AR 40–5

Preventive Medicine

This rapid action revision, dated 25 May 2007–

o Includes the definition of “deployment” from Joint Publication 1-02 and Department of Defense Instruction 6490.03 (para 1-5d).

o Introduces the 10 essential national public health services established by the American Public Health Association (para 1-6d).

o Establishes acquired immunodeficiency syndrome as a specific disease of military concern, separate from a sexually transmitted disease (para 1-7a(2)).

o Clarifies responsibilities of The Surgeon General with respect to developing medical criteria for exposure to chemical/biological/radiological/nuclear warfare agents (para 2-8b).

o Emphasizes the role of military audiologists as the managers of installation hearing clinical and conservation services (para 2-18j).

o Incorporates the change in name of the U.S. Army Safety Center to the U.S. Army Combat Readiness Center (para 2-19b(2)).

o Updates the mission parameters of the Department of Defense Serum Repository (para 2-19m).

o Adds new responsibility paragraph for the Commander, U.S. Army Medical Research and Materiel Command (para 2-24).

o Adds the following new related publications: Department of Defense Directive 5400.11 (para 2-19m), Department of Defense Regulation 4500.9-R (para 2-19x), Department of Defense Directive 5134.8 (app A, sec II), and an Institute of Medicine Report entitled Noise and Military Service: Implications for Hearing  Loss and Tinnitus (app A, sec II).

o Adds definitions to the glossary for the following terms: direct reporting unit; garrison; and hearing readiness, clinical, operational, and conservation services (glossary, sec II).

o Changes “operational risk management” to “composite risk management” (throughout).

o Incorporates the name changes for Army commands, Army service component commands, and direct reporting units (throughout).

o Incorporates changes in acronyms and capitalization of words based on guidance from the U.S. Army Records Management and Declassification Agency (throughout).

This regulation is a comprehensive and substantive revision of the 1990 policy and responsibilities relating to preventive medicine. Specifically, this major revision, dated 22 July 2005–

o Redefines preventive medicine and preventive medicine services (chap 1, section II).

o Requires the incorporation of health threats into the Army’s operational risk management process (chap 1, para 1-5e).

o Revises the list of the preventive medicine components of the Army Occupational Health Program (chap 1, para 1-7d).

o Incorporates the concepts of the Joint Staff’s Force Health Protection strategy (chaps 1 and 2).

o Adds medical surveillance and occupational and environmental health and exposure surveillance policies and responsibilities (chaps 1 and 2).

o Incorporates measures to decrease the risk and improve the management of communicable disease outbreak on an installation (chaps 1 and 2).

o Implements Department of Defense Directive 6490.2 and Department of Defense Instruction 6490.3 policy and procedures for medical surveillance (chaps 1 and 2).

o Implements Department of Defense Instruction 6055.1 policy and procedures for ergonomics (chaps 1 and 2).

o Requires the addition of programs and services for vision conservation and readiness, deployment occupational and environmental health threat management, health risk assessment, medical and occupational and environmental health surveillance, surety programs, ergonomics, population health management, and health risk communication (chaps 1 and 2).

o Redefines responsibilities for preventive medicine programs and services (chap 2).

o Adds additional Army Secretariat and Army Staff responsibilities (chap 2).

o Incorporates the U.S. Army Medical Department Functional Proponent for Preventive Medicine and the Proponency Office for Preventive Medicine (chap 2, para 2-8b).

o Requires the use of the Reportable Medical Events System (chap 2).

o Identifies responsibilities for commanders of regional medical commands (chap 2).

o Provides guidance and responsibilities for using the Defense Health Program activity structure and codes for preventive medicine budget execution tracking and program analysis and review (chap 2).

o Establishes an installation-level ergonomics subcommittee and a vision conservation and readiness team (chap 2).

o Rescinds Requirement Control Symbol, Medical-3 (RCS MED-3) command health report requirement, DA Form 3075 (Occupational Health Daily Log), and DA Form 3076 (Army Occupational Health Report (RCS MED-20)).

o No longer prescribes DD Form 2215 (Reference Audiogram) and DD Form 2216 (Hearing Conservation Data), which are now prescribed by Department of the Army Pamphlet 40-501.

o No longer prescribes DD Form 2493-1 (Asbestos Exposure, Part I-Initial Medical Questionnaire) and DD Form 2493-2 (Asbestos Exposure, Part IIPeriodic Medical Questionnaire), which are now prescribed by Department of the Army Pamphlet 40-11.

o No longer prescribes DA Form 3897-R (Tuberculosis Registry), which is now prescribed by Department of the Army Pamphlet 40-11.

o No longer prescribes DA Form 5402-R (Barber/Beauty Shop Inspection), which is now prescribed by Department of the Army Pamphlet 40-11.

o Eliminates the term “installation medical authority” and replaces it with “medical commander” throughout this regulation.

o Removes detailed roles, functions, procedural guidance, and technical standards and criteria throughout this regulation for inclusion in other appropriate Army publications.


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