UNCLASSIFIED// ROUTINE R 112054Z FEB 20 MID510000924695U FM CNO WASHINGTON DC TO NAVADMIN INFO NORAD AND USNORTHCOM COMMAND CENTER PETERSON AFB CO JOINT STAFF J3 JOINT OPS DIV WASHINGTON DC CJCS NMCC WASHINGTON DC JOINT STAFF J3 NMCC OPS WASHINGTON DC JOINT STAFF J35 JFC WASHINGTON DC SECNAV WASHINGTON DC COMMARFORNORTH HQ USPACOM CDR USEUCOM VAIHINGEN GE DIRECT HQ USEUCOM CDR USAFRICOM JOC OPS STUTTGART GE CDR USAFRICOM STUTTGART GE CDR USTRANSCOM DDOC SCOTT AFB IL CDR USTRANSCOM TCJ3 SCOTT AFB IL CDR USPACOM HONOLULU HI CDR USCENTCOM CJOC-J MACDILL AFB FL CDR USCENTCOM MACDILL AFB FL HQ USCENTCOM MACDILL AFB FL CDR USSOUTHCOM MIAMI FL HQ USSOUTHCOM MIAMI FL CDR SOCOM MACDILL AFB FL HQ USSOCOM CMD CTR MACDILL AFB FL JBAB WASHINGTON DC ARNGRC WATCH ARLINGTON VA FEMA HQ WASHINGTON DC DEPT OF HHS WASHINGTON DC CNO WASHINGTON DC BT UNCLAS NAVADMIN 039/20 MSGID/NAVADMIN/CNO WASHINGTON DC/CNO/FEB// SUBJ/UPDATED DOD GUIDANCE FOR MONITORING PERSONNEL RETURNING FROM CHINA DURING THE NOVEL CORONAVIRUS OUTBREAK// REF/A/MEMO/OSD/30JAN2020// REF/B/MEMO/OSD/07FEB2020// REF/C/OPLAN/NORTHCOM/DOD GCP-PI&ID-3551-13/15OCT13// REF/D/EXORD/JOINT STAFF J3/012240ZFEB20// REF/E/NAVADMIN/OPNAV/071613ZFEB20// REF/G/INST/DODI 6200.03/28MAR19// NARR/REF A IS MEMO FROM UNDERSECRETARY OF DEFENSE FOR PERSONNEL AND READINESS PROVIDING FORCE HEALTH PROTECTION GUIDANCE FOR PERSONNEL RETURNING FROM CHINA DURING THE NOVEL CORONAVIRUS (NCOV) OUTBREAK. REF B IS SUPPLEMENT 1 TO REF A. REF C IS DEPARTMENT OF DEFENSE (DOD) GLOBAL CAMPAIGN PLAN FOR PANDEMIC INFLUENZA AND INFECTIOUS DISEASE. REF D IS SECDEF-APPROVED EXORD THAT DIRECTS USNORTHCOM TO EXECUTE ITS PANDEMIC PLAN 3551-13 AND SUPPORTING GEOGRAPHIC COMBATANT COMMANDERS TO EXECUTE THEIR PANDEMIC PLANS IN RESPONSE TO THE NCOV OUTBREAK. REF E NAVADMIN 033/20, OPNAV REPORTING GUIDANCE SUPPORTING DOD RESPONSE TO THE NCOV OUTBREAK. REF G IS DODI 6200.03, PUBLIC HEALTH EMERGENCY MANAGEMENT WITHIN THE DOD.// POC/CDR DARYL MEEKS/OPNAV N314/703-692-8350/DARYL.MEEKS(AT)NAVY.MIL/ CDR JAKE WADSLEY/OPNAV N310/703-692-9284/JAKE.WADSLEY(AT)NAVY.MIL/ CDR MARVIN PARK/OPNAV N5I1/703-692-9119/MARVIN.J.PARK(AT)NAVY.MIL/ CDR AYESSA TOLER/OPNAV N0931D/703-571-2948/AYESSA.TOLER(AT)NAVY.MIL// RMKS/1. THE 2019-NCOV (NCOV) OUTBREAK CONTINUES, WITH THE CENTER FOR DISEASE CONTROL (CDC) REPORTING THOUSANDS OF CASES WORLDWIDE, TO INCLUDE CASES IN THE UNITED STATES. DURING THE NCOV OUTBREAK DOD WILL CONTINUE TO PROTECT AND PRESERVE THE OPERATIONAL EFFECTIVENESS OF FORCES WORLDWIDE. PER REF (C), USNORTHCOM IS EXECUTING ITS PANDEMIC PLAN AND GEOGRAPHIC COMBATANT COMMANDERS ARE EXECUTING THEIR SUPPORTING PANDEMIC PLANS IN ACCORDANCE WITH (IAW) REF (D). OPNAV PUBLISHED INITIAL REPORTING GUIDANCE SUPPORTING DOD RESPONSE TO NCOV OUTBREAK IN REF (E), WHICH REMAINS IN EFFECT. THIS NAVADMIN ADDS NEW GUIDANCE FOR ALL NAVY COMMANDS AND AN ADDITIONAL DAILY REPORT FOR SERVICEMEMBERS MEETING THE CRITERIA IN PARA (2). 2. IAW REF (B), EFFECTIVE IMMEDIATELY, ALL NAVY COMMANDS SHALL IDENTIFY ALL SERVICEMEMBERS RETURNING FROM MAINLAND CHINA AFTER 02 FEB 2020. HONG KONG AND MACAU ARE INCLUDED AS PART OF MAINLAND CHINA FOR THE PURPOSE OF THIS FORCE HEALTH PROTECTION GUIDANCE. COMMANDS MAY DETERMINE OTHER SERVICEMEMERS ARE AT SIMILAR RISK FOR EXPOSURE, SUCH AS THOSE WITH A FAMILY MEMBER WITH WHOM THEY RESIDE OR HAVE CLOSE CONTACT WHO TRAVELED TO MAINLAND CHINA. COMMANDS WILL PLACE THESE SERVICEMEMBERS UNDER A 14 DAY RESTRICTION OF MOVEMEMT (ROM). DURING THE 14 DAY ROM: 2.A. SERVICEMEMBERS WILL BE RESTRICTED TO THEIR RESIDENCE FOR A 14 DAY ROM PERIOD, STARTING FROM THE DAY OF DEPARTURE FROM MAINLAND CHINA. 2.B. SERVICEMEMBERS WILL BE ASSESSED BY COGNIZANT MEDICAL STAFF (BY PHONE CONSULTATION OR IN PERSON), AS SOON AS POSSIBLE WITHIN THE FIRST 24 HOURS OF ARRIVAL TO THEIR HOME STATION OR FINAL DESTINATION FOR THE DEVELOPMENT OF FEVER OR SYMPTOMS OF NCOV. 2.C. FOR ALL IN-PERSON ASSESSMENTS OF SERVICEMEMBERS (INCLUDING ASYMPTOMATIC SERVICEMEMBERS), MEDICAL PERSONNEL SHALL WEAR APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT (PPE) (E.G., FACEMASK, EYE PROTECTION, GLOVES). 2.D. SERVICEMEMBERS LIVING IN OPEN-BAY SETTINGS, OR ROOMS WITH SHARED BATHROOMS AND/OR KITCHENS FACILITIES, WILL BE PLACED IN SEPARATE LODGING TO SPAN THE 14-DAY ROM PERIOD. DON WILL ARRANGE FOR THE SEPARATE LODGING. 2.E. SERVICEMEMBERS WILL BE ASSESSED DAILY FOR FEVER AND SYMPTOMS BY COGNIZANT MEDICAL STAFF (BY PHONE CONSULTATION OR IN PERSON). 2.F. SERVICEMEMBERS WILL SEPARATE THEMSELVES FROM OTHER PEOPLE IN THE HOME/DWELLING IF RESIDING WITH ROOMMATES/FAMILY MEMBERS AND AVOID SHARING PERSONAL ITEMS. 2.G. SERVICEMEMBERS MAY NOT TRAVEL, VISIT PUBLIC/CROWDED AREAS, OR USE PUBLIC TRANSPORTATION AND SHOULD AVOID INTERACTION WITH PETS OR OTHER ANIMALS, TO THE MAXIMUM EXTENT POSSIBLE. 2.H. MEDICAL EVALUATION AND CARE WILL BE IMMEDIATELY ARRANGED IF THE SERVICEMEMBER DISPLAYS FEVER AND SYMPTOMS CONSISTENT WITH NCOV, AS PER CDC GUIDANCE. 2.H.1. SERVICEMEMBERS WILL CALL AHEAD BEFORE GOING TO A MEDICAL TREATMENT FACILITY, INFORMING THEM OF THEIR SYMPTOMS AND TRAVEL HISTORY. 2.H.2. MEDICAL STAFF SHOULD FOLLOW CDC GUIDANCE WHEN ASSESSING INDIVIDUALS DISPLAYING FEVER AND SYMPTOMS CONSISTENT WITH NCOV. 2.H.3. IF AN INDIVIDUAL MEETS CDC CRITERIA FOR INVESTIGATION OF NCOV, APPROPRIATE REPORTING WILL BE INITIATED. 3. UPDATED REPORTING GUIDANCE. THIS NAVADMIN DIRECTS, IN ADDITION TO REQUIREMENTS IN REF (E) TO APPLICABLE COMMANDS, A DAILY REPORT FOR ALL NAVY COMMANDS WITH SERVICEMEMBERS PLACED UNDER ROM IAW CRITERIA IN PARA (2). ALL ECHELON 3 AND BELOW COMMANDS WILL REPORT THESE SERVICEMEMBERS TO THEIR RESPECTIVE ECHELON 2 COMMANDS, WHO WILL THEN REPORT VIA EMAIL TO THE OPNAV NOC/BWC NLT 1500 EST DAILY UNTIL COMPLETE. NEGATIVE REPORTS ARE NOT REQUIRED. 3.A. REQUIRED INFORMATION: 3.A.1. VIA UNCLASSIFIED ENCRYPTED EMAIL, IDENTIFY NAME, LOCATION, RATE/RANK, GENDER, AGE, UNIT AND DATES OF TRAVEL FOR SERVICEMEMBERS, TO INCLUDE ACCOMPANYING FAMILY MEMBERS, WHO RETURNED FROM MAINLAND CHINA FROM 2 FEB TO PRESENT AND ARE SUBJECT TO 14 DAY ROM. 3.A.2. PROVIDE STATUS UPDATES OF DOD PERSONNEL MEETING THE CDCS CASE DEFINITION FOR INVESTIGATION OF NCOV OR CONFIRMED CASES. THIS WILL INCLUDE NUMBER OF MEMBERS QUARANTINED OR IN ROM STATUS, NUMBER OF DAYS EACH MEMBER HAS BEEN QUARANTINED OR IN ROM STATUS, AND THE NUMBER OF MEMBERS WHO HAVE DEVELOPED SYMPTOMS AND WERE REFERRED FOR MEDICAL EVALUATION. 3.A.3. PROVIDE NUMBER AND LOCATION OF ASYMPTOMATIC SERVICEMEMBERS IN QUARANTINE OR IN ROM STATUS. 3.B. OPNAV NOC/BWC WILL SHARE ALL COLLECTED DATA WITH THE BUREAU OF MEDICINE AND SURGERY (BUMED). BUMED WILL CONSOLIDATE MEDICAL STATUS DATA FOR ALL NAVY PERSONNEL MEETING THE CDCS CASE DEFINITION FOR INVESTIGATION OF NCOV OR CONFIRMED CASES AND REPORT TO THE DEFENSE HEALTH AGENCY VIA THE ARMED FORCES HEALTH SURVEILLANCE BRANCHS DISEASE REPORTING SYSTEM INTERNET. BUMED WILL THEN FORWARD PERTINENT INFORMATION TO THE NEAREST NAVY MEDICINE TRAINING COMMAND/UNIT. 3.C. MEDICAL STATUS OF DOD PERSONNEL MEETING THE CDCS CASE DEFINITION FOR EVALUATION OF NCOV OR CONFIRMED CASES WHO ARE RETURNING FROM CHINA DURING THE NCOV OUTBREAK WILL FOLLOW REPORTING GUIDANCE IN REF (G). 4. NAVY INSTALLATIONS SUPPORTING REPATRIATION OPERATIONS SHALL REPORT THE FOLLOWING CCIRS IMMEDIATELY TO N2C2 LAND DOMAIN, OPNAV BWC, AND USFF/NAVNORTH BWC: 4.A. ANY KNOWN SUSPECTED INFECTION OF A DON SERVICE MEMBER EXECUTING THE NCOV RESPONSE OPERATION. 4.B. THE DEATH OR SERIOUS INJURY OF IDENTIFIED SERVICEMEMBERS MEETING CRITERIA FOR ROM. 4.C. THREATS DIRECTED AGAINST DOD INSTALLATIONS AND/OR PERSONNEL SUPPORTING NCOV OPERATIONS. 4.D. ANY ACTIVITY OR ACTION ASSOCIATED WITH REPATRIATION OPERATIONS THAT MAY DISCREDIT MILITARY SUPPORT OR GARNER UNWANTED PUBLIC ATTENTION. 4.E. UNAUTHORIZED DEPARTURE FROM THE INSTALLATION OF ANY IDENTIFIED SERVICEMEMBERS MEETING CRITERA FOR ROM. 4.F. ANY CHANGE IN THE SITUATION THAT PREVENTS DOD FROM FULFILLING ITS OBLIGATION TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS). 5. POCS FOR REPORTING: NOC/OPNAV BATTLE WATCH CAPTAIN, 703-692-9284, EMAIL BWC.PTGN(AT)NAVY.MIL.; USFF/NAVNORTH BATTLE WATCH CAPTAIN, 757-836-5397, EMAILBWC.FFC.FCT(AT)NAVY.MIL.; N2C2 LAND DOMAIN IS 719-554-2359, EMAIL N-NC.PETERSON.N-NCN2N2.MBX.LAND-OMB(AT)MAIL.MIL. 6. UNTIL FURTHER NOTICE, DOD RECOMMENDS THAT DOD CIVILIAN EMPLOYEES, CONTRACTOR PERSONNEL, AND FAMILY MEMBERS RETURNING FROM CHINA FOLLOW EXISTING CDC GUIDANCE. KEY ASPECTS INCLUDE VOLUNTARILY: REMAINING AT HOME; AVOIDING CONGREGATE SETTINGS; LIMITING CLOSE CONTACT WITH PEOPLE AND PETS OR OTHER ANIMALS TO THE EXTENT POSSIBLE; NOT TRAVELING; SELFMONITORING; AND SEEKING MEDICAL CARE IF SYMPTOMS DEVELOP. DOD WILL CONTINUE TO FOLLOW CDC GUIDANCE AND COMPLY WITH LOCAL PUBLIC HEALTH AUTHORITIES DURING THIS OUTBREAK. THE MOST UPDATED GUIDANCE FROM THE CDC SHOULD BE CHECKED DAILY AND IS LOCATED AT: HTTPS://WWW.CDC.GOV/CORONAVIRUS/2019-NCOV/INDEX.HTML. 7. RELEASED BY VADM P. G. SAWYER, DEPUTY CHIEF OF NAVAL OPERATIONS FOR OPERATIONS, PLANS AND POLICY, OPNAV N3/N5.// BT #0001 NNNN UNCLASSIFIED//