section, you should refer to Manual of Naval
Preventive Medicine, NAVMED P-5010.
Food-borne illnesses represent an ever-present
threat to the health and morale of our military
personnel. To prevent food-borne illnesses, you will
need to ensure that all foods are procured from
approved sources and processed, prepared, and served
with careful adherence to recommended sanitary
practices. When assigned as a medical department
representative for a command or station, you may be
given the responsibility of inspecting food,
food-service facilities, and investigating food-borne
For guidance on safe time limits for keeping food,
proper storage temperatures, and storage life of
perishable and semi-perishable items, refer to tables in
Naval Supply Publication 486.
Training and Hygiene of Food-Service
Food-service personnel should be thoroughly
indoctrinated in personal hygiene and food sanitation
procedures and in the methods and importance of
preventing food-borne illness. Requirements for food
service training are addressed in Food Service
Training Program, SECNAVINST 4061.1.
Food-Service Inspection Report
Navy and Marine Corps food-service facilities are
required to be inspected by a medical department
representative, together with the food-service manager
or officer or designated representative. The findings of
the inspection are reported on a NAVMED Form
6240/1, Food Service Sanitation Inspection. A system
has been established in which maximum defect points
are awarded for each stated requirement.
inspector assigns an appropriate number of defect
points up to the maximum possible and computes a
sanitary compliance score (SCS).
step-by-step procedures for filing the report and
computing the SCS are provided in the Manual of
Naval Preventive Medicine, NAVMED P-5010.
IMMUNIZATIONS AND COMMUNICABLE
Navy and Marine Corps personnel are exposed to a
wide variety of environmental conditions, including
climatic extremes, stressful situations, and close living
quarters. Many of these personnel travel to foreign
lands where conditions may not only be unsanitary, but
where a high level of disease may also exist.
Preventive medicines major role is to minimize
disability by emphasizing immunization programs.
Vaccines used to protect Navy and Marine Corps
personnel against certain diseases before exposure to
infection are called prophylactic immunizations.
Prophylactic immunizations are limited to very serious
diseases for which effective and reliable immunizing
agents have been developed.
Immunizations procured for the Armed Forces are
required to meet the minimum standards set by the
Department of Health and Human Services (DHHS).
Immunizations for Military Personnel
Navy and Marine Corps personnel are required to
be ready to deploy on a moments notice. To make sure
personnel are prepared for deployment, you should
review their immunization records on a routine basis,
and, before deployments, also review BUMEDINST
6230.15, Immunizations and Chemoprophylaxis.
Initial and booster dosages and routes of administra-
tion are dictated by the vaccine manufacture, the U.S.
Public Health Service Immunization Practices
Advisory Committee (ACIP), or both.
Communicable diseases, as the name implies, are
diseases that may be transmitted from a carrier to a
susceptible host. They may be transmitted from an
infected person or animal or indirectly through an
intermediate host, vector, or inanimate object. The
illness produced is the result of infectious agents
invading and multiplying in the host, or from the
release of their toxins (poisons).
An important step in the control of communicable
disease is the expedious preparation and submission of
the Medical Event Report.
requirements for reporting to local, state, national, and
international health authorities can be found in the
preface of the Control of Communicable Diseases
Manual, NAVMED P-5038. In addition, you should
follow instructions for the Medical Event Report
(MER), BUMEDINST 6220.12, when reporting