COMDTINST M6220.9A
AMIO. The diagnosis and treatment of patients with health problems related to AMIO activities are
discussed only briefly and are generally outside the scope of this Instruction. This Instruction may
also be pertinent to other Coast Guard missions that either involve direct contact of Coast Guard
personnel with persons with communicable diseases (e.g., tuberculosis (TB), severe acute respiratory
syndrome (SARS)), or place personnel in situations with sanitation or environmental hazards.
5. BACKGROUND. Coast Guard personnel may participate in activities with public health and
communicable disease risks, and may come into direct contact with persons originating from regions
with endemic communicable diseases. In addition to communicable disease risk; inspections,
boardings and AMIO may involve environmental exposures and occupational hazards that could
place personnel at increased risk for injury or illness. Humanitarian operations may also involve
large numbers of people temporarily placed under Coast Guard control who require support for
nutrition, sanitation, health care, and berthing.
6. PROCEDURE. No paper distribution will be made of this Instruction. Official distribution will be
via the Coast Guard Directives System CD-ROM. An electronic version will be located on the
Information and Technology (CG-612) websites at http://cgweb2.comdt.uscg.mil/cgDirectives/ and
http://www.uscg.mil/ccs/cit/cim/directives/welcome.htm. Single chapters of this Instruction will also
be made available via the Commandant (CG-112) Publications and Directives website at
7. ENVIRONMENTAL ASPECT AND IMPACT CONSIDERATIONS. Environmental considerations
were examined in developing this Instruction and are incorporated herein.
8. FORMS/REPORTS. None.
PAUL J. HIGGINS /s/
Director of Health and Safety
Encl: (1) Introduction
Encl: (3) Food, Water, and Sanitation
Encl: (4) Health Issues of Alien Migrants
Encl: (6) Cleaning and Decontamination Guidance
Encl: (7) Equipment and Supply Checklists for AMIO & Prevention of Communicable Disease
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