REVIEW Flashcards
1
Q
what does the water sanitation bill cover?
A
anything to do with potable water, ANYTHING.
2
Q
what is distilation?
A
total process the distilling plant forms, including evaporation and condensation
3
Q
what is Free available chlorine?
A
chlorine available (after the demand is met)
4
Q
what is water that is suitable for human consumption?
A
Potable water
5
Q
what is total coliforms?
A
Mostly harmless bacteria found mostly in animal and human guts.
- good indicator of the overall quality of the water
6
Q
E. Coli is?
A
a type of fecal coliform commonly found in intestines.
- presence is a strong indicator that the water has recently been contaminated with sewage
7
Q
what is NAVSEA responsible for when it comes to potable water?
A
- design
- construction
- Maintenance
8
Q
what is NAVFAC responsible for with potable water?
A
Promulgating instructions for ship-to-shore connections
9
Q
who is responsible for promulgating the ships water sanitation bill?
A
Commanding Officer
10
Q
for potable water what is the engineering department responsible for?
A
- supply and treatment of potable water
- ensure all ship to shore connections are made by trained personnel
- halogen and PH testing
11
Q
for potable water what is the MDRs responsibility?
A
- BACTI testing
- daily halogen residuals
- notifying the CO of any discrepancies observed
12
Q
per NAVSEA what is the daily water use per person?
A
50 gallons per day
13
Q
under water restriction how much water does each person rate?
A
no less than 2 gallons per day
14
Q
what method does the ship use to make their own water?
A
Distillation, Reverse osmosis
15
Q
when receiving water from an unapproved source what is the minimum FAC/TBR?
A
2.0 ppm
16
Q
what are the types of distillation plants?
A
- Steam distilling
- waste heat distilling
- vapor compression
17
Q
what are the two types of reverse osmosis?
A
- single pass
- triple pass
18
Q
what type of reverse osmosis requires additional disinfection?
A
Single pass
19
Q
what certification must the interior lining of a potable water tank have?
A
NSF/ANSI Standard
20
Q
what is the purpose of overflow lines?
What specifics are they constructed under?
A
- to prevent accidental contamination
- screened with 18 gauge mesh or finer and be noncorrosive
21
Q
what must sounding tubes be labeled as?
A
“POTABLE WATER ONLY”
22
Q
how are sounding tubes disinfected?
A
100 ppm for 2 minutes
23
Q
how high must filling connections be off the deck?
A
18 inches
24
Q
what color are potable water filling connections?
A
Dark blue
25
what requirements must potable water hose lockers meet?
- rodent proof
- 18 inches off floor
- instructions for sanitizing lines inside
- locked
26
when do potable water lines need to be removed from use?
when they develop leaks or cracks
27
how must potable water hoses be labeled?
"POTABLE WATER ONLY"
| in 1 inch lettering every 10 feet
28
how should potable water valves be labeled?
"POTABLE WATER ONLY"
in 1/4 inch lettering
- be dark blue in color
29
who is allowed to make ship-to-shore connections?
supervised by authorized shore station personnel or properly trained ship personnel
30
what is the minimum halogen residual when receiving water of a doubtful quality?
2.0 ppm
31
what is the purpose of halogen residual testing?
- quick indication of water that may have been improperly handled or treated
- absence of a halogen residual may indicate contamination
32
what is the purpose of BACTI Testing?
- Ensures fitness for human consumption
| - assesses adequacy of disinfection process
33
who performs temp and PH testing?
Engineering Dept
34
what temperature water is halogen more effective in?
Warm water
35
how often must halogen residuals be conducted?
Daily
36
how many weekly BACTI tests do you pull for a crew of 400 or less?
4
37
how many weekly BACTI tests do you pull for a crew of 400-800?
8
38
how many weekly BACTI tests do you pull for a crew of more than 800?
12
39
what percent of the ships ice machines and potable water tanks will be conducted weekly?
25%
40
what DPD do you use for testing FAC andTBR?
DPD 1
41
what DPD do you use when testing for total chloramines?
DPD4
42
how accurate is the color compariater?
+/- 10%
43
how accurate is the portable spectrophotometer?
+/- 2%
44
what is added to water samples when doing bacteriological testing?
- Colilert
| - Colisure
45
when reading a water sample with Colilert what is positive?
yellow in color
46
when reading a water sample with Colilert what is positive for E. Coli?
Fluorescent yellow under UV light
47
when reading a water sample with Colisure what is positive
Magenta
48
when reading a water sample with Colisure what is positive for E. Coli
Fluorescent light blue
49
what are the chemicals approved for water disinfection aboard ships?
- Chlorine (in port)
| - Bromine (at Sea)
50
what injects hypochlorite into the system in proportion to flow?
In-line chlorinator
51
what is used by dispensing the chemical into the water via an impregnated resign cartrage?
Brominator
52
what water disinfection method is used when usual systems are not working properly?
Batch method
53
what is the least desirable method of water disinfection?
Batch method
54
what chemical is used in the Batch method?
Calcium Hypochlorite (HTH)
55
when using HTH what is the rule of thumb when measuring?
one ounce of HTH per 5,000 gallons of water will get you 1.0 ppm FAC
56
what is the minimum PPM for water received from an approved source?
.2 ppm after 30 minute contact time
57
what is the minimum PPM for water received from an unapproved source?
2.0 ppm after 30 minute contact time
58
when disinfecting the potable water system what are the main steps for method 1
- Fill tank to flow level
- add chlorine to 10ppm (hold for 24 hours)
- Perform BACTI testing
59
when disinfecting the potable water system what are the main steps for method 2
- Spray 200ppm solution all through tank surfaces
- flush pipes wit h10 ppm
- 30 minute contact time
- perform BACTI testing
60
when disinfecting the potable water system what are the main steps for method 3
- fill tank 5% full with 50ppm
- hold 6 hours
- fill remaining with potable water (hold 24 hours)
- BACTI testing
61
what steps do all three potable system disinfection methods have in common?
BACTI testing a the end
62
when you have a foul odor with an unidentified source what must you do?
- Super chlorinate to 5.0 ppm
| - distribute the water at 2.0 ppm
63
what taste and odor control method needs NAVSEA approval?
Steam method
64
for smell and odor control of water who would you call for outside assistance?
NEPMU via TYCOM medical officer
65
what strength of Calcium Hypochlorite (HTH) do we use?
65%-70%
66
what size bottle of HTH do we use?
6oz
67
how must HTH be stored?
in a locked box with three 1/4 inch holes drilled in it for venting chlorine gas
68
what warning must be on a HTH locker?
"Hazardous material, Calcium Hypochlorite" in red letters on a white background
69
what department typically has the HTH locker?
Engineering
70
who keeps records of potable water surveillance and for how long?
MDR for 2 years
71
when must CHT workers be trained on health hazards and personal hygiene?
- indoc
| - periodically
72
who has to supervise CHT cleanup?
Medical
73
what modes can the CHT system operate in?
- Restricted waters
- At sea
- in port
74
what is another name for the CHT system?
Marine Sanitation Device
75
what is the most common CHT system?
Type II - B
76
what does the Collection element do for the CHT system?
soil drains or sewage
| divers over the side of the ship or into holding tanks
77
what does the holding element of the CHT system do?
Retains sewage
78
How much sewage can tanks hold?
12 hours worth
79
what does the transfer element in the CHT system do?
sewage pumps to remove waste off ship.
80
in the CHT system what poses the greatest risk to workers?
Hydrogen sulfide gas
81
what must all CHT pump rooms have?
- 2 EEBD
| - proper warning plates outside pump rooms and near tank access
82
how long are EEBDs usually good for?
10 minutes
83
what toxic or explosive gasses are associated with CHT?
- hydrogen sulfide
- Methane
- Ammonia
- Carbon Dioxide
84
what CHT gas is associated with a rotten egg smell?
Hydrogen sulfide
85
what is extremely important for CHT workers to do?
Adhere to strict proper personal hygiene
86
when cleaning up sewage spills, chemicals must be____ approved
EPA
87
what are the two types of germicide used for sewage spills?
- Phenolic
| - Iodine
88
what color are internal CHT valves painted?
Gold
89
what publication is used for disposing of shipboard waste?
NAVFAC Pub MO-340
90
how far from shore must a ship be to dump sewage?
3 nautical miles
91
for ground force waters who advised the CO on water quality issues?
MDR
92
for ground force waters who provides sufficient water for the population?
Engineering Officer
93
for ground force waters who ensures there's sufficient water for the forces?
unit commander
94
for ground forces water what are sources?
- public supply
- ground water
- surface water
95
what is the most common method of treating water for ground forces?
Military ROWPU
96
what kind of water can the ROWPU use?
- fresh
- sea
- brackish
97
Light Weight water purifier (LWP)
- 125 gallons per hour
98
Tactical water purification system
1500 gallons per hour
99
ground water ppm requirement?
2ppm FAC after 30 minute contact time
100
surface water ppm requirement?
5ppm FAC after 30 minute contact time
101
when is ground water allowed to be used for drinking?
in emergencies only
102
what is an easily mobile large fabric water tank?
3,000 gallon onion tank
103
how much water can the Load handling system store?
(HIPPO)
| 2,000 gallons
104
how much water can the semitrailer- mounted fabric tank hold?
3,000 or 5,000 gallons
105
Ground force water storage disinfection method 1 procedures:
- chlorinate water to 100 ppm
- run water through all valves and spigots
- keep for 60 minutes
- drain and rinse twice
106
Ground force water storage disinfection method 2 procedures:
- prepare 5 gallon bucket of 100ppm
- use a PFC to wipe down the inside with a stick and solution
- keep walls wet for 1 hour
- drain and rinse twice
107
Ground force water storage disinfection alternate procedures:
- chlorinate water to 10 ppm. hold for 24 hours
| - drain and rinse twice
108
Accommodations:
Number of personnel to be permanently supported in the ship by way of habitability spaces, systems, fixtures
109
Surge:
Personnel embarked on ship for a short period of time/ special operations or exercises
110
Transients:
personnel embarked on the ship who do not contribute to the capability
111
what are the habitability factors?
- floor space
- ventilation
- heating
- sanitary fixtures
- water supply
- lighting
- color
112
what is designed to minimize humidity and odor?
Ventilation
113
what type of pillow is prohibited from ships?
Polyurethane
114
what can make routine walk through inspections of toilets, lavatories and berthing spaces?
- XO
- MDR
- OOD
- JOOD
- Chief Master-at-arms
- Div O
- Division CPO
115
how often must all toilet and shower areas be cleaned?
Daily
116
how often must all habitability inspections be conducted?
Quarterly
117
who are habitability inspections routed to?
Co via COC
118
who must approve of disinfectants used?
EPA
| FDA
119
what must all barbers get from medical?
Medical clearance that they are free from communicable disease
120
what must all barbers wear?
Clean smock or outer garment
121
if a barber shop is in a BEQ, BOQ, Enlisted/officer Club what must it be?
located in its own room away from living spaces
122
what pressure must compressed air used in barbershops not exceed?
15 PSI
123
how often must barbers wash their hands and disinfect their tools?
after each patron
124
when must disinfection solution be changed in a barber shop?
weekly or when visibly soiled
125
how often are barber shops inspected?
quarterly
126
how do you clean the floor of a laundry facility?
Daily using he dustless method
127
lint must be removed from:
- Bulkhead
- overhead
- structural supports
128
ear pro must be worn when?
in spaces over 84m db
129
First aid kits are required by who?
OSHA
130
how do you wash cloths to make them Hygienically safe?
- 120-140 F water
| - must be heat dried
131
what laundry are you allowed to sort?
Soiled linen
132
what type of laundry must be in a double sealed bag marked biohazard
Contaminated
133
what is the purpose of the navy's quarantine regulations?
to prevent disease from entering or exiting US or foreign ports
134
what are quarantinable diseases?
- Cholera
- Plague
- yellow fever
- Diphtheria
- Smallpox
- viral Hemorrhagic fevers
- TB
- SARS
135
what is the infectious agent of cholera?
Vibrio Cholerae
136
where is Vibrio Cholerae found?
- brackish rivers
| - coastal waters
137
what are the methods of control for cholera?
- Enteric precautions
- active immz
- concurrent disinfection
138
what is the infective agent of the plague?
Yersinia Pestis
139
what are the types of plague?
- Bubonic
| - Pneumonic
140
what are the methods of control for plague?
- rat-proofing
- storage and disposal of waste
- patient isolation and concurrent disinfection
- clothing repellant
141
what disease is very rare among travelers?
Yellow fever
142
what is the main vector for yellow fever?
Ades Agepti mosquito
143
what is the infectious agent for small pox?
Variola Virus
144
what year was smallpox eradicated?
1979 declared by the WHO
145
what is the instruction for the shipboard sanitation program?
BUMEDINST 6210.4
146
how far ahead of pulling into port does a CO have to report quarantine status?
12-72 hours
147
what is the instruction for the TB surveillance and control program?
BUMEDINST 6224.8
148
what are the elements of the TB control program?
- screening
- prev therapy
- PT identification
- PT management
- contact investigation
149
what two brands are used for the PPD?
- Tubersol (preferred)
| - Aplisol
150
what are the methods used to test for TB?
- TST
| - QuantiFERON gold
151
what is the infectious agent for TB?
Mycobacterium TB
152
what is the treatment for LTBI?
INH weekly for 3 months
| - 15Mg per KG (max 900Mg)
153
what is the alternate treatment for LTBI
Rifampin daily at 10mg/kg (600mg max) for 4 months
154
who gets the TST?
anyone entering service or civ for MSC
155
what is the TB screening form?
NAVMED 6224/8
156
when do you perform a CXR for TB?
- when clinically indicated
| - R/O Active TB
157
what does BCG stand for?
Bacilluis Calmette Guerin
158
how big must the wheal be when performing a TST?
6mm in diameter
159
when do you read a TST?
48-72 hours later
160
what do you document a TST on?
- DD 2766
| - NAVMED 6230/4
161
how often must medical see someone whos on INH?
monthly
162
what must be discussed at the monthly INH visit?
- physical assessment for active TB
- Counseling for drug reactions
- when to DC meds
- when to report for prompt medical attention
163
what do you document the monthly INH visit on?
NAVMED 6224/9
164
what would cause you to withhold INH?
LFTs 3 times higher than normal with symptoms
| 5 times normal without symptoms
165
who is responsible for the continuation of contact tracing of TB?
CO or OIC
166
treatment of active TB?
Chemotherapy is very effective
167
what two types of meds do you give for active TB?
- Bactericidal
| - bacteriostatic
168
to prevent from resistance how many meds do you give for active TB?
2 through different mechanisms
169
what is the publication for medical event reporting?
NMCPHC-TM 6220.12
170
when internet is unavailable how do you make routine medical reports?
US postal service
171
how may urgent reports be made?
- phone
- priority naval message
- Encrypted email
172
what time frame must urgent reports be made in?
24 hours
173
what are diseases that require urgent reporting?
- anthrax
- botulism
- diphtheria
- hemorrhagic fever
- Flu, novel
- Malaria
- Measles
- Meningococcal
- outbreak
- plague
- polio
- rabies
- SARS
- smallpox
- TB
- Tularemia
174
what security clearance do MERs usually have?
unclassified
175
who is responsible for sending the MER?
the physician who identified the disease
176
a disease is considered reportable when:
- suspected
- possible
- confirmed
177
how many shots is the anthrax vaccine and at what interval?
5 shot series
| 0, 1month, 6months, 12months, 18 months
178
what route is anthrax given?
IM
179
how often is the anthrax booster required?
annually
180
how many doses is the HEP A vaccine and at what interval?
2 doses
| 0, 6month
181
HEP B Dosage and interval
3 doses
| 0, 4 weeks, 5months
182
JEV doses and interval
2 doses
| 0, 7-28 days
183
women receiving what vaccine are advised to not get pregnant for how many days?
MMR, 28 days
184
MMR doses and intervals
2 doses
0, 4 weeks
Sub Q
185
when would you give the typhoid vaccine?
Over seas deployment where typhoid is endemic
| - when exposed to foodborne salmonella typhi
186
Yellow fever storage procedure
36-46F (2-8C)
187
MMR Storage procedures
-58 to 5F (-50 to-15C)
keep dark
discard after 8 hours of reconstitution
188
for short order deployment who makes arrangements for SM to finish shot regiments?
SMs medical
189
who prepares the VIS?
US dept of health and human services, CDC
190
what medical supplies must be available at shot locations?
- oxygen
- airways
- IV fluid
- ALS meds (EPI)
- Dfib
191
who does all the research and advises the CDC on vaccine dosage and intervals?
Advisory Committee on Immunization Practices (ACIP)
192
what immunization must NOT be given while under way?
yellow fever
193
what instruction states yellow fever cant be given underway?
COMNAVSURFORINST 6000.1
194
types of vaccine exemptions?
- medical
| - admin
195
two types of medical exemptions from vaccination:
- temp
| - permeant
196
what do you document imms on?
- NAVMED 6230/4
- CDC 731
- DD 2766
