Disease and Injury Surveillance
Disease and Injury surveillance involves monitoring the incidence of specific pre-diagnostic syndromes and injuries occurring in a unit. This type of health outcome monitoring is known as medical surveillance in the Department of Defense. Disease and Injury surveillance information can be used by operational navy medical department personnel to provide their commanders and commanding officers with a tremendously powerful tool (outcome measures) in force health protection. By collecting and analyzing key disease and injury data, one can objectively determine how well your unit force health protection efforts are working. When disease and injury rates exceed the expected, this may indicate a breakdown in preventive measures. High rates may also be indicative of an unanticipated disease threat for which no countermeasures have been mounted. Disease and injury surveillance efforts enable unit level medical personnel to: rapidly troubleshoot their FHP efforts, identity deficiencies, take corrective action, and request service reach back assistance earliest when needed.
Current DOD Policy (DODINST 6490.03) requires that units (deployed outside the continental United States (OCONUS) for more than 30 days to places absent a fixed MTF) conduct disease and injury surveillance as part of the DOD deployment health surveillance program. Navy ships were specifically exempted from this requirement, but requirements from other commanders may apply.
The following D&I templates are available for employment by navy medical department leaders. Each template includes expected outcome rates which can be used to signal potentially important force health protection lapses.