U.S. Army Medical Department journal
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As the Department of Defense moves forward to secure Baghdad, military forces are being strategically dispersed in very austere environments. These forces live and work side-by-side with their Iraqi counterparts in an effort to clear, hold, and reconstruct the city block by block, and further separate the insurgents from the general population. ⋯ However, the doctrinal basis of Level III allocation and priorities of core competencies have shifted. Are we meeting the need? This article attempts to answer the question based on experience as a Level III PM detachment commander in Baghdad, and provide recommendations for change across the spectrum of the Army's structure of doctrine, organizations, training, materiel, leadership, education, personnel, and facilities.
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At the request of the Multinational Corps-Iraq (MNC-I), the US Army Center for Health Promotion and Preventive Medicine deployed a Special Augmentation Response Team-Preventive Medicine to support MNC-I and preventive medicine assets in Iraq in order to complete environmental health site assessments (EHSAs) for major forward operating bases. Prior to the mission, there was a lot of concern from the field on what constituted an EHSA and how to conduct one. ⋯ The 90-day mission involved conducting 2 iterations of EHSA training to preventive medicine detachments and brigade combat team Environmental Science and Engineering Officers, conducting site assessments of major forward operating bases in Iraq, and completing over 25 EHSA reports. This article provides an overview of the EHSA process, the site assessment, and the final report in order to demystify the EHSA process and its usefulness to preventive medicine personnel.