UNCLASSFED. CHARMAN OF THE JONT CHEFS OF STAFF NOTCE DJ-8/SAJM DSTRBUTON: A, B, C CJCS Notce 4210 EBOLA VRUS DSEASE PRE-DEPLOYMENT TRANNG Reference( s): See Enclosure C for References 1. Purpose. Provde notce to the Jont Force on the mnmal requred tranng and force health protecton procedures for Servce Members deployng to Ebola Vrus Dsease (EVD) affected areas. 2. Superseded/ Cancellaton. None. 3. Applcablty. Jont Staff, Servces, Defense Agences, Combatant Commands 4. Acton or Procedure.. a. Ebola requres personal protecton tranng requrements for Servce Members based on exposure probablty related to the specfc mssons they wll be executng. The requred tered tranng s outlned n Enclosure A. b. Protecton of the Force wll be law USAFRCOM EXORD ~orce Health Protecton gudance. All deployng personnel wll receve a medcal threat brefng that ncludes health threats and countermeasures. Specfc excerpts pertanng to Malara, Dengue and Yellow Fever preventve measures along wth requred mmunzatons are provded n Enclosure B. 5. Releasablty.. UNRESTRCTED. Ths drectve s approved for publc release; dstrbuton s unlmted on NPRNET. DOD Components (to nclude the combatant commands), other Federal agences, and the publc, may obtan copes of ths drectve through the nternet from the CJCS Drectves Electronc Lbrary at http:/ fwww.dtc.mlfcjcs_drectves JS actvtes may also obtan access va the SPR drectves Electronc Lbrary webstes. 6. Effectve Date. Ths NOTCE s effectve upon recept. UNCLASSFED
CJCS Notce 4210 MARTN E. DEMPSEY General, U.S. Army Enclosures A -Tranng B - Force Protecton C - References 2 r
CJCS Notce 4210 ENCLOSURE A TER TRANNG 1. The Ter mnmally requred tranng for all deployng S~rvce Members ncludes: a. Basc dsease process, transmsson and symptoms b. Avodance awareness of treatment and populaton centers c. Avodance of persons wth an EVD contact d. EVD symptom recognton e. Contact decontamnaton f. Adherence to safe encounter dstances g. nstructon on proper hand washng h. Use of approved food and water sources. Donnng and removal of Personal Protectve Equpment (PPE) j. Procedures on respondng to a breech n PPE k. Daly symptom and temperature screenng 1. Tranng on ndcatons and use of readly avalable equpment: 2 sets of mpermeable gloves, 2 hand santzers, face shelds/eye protecton 2. The Ter Tranng for personnel requred to nteract wth the local populace ncludes: a. Ter 1 Tranng and equpment plus the followng: (1) Tranng on non-lethal methods wth those provdng Force Protecton (2) Tranng on ndcatons and use of readly avalaqle protectve suts 3. The Ter Tranng for personnel assgned to supportng medcal unts or expected to handle exposed remans ncludes: a. Ter Tranng plus Ter Tranng and equpment plus the followng: (1) Tranng n clncal care, out~reak epdemology, control measures and safety wthn an Ebola Treatment Unt (ETU) (2) Cleanng and dsnfecton procedures tranng (3) Psychologcal support tranng for patents and staff Tranng n full PPE n provson of care, patent or body transport (4) Tranng n waste dsposal A-1 Enclosure A
{5) Response to a breech n PP~ CJCS Notce 4210 (6) Tranng on ndcatons and use of equpment: mpermeable sut, boots, heavy apron, face sheld and sur~cal gloves over surgcal scrubs, wth no jewelzy (7) Tranng on proper use of ar-purfyng resprators used durng aerosol generatng procedures or suspcon of arborne droplet spread dseases such as tuberculoss 4. Ter V Tranng requred for Ebola Testng Laboratory Work~rs must adhere to U.S. Army Medcal Research nsttute of nfectous Dsease (USAMRD) Bolevel 3 protocols. j r A-2 Enclosure A
CJCS Notce 4210 ENCWSUREB FORCE HEALTH PROTECTON 1. Malara and Dengue Fever are hgh rsk to U.S. personnel wthout mplementng and adherng to force health p~otecton (FHP) measures. 2. Yellow Fever dsease s relatvely low rsk for deployed personnel who receved the requred mmunzaton. 3. At a mnmum, FHP measures nclude wearng permethrn-treated unforms/clothng, usng nsect-repellent (DEET) on exposed skn, and takng ant-malaral medcatons as prescrbed. a. Malarone wll be the prmary ant-malaral medcaton unless contrandcated 4. pununzatons Requred to enter the USAFRCOM AOR nclude; a. Hepatts A (Seres Complete or Frst Dose at least 14 days pror to travel) b. Hepatts B. (Seres Complete or Frst Dose at least 14 days pror to travel) c. Tetanus-Dphthera (Every 10 years; one tme adult booster oftdap f not prevously receved) d. Mea~les, Mumps, Rubella (Sngle adult booster s requred) e. Polovrus (Se_res complete plus sngle adult booster s requred) f. Seasonal nfluenza (Current annual. vaccne) g. Varcella (Documented mmunty or vaccnaton) h. Typhod (njectable every 2 years; oral vaccne every 5 years) 1. Menngococcal (Every 5 years) j. Yellow Fever (Every 10 years; last dose must be at least 10 ~ays pror to arrval to Afrca) k. Rabes/Pneumococcal (f.hgh rsk and as needed for occupatonal exposure B-1 Enclosure B
CJCS Notce 4210.! r B-2 Enclosure B
CJCS Notce 4210 ENCLOSUREC REFERENCES a. Operaton UNFED ASSSTANCE EXORD MOD 1 b. USAFRCOM Health Servce Support CONOPS (approved 29 Sep 14) c. Draft OSD{P) Transportaton Polcy Memorandum for Ebola Vrus Dseaseexposed ndvduals d. Appendx 1 to Annex C to HQDA EXORD 241-14 SO OPERATON UNTED ASSSTANCE e. U.S. Army Medcal Research nsttute of nfectous Dseases Bo-Level3 Protocols f. Automated Messagng Handlng System (AMHS) GENADMN {UN:CLASSFED), Force Health Protecton Requrements and Medcal Gudance for Entry to the USAFRCOM Theater, Verson 1, DTG: 112243Z Sep 14 g. Draft ASD{HA) Polcy Memorandum on Screenng and Montorng Gudance for All DoD Personnel Deployed n Support of Operaton UNTED ASSSTANCE h. Draft Appendx 6 to Annex Q to CDRUSAFRCOM OPERATON UNFED ASSSTANCE FORCE HEALTH PROTECTON, 29 Sep 2014. Draft TAB A TO Appendx 6 to Annex Q CDRUSAFRCOM OPERATON UNFED ASSSTANCE PRE-DEPLOYMENT FHP TRANNG REQUREMENTS C-1 Enclosure C
CJCS Notce 4210 (NTENTONALLY BLANK) '.!!,. C-2 Enclosure C ~.