Review of the Army's Technical Guides on Assessing and Managing Chemical Hazards to Deployed Personnel (2004) / Chapter Skim
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1 Introduction
1 Introduction
Pages 16-26
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From page 16... ...
has developed a force health protection plan that is a "unified and comprehensive strategy that aggressively promotes a healthy and fit force and provides full protection from all potential health hazards throughout the deployment process. Its major ingredients include healthy and fit force promotion, casualty and injury prevention, and casualty care and management" (U.S.
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process to conserve combat power and resources. The manual defines risk management as "the process of identifying, assessing, and controlling risks arising from operational factors and making decisions that balance risk costs with mission benefits .
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IMPLEMENT CONTROLS Mission Risk STEP 3. DEVELOP CONTROLS AND MAKE RISK DECISIONS Develop Controls Determine Residual Risk Level for Each Hazard and Overall Residual Mission Risk Make Decision FIGURE 1-2 Continuous application of risk management.
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The technical guides and reference document were informed by the efforts of several task forces and committees that have spent years evaluatingthehealthofveterans;ensuringappropriateevaluationandcare of veterans' health concerns; determining connections between service in the Persian Gulf, specific exposures, and veterans' health status; and developing guidance to help prevent and reduce unanticipated illnesses in future deployments. Reports from these groups include Presidential Review Directive 5 (NSTC 1998)
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· Broad range of health effects. Historically, the military primarily was concerned with health threats that would affect deployed personnel immediately, because those might have the potential to affect the success of the mission.
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TG-230 proposes a standardized process for using MEGs to characterize the levels of health and mission risk associated with chemical exposures in accordance with the military's ORM paradigm. The guidance is intended for use by preventive-medicine personnel, environmental staff officers, industrial hygienists, health risk assessors, and other medically trained personnel.
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From page 23... ...
The general approach for deriving MEGs was to select the most relevant existing exposure guidelines or peerreviewed toxicological estimates developed for workers and the general population by government agencies or other organizations and to accept or adjust those values for deployment scenarios. The Army selected that approach because it was the most expedient and least costly way to develop exposure guidance for a large number of chemicals.
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Chapter 4 outlines the subcommittee's recommended approachtocharacterizingmissionrisks,andChapter5presentshowMEGs should be improved to support health risk assessment and determine health risk management options. Table 1-1 presents a list of tasks and the corresponding chapters and relevant pages.
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Acceptable cancer risk of 1 in 10,000 Chapter 3 Appendix B 9. Balance between immediate and Chapter 3 delayed or chronic health effects 10.
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2001. Guide for Deployed Preventive Medicine Personnel on Health Risk Management.
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