operation and maintenance of MSD systems. The
MDRs duties should include:
l Conducting visual inspections of MSD
components as part of the routine habitability
and sanitation inspection program or, more
frequently, at the discretion of the commanding
officer. The MDRs routine inspection responsi-
bilities should be limited to spaces where there is
an interface between the MSD components and
food service, living and berthing, and medical
l Indoctrination of personnel associated
with the operation, maintenance, and repair of
MSD systems concerning the potential health
hazards associated with human wastes, proper
personnel hygiene, and the correct procedures for
cleaning and disinfecting contaminated spaces.
l Providing on-site advice, when requested,
in the correct procedures for personal protection
and disinfection of spaces in the event of major
spills or leaks. The MDR must be present for
cleanups and disinfection of food service, living,
and medical spaces.
WASTE DISPOSAL IN THE FIELD
The disposal of sewage in the field is
accomplished by various special adaptations such
as cat holes (for individual one-time use), pit and
straddle trenches, deep pit latrines, and urine
soakage pits. Specific information on these and
other waste disposal systems for field use are
contained in the Departments of the Army and the
Air Force publication, Field Hygiene and Sanita-
tion, FM 21-10/AFM 161-10.
An effective sexually transmitted disease
(STD) program is a command responsibility.
The Medical Department is concerned with the
medical aspects of STD consistent with the
policy outlined in SECNAVINST 6222.1 series.
Staff Medical Officer. Staff medical officers
at major fleet and shore commands will monitor
and coordinate STD program efforts.
Medical Department Representative. Officers
and petty officers of the Navy Medical Depart-
ment assigned the function of STD management
will advise their commands on STD programs;
assist when requested in basic STD education
programs; administer the STD interview and con-
tact tracing program; cooperate with other
military and civilian health authorities in the
contact tracing program; collect data on
occurrence; report as required by NAVMED-
COMINST 6300.2 series and as legally required
by civil authorities; and maintain liaison with the
local Armed Forces Disciplinary Control Board
and the local medical chain of command as
Clinical Care Personnel. MDRs assigned the
responsibility of diagnosing or treating STD, in
addition to any of the duties listed above, will
use current recommended regimens and methods
of diagnosing and treating STD; provide
prophylaxis or epidemiological treatment when
appropriate; cooperate with the STD program
manager; assist in the STD education program;
and ensure that patients who have contracted STD
are provided with special education aimed at
preventing future infections.
EFFECTIVE STD PROGRAMS
Elements of an effective STD program include
education, appropriate prophylaxis, current,
prompt diagnosis and treatment, complete
reporting, contact tracing with epidemiologic
treatment, and the evaluation of these measures
to determine their effectiveness.
The diagnosis and treatment of STD is dis-
cussed in Treatment and Management of Venereal
Disease, NAVMED P-5052-11A, United States
Public Health Service Publications (MMWR), and
applicable CINC/CGFMF instructions.
Patient education is a primary tool in
controlling the spread of STD. As you have heard
many times, the best method of combating and
containing disease is to prevent it.
The General Military Training Program
(OPNAVINST 1500.22 series) is designed to
provide all hands with a basic knowledge con-
cerning STD and its prevention and containment.
Persons at high risk of contracting STD, especially
those who have previously had one of these
diseases, require more intensive education. Local