Enclosure (2) to COMDTINST 6220.9A
b) Coast Guard personnel caring for ill alien migrants are at higher risk of contacting an infectious
disease and should take appropriate precautions as listed below.
3. Prevention and Control Measures. Personnel engaged in AMIO and other CG operations can protect
themselves from contracting a waterborne or foodborne illness by knowing how these diseases are
transmitted, maintaining uncontaminated food and water sources, paying meticulous attention to
personal hygiene and handling human waste in a proper manner. Additionally, Coast Guard vessels
have extensive and integrated systems which, if not compromised, will ensure safe food and water.
The following actions are part of an effective program to prevent and control waterborne and
foodborne disease:
a) Dispose of any food or water provided by alien migrants;
b) Wash hands thoroughly before eating, drinking or handling food;
c) Use disposable gloves and thoroughly wash hands with soap and clean water after any contact
with persons suspected of having waterborne or foodborne illnesses or with their belongings;
d) Always keep hands away from the face and eyes;
e) Launder clothing, disinfect surfaces (see enclousure (6)) and clean eating utensils that come in
contact with infected persons or are otherwise thought soiled with their oral or fecal secretions.
Handling of such items should be minimized and waterproof gloves should be worn. When
possible, disposable plates, drinking containers and eating utensils should be used when serving
meals to alien migrants;
f) Prepare and deliver food in accordance with basic sanitation provisions as outlined in reference
(f);
g) Secure uncontaminated potable water and maintain effective sanitation systems for human
wastes, as outlined in references (c) and (g);
h) Exclude individuals with communicable waterborne or foodborne illnesses from the preparation
and delivery of food and water;
i) Coast Guard personnel caring for ill alien migrants should avoid preparing and/or delivery of
food and/or water. These personnel should make certain they properly dispose of human waste,
observe a strict hand washing regimen and utilize disposable gloves (if available) when they
contact an ill individual; and
j) Avoid self-inoculation by not touching the face or eyes after contact with alien migrants.
4. Sources of Additional Resources. Commander, MLC(k), Commandant (CG-113), and Commandant
(CG-1121) can be contacted regarding waterborne and foodborne illness prevention and control.
F. Zoonotic and Insect and Arthropod-Related diseases.
1. Overview. A variety of zoonotic diseases may be present in animals brought on board by alien
migrants. Zoonotic diseases are diseases caused by infectious agents that can be transmitted
between animals and humans. Zoonotic diseases include rabies, hantavirus pulmonary syndrome,
and lyme disease. Additionally, alien migrants may have insect and arthropod related diseases.
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