JP 3-0, page 90

Chapter III III-38 JP 3-0 (b) The early introduction of preventive medicine personnel or units into theater helps protect US forces from diseases and injuries. It also permits a thorough assessment of the health threat to and operational requirements of the mission. Preventive medicine support includes education and training on personal hygiene and field sanitation, personal protective measures, epidemiological investigations, pest management, and inspection of water sources and supplies. For maximum effectiveness, preventive medicine needs to be provided to as many as possible within the operational area. In addition to US forces, as much as possible, include multinational forces, HN civilians, and dislocated civilians. JFCs and joint force surgeons must be aware of any legal constraints unique to the operational environment and intended recipient of services. Issues such as eligibility of beneficiaries, reimbursement for supplies used and manpower expended, and provisions of legal agreements and other laws applicable to the theater must be reviewed. (c) Medical and rehabilitative care provides essential care in the operational area and rapid evacuation to definitive care facilities without sacrificing quality of care. It encompasses care provided from the point of illness or injury through rehabilitative care. For further guidance on HSS, refer to JP 4-02, Health Service Support. For further guidance on procedures for deployment health activities, refer to DOD Instruction 6490.03, Deployment Health. (5) Host-Nation Support (HNS). HNS requires interaction with the HN government to establish procedures for requesting support and negotiating support terms. Logistic planners should analyze the capability of the HN economy to supplement the logistic support that US or multinational forces require and exercise care to limit adverse effects on the HN economy. Accordingly, early mission analysis must consider distribution requirements. This should be a collaborative analysis with all HN providers, which will support a systems analysis for designated focus areas when they are established. The assessment must include airfields, seaports, rail and road networks, particularly those in underdeveloped countries where their status is questionable. Delay in completing the assessment directly affects the flow of strategic lift assets into the region. Additional support forces may be required to build or improve the supporting infrastructure to facilitate follow- on force closure as well as the delivery of humanitarian cargo. (6) Operational Contract Support. Logistic support requirements are often met through contracts with commercial entities inside and outside the operational area. Most joint operations will require a level of contracted support, and certain contracted items or services could be essential to deploying, sustaining, and redeploying joint forces effectively. Operational contract support generally covers three types of contracts: theater support, external support, and system support. Theater support contracts are those with local vendors, and processed through in-theater Service or joint contingency contracting offices. External support contracts include the Services’ civil augmentation programs such as the Army’s Logistics Civil Augmentation Program, the Air Force Contract Augmentation Program, and the Navy’s Global Contingency Construction Contract program as well as other logistic and combat support contracts processed through authorities outside the theater. System support contracts are those awarded by program management offices that provide technical support to newly fielded systems or, in some cases, life-cycle systems support. In