FM-3-81 Maneuver Enhancement Brigade Download
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Sustainment 09 November 2021 FM 3-81 5-11 Medical Logistics 5-48. The MEB surgeon coordinates medical logistics support with both the supported higher echelon surgeon and the EAB medical brigade providing general support to the AO. This includes planning and executing all Class VIII supply support, contract support, medical hazardous waste disposal, and distribution of medical gases. Force Health Protection 5-49. The MEB surgeon’s duties and responsibilities for FHP may include— Identifying potential medical-related commander’s critical information requirements (PIR and friendly force information requirements) as they pertain to the health threat, ensuring that they are incorporated into the command’s intelligence requirements. Coordinating for veterinary support for food safety, animal care, and veterinary services, to include zoonotic diseases transmissible to man. Planning for and implementing FHP operations to counter health threats. Planning for and accomplishing redeployment and post deployment health assessments. Establishing and executing a medical surveillance program. Establishing and executing an occupational and environmental health surveillance program. Recommending combat and operational stress control, behavioral health, and substance abuse control programs. Ensuring that general threat, health threat, and medical intelligence considerations are integrated into AHS support OPLANs and orders. Advising MEB commanders on FHP CBRN defensive actions, such as immunizations, use of chemoprophylaxis, pretreatments, and barrier creams. Maintaining situational understanding by coordinating for current FHP information with surgeon staffs of the next higher, adjacent, and subordinate headquarters. Coordinating and synchronizing: Combat and operational stress control programs with the division surgeon section and supporting medical brigade. Operational public health services, to include identification of health threats. Preventive dentistry support programs for the prevention of cavities and gum disease. Support of area medical laboratories, to include the identification of biological and chemical environmental hazards, as required. 5-50. Preventive medicine personnel provide operational public health support for the identification of endemic and emerging diseases and for employment of the countermeasures required to address health threats in the brigade area. Effective and timely FHP measures are essential for sustaining combat power during continuous operations. The MEB first line of protection is the use of operational public health measures and unit field sanitation teams to protect against food, water, and vector-borne diseases and environmental injuries. Coordination with supporting veterinary teams is also required for food safety and quality assurance surveillance and for assisting in foodborne and zoonotic disease surveillance and control. For additional support, MEB subordinate units coordinate through their medical treatment team or the brigade surgeon section for operational public health preventive medicine. Personnel from the medical brigade (support) provide operational public health provide advice and consultation in the areas of disease and nonbattle injury, environmental sanitation, epidemiology, entomology, medical surveillance, limited sanitary engineering services, and pest management. 5-51. The mental health section provides training and advice in the control of stressors and the promotion of positive combat and operational stress behaviors. The mental health element provides early identification, handling, and management of misconduct stress behavior. The section also assists and counsels personnel with personal, behavioral, or psychological problems and may refer suspected neuropsychiatric cases for evaluation. These programs are designed to maximize the return-to-duty rate by identifying combat stress reactions and providing rest/restoration within or near the Soldier’s unit area. See FM 4-02 for additional information.