Processing/Collating PMed Reports & Returns

1. Processing/Collating PMed Reports & Returns

2. References A. CFAO 34-6 WATER SUPPLIES AT DND ESTABLISHMENTS B. http://hr.ottawa-hull.mil.ca/health-sante/pd/pol/pdf/cfmo-ossfc-3-05.pdf C. http://hr.ottawa-hull.mil.ca/health-sante/pd/pol/word/4400-98-eng.doc D. CFP 213 http://img-dcb-a004030.forces.mil.ca/konfigvault/servlet/VaultServlet?VaultDir=D%3A%5Cvaults%5Cproduction&Action=View&MIMEType=application%2Fn%2Fa&ClientFileName=AMD213001FP001_19750820_PT03.pdf&VaultFileName=19040&UserID=pubviewer&TransactionID=49910764

3. References E.CFAO 34-38 SANITARY CONTROL OF INDOOR AND OUTDOOR POOLS AND SWIMMING AREAS

4. Base Commander The base commander or unit commanding officer shall ensure that his unit is supplied with an adequate amount of potable water and that the water storage, distribution system and purifying equipment are functioning properly.

5. CFMS Canadian Forces Medical Services (CFMS) personnel are responsible for the following duties: a. exercising medical supervision over the quality of water supplies; b. making such recommendations concerning the quality of water as may be necessary for the protection and preservation of health;

6. c. ensuring that correct procedures are used by CFMS and maintenance personnel in water- sampling techniques; d. obtaining and submitting water samples independent of those taken by maintenance personnel; and e. interpreting all laboratory reports of water samples.

7. BCE The base construction engineering officer (BCEO) is responsible for the following duties: a. collecting and submitting water samples for bacteriological analysis to a provincial health laboratory. The minimum number of water samples will depend on the population involved, viz -

8. (1) for a population of up to 2,000 -one sample of treated water is required, every two weeks and one sample of raw water monthly, and (2) for a population of over 2,000 -a weekly sampling of treated water is required, plus an additional sample per month for each 1,000 increase in population, and one sample of raw water is required during the first and third week of each month;

9. b. forwarding one copy of each bacteriological examination report to the command surgeon with regional responsibilities and the command construction engineer; c. forwarding only those copies of reports indicating contamination in the water supply to NDHQ/DBM (Directorate of Base Maintenance); and

10. d. collecting and submitting water samples for chemical analysis to the nearest federal or provincial laboratory at such intervals as NDHQ/DBM may specify.

11. Unit PMed Tech SECTION 3 - RESPONSIBILITIES OF A UNIT PREVENTIVE MEDICINE TECHNICIAN 22. The unit preventive medicine technician (unit PMED TECH) is directly responsible to the unit medical officer/ commanding officer for all matters pertaining to hygiene and sanitation in the unit. These duties are field oriented and require a thorough knowledge of unit organization, role, tasking, and field sanitation requirements for differing operations.

12. 23. Since the operational effectiveness of a combat unit depends on the medical fitness of its members, the unit PMED TECH must be able to recognize and advise the unit medical officer of any preventive medicine factors that might impair his unit's effectiveness. To this end he must be knowledgeable and capable of advising the unit medical officer and staff on the following:

13. a. prevention and control of communicable disease in the field; b. storage and handling for food preparation in the field; c. quality and requirements of the water supply in the field; d. pest management in the field; e. environmental aspects of waste management in the field;

14. f. unit health education programs with respect to - (1) sexually transmitted diseases, (2) personal hygiene and general cleanliness, (3) food sanitation, (4) medical intelligence briefing regarding foreign countries, and (5) recognition of occupational health and safety problems.

15. NOTE - Where required, the unit PMED TECH assists the unit medical staff in the preparation of unit immunization programs.

16. 24. In order to provide continuous up-grading and furtherance of knowledge, junior PMED TECHs when not employed in unit preventive medicine duties, should be placed under the base surgeon and base PMED TECH for employment and training.

17. Base PMed Tech SECTION 4 - RESPONSIBILITIES OF A BASE PREVENTIVE MEDICINE TECHNICIAN 25. The base preventive medicine technician (PMED TECH) is at all times directly responsible to the base surgeon on all matters pertaining to preventive medicine on the base and units supported by the base.

18. To this end he must possess a sound knowledge of the scope of preventive medicine and be responsible for and capable of advising the base surgeon/medical staff and unit PMED TECH on all matters relating to the following:

19. A. Community Health B. Environmental Health C. Training/Education/Supervision D. Reports and Returns E. Administration F. Liaison with Other Health Authorities

20. 26. The base PMED TECH is the base surgeon's representative while in the performance of his duties; therefore, he must conduct himself in a manner that is firm, self-assured and diplomatically correct, thus ensuring that through the exercise of his function the overall preventive medicine program will be at its best.

21. Comd/Area PMed Tech SECTION 5 - RESPONSIBILITIES OF A COMMAND PREVENTIVE MEDICINE TECHNICIAN • Is directly responsible to the command surgeon on all matters pertaining to preventive medicine programs on all the bases/stations/units (including militia units) within the command or region.

22. 29. To this end he must possess a thorough and sound knowledge of the scope of preventive medicine as outlined in Section 4, be capable of advising the command surgeon/ base surgeon/station or unit medical staff and act as trade and technical superviser to all PMED TECHs within the command or region.

23. Medical Officers Medical officers shall be responsible for the bacteriological and chemical purity of water supplies.

24. Chlorination of Water Supplies Free chlorine not less than 0.5mg/l after 20 mins 1. Hypochlorites: - Calcium hypochlorite - Sodium hypochlorite 2. Iodine & Iodine Compounds

25. Fluoridation of DND Water Supplies DND water supplies serving married quarters must be fluorinated to a concentration of 1 part per million (ppm) for water supplies containing less than 0.6 ppm natural fluoride

26. Contaminated Water Water contamination is held to describe the introduction into an otherwise potable water of toxic materials, pathogenic or undesireable microorganisms, and other deleterious substances which make the water unfit for use.

27. Recreational Water (1) CFMS; (2) Base Construction Engineering Officer (BCEO), PSP; and (3) Site Selection.

28. CFMS The base commander or commanding officer shall ensure that the following responsibilities are executed: a. Medical Responsibilities. The Canadian Forces Medical Service (CFMS) is responsible for - (1) Periodic inspections of, and obtaining water samples from, the swimming pool or swimming area, and (2) advising on sanitary conditions and any remedial measures necessary.

29. BCEO & PSP (1) pH & chlorine residual tests, temperature (air/water), and maintaining log books (2) Operation of pool equipment (filters, hair catches, chemical feed equip, etc.) (3) Pool sampling for Public Health Laboratories (4) Daily records to include:

30. Site Selection BEACHES AND OTHER NATURAL SWIMMING PLACES The principal factor in the selection of a site for a swimming beach is freedom from sewage pollution. In considering the dangers from sewage pollution, it is emphasized that dilution and the time of flow are factors of great importance. The hazards from a relatively small amount of sewage near a swimming area are far greater than a large amount at a considerable distance.

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