Army Chemical Review

SUMMER 2013

Army Chemical Review presents professional information about Chemical Corps functions related to chemical, biological, radiological, nuclear, smoke, flame, and civil support operations.

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serve as stand-alone guidance; in others, they provide the "covering" agreement that governs the use of a more robust document, such as an allied medical, administrative, technical, or engineering publication. These publications are, in turn, sometimes incorporated into U.S. Army feld manuals or joint or sister Service equivalents. The practical importance of NATO STANAG development is well illustrated by the felding of rapidly deployable outbreak investigation teams (RDOITs), as prescribed in STANAG 2529 (AMedP-74, Rapidly Deployable Outbreak Investigation Team [RDOIT] for Suspected Use of Biological Warfare Agents). Merely a concept just a few years ago, the RDOIT rapidly became a reality via the close cooperation of NATO partner nations. STANAG 2529 provides the doctrinal framework under which nations will build and feld rapidresponse teams that can be called upon by commanders who are faced with a potential infectious disease outbreak. In such situations, commanders must know whether an outbreak is real or fctitious, whether it is nefarious (the result of a deliberate agent release) or naturally occurring, whether the resultant disease is contagious or poses an ongoing risk to troops, and how to best mitigate the consequences. RDOITs are designed to deploy within 48 hours, and they bring with them a wide range of technical expertise (especially given their small footprints) and substantial rapid-diagnostic capabilities, allowing them to quickly provide information to commanders. They are also capable of reaching back for vast technical expertise available at military and civil scientifc facilities within the member nations. Finally, through the standardization forged by the CBRNMedWG and BioMedAC, RDOITs provide results that can be confdently shared among, and trusted by, partner NATO nations. Conclusion It is diffcult to overestimate the contributions of the CBRNMedWG and BioMedAC to the development of joint and allied doctrine. Yet the value of these entities extends well beyond efforts at doctrinal standardization and promulgation. These organizations represent an important mechanism for the sharing of ideas among CBRN professionals (clinicians, pharmacists, chemists, microbiologists, radiation physicists, and operators). They provide a venue for the conduct of valuable tabletop medical planning and response exercises and a forum for distributing the lessons learned from CBRN feld exercises such as the biennial NATO "Clean Care" exercise. But perhaps most importantly, they are invaluable in forging the close working relationships among allies and partners in the boardroom that become so imperative on the battlefeld. Endnotes: D. Jenkins, "La Communauté Médicale de L'OTAN," Actu Sante, May–June, 2009, pp. 10–19, < http://en.calameo .com/read/0001659610e037a11e4be>, accessed on 8 February 2013. 1 The NATO Standardization Agency ("Be Wise—Standardize"), 3d Edition, Brussels, Belgium, , accessed on 4 March 2013. 3 References: AMedP-06, NATO Handbook on the Medical Aspects of Defensive Operations (Nuclear, Biological, and Chemical), 14 December 2006. AMedP-07, Concept of Operations of Medical Support in Chemical, Biological, Radiological, and Nuclear Environments, 6 December 2007. AMedP-08, NATO Planning Guide for the Estimation of CBRN Casualties, 3 March 2011. AMedP-47, First Aid and Hygiene Training in a CBRN or TIH Environment, 5 January 2009. AMedP-74, Rapidly Deployable Outbreak Investigation Team (RDOIT) for Suspected Use of Biological Warfare Agents, 29 October 2009. Warsaw Treaty Organization of Friendship, Cooperation, and Mutual Assistance, 14 May 1955. Colonel Cieslak is the director of the Clinical Services Division, U.S. Army Medical Command, Fort Sam Houston, Texas. He holds a bachelor's degree in chemistry and doctor of medicine degrees from The Ohio State University. He completed a residency in pediatrics at the Baylor College of Medicine, Houston, Texas, and a fellowship in infectious diseases at Walter Reed Army Medical Center, Bethesda, Maryland. Lieutenant Colonel Moss (Retired) is a program manager with the Global Security Directorate, Oak Ridge National Laboratory, Oak Ridge, Tennessee. He holds a bachelor's degree in physics from Austin Peay State University, Clarksville, Tennessee, and a master's degree in radiation health physics from Oregon State University. Sergeant Major Smith (Retired) is an international medical NBC defense program offcer with the Offce of the Army Surgeon General, Falls Church, Virginia. Formerly the senior noncommissioned offcer with the North Atlantic Regional Medical Command and Walter Reed Army Medical Center, Sergeant Major Smith was awarded the Soldier's Medal for heroism for his actions at the Pentagon on 11 September 2001. He holds an associate's degree in nursing from Midlands Technical College, Columbia, South Carolina. 2 Medical Management of Biological Casualties Handbook, U.S. Army Medical Research Institute of Infectious Diseases, 1996. Summer 2013 9

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