text: Chapter 2
  treated evolves from acute trauma to DNBIs, the delegated quality assurance officer can devote
  more time to administrative oversight of the quality assurance program.
  * Preventive medicine officer, environmental science officer, and senior preventive medicine NCO,
  who monitor all public health activities and requirements of the command. The preventive
  medicine officer establishes reporting requirements and frequency of reports (such as the weekly
  DNBI report). This individual consolidates subordinate unit DNBI reports and analyzes the data
  submitted to identify trends and to compare incoming data with already established baselines. If
  trends are identified, he recommends and develops effective medical countermeasures and
  disseminates this information to all subordinate, adjacent, and higher headquarters. The
  preventive medicine officer and environmental science officer analyze the data for indicators of
  the potential exposure of U.S. forces to enemy employment of biological and chemical warfare
  agents (increases in endemic disease rates in one specific geographic location or the appearance
  of diseases which can be weaponized and are not endemic to the operational area) and to OEH
  hazards. The preventive medicine officer, environmental science officer, and senior preventive
  medicine NCO receives, monitors, reviews, and forwards supporting laboratory analysis of CBRN
  samples/specimens and chain of custody documents for CBRN samples/specimens. This
  individual ensures that medical surveillance and OEH surveillance activities are developed and
  implemented for the health threat present in the operational area. The preventive medicine officer,
  environmental science officer, and senior preventive medicine NCO monitors pest management,
  potable water inspection, and inspection of field feeding/dining facility sanitation activities, toxic
  industrial materials sources and hazards, and further ensures the procedures for the disposal of
  medical waste are being adhered to. The preventive medicine NCO ensures that field hygiene and
  sanitation training and unit field sanitation team training for subordinate units and personnel is
  current and adequate.
  * Veterinary preventive medicine officer and the food safety officer, who are responsible for
  oversight of the implementation and conduct of programs for the inspection of food and food
  sources for procurement, quality assurance, food safety, food defense, and sanitation. The
  veterinary preventive medicine officer also oversees working animal medical care activities and
  identifies MEDLOG shortfalls that will impact on these activities. The veterinary preventive
  medicine officer provides technical consultation for implementation and conduct of public health
  programs such as feral animal risk mitigation, rabies advisory boards, and any zoonotic and/or
  endemic animal disease surveillance and mitigation efforts. The veterinary staff advises other
  staff elements on appropriate veterinary global health engagement activities and coordinates with
  veterinary staff elements at higher headquarters on these initiatives to ensure synchronization with
  Theater Campaign Plan priorities and objectives. The veterinary preventive medicine officer
  coordinates with the senior veterinarian in the theater and the supporting staff judge advocate to
  develop a veterinary eligibility for care determination and the extent of care authorized in
  accordance with applicable law and DOD and theater policy. Veterinary staff officers also identify
  the metrics and frequency of reporting requirements for the various aspects of the veterinary
  service support mission.
  * Psychiatrist, behavioral science officer, and the BH NCO, who monitor all COSC activities and
  the treatment of BH and neuropsychiatric cases within subordinate MTFs. The psychiatrist
  ensures that all treatment programs for combat and operational stress are founded on proven
  principles of combat psychiatry and are established and administered in accordance with current
  doctrinal principles. The psychiatrist monitors the stress level of subordinate unit medical
  personnel and provides consultation on traumatic event management support to health care
  providers after mass casualty situations or other high stress events. The psychiatrist coordinates
  policies, procedures, and protocols for the treatment of BH and neuropsychiatric disorders with
  the senior subordinate unit psychiatrist or behavioral science officer and provides consultation on
  the requirements for the MEDEVAC of psychiatric patients. The psychiatrist also provides advice
  and guidance on any BH issues arising within the theater detention facility if located in the
  MEDBDE (SPT) operational area.
  * Dietitian and senior nutrition NCO, who monitors the status of medical diet supplemental rations,
  hospital food service operations, and command health promotion program. The dietitian provides
  consultation to subordinate hospitals on special diet requirements and preparation. The dietitian