R 051110Z NOV 10
UNCLASSIFIED//
MARADMIN 631/10
MSGID/GENADMIN/ CMC WASHINGTON DC PPO//
SUBJ/REQR TO TRACK AND IMPROVE INDIV MED READINESS FOR AC AND RC//
REF/A/MSGID:DODINST 6025.19/-/YMD:20060103//
REF/B/MSGID:SECNAVINST 6120.3/WITH CHANGE 1/YMD:20091201//
REF/C/MSGID:MCO 1771.1B/-/YMD:20080919//
REF/D/MSGID:INST/BUMEDINST 6230.15A/YMD:20060926//
REF/E/MSGID:MARADMIN 346/06/YMD:20060726//
NARR/REF (A) IS DOD INSTRUCTION FOR INDIVIDUAL MEDICAL READINESS (IMR). REF (B) IS PERIODIC HEALTH ASSESSMENT (PHA) FOR INDIVIDUAL MEDICAL READINESS. REF (C) IS COLLECTION OF DEOXYRIBONUCLEIC ACID
(DNA) REFERENCE SPECIMENS TO AID IN REMAINS IDENTIFICATION. REF (D) IS NAVY MEDICINE GUIDANCE FOR IMMUNIZATIONS AND CHEMOPROPHYLAXIS. REF (E) IS UPDATE TO MEDICAL READINESS REPORTING SYSTEM (MRRS) MARINE CORPS IMPLEMENTATION PLAN.//
POC/SAUCEDA/HM1/UNIT:HQMC PPO POR/-/EMAIL:LEE.SAUCEDA@USMC.MIL/TEL: 671-1048//
GENTEXT/REMARKS/1.  PURPOSE.  PROVIDE OVERVIEW OF CURRENT IMR REQUIREMENTS FOR ACTIVE AND RESERVE COMPONENT (ACRC) MARINE CORPS PERSONNEL AND CAPABILITY AVAILABLE TO COMMANDERS TO MONITOR COMPLIANCE.
2.  BACKGROUND.  IMR IS AN INTEGRAL COMPONENT OF FORCE HEALTH PROTECTION AND A PRIME INDICATOR OF A MARINES OR SAILORS FITNESS TO DEPLOY.  MEDICAL READINESS CLASSIFICATION OF THE FORCE IS REPORTED AS PERCENTAGES OF THE FOLLOWING IMR CATEGORIES PER REFS (A) AND (B):
    A.  FULLY MEDICALLY READY (FMR):  CURRENT IN ALL CATEGORIES, TO INCLUDE DENTAL CLASS 1 OR 2.  TO ENSURE A HIGH LEVEL OF MEDICAL READINESS, MARINE CORP UNITS (ACRC) WILL ACHIEVE AND MAINTAIN 75 PERCENT OR BETTER FMR STATUS PER REF A.
    B.  PARTIALLY MEDICALLY READY:  LACKING ONE OR MORE IMMUNIZATIONS, READINESS LABORATORY STUDIES, OR MEDICAL EQUIPMENT (SUCH AS GLASSES, GAS MASK INSERTS, OR MEDICAL WARNING TAGS).
    C.  NOT MEDICALLY READY:  EXISTENCE OF A CHRONIC OR PROLONGED DEPLOYMENT-LIMITING CONDITION PER REF (E).  THIS INCLUDES MEMBERS WHO ARE HOSPITALIZED, CONVALESCING FROM SERIOUS ILLNESS OR INJURY, PREGNANT, OR IN A DENTAL CLASS 3 STATUS.
    D.  MEDICAL READINESS INDETERMINATE:  INABILITY TO DETERMINE SERVICE MEMBERS CURRENT HEALTH STATUS BECAUSE OF MISSING INFORMATION SUCH AS A LOST MEDICAL HEALTH RECORD, AN OVERDUE PHA, OR BEING IN DENTAL CLASS 4.  MARINE CORPS UNITS (ACRC) WILL ACHIEVE AND MAINTAIN 10 PERCENT OR LESS MEDICAL READINESS INDETERMINATE STATUS.
3.  EXECUTION.  ALL AC AND RC COMMANDERS WILL ENSURE PERSONNEL ARE IN COMPLIANCE WITH IMR REQUIREMENTS PER REFS (A) THROUGH (E).  THE BELOW IMR ELEMENTS ARE BASELINE REQUIREMENTS FOR ALL PERSONNEL TO MEET DEPARTMENT OF DEFENSE AND MARINE CORPS IMR OBJECTIVES:   
    A.  DENTAL READINESS.  DENTAL READINESS REQUIRES AN ANNUAL EXAM FROM WHICH DENTAL CLASSIFICATION IS DERIVED PER REFS (A) THROUGH (E).  A SERVICE MEMBER WHO IS DENTAL CLASS 1 OR 2 IS WORLDWIDE DEPLOYABLE.  DENTAL CLASS 3 IS A DEPLOYMENT-LIMITING CONDITION, WHERE THE SERVICE MEMBER IS CONSIDERED AT INCREASED RISK TO EXPERIENCE A DENTAL EMERGENCY WHILE DEPLOYED THAT MAY COMPROMISE UNIT COMBAT EFFECTIVENESS.  DENTAL CLASS 4 IS AN INDETERMINATE DENTAL STATUS STEMMING FROM AN OVERDUE DENTAL EXAM.  FOR AN INDIVIDUAL TO BE FULLY MEDICALLY READY, ALL DENTAL EXAMINATIONS MUST BE DOCUMENTED IN MRRS AND THE MEMBERS HEALTH RECORD, AND BE CLASSIFIED AS DENTAL CLASS 1 OR 2.
    B.  IMMUNIZATION STATUS.
        (1)  IMMUNIZATIONS EFFECTIVELY PREVENT CERTAIN INFECTIOUS DISEASES IN BOTH DEPLOYED AND NON-DEPLOYED ENVIRONMENTS. IMMUNIZATIONS SHALL BE MONITORED AND KEPT CURRENT.  REQUIRED VACCINES FOR TOTAL FORCE COMPLIANCE INCLUDE:  HEPATITIS A, TETANUS-DIPHTHERIA, MEASLES-MUMPS-RUBELLA (MMR), INACTIVATED POLIO VACCINE (IPV), HEPATITIS B (IF SERIES BEGAN), AND INFLUENZA (ONCE PER SEASON).  NONCOMPLIANCE IS DEFINED AS OVERDUE FOR ONE OR MORE VACCINES.  VACCINATIONS ARE OVERDUE 30 DAYS AFTER THEIR SCHEDULED DUE DATE.  THERE IS A SPECIAL RULE FOR INFLUENZA, WHICH USUALLY BECOMES AVAILABLE IN OCTOBER OF EACH CALENDAR YEAR.  AN INFLUENZA VACCINATION IS OVERDUE IF NOT ADMINISTERED BY JANUARY 1 OF THE CURRENT FLU SEASON.  THERE ARE EXCEPTIONS TO VACCINATION REQUIREMENTS PER REF (D).
        (2) SPECIAL IMMUNIZATIONS, SOMETIMES REFERRED TO AS FLAGGED VACCINES, ARE THOSE IMMUNIZATIONS REQUIRED FOR A MEMBERS SPECIFIC MILITARY OCCUPATION (E.G., RABIES, TYPHOID, ETC.) OR ARE SPECIFIC FOR A PLANNED OPERATION DUE TO LOCATION OR THREAT (E.G., ANTHRAX, SMALLPOX, ETC.).
        (3) FMR REQUIRES ALL IMMUNIZATIONS TO BE DOCUMENTED IN MRRS AND THE MEMBERS HEALTH RECORD.
    C.  INDIVIDUAL MEDICAL EQUIPMENT.  PERSONNEL NEEDING VISUAL CORRECTION MUST POSSESS TWO PAIRS OF GLASSES AND ONE SET OF GAS MASK INSERTS FOR THE MODEL OF GAS MASK AND BALLISTIC EYEWEAR ISSUED PER REFS (A) AND (B).  PERSONNEL WITH RECOGNIZED SPECIAL HEALTH PROBLEMS MUST HAVE MEDICAL WARNING TAGS ISSUED PER REF (D).  FMR REQUIRES INDIVIDUAL MEDICAL EQUIPMENT TO BE DOCUMENTED IN MRRS.
    D.  MEDICAL READINESS LABORATORY STUDIES.  BASIC LAB STUDIES REQUIRED FOR DEPLOYABLE PERSONNEL ARE:  BLOOD TYPE AND RH FACTOR, G6PD STATUS, SICKLE CELL STATUS, AND A DNA SPECIMEN WITH RECEIPT VERIFIED AT THE ARMED FORCES REPOSITORY OF SPECIMEN SAMPLES FOR THE IDENTIFICATION OF REMAINS (AFRSSIR).  LAB STUDIES SHALL BE DOCUMENTED IN MRRS AND THE MEMBERS HEALTH RECORD.  ADDITIONALLY, FMR STATUS REQUIRES HIV ANTIBODY TESTING A MINIMUM OF EVERY 24 MONTHS WITH RESULTS DOCUMENTED IN THE MEMBERS HEALTH RECORD AND MRRS PER REFS (A), (B), AND (E).
    E.  DEPLOYMENT LIMITING CONDITIONS.  TO BE CONSIDERED DEPLOYMENT READY, PERSONNEL SHOULD NOT BE:  ON LIMITED DUTY; UNDERGOING A PHYSICAL EVALUATION BOARD; PREGNANT; OR IN THE POSTPARTUM PERIOD PER REFS (A) AND (B).  SEE REF (B) FOR ADDITIONAL DEPLOYMENT LIMITING CONDITIONS APPLICABLE SPECIFICALLY TO THE RC.  FMR REQUIRES PERSONNEL TO HAVE NO DEPLOYMENT LIMITING CONDITIONS.  ANY SUCH CONDITIONS MUST BE DOCUMENTED IN MRRS.
    F.  PERIODIC HEALTH ASSESSMENT (PHA).  THE PHA IS AN ANNUAL ASSESSMENT FOR CHANGES IN HEALTH STATUS, ESPECIALLY CHANGES THAT COULD IMPACT A MEMBERS ABILITY TO PERFORM MILITARY DUTIES.  IT CONTAINS AN ASSESSMENT OF MEDICAL READINESS WHICH PROVIDES ANNUAL REVIEW, VERIFICATION, AND CORRECTION OF DEFICIENCIES IN IMR DATA. FMR STATUS REQUIRES A PHA COMPLETED WITHIN THE LAST 12 MONTHS AND DOCUMENTED IN MRRS.  NEWLY ACCESSIONED SERVICE MEMBERS WHO HAVE YET TO COMPLETE INITIAL ACTIVE DUTY TRAINING AND FOLLOW-ON TECHNICAL SKILLS TRAINING WILL NOT REQUIRE A PHA.  HOWEVER, IMR REQUIREMENTS FOR NEWLY ACCESSIONED MEMBERS WILL REMAIN UNCHANGED AND SHALL BE ASSESSED, REVIEWED, AND COMPLETED PER REF (B). 
    G.  WHEN MARINES AND SAILORS ARE IDENTIFIED FOR SPECIFIC MISSIONS OR DEPLOYMENTS, THEY MUST COMPLY WITH FORCE HEALTH PROTECTION, COMBATANT COMMAND, AND THEATER-SPECIFIC IMR REQUIREMENTS.
4.  ACTION.
    A.  COMMANDERS WILL ENSURE WIDEST DISSEMINATION OF THIS MESSAGE AND COMPLIANCE WITH IMR POLICY.  COMMANDERS WILL UTILIZE ALL AVAILABLE RESOURCES TO IMPROVE AND STRENGTHEN THEIR MEDICAL AND DENTAL READINESS DIRECTED BY THIS MARADMIN.
    B.  MRRS PROVIDES DRILL DOWN CAPABILITY TO TRACK COMPLIANCE TO THE INDIVIDUAL LEVEL.  IF A COMMAND DOES NOT HAVE ACCESS TO MRRS, CONTACT THE LOCAL MRRS MAINTENANCE OFFICER OR THE HQMC PPO POC LISTED IN THIS MESSAGE FOR FURTHER ASSISTANCE.
5.  RELEASE AUTHORIZED BY LTGEN R. T. TRYON, DEPUTY COMMANDANT FOR PLANS, POLICIES AND OPERATIONS.//