text: Army Health System Command and Control
  behavioral factors. Health promotion programs must consider a broad range of health-related factors and
  should address the following areas:
  * Health education and the health promotion process.
  * Behavioral health programs.
  * Physical programs.
  * Spiritual programs.
  * Environmental and social programs.
  2-155. Army health promotion involves—
  * Identifying community health needs and setting priorities.
  * Developing, adjusting, and implementing health promotion programs to meet identified needs.
  * Evaluating the effectiveness of these programs.
  * Promoting resiliency.
  * Promoting and enhancing quality of life.
  * Promoting wellness along with well-being.
  2-156. The health promotion process is similar to the risk management process described in ATP 5-19.
  FIELD HYGIENE AND SANITATION
  2-157. To counter the health threat, commanders and leaders must ensure that field hygiene and sanitation,
  , feral animal risk mitigation measures, inspection of potable water and field feeding facilities, sleep
  discipline (including work and rest schedules), and personal protective measures are instituted and receive
  command emphasis. Field hygiene and sanitation combines with personal protective measures, to include
  correctly wearing the uniform and using insect repellent, sunscreen, and insect netting. Leaders must ensure
  that Soldiers practice these activities continuously during the force projection through postdeployment cycles
  and processes. Guidance for establishing, training, and employing unit field sanitation teams can be found
  in ATP 4-25.12.
  MILD TRAUMATIC BRAIN INJURY/CONCUSSION
  2-158. Mild traumatic brain injury or concussion is a major health threat facing Soldiers and is recognized
  as a matter of significant military and operational concern. Concussive injuries are associated with
  explosions or blasts and blows to the head during training activities or contact sports. Leaders and Soldiers
  at all echelons must be aware of this invisible injury and receive mild traumatic brain injury/concussion
  education and training to help decrease stigma associated with seeking medical assistance. Commanders
  must also be aware of leader reporting requirements, mandatory medical evaluations, and medical reporting
  requirements. Leaders also have a responsibility to ensure their Soldiers receive a medical evaluation
  following a concussive event, no matter how mild. Prompt medical attention as soon as possible after an
  injury maximizes recovery, decreases risk of a subsequent concussion while the brain is healing, and
  ultimately preserves combat power. Education, training, treatment, and tracking of injured Soldiers are the
  keys to the Army’s Traumatic Brain Injury Management Strategy.
  COMBAT AND OPERATIONAL STRESS
  2-159. Stress in response to threatening or uncertain situations is a reality in all types of military operations
  including major combat, stability, and defense support of civil authorities as well as during training exercises,
  in garrison, and issues related to Family and home life. Soldiers are exposed to various types of combat and
  operational stress throughout their military experience. Combat and operational stress control refers to a
  coordinated program of actions taken by military leadership to prevent, identify, and manage
  reactions to traumatic events that may affect exposed organizations and individuals during unified
  land operations. Also called COSC. Combat and operational stress control does not take away the
  experiences faced while engaged in such operations, but provides mechanisms to mitigate reactions to those
  experiences so that Soldiers remain combat effective and maintain the quality of life to which they are
  entitled.