3,4) Medical Detachment, Preventive Medicine (Current) Mission Provide preventive medicine support and consultation in the areas of entomology, DNBI
prevention, field sanitation, sanitary engineering and epidemiology to minimize the effects of vector borne diseases, enteric diseases, environmental injuries, and other health threats to deployed US forces and their allies.
There were 70,000 combat losses, but 430,000 DNBI losses.
The success of operations is directly related to how well DNBI is prevented through effective PMM in the units.
Thus, only those DNBI and battle injury (BI) personnel lost to the organization are casualties.
Some variables are the population at risk, length of time a soldier is held in theater before he is returned to duty in his unit (evacuation policy), post-operative length of stay before a patient is stable enough to evacuate to the next level of care (evacuation delay), conditions necessary for a patient to skip the next level of care without a medical intervention (skip factor), and estimated medical workload in numbers of patients and range of DNBI and BI.
The study of DNBI
admission rates was conducted by merging records from existing military databases, including US Army Soldier deployment data from the Contingency Tracking System files from the Defense Manpower Data Center (DMDC) and hospitalization data from the Standard Inpatient Data Record (SIDR) files acquired from the Army's Patient Administration Systems and Biostatistics Activity (PASBA).
Even more than now, commanders will rely on near-real time DNBI
surveillance to assess medical readiness of the force and identify emerging medical threats.
Toxic Substance Exposure Environment When Exposed Total Training On-Duty Unknown Poisoning by ingestion of 1 414 14 429 toxic substances Poisoning by inhalation of 0 95 5 100 toxic substances Adverse systemic or skin 11 45 0 56 reaction by contact with a toxic substance Total 12 554 19 585 Source: DoD Standard Inpatient Data Records database OIF indicates Operation Iraqi Freedom OEF indicates Operation Enduring Freedom DNBI
indicates disease and nonbattle injury Table 2.
This policy also mandated the use of the electronic DNBI
survey for all military dental emergencies.
The outcome of this preparation has been a reduction in the rates of DNBI
as reported for Operation Iraqi freedom (OIF) and Operation Enduring Freedom (OEF) when compared to Operations Desert Shield and Desert Storm.
The number of DNBI
continues to reduce the effective strength of units and minimize combat power.
Preventing or reducing DNBI
allows the warfighter to focus manpower and resources on mission accomplishment and allows medical assets to focus on treating combat related injuries.