PHS-2936 (see fig. 5-4) is the most commonly used
form in STD contact investigation. It should be
completed on every sexual contact obtained in the
interview. This form must be completed properly
so that there is no doubt in the mind of the
investigator as to the disease involved or the
follow-up necessary. Instructions for completing
and distributing this form are located in
NAVMED P-5036. The routing of the form may
vary in different locations. Individual commands
should check with state and local health
authorities for routing procedures in their jurisdic-
tion. Most states and other civil jurisdictions
have legal requirements that a patient morbidity
card be completed on all patients diagnosed as
Personnel involved in STD control programs
should continually evaluate the effectiveness of
the efforts made in local STD control programs
so that more effective measures may be instituted,
as required, and high risk areas and personnel
requiring more intensive attention can be
Complete documentation of all STD diagnoses
shall be made on the Chronological Record of
Medical Care, SF 600. STD follow-ups are also
entered on the SF 600.
Contact tracing is defined as the locating and
bringing to therapy persons known or suspected
to have been exposed to an infected person.
These persons are identified and located on the
basis of information obtained from the interview.
Few contact tracing investigations are carried
out by military STD program managers except on
certain military installations and in occupied
areas. Civilian contacts are usually the responsi-
bility of the local public health department.
However, you should be aware of the methods
and techniques used, since a patient might be
concerned with how the investigation is to be
conducted. The best method of acquiring this
information is to meet with the contact in-
vestigators of the local health department, who
can outline the method of operation for that area.
While the incidence of tuberculosis (TB) is
slowly declining in the United States, substantial
numbers of cases still occur in the Navy and
Marine Corps, and the potential for epidemics
remains. The purpose of the TB Control Program
is to prevent its spread by early detection and
treatment of personnel with active disease.
Personnel who develop a reactive skin test are at
risk of developing clinical TB and must be placed
on isoniazid (INH) for 1 year and then be followed
with annual clinical examinations to detect active
diseases. With modern medical management most
people who develop clinical TB maybe expected
to return to duty; but early detection is still
essential to reduce the impact of the disease on
patients, their associates, and the service.
The Navy and Marine Corps TB Control
Program consists of case finding and patient
. Routine TB Screening Program. The
purpose of this program is to detect as early as
possible individuals who have been infected
by tubercle bacilli or who have progressed and
developed clinical TB.
. The TB skin test (Mantoux method) is the
basic method used for routine TB case finding and
is used for individuals with previously recorded
nonreactive or unrecorded skin tests.
. An annual clinical evaluation is used for
routine TB case finding in individuals who have
previously recorded reactive skin tests and who
have taken INH for 1 year, if they have remained
reactors (most will revert to non-reactors).
. Tuberculosis Contact Investigation
Program. The purpose of this program is the early
detection of TB in personnel who may have been
exposed to an active TB case and who con-
sequently may be at high risk of developing
Patients with reactive TB tests, abnormal
clinical findings, or positive acid test Bacilli smears
findings are further investigated. Those suspected
to have or diagnosed as having the disease receive
care or treatment.
When to test, how to test, and what to do with
reactive and nonreactive personnel; responsibility
and procedures for local program management;
and reporting requirements are discussed at
length in NAVMEDCOMINST 6224.1 series. All