Army Reserve (applicable to medical
activities only). Supersession.
This regulation supersedes AR 40-5, 1 June 1985; AR 40-26, 6 September
1974; and AR 40-554, 8 July 1968; and rescinds RCS MED-292 and DA Form
3898-R. Table of Contents CONTENTS Table of Contents
COVER Book Cover
CHANGES Change Summary
TITLE-PAGE Title Page
CONTENTS Table of Contents
TABLES Tables
FIGURES Figures
1.0 Introduction
1.1 Purpose
1.2 References
1.3 Explanation of abbreviations and terms
1.4 Responsibilities
1.5 Program concept
1.6 Liaison
1.7 Recordkeeping
1.8 Technical assistance
2.0 Army Preventive Medicine Program
2.Section-I Background
2.1 General
2.2 Functional areas
2.2.a Disease and climatic injury prevention and control.
2.2.b OH.
2.2.c Community and family health.
2.2.d Health information and education.
2.2.e Nutrition.
2.2.f HHA.
2.2.g Medical safety.
2.2.h Radiation protection.
2.2.i Pest and disease vector prevention and control.
2.2.j Environmental quality.
2.2.k Sanitation.
2.2.l Environmental laboratory services.
2.2.m Design review.
2.2.n Field PVNTMED.
2.2.o Toxicology.
2.Section-II PVNTMED Levels of Support and Special Resources
2.3 General
2.3.a First level.
2.3.b Second level.
2.3.c Third level.
2.4 Epidemiology consultant service
2.5 Intercommand relationships
2.Section-II PVNTMED Personnel
2.6 General
2.7 Activities of the Chief, PVNTMED service
3.0 Reports
3.Section-I Special Telegraphic Reports (RCS MED-16)
3.1 General
3.2 Reporting guidance
3.Section-II Command Health Reports (RCS MED-3)
3.3 General
3.4 Preparing agencies
3.5 Frequency
3.6 Due dates
3.7 Command routing
3.8 Preparation instructions
3.8.a Health of the command.
3.8.b Occupational health.
3.8.c Environmental sanitation.
3.8.d Environmental enhancement.
3.8.e Pest management and pesticide monitoring.
3.8.f Nutrition.
3.8.g Community health nursing.
3.8.h Liaison activities.
3.8.i PVNTMED staffing problems.
3.8.j New and improved PVNTMED measures.
3.8.k Veterinary data.
3.8.l Preventive Psychiatry Program.
3.8.m Other.
3.8.n Recommendations.
3.8.o Supporting material.
3.9 Special command health notification
3.Section-II DA Form 3076 (Army Occupational Health Report) (RCS MED-
20)
3.10 General
3.11 Preparing agencies
3.12 Preparation instructions
3.12.a Purpose.
3.12.b Preparing agencies
3.12.c Consolidated reports.
3.12.d Reporting period and routing.
3.12.e Preparation instructions.
3.Section-IV DA Form 3761 (Army Health Nursing Activities) (RCS MED
371)
3.13 General
3.14 Preparing agencies
3.15 Preparation instructions
4.0 Disease and Climatic Injury Prevention and Control
4.Section-I Disease Prevention and Control
4.1 General
4.2 Guidance
4.3 Functions
4.4 Immunization and chemoprophylaxis requirements
4.5 Specific programs
4.5.a Acute respiratory disease (ARD).
4.5.b Meningococcal infection.
4.5.c Malaria.
4.5.d Viral hepatitis.
4.5.e Sexually-transmitted diseases.
4.5.f Rabies.
4.5.g Human immunodeficiency virus.
4.5.h Tuberculosis.
4.Section-II Climatic Injury Prevention and Control
4.6 General
4.7 Functions
4.Section-II Hospital Infection Control
4.8 General
4.9 Hospital infection control committee
4.9.a Committee policy and responsibility.
4.9.b Objectives.
4.9.c Composition.
4.9.d Functions.
4.9.e Education.
4.10 Technical assistance
4.11 Reportin