The following are the mission elements of Force Preventive Medicine Service (FPMS) which are provided to the Multinational Force and Observers (MFO). Both North Camp and South Camp are involved in the mission elements listed below. The FPMS provides these mission essential services to the MFO which currently consists of 10 contingent nations and the United States. The other contingent nations are Italy, Uruguay, Canada, Hungary, Fiji, Australia, Colombia, New Zealand, Norway and France. FPMS also provides consultations in other areas of Preventive Medicine and Environmental Health that may not be covered here, such as consultations to the Embassy's of Egypt and Israel.

1. Sanitary Inspections and Surveys.

a. Food service sanitation inspections (remote sites, dining facility, clubs, CPU's, etc.). Inspect the quality of food service/safety and general hygiene practices, provide the knowledge to prevent foodborne illnesses and assist in preventing imminent health hazards to all MFO personnel associated with food service.

b. General sanitation inspections (barber and beauty shops, gyms and remote sites). To inspect for possible general hygiene problems and practices that may lead to the spread of disease and provide the necessary assistance to prevent disease related illnesses.

c. Water truck and trailer inspections (the 3k and 6k trailers). Sanitary inspection of the water container (tank) for operability and cleanliness to reduce contamination from bacteria.

d. Microwave oven inspection/surveys for MFO owned and not privately owned microwaves (visual and meter testing with the use of microwave survey meter for leakage).

e. Local Occupational Health Hazards Inventory (LOHHI) inspection/survey (survey noise, visual, respiratory, ventilation hazards and inspect hazardous waste and chemical inventories, MSDS sheets, and employee/supervisor level training).

f. Surveillance, inspection and water quality testing of drinking water to ensure safe drinking water standards are maintained to WHO (World Health Organization) and U.S. Army Guidelines.

g. Surveillance, inspection and water quality testing of swimming pools and natural bathing areas to ensure they are maintained and operated in a safe and sanitary manner and meet minimal water quality standards.

2. Water Monitoring Programs. To provide procedures and guidelines for monitoring the MFO water sources. Monitoring will include but not limited to; MFO water distribution system (Egyptian water), remote site water systems, water trucks and trailers (Israeli water), bottled water, natural bathing areas, swimming pools and all other potable water systems.

a. Water quality analysis on the above mentioned water sources to include ice from ice machines.

b. pH, chlorine residual and bacteriological tests (total coliform and E-Coli).

c. Total Dissolved Solids (TDS) monitoring on Israeli Water Point (IWP) water and Egyptian water sources.

d. Water quality analysis of bottled water used at the MFO.

3. Force Preventive Medicine Training Program. To provide guidance for health issues, prevention of injuries and key information to reduce DNBI (disease non-battle injuries).

a. Site Commanders Course. Educating site Commanders of Fiji Battalion, Columbian Battalion and the U.S. Battalion on how to stay healthy and how to keep their soldiers healthy at the remote sites. Areas of concern are water quality, food sanitation and safety, insect and arthropod issues (sandflies), hazardous animals, climatic injury control, general hygiene, disease prevention and enforcement of these issues from the Commander to the lowest level.

b. Newcomers Brief. Educating the new U.S. soldiers rotating into the MFO on STD's and desert survival issues like heat prevention, human threats from snakes, scorpions, spiders, fish, hazardous feral animals and insect and arthropod issues, disease prevention and other issues as deemed necessary.

c. Misc. training events. Food sanitation and safety course to the main dining facility and food safety education for misc. events on the MFO involving food, preparation and serving. Water disinfecting procedures for Supply and Transportation (S&T) Company, Sexually Transmitted Disease (STD) classes and medical threat briefs of the Sinai to prevent disease non-battle injuries (DNBI).

4. Industrial Hygiene and Occupational Health Program.

a. Hearing Protection/Conservation Program. Ear plug fitting for American and French pilots and annual noise surveys of noise hazards associated with MFO helicopters and planes at the airfield.

b. Local Occupational Health Hazard Inventory (LOHHI) Surveys (survey's for vision, respiratory, ventilation hazards and inspecting hazardous waste/chemical inventories, MSDS sheets and employee/supervisor education training)

5. Pest Surveillance Program. To provide surveillance of medically important pests and identify signs of pest infestation during routine sanitary inspections. This also includes collection, preservation and shipment of the pest for identification if required. Also make recommendations and approvals on types of insecticides and pesticides to use.

a. Mosquito/Sand Fly surveillance. Use of CDC light traps to determine frequency and presence of these insects.

b. Cockroach Surveillance (use of glue board traps and crack, crevice inspections to monitor problems, rends and work closely with the contracted pest control, HNSI - Holmes & Narver Services, Inc.

6. Heat Prevention Program. To provide training in the operation of heat stress devices to remote site locations and training guidance in heat injury prevention.

a. Provide training in the operation of the WBGT (Wet Bulb Globe Temperature) device used to determine environmental heat stress on individuals and provide guidance for work/rest cycles and water intake recommendations.

b. Provide training in heat injury identification and prevention of heat injuries.

7. Remote Site Sanitation Program. To provide guidance to properly implement sanitation and hygiene standards and to ensure the health and welfare of the troops manning these sites.

a. Provide training to new site Commanders arriving at the MFO through the Site Commanders Course.

b. Conduct inspections of each remote site for sanitation standards in general hygiene, food sanitation and safety, insect prevention supply's (Deet, Permethrin, netting, etc.), monitoring of their above ground water tanks for pH and chlorine residual and other imminent health hazards.

c. Provide water quality analysis training and personal protective measures (PPE) against flying insects.

8. Other Programs of Force Preventive Medicine Include:

a. Regulated Medical Waste (RMW) and Hazardous Waste (HW).

b. Destruction of Sensitive/Controlled Materials

c. Immunizations Program (recommendations).

d. Tuberculosis Surveillance and Control Program.

e. Driving Program (safety measures).

f. Radiation Protection and Monitoring Program (program management and badges).