130130Z MAR 20
MSGID/GENADMIN/CMC WASHINGTON DC PPO//
SUBJ/UPDATE #2: U.S MARINE CORPS DISEASE CONTAINMENT PREPAREDNESS PLANNING GUIDANCE FOR 2019 NOVEL CORONAVIRUS (COVID-19); TRAVEL RESTRICTIONS AND PERSONNEL GUIDANCE FOR TRAVEL//
REF/A/MSGID: MEMO: SECDEF: 20200311//
REF/B/MSGID: DOC/YMD: 20200307//
REF/C/MSGID: DOC: OUSD(P&R): 20200310 FHP#3//
REF/D/MSGID: DOC: OUSD(P&R): 20200311 FHP#4//
REF/E/MSGID: DOC/YMD: 20200211//
REF/F/MSGID: MSG/YMD: 20200225//
REF/G/MSGID: DOC/YMD: 20190328//
REF/H/MSGID: DOC/YMD: 20130807//
REF/I/MSGID: DOC/YMD: 051908Z MAR 20
REF/J/MSGID: DOC/DTG: 030003ZFEB20//
REF/K/MSGID: DOC/DTG: 132345ZFEB20//
REF/M/MSGID: DOC:OUSD(P&R): 20200308//
REF/N/MSGID: DOC/YMD: 20180905//
REF/O/MSGID: DOC/YMD: 20200312//
NARR/REF A OUTLINES TRAVEL RESTRICTIONS FOR DOD COMPONENTS IN RESPONSE TO CORONAVIRUS DISEASE 2019. REF B IS MARADMIN 150/20, UPDATE #1 U.S. MARINE CORPS DISEASE CONTAINMENT PREPAREDNESS PLANNING GUIDANCE FOR 2019 NOVEL CORONAVIRUS. REF C IS OUSD (P&R) FORCE HEATLH PROTECTION GUIDANCE (SUPPLEMENT 3) DOD GUIDANCE FOR THE USE OF PERSONAL PROTECTIVE EQUIPMENT. REF D IS OUSD (P&R) FORCE HEALTH PROTECTION GUIDANCE (SUPPLEMENT 4) DOD GUIDANCE FOR PERSONNEL TRAVEL DURING THE NOVEL CORONAVIRUS OUTBREAK. REF E IS MARADMIN 082/20, U.S. MARINE CORPS DISEASE CONTAINMENT PREPAREDNESS PLANNING GUIDANCE FOR 2019 NOVEL CORONAVIRUS. REF F IS UNDERSECRETARY OF DEFENSE (PERSONNEL AND READINESS) MEMORANDUM ON FORCE HEALTH PROTECTION (FHP) SUPPLEMENT 2, DEPARTMENT OF DEFENSE GUIDANCE FOR MILITARY INSTALLATION COMMANDERS’ RISK-BASED MEASURED RESPONSES TO THE NOVEL CORONAVIRUS OUTBREAK. REF G IS DOD INSTRUCTION 6200.03, PUBLIC HEALTH EMERGENCY MANAGEMENT WITHIN THE DOD. REF H IS MCO 3504.2A, OPERATIONS EVENT INCIDENT REPORT (OPREP-3) REPORTING. REF I IS JOINT STAFF MESSAGE FOR DOD COVID-19 PASSENGER SCREENING GUIDELINES FOR OVERSEAS MILITARY TRANSPORTATION TERMINALS. REF J IS HQMC CORONAVIRUS RESPONSE EXORD. REF K IS FRAGO 001 TO HQMC RESPONSE TO NOVEL CORONAVIRUS OUTBREAK EXORD. REF L IS MCO 6220.2 DISEASE CONTAINMENT PLANNING GUIDANCE. REF M IS OUSD (P&R) MEMO ON CIVILIAN PERSONNEL GUIDANCE FOR DOD COMPONENTS IN RESPONDING TO CORONAVIRUS DISEASE 2019. REF N IS MCO 12271.1 MARINE TELEWORK POLICY FOR CIVILIAN MARINES. REF M IS ALNAV 025/20 VECTOR 15 FORCE HEALTH PROTECTION GUIDANCE FOR DON.
POC1/JAMES CARTER/LTCOL/UNIT: PP&O POC/F/TEL: (703) 571-1015/NIPR EMAIL: JAMES.L.CARTER@USMC.MIL// POC2/HQMC Watch Officer/TEL: (703) 695-5454/NIPR E-MAIL: HQMC.MCC2@USMC.MIL//
GENTEXT/REMARKS/1. This MARADMIN provides supplemental COVID-19 guidance to MARADMINs 082/20 and 150/20, by providing an update on travel restrictions and force health protection guidance.
1.A.1. Per reference B, the continuing spread of COVID-19 is an increasing Force Health Protection (FHP) threat in regions where DoD personnel live and work U.S. Centers for Disease Control and Prevention (CDC) continues to assess the risk of COVID-19 and provide guidance for those residing in the United States and traveling abroad. Per reference A and D, DOD has updated travel restrictions for all personnel traveling into and out of CDC Threat Health Notice (THN) Level 3 and 2 areas. Reference D also includes and provided pre- and post-travel health guidance to the force to enable mission assurance FHP. Travel updates can be found at https:(slash)(slash)wwwnc.cdc.gov/travel/notices.
2. Mission. No Change. All commands will take specific actions to mitigate the spread of COVID-19 worldwide and adhere to the reporting instructions contained in this MARADMIN.
3.A. Commander’s Intent.
3.A.1. Purpose. Promulgate updated CMC guidance to the force for travel restrictions and pre- and post-travel health procedures in order to reduce the risk of further exposure to, or spread of, COVID-19.
3.A.2. Method. No Change
3.A.3. End State. No Change
3.B. Concept of Operations. The Marine Corps will institute the guidance contained in this MARADMIN, and comply with the travel, permanent change of station (PCS), temporary duty (TDY), leave, and professional military education restrictions contained herein. This MARADMIN applies to all Marines and their sponsored family members not under the responsibility of a U.S. Chief of Mission. Guidance for rotational deployments and redeployments will be addressed SEPCOR.
3.C. Tasks. Commanders will:
3.C.1. Review and comply with tasks outlined in reference A, B, C, D and E.
3.C.2. Institute the following travel restrictions and screening guidance:
3.C.2.A. Effective 13 March 2020, all Marines and their family members traveling to, from, or through CDC THN Level 3 (COVID 19) designated locations will stop movement for the next 60 days. This includes all forms of official travel, including permanent change of station (PCS), temporary duty (TDY), and government-funded leave. For Marines, this also includes personal leave and other non-official travel. Marines should carefully plan travel to ensure their scheduled flights do not transit through or originate in THN Level 3 designated locations.
3.C.2.B. Effective 13 March 2020, and for the next 60 days, concurrent official travel for family members of Marines is denied into CDC THN Level 2 (COVID 19) designated locations.
3.C.2.C. Inform Marines who travel that they are responsible to contact their gaining organization in advance of travel and to keep the organization updated on their travel itinerary. Detaching and gaining commands shall make every effort to contact affected members en-route to and from their command to advise them of this message. In both cases, affected Marines shall report their status and contact information to their respective assignment monitor.
3.C.2.D. Effective immediately, determine whether official travel by Marines to locations other than CDC THN Level 3 locations is mission essential and defer all non-mission essential travel. Mission-essential travel refers to work that must be performed to ensure the continued operations of mission-essential functions, as determined by the first General Officer or SES in the chain of command.
3.C.2.E. Civilian personnel hiring actions for positions in CDC THN Level 2 or 3 designated locations are postponed for non-essential civilian personnel who have not yet begun travel until the travel restrictions described above are lifted.
3.C.2.F. Review leave and liberty plans to ensure Marines are not traveling to Level CDC THN Level 2 or 3 locations. Marines assigned to commands within a CDC THN Level 3 country will defer travel within that country until further notice, unless an exception is granted by an appropriate authority per para 3.C.2.H.1. and 3.C.2.H.2 below.
3.C.2.G. Exemptions. Marines pending retirement or separation within the next 60 days may proceed in accordance with their official orders.
3.C.2.H. Exceptions. Exceptions may be granted to these restrictions for compelling cases where the travel is: (1) determined to be mission essential; (2) necessary for humanitarian reasons; (3) warranted due to extreme hardship.
3.C.2.H.1. Approval authority for these exceptions belongs to the Combatant Commander if the Marinel is assigned to a combatant command.
3.C.2.H.2. For service retained personnel, approval authority for these exceptions is delegated from the Commandant of the Marine Corps to the first General Officer or member of the Senior Executive Service (SES) in the Marine’s chain of command.
3.C.2.H.3. Exceptions are to be done on a case-by-case basis, shall be limited in number, and shall be coordinated between the gaining and losing organizations.
3.C.2.H.4. Individuals traveling under an exception or exemption, including those traveling as part of a Department of State-issued authorized departure, are subject to travel screening protocols as provided in reference D.
3.C.2.H.5. Department of State-issued authorized departures from CDC THN Level 3 locations are delayed until appropriate transportation and reception procedures are in place as prescribed in reference A.
3.C.2.H.6. Requests for waivers not included in this message must be submitted to DC M&RA (MMOA/MMEA/RAM) via the Marine’s first General Officer or SES in their operational chain of command.
3.C.2.I. Screening and Reception Procedures: Ensure Installation and Marine Corps Air Station Commanders, in conjunction with tenant commanders, establish pre- and post-travel screening and reception procedures for all travelers traveling to and from a location designated by a CDC THN Level 2 or higher, to include providing the member or civilian employee information regarding prescribed actions for them and their family members given their particular circumstances. At a minimum this shall consist of a questionnaire to assess risk of exposure, temperature check (greater than 100.4F or 38C), and visual check for signs and symptoms of fever, coughing or shortness of breath, per CDC guidelines. A secondary medical evaluation by a health professional may be warranted. Commanders shall also be prepared to appropriately manage a patient under investigation if such a determination is made, to include referral to the appropriate medical authority. Guidance to support questionnaire development can be found at https:(slash)(slash)www.cdc.gov/coronavirus/2019-ncov/php/risk-assessment.html.
3.C.2.I.1. Ensure compliance with pre- and post- travel screening and reception procedures for all travelers within their command who are traveling to and from a CDC THN Level 2 or higher location.
3.C.2.I.2. Ensure procedures include travel by military or commercial means as well as private conveyance and includes all forms of travel to include unit deployments and redeployments, permanent change of station, temporary duty, and leave.
3.C.2.I.3 Establish communication protocols with all personnel throughout the reception process until they are allowed to resume their normal duties.
3.C.2.I.4. Transition to military or DoD contracted aircraft for DoD sponsored travelers coming or going to CDC THN Level 2 or Level 3 areas to the greatest extent practical.
3.C.2.I.5. Screening and restriction of movement guidelines detailed in coordinating instructions.
3.C.2.J. Professional Military Education (PME).
3.C.2.J.1. Ensure Marines stationed in CDC THN Level 2 countries who are scheduled to attend CONUS Professional Military Education (PME) for six (6) months or less, in a training status, postpone PME travel plans until further notice.
3.C.2.J.2. Ensure Marines stationed in countries with a CDC THN Level 2 who are scheduled to attend CONUS PME for six (6) months or longer, arrive fourteen (14) days early for screening and appropriate restriction of movement.
3.C.2.J.3. Ensure foreign military personnel from CDC THN Level 2 countries who are scheduled to attend, but have not yet arrived for, PME in CONUS for six (6) months less, postpone travel until further notice.
3.C.2.J.4. Ensure foreign military personnel from CDC THN Level 2 countries, who are scheduled to attend PME in CONUS for six(6) months or longer, but have not yet arrived for, PME in CONUS for six (6) months or longer, arrive fourteen (14) days early to the Training and Education Command for screening and restriction of movement.
3.C.2.J.5. Ensure foreign military personnel under DoD authorities from countries with a CDC THN Level 2 for COVID-19, scheduled to arrive, but who have not yet arrived pursuant to a professional exchange program(PEP) or foreign liaison program (LnO) arrive 14 days early to their assigned unit for screening and restriction of movement.
3.C.2.K. Commanders must closely scrutinize what large gatherings such as school graduations should be curtailed or modified.
3.D. Coordinating Instructions.
3.D.1. Pre- and Post-Screening Procedures. The following are the minimal standards for screening and restriction of movement for Marines and Sailors returning to CONUS or OCONUS bases and installations.
3.D.1.A. Actions prior to departure/exit screening:
3.D.1.A.1. Commanders shall emphasize each individual’s responsibility to avoid travel when sick. Commanders will monitor Marines scheduled for travel and cancel or delay travel if the Marine display symptoms of COVID 19.
3.D.1.A.2. Commanders will consider the risk profile of the traveler (e.g., older individuals or those with underlying health conditions). They will also limit travel to those individuals to those who are healthy to the greatest extent possible. For civilian personnel, these considerations must be consistent with the requirements of the Rehabilitation Act of 1973, as amended.
3.D.1.A.3. For travel on military aircraft, commanders will follow installation guidelines and guidelines defined in reference I.
3.D.1.A.4. Travel on commercial air carriers may not include exit screening of travelers. Consequently, commanders will plan for the appropriate action to ensure appropriate screening is completed.
3.D.1.B. Actions upon arrival from a CDC THN Level 2 or Level 3 location:
3.D.1.B.1. Effective 13 March 2020, commanders must identify all Marines and their dependents who travel or have traveled in the previous 14 days to or through a CDC THN Level 2 or higher country. This includes travel by military or commercial means as well as private conveyance, and includes all forms of travel, such as permanent change of station, temporary duty, and leave. Commanders must place these Marines under a 14-day restriction of movement (ROM). Dependents will also be encouraged to restrict their movement for 14 days. During the ROM (starting from the day of departure from the CDC THN Level 2 or higher country):
3.D.1.B.2. Marines will be restricted to their residence or other appropriate domicile for 14 days and avoid prolonged close contact (within 6 feet) with others.
3.D.1.B.3. Marines will self-monitor for the development of fever or symptoms of COVID-19 as described by CDC.
3.D.1.B.4. Marines living in open-bay settings, or rooms with shared bathrooms and/or kitchen facilities, will be placed in separate lodging to span the 14-day ROM period. Commanders will arrange and fund separate lodging if needed.
3.D.1.B.5. Marines will separate themselves from other people in the home or dwelling if residing in non-government provided quarters with roommates or family members and avoid sharing personal items. Personnel should adhere to force health protection (FHP) guidance to the maximum extent practicable (wash hands regularly for at least 20 seconds, utilize hand sanitizer, avoid sharing cups and utensils, cough/sneeze into a tissue and then dispose of it, maintain as safe a distance as is practicable).
3.D.1.B.6. Marines will not travel, visit public or crowded areas, or use public transportation and should avoid interaction with pets or other animals.
3.D.1.B.7. For any in-person assessments of Marines (including asymptomatic service members), medical personnel shall apply CDC guidance to include wearing appropriate personal protective equipment (PPE). Medical evaluation and care should be immediately arranged if the Marine displays fever and symptoms consistent with COVID-19, as per CDC guidance.
3.D.1.B.8. The Marine will call ahead before going to a medical treatment facility, informing them of symptoms and travel history.
3.D.1.B.9. Medical staff shall follow CDC guidance when assessing individuals displaying fever and symptoms consistent with COVID-19.
3.D.1.C. Actions upon arrival from a non-CDC THN Level 2 or higher CONUS or OCONUS location:
3.D.1.C.1. Effective 13 March 2020, commanders shall identify and track all Marines who have traveled beyond normal local limits, either CONUS or OCONUS in the previous 14 days. This includes travel by military or commercial means as well private conveyance and includes all forms of travel to include Permanent Change of Station, Temporary Duty, and leave. Commanders shall ensure that these Service members take the following actions for the next 14 days:
3.D.1.C.2. All Marines shall implement self-observation, i.e., remain alert for fever, cough, or difficulty breathing.
3.D.1.C.3. To the extent possible implement social distancing, i.e., remain out of congregate settings, avoid mass gatherings, and maintain 6 feet distance from others when possible.
3.D.1.C.4. Immediately self-isolate, limit contact with others, and seek advice by telephone from the appropriate healthcare provider to determine whether medical evaluation is required, if individuals feel feverish or develop measured fever, cough, or difficulty breathing.
3.D.2. Actions for DoD civilian employees, contractor personnel, and dependents: It is strongly recommended that Marine civilian employees, contractor personnel, and dependents who travel to, through, and from countries with a CDC THN Level 2 or higher locations follow this guidance. Commanders shall restrict workplace access for 14 days for Marine civilian employees and contractor personnel whose travel has included CDC THN Level 2 and Level 3 locations. For all other travel, commanders will encourage self-observation and accommodate social distancing. To restrict access from the workplace and maximize telework options, commanders shall implement telework options per reference M and N. For contractor personnel, commanders shall implement measures in consultation with the appropriate contracting office.
3.D.3. Reserve Component: All RC Marines on AT orders at any OCONUS CDC THN Level 2 or 3 location must immediately contact their respective chain of command to initiate appropriate actions.
4. Administration and Logistics.
4.A. Terms and Definitions.
4.A.1. CDC Threat Health Notice (CDC THN) Level 3: Widespread sustained (ongoing) transmission. Avoid non-essential travel to the destination. The outbreak is of high risk to travelers and no precautions are available to protect against the identified increased risk.
4.A.2. CDC THN Level 2: Sustained (ongoing) community transmission. Practice enhanced precautions for this destination. The Travel Health Notice describes additional precautions added, or defines a specific at-risk population.
4.A.3. CDC THN Level 1: Risk of limited community transmission.
Practice usual precautions for this destination, as described in the Travel Health Notice and/or on the destination page. This includes being up-to-date on all recommended vaccines and practicing appropriate mosquito avoidance.
4.A.4. Confirmed positive case of COVID-19: Individual who has tested positive for the virus that causes COVID-19 in at least one respiratory specimen at the CDC laboratory.
4.A.5. Presumptive positive case of COVID-19: Individual who has tested positive for the virus that causes COVID-19 in at least one respiratory specimen, but testing was conducted at the local or state level. Requires CDC confirmation.
4.A.6. Self-monitoring: Personnel monitor themselves for fever by taking their temperatures twice a day and remain alert for cough or difficulty breathing. If they feel feverish or develop a fever, cough, or difficulty breathing during the self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from the appropriate healthcare provider to determine whether medical evaluation is needed.
4.A.7. Mission essential travel is defined as work that must be performed to ensure the continued operations of mission essential functions, as determined by the first General Officer or SES in the chain of command.
4.A.8. Foreign military personnel under DoD authority: all foreign military (uniformed) or defense (civilian employee) personnel visiting or assigned to USMC units or installations under an international agreement, invitational travel orders, or a foreign visit request. This includes, but is not limited to, members of the Foreign Personnel Exchange Program (PEP), international military students (IMS), foreign liaison officers (LnO), and visiting foreign military units and personnel, whether participating in training or site visits.
4.B. Commanders will capture and report cost incurred for the additional screening and restriction activities.
4.C. This MARADMIN has been coordinated with HQMC, Health Services – Preventive Medicine, HQMC Judge Advocate Division, DC M&RA, DC I&L, DC P&R, DC I, DC CD&I, Marine Corps Installations Command, Communication Directorate and the Office of Legislative Affairs.
5. Command and Signal.
5.A. Command. This MARADMIN applies to the Total Force.
5.B. Signal. This MARADMIN is effective upon release. Ensure widest dissemination of ref (A, C and D).
6. This message is approved for release by LtGen G. W. Smith, Jr. Deputy Commandant, Plans, Policies, and Operations.//