R 041805Z NOV 14
UNCLAS
041805Z NOV 14
MARADMIN 569/14
MSGID/GENADMIN USMTF,2007/CMC WASHINGTON DC DMCS HS/F002//
SUBJ/EBOLA VIRUS DISEASE FORCE HEALTH PROTECTION//
REF/A/MSG/CMC/182017ZSEP14//
REF/B/SECDEF MEMO/29OCT14//
REF/C/DOC/SECDEF WASHINGTON DC USD (PR)/31OCT2014//
REF/D/MSG/GENADMIN AFRICOM J3/DTG 150850ZAUG14//
REF/E/DOC/MARFORAF POLICY LETTER/28AUG2014//
REF/F/DODI6200.03/PUBLIC HEALTH EMERGENCY MANAGEMENT//
REF/G/CM-0297-14/28OCT14//
REF/H/MCO/3504.2A/OPERATIONS EVENT/INCIDENT REPORT (OPREP-3) REPORTING/7AUG2013//
REF/I/MSG/CMC EVD POLICY AND GUIDANCE/DTG NARR/ REF A IS MARADMIN 465/14 ON EBOLA VIRUS DISEASE FORCE HEALTH PROTECTION. REF B IS THE SECDEF MEMO FOR ON THE 21-DAY CONTROLLED MONITORING BY THE SERVICES. REF C IS THE UPDATED OSD PRE-DEPLOYMENT, DEPLOYMENT, AND POST-DEPOLYMENT GUIDANCE. REF D IS THE INITIAL EVD GUIDANCE FROM AFRICOM. REF E IS THE MARFORAF EVD POLICY LETTER. REF G IS THE CHAIRMAN'S EVD GUIDANCE.//
POC/STRICKLAND, A.T./LTCOL/PPO/POC/TEL: 703-571-1015/EMAIL: ADAM.STRICKLAND(AT)USMC.MIL//
POC/HOLLIS, E.W./CDR/HQMC/HS/TEL:703-604-4602/EMAIL: EWELL.HOLLIS(AT)USMC.MIL//
POC/FLANAGAN, E.D./CAPT/OUSMCC/TEL: 703-614-4309/EMAIL: ERIC.FLANAGAN(AT)USMC.MIL//
GENTEXT/REMARKS/1.  THIS MARADMIN SUPERCEDES REF A AND PROVIDES ADDITIONAL SERVICE INFORMATION AND GUIDANCE ON THE RECENT OUTBREAK OF EBOLA VIRUS DISEASE (EVD) IN WEST AFRICA FOR USMC PERSONNEL DEPLOYING TO, CURRENTLY OPERATING IN, OR REDEPLOYING FROM THE EVD ZONE (LIBERIA, SIERRA LEONE, GUINEA), AND DIRECTS USMC COMMANDERS TO TAKE SPECIFIC ACTIONS AND IMPLEMENT FORCE HEALTH PROTECTION MEASURES TO MITIGATE THE EBOLA THREAT TO PERSONNEL.
A. BACKGROUND
(1) EVD IS PRIMARILY TRANSMITTED BY DIRECT CONTACT WITH THE BLOOD OR BODILY FLUIDS OF AN INFECTED PERSON OR THROUGH EXPOSURE TO OBJECTS (SUCH AS NEEDLES) THAT HAVE BEEN CONTAMINATED.  LESS COMMONLY, EVD CAN BE TRANSMITTED BY CONTACT WITH OR CONSUMING MEAT FROM INFECTED ANIMALS, PRIMARILY BATS AND PRIMATES. EVD IS NOT TRANSMITTED THROUGH THE AIR OR BY WATER.
(2) THOSE MOST AT RISK OF CONTRACTING EVD ARE PERSONNEL TREATING, OR IN CLOSE CONTACT WITH, AN INFECTED PERSON.
(3) FOLLOWING EXPOSURE, EVD SYMPTOMS USUALLY APPEAR IN 8-12 DAYS. SYMPTOMS APPEAR SUDDENLY AND MAY INCLUDE FEVER, RASH, HEADACHE, JOINT AND MUSCLE ACHES, WEAKNESS, DIARRHEA, VOMITING, STOMACH PAIN, AND LACK OF APPETITE.
2.  SITUATION.  A LIMITED NUMBER OF MARINES WILL DEPLOY, ARE DEPLOYED, OR ARE PREPARING TO REDEPLOY FROM THE EVD ZONE IN SUPPORT OF VARIOUS REQUIREMENTS, TO INCLUDE, BUT NOT LIMITED TO OPERATION UNITED ASSISTANCE. THERE IS MINIMAL RISK OF ANY OF THESE PERSONNEL CONTACTING A LOCAL NATIONAL INFECTED WITH EVD; HOWEVER, CONSERVATIVE MEASURES WILL BE TAKEN TO ENSURE THE EXTENSIVE HEALTH MONITORING OF REDEPLOYING PERSONNEL AND THE PROTECTION OF THEIR FAMILIES, AND/OR EXTENDED MARINE AND CIVILIAN COMMUNITIES. AS A RESULT OF EVD CONCERNS, THE USMC CREATED OF A SERVICE-LEVEL EBOLA OPT ON 16 OCTOBER TO IDENTIFY ANY GAPS IN CURRENT POLICIES AND DEVELOP RISK MITIGATION POLICIES AND GUDIANCE. PER UPDATED SECDEF GUIDANCE ON 28 OCT, ALL MILITARY PERSONNEL WILL COMPLETE A 21 DAY CONTROLLED MONITORING PERIOD UPON REDEPLOYMENT FROM EVD ZONE.
3.  ACTIONS
A.  ALL MARINES PREPARING FOR DEPLOYMENT TO WEST AFRICA (EVD ZONE AND ADJACENT COUNTRIES) ARE DIRECTED TO REVIEW THE EVD EDUCATION AND TRAINING MATERIAL LOCATED AT WWW.MARINES.MIL/EBOLA.
B.  ALL MARINE CORPS COMMANDS WILL IDENTIFY DEPLOYING OR REDEPLOYING PERSONNEL, AND ENSURE THAT THEY ARE EDUCATED ON PROCEDURES TO MITIGATE THE RISKS OF EVD.
C.  ANY MARINE WHO BELIEVES THAT HE/SHE HAS BEEN EXPOSED TO EVD OR BELIEVES HE/SHE IS SYMPTOMATIC OF EVD WILL SEEK IMMEDIATE MEDICAL ATTENTION, AND REPORT THE MATTER TO THEIR APPROPRIATE CHAIN OF COMMAND.
D. UNIT COMMANDERS WILL INFORM THEIR PERSONNEL OF THE EFFORTS THE DOD AND THE SERVICE HAS TAKEN TO DATE WITH REGARDS TO THE RISKS AND EFFECTS OF EVD EXPOSURE.
E. PER REF B, THE SECDEF HAS DIRECTED ALL MILITARY PERSONNEL REDEPLOYING FROM THE EVD ZONE WITH NO KNOWN EXPOSURE TO COMPLETE A 21 DAY CONTROLLED MONITORING PERIOD IN CONUS OR OCONUS PRIOR TO RETURNING TO THEIR PARENT COMMAND AND/OR HOME STATION.
F. IN REF C, OSD PROVIDES IMPLEMENTATION GUIDANCE FOR ALL DOD CIVILIANS.
G. COMMANDS RECOVERING EQUIPMENT FROM EVD ZONE WILL ENSURE PROPER WASH-DOWN AND/OR DECONTAMINATION PROCEDURES ARE STRICTLY ENFORCED; AS IDENTIFIED IN CURRENT ESTABLISHED DOCTRINE UNTIL EVD SPECIFIC GUIDANCE IS PROVIDED IN THE FUTURE.
H. IAW REF F, PUBLIC HEALTH EMERGENCY OFFICERS (PHEO) WILL BE DESIGNATED AT EACH USMC INSTALLATION.
I. ALL INSTALLATION COMMANDS WILL REVIEW CONTINUITY OF OPERATIONS PLANS AND ARE ENCOURAGED TO CONDUCT COOP EXERCISES.
J. UNTIL DIRECTED OTHERWISE, DC, PPO WILL MAINTAIN A STANDING EVD OPT.
I. COORDINATING INSTRUCTIONS
(1) EVD ZONE IS CURRENTLY DEFINED AS LIBERIA, GUINEA, AND SIERRA LEONE BY THE WORLD HEALTH ORGANIZATION (WHO), THESE MAY CHANGE BASED ON NEW OUTBREAKS OR REDUCTION OF IDENTIFIED INFECTIONS.
(2) ALL MARINE CORPS COMMANDS WILL IMMEDIATELY REPORT ALL EVD RELATED CASES OR INCIDENTS TO THE MARINE CORPS OPERATIONS CENTER PER REF H, ENSURE MARFORCOM IS NOTIFIED AS WELL.
(A) REPORT CONFIRMED EVD CASES OF MARINES, SAILORS, CIVILIANS, OR DEPENDENTS AS A SERIOUS INCIDENT REPORT (SIR).
(3) CONTROLLED MONITORING IS DEFINED BY THE PRESENCE OF FOUR VARIABLES: CONTROLLED MOVEMENT, CONTROLLED ACCESS, TWICE DAILY TEMPERATURE CHECKS, AND MEDICAL SCREENING.
(4) ROUTINE LEAVE TO THE EVD ZONE IS NOT AUTHORIZED FOR UNIFORMED PERSONNEL PER DOS TRAVEL RESTRICTIONS.
(5) MARINES WILL UTILIZE THEIR CHAIN OF COMMAND TO ROUTE ALL EMERGENCY LEAVE REQUESTS FROM THE EVD ZONE OR FROM THE 21 DAY CONTROLLED MONITORING SITE.
(6) SERVICE MEMBERS ARE REQUIRED TO REPORT DEPENDENTS AND VISITING FAMILY MEMBERS WHO ARE PLANNING TO TRAVEL EITHER TO OR FROM IDENTIFIED EVD ZONE VIA THEIR CHAIN OF COMMAND.
 (7) ALL MARINES AND SAILORS LIVING IN OFF-BASE QUARTERS WILL REPORT TO LOCAL PUBLIC OFFICIALS ANY EVD-LIKE SYMPTOMS, FOLLOWING CONTACT WITH AN INFECTED PERSON, FOLLOWING TRAVEL TO A IDENTIFIED EVD ZONE, OR FOLLOWING CONTACT WITH A PERSON WHO HAS VISITED A IDENTIFIED EVD ZONE; IN ADDITION TO THEIR CHAIN OF COMMAND.
(8) DETAILED IMPLEMENTATION GUIDANCE CAN BE FOUND IN REF I.
(9) ADDITIONAL REAL-TIME INFORMATION IS LOCATED AT: HTTP://WWW.CDC.GOV/ OR HTTP://WWW.WHO.INT.
4.  ADMIN.
A. THIS MARADMIN IS APPLICABLE TO ALL MEMBERS OF THE USMC ACTIVE AND RESERVE COMPONENTS.
B.  THE INFORMATION AND GUIDANCE IN THIS MARADMIN WILL APPLY IN THE EVENT ADDITIONAL COUNTRIES ARE INCLUDED INTO THE DESIGNATED EVD ZONE AT A LATER DATE.
5. COMMAND
A. THE ESTABLISHED CHAIN OF COMMAND RETAINS RESPONSIBILITY FOR THE INITIAL RESPONSE AND REPORTING OF INDIVIDUAL EVD CASES UNTIL SUCH TIME AS A PANDEMIC OR PUBLIC HEALTH EMERGENCY HAS BEEN DECLARED.
B. COMMARFORCOM IS DESIGNATED AS THE SUPPORTED USMC COMMANDER FOR MAINTAINING VISIBILITY AND REPORTING ON ALL MARINES IN AND RETURNING FROM THE DESIGNATED EVD ZONE.
C. COMMARFORCOM WILL RETAIN OVERSIGHT AND REPORTING RESPONSIBILITY FOR ALL MARINES COMPLETING THEIR 21 DAY CONTROLLED MONITORING PERIOD IN CONUS.
D.  COMMARFORCOM TO COORDINATE WITH THE PARENT COMMANDS OF ALL REDEPLOYING MARINES TO ENSURE VISIBILITY ON HEALTH, WELFARE, SAFETY AND EVENTUAL RETURN TO HOME STATION.
E.  PARENT COMMANDS OF ALL REDEPLOYING MARINES TO KEEP IMMEDIATE FAMILIES OR NOK ADVISED OF MARINE STATUS AND SCHEDULED RETURN.
6.  RELEASE AUTHORIZED BY LIEUTENTANT GENERAL RONALD L. BAILEY, DEPUTY COMMANDANT, PLANS, POLICIES, AND OPERATIONS, HEADQUARTERS MARINE CORPS.//