BUMEDINST 6224.12b Medical Surveillance And Notifiable Event Reporting

Most reportable medical events are routine and should be submitted as soon as practicable. These events must be submitted within 30 days of diagnosis.

The purpose of BUMEDINST 6220.12B is to provide policy concerning Navy medical surveillance practices, processes, and reporting requirements. This includes monitoring the Electronic Surveillance for the Early Notification of Community-based Epidemics (ESSENCE) and reporting MER submission requirements. This statement is true because BUMEDINST 6220.12B does indeed cover these topics and provides guidance on how they should be conducted.

The following events are required to be reported within 24 hours:
- Amebiasis
- Anthrax
- Biological Warfare Agent Exposure
- Botulism
- Cholera
- Dengue Fever
- E. coli 0157:H7 infection
- Encephalitis Arboviral and Tick-borne
- Hantavirus Infection
- Hemorrhagic Fever (specify type)
- Legionellosis
- Malaria (All types)
- Measles
- Meningococcal Disease
- Pertussis
- Plague
- Q Fever
- Rabies, clinical human
- Smallpox
- Tuberculosis, pulmonary
- Tularemia
- Typhoid Fever
- Typhus Fever
- Yellow Fever
- Outbreaks

The primary objectives of medical surveillance and reporting are to ensure a timely and proficient public health response to medical events, reducing morbidity and mortality. Additionally, it aims to estimate the distribution, trends, and risks associated with significant medical events, as well as to develop and assess policy and resource allocation for the prevention and control of communicable diseases.

According to BUMEDINST 6220.12B, Military Treatment Facilities are responsible for implementing medical event reporting and monitoring of ESSENCE alerts, ensuring accuracy of patient encounter data into AHLTA, ensuring providers report medical events to their chain of command's preventive medicine or public health representatives, and performing medical event surveillance and response activities including follow-up of suspect cases and case contacts. Therefore, the statement is true.

If a reporting ship or unit is based in one NEPMU area but is deployed to another area, the Medical Event Report (MER) must be submitted in enclosure (2) and addressed to the NEPMU responsible for the deployment area. This means that even though the ship or unit is home ported in one area, the MER must be sent to the NEPMU in charge of the area where the deployment is taking place.

Most reportable medical events are routine and should be submitted as soon as practicable. These events must be submitted within 30 days of diagnosis.

The following events are required to be reported within 24 hours:
- Amebiasis
- Anthrax
- Biological Warfare Agent Exposure
- Botulism
- Cholera
- Dengue Fever
- E. coli 0157:H7 infection
- Encephalitis Arboviral and Tick-borne
- Hantavirus Infection
- Hemorrhagic Fever (specify type)
- Legionellosis
- Malaria (All types)
- Measles
- Meningococcal Disease
- Pertussis
- Plague
- Q Fever
- Rabies, clinical human
- Smallpox
- Tuberculosis, pulmonary
- Tularemia
- Typhoid Fever
- Typhus Fever
- Yellow Fever
- Outbreaks

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The following events are required to be reported within 24 hours:
- Amebiasis
- Anthrax
- Biological Warfare Agent Exposure
- Botulism
- Cholera
- Dengue Fever
- E. coli 0157:H7 infection
- Encephalitis Arboviral and Tick-borne
- Hantavirus Infection
- Hemorrhagic Fever (specify type)
- Legionellosis
- Malaria (All types)
- Measles
- Meningococcal Disease
- Pertussis
- Plague
- Q Fever
- Rabies, clinical human
- Smallpox
- Tuberculosis, pulmonary
- Tularemia
- Typhoid Fever
- Typhus Fever
- Yellow Fever
- Outbreaks

As per BUMEDINST 6220.12B, Military Treatment Facilities are responsible for implementing medical event reporting and monitoring of ESSENCE alerts, ensuring accuracy of patient encounter data into AHLTA, performing medical event surveillance and response activities including follow-up of suspect cases and case contacts, and ensuring providers report medical events to their chain of command's preventive medicine or public health representatives. Therefore, the correct answer is "All of the above."

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According to section (d) of paragraph 5 of the instruction, NEPMUs are responsible for assessing MER completeness and data validity. This means that it is true that NEPMUs have the responsibility of evaluating the completeness and validity of MERs.

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Routine Reports: Most reportable medical events are routine and should be submitted as soon as practicable. These events must be submitted within 30 days of diagnosis.

Section (d) of paragraph 5 reads:
"NEPMUs shall provide regional technical oversight for ESSENCE monitoring, reportable medical event surveillance, and outbreak response and coordination."

Routine Reports: Most reportable medical events are routine and should be submitted as soon as practicable. These events must be submitted within 30 days of diagnosis.

The primary objectives of medical surveillance and reporting are:

(1) Timely and proficient public health response to medical events that ultimately reduce morbidity and mortality.

(2) Estimation of the distribution, trends, and risks associated with significant medical events.

(3) Development and assessment of policy and resource allocation for the prevention and control of communicable diseases.

Section (d) of paragraph 5 reads:
"NEPMUs shall monitor MERs within their area of responsibility. Monitor NDRSi to ensure events communicated via e-mail or telephone consultations are reported as indicated in enclosure (1), and a verified receipt of finalized reports when suspect MERs initially are submitted."

Section (e) of paragraph 5 reads:
"NMCPHC shall perform global medical event surveillance and monitoring of reportable medical events. Maintain NDRSi, a global database of reportable events that is accessible to NEPMUs. Data will be forwarded to the Defense Medical Surveillance System or higher authority as required and upon request."

Section (e) of paragraph 5 reads:
"NMCPHC shall develop methods to improve and facilitate medical surveillance, response, and communication. This includes regular program evaluation to identify areas for process improvement.

If a reporting ship or unit is home ported in the area of one NEPMU, but deploys into the region of another, the MER must be in enclosure (2), and addressed to the NEPMU responsible for the geographic area of deployment.

Section (b) of paragaph 5 reads:
"MTFs shall implement event reporting and monitor ESSENCE alerts. ESSENCE monitoring should be assigned to a minimum of two MTF staff. ESSENCE monitoring shall occur at least once each routine workday."

Section (d) of paragraph 5 reads:
"NEPMUs shall assess MER completeness and data validity. ESSENCE may be used as an assessment tool for particular diseases."

Section (a) of paragraph 5 reads:
"Navy Regional Medical Commands shall ensure subordinate MTFs maintain an effective command medical surveillance program. ESSENCE monitoring requires incorporation into routine medical surveillance activities to include subordinate health care facilities (either centrally or at each location)."

Section (e) of paragraph 5 reads:
"NMCPHC shall develop methods to improve and facilitate medical surveillance, response, and communication. This includes regular program evaluation to identify areas for process improvement."