US NAVY SHIP SANITATION CERTIFICATE PROGRAM COURSE QUESTIONS WITH 100% COMPLETE ANSWERS!!

What is core responsibility of the WHO? - ANS the management of the global regime for control of the international spread of disease What is the purpose and scope of the IHR (2005)? - ANS - to prevent, protect against, control and provide a public health response to the international spread of disease - avoid unnecessary interference with international traffic and trade What are the IHR Core Principles? - ANS 1. PREVENT, protect against, control and response to the international spread of disease 2. AVOID unnecessary interference with international traffic and trade 3. REDUCE the risk of disease spread at international airports, seaports and ground crossings What are the key obligations for states? - ANS - stregnthening the following core capacities for public health events - disease surveillance and reporting - assessment and notification - response What is Free Pratigue? - ANS - permission to enter to embark or disembark for ships, aircrafts, and ground transports What is a Public Health Risk? - ANS Likelihood of an event that may: - adversely affect health of human population ***- spread internationally *** - present a serious and direct danger What does PHEIC stand for? - ANS Public Health Emergency of International Concern What are key definitions of PHEIC? - ANS an extraordinary event determined: - to consititute a public health risk ro other States through international spread of disease - to potentially require a coordinated international response What is the decision matrix called? - ANS Annex 2 What are 4 PHEIC diseases requiring notification? - ANS - smallpox - poliomyelitis due to wild-type poliovirus - Human influenza (new subtype) - SARS What would be considered PHEIC events requiring notification on the Annex 2 aside from the 4 specific diseases? - ANS all events that fufill any 2 of 4 situational public health criteria What is a ship? - ANS a seagoing or inland navigation on an international voyage What are the 3 articles of fleet focus for the IHR? - ANS Articles 36, 37, and 39 What is article 36? - ANS certificate of vaccination or other prophylaxis (yellow fever) provided by ship What is article 37? - ANS Maritime Declaration of Health What signatures may be required for Declaration of Health? - ANS by the Captain or Master and countersigned by the ship MDR Where can Maritime Declaration of Health located on? - ANS BUMED form webpage What is article 39? - ANS Ship Sanitation Certificates What are the 2 certifications that fall under article 39 (Ship Sanitation Certificate)? - ANS - Ship Sanitation Control Exemption Certificate - Ship Sanitation Control Certificate What is the criteria for issuing SSCEC? - ANS when no PHEIC is found What is the criteria for issuing SSCC? - ANS When PHEIC is found How long are the SSCC and the SSCEC valid for? - ANS 6 months How many times can the SSCC and the SSCEC be renewed? - ANS once for one month from the date of expiration T/F Ship sanitation certificates are not required for ships to enter a US Seaport. - ANS True T/F US Navy Vessels will not be subject to inspections or searches by foreign officials for any purpose. - ANS True Who does the Navy (NMCPHC) comply with for Ship Sanitation Certificate Issuance? - ANS CDC Division Global Migration and Quarantine Who provides overall guidance to the Navy? - ANS CDC Division of Global Migration and Quarantine NMCPHC authorized agents (Navy PMTs and EHOs) will issue vessel certificates to? - ANS - US Navy vessels - Army vessels - NOAA vessels - Coast Guard vessels - US Navy MSC - MARAD (Maritime admin ships) Navy inspectors are not authorized to inspect what kind of vessels? - ANS - cruise ships - private ships - foreign military vessels Who does the CDC provide required reports to? - ANS WHO (World Health Organization) What are the Navy's responsibilities for the Ship Sanitation Certificate program? - ANS - Establish training requirements for SSCP - Provide CDC reports as requested What are the elements of SSC inspections? - ANS - Medical DNBI - Food Safety - Drinking Water (potable) - Habitability - Sewage (CHT) - Ballast Management Complaint with Naval Policy - Rodent and Vermin Control - Solid and Medical Waste What does not fall under SSC Inspections? - ANS - MRI - Comprehensive Environmental Health Survey T/F Public Health Risks for Crew Force Health Protection does not equal PHEIC - ANS True What falls under the responsibility of NEPMU 2, 5, 6? - ANS - Ship inspections - Training/CANTRAC course - QA local program - AOR QA (administrative) Who are the SSCC and the SSCEC forwarded to? - ANS NMCPHC When are the SSCEC forwarded to the NMCPHC? - ANS at least weekly When are the SSCC forwarded to the NMCPHC and who are they reviewed and concurred by prior to forward? - ANS - within 24 hours - the COC What is the responsibility of the CO? - ANS absolute responsibility What is equivalent to the CO on a civilian crewed ship? - ANS the Master What is the responsibility of the XO? - ANS aide to the CO What is the responsibility of the CMC? - ANS - XO's assistant - the voice of all enlisted personnel What is the responsibility of the Chief Engineer (CHENG)? - ANS the provision of hotel services (freshwater, lighting, and power) What is the responsibility of the Supply Officer (SUPPO)? - ANS - ordering and maintaining supplies - upkeep of foodservice spaces What is the responsibility of the Senior Medical Officer (SMO)? - ANS - crew health and wellness - shipboard sanitation What is equivalent to the SMO on a civilian crewed ship? - ANS Medical Officer What is the responsibility of the Food Service Officer (FSO)? - ANS - food service operations What is the responsibility of the 1st LT? - ANS - maintenance of the hull and main deck of the ship - operation and upkeep of seamanship equipment and line lockers What is the responsibility of the IDC? - ANS - Head enlisted medical rep on all surface ships and subs - performing PMT functions on cruisers and small ships What is the responsibility of the PMT? - ANS Advise the SMO and/or IDC in all matters What is the proper procedure for boarding a ship? - ANS 1. Stop before reaching shipboard end of brow, face the national ensign and salute 2. While presenting ID card on left head, salute OOD and request permission to come aboard What is the proper way to leave the ship? - ANS reverse procedures for boarding a ship What is the bow? - ANS front of a ship What is the centerline? - ANS imaginary line bisecting ship into 2 equal halves What is starboard? - ANS right of the centerline while facing forward What is port? - ANS left of the centerline while facing forward What is stern? - ANS rearmost portion of the ship What is the deck? - ANS floor of a ship What is the bulkhead? - ANS the walls of a ship What is a hatch? - ANS provides access between decks What is a door? - ANS provides access between bulkheads What is a level? - ANS deck heights above the main deck What is a compartment or space? - ANS rooms on a ship What is a frame? - ANS - transverse ribs that make up the skeleton of a ship - designed to strengthen the ship's structure What is the quarterdeck? - ANS - an area designed by the CO for the conduct of official functions - the inport watch station of the Officer of the Deck - location depends on how the ship is moored (side of the ship tied to the pier) What is a bullseye? - ANS symbol marked on a label plate and secured to the door, hatch, or bulkhead of the department What does the compartment designation consist of? - ANS - a deck level number - a frame number - relation of the compartment to the centerline - letter showing the use of the space EX: 3-202-0-L What may also be seen at the bottom of the compartment designation? - ANS the division responsible for the space What precedes the deck number for all levels above the main deck? - ANS a zero What does the frame number indicate? - ANS the foremost bulkhead of the compartment How are compartments located on the centerline indicated? - ANS with a zero Ex: 3-202-0-L How are compartments located starboard to the centerline indicated? - ANS with odd numbers Ex: 3-202-3-L How are compartments located port to the centerline indicated? - ANS with even numbers Ex: 3-202-4-L What does the letter in the compartment number identify? - ANS primary use of the compartment Ex: 3-202-0-L (L identifies "Living") What do Military Sealift Commands (MSC) consist of? - ANS - Naval Fleet Auxiliary Force - Prepositioning - Sealift - Special Mission Ships What do MARAD ships fall under? - ANS Department of Transportation What happens when MARAD ships are activated? - ANS they are chopped to MSC (become part of DOD) Evidence found of public health risk is typically sources of what? - ANS - Infection - Contamination - Infestation What documents are advised to ships to have ready for review upon inspector's arrival? - ANS - potable water log ( - pest control log (for at least 1 year) - DNBI weekly reports for the past month - Medical readiness inspection (preventive medicine section) - Food safety training records (PIC and food service personnel) - Food safety inspection reports (for last 6 months) - Habitability inspection reports Prior to inspection, what must the inspector determine and prepare? - ANS equipment and supplies needed to conduct the inspection What must the inspector do upon arrival? - ANS - perform visual inspection of dock area, mooring lines, and items that may require further inspection - meet with SMDR or ship's designated POC and begin inspection - brief on purpose of inspection and areas/systems/services to be reviewed - SMDR or POC accompanies inspector What is being looked for when doing a pest infestation inspection for rodents? - ANS - droppings - rub marks - hair nesting evidence - gnaw marks - use black light to inspect for urine streaks What is being looked for when doing a pest infestation inspection for cockroaches? - ANS - frass - oothecae - cast skin - dead roaches What is being looked for when doing a pest infestation inspection for flies? - ANS - presence of filth flies and larvae near garbage/waste collection and storage points - fruit flies around food prep areas What is being looked for when doing a pest infestation inspection for bed bugs? - ANS - berthing areas for live or dead bugs - blood spots on bedding linens What is being looked for when doing a pest infestation inspection for vector breeding sites? - ANS standing water containing mosquito larvae When are rat guards required? - ANS - when in a port where plague is endemic - OCONUS within Pacific Commands AOR only What must water treatment and record-keeping be in compliance with? - ANS NAVMED P-5010 CH. 6 What should potable water logs confirm? - ANS - daily halogen (bromine or chlorine) residual - weekly coliform bacteria testing - monthly potable water tanks What is checked when inspecting the CHT pump room? - ANS - pest infestation - no spills - emergency escape breathing devices - safety/health placards posted - hand washing sinks - PPE and spill kit readily accessible - placards posted stating "smoking, eating, and drinking are not permitted in pump room spaces" What is being checked when inspecting ballast management for applicable ships? - ANS - valves remain closed in port and other non-discharge zones Who responsibility is the Ballast Discharge Management? - ANS the Engineering Department When reviewing habitability inspection reports, what must be ensured? - ANS ship inspections are being conducted periodically IAW TYCOM instructions and other Navy references - OPNAVINST 9640 - NAVMED P-5010 Ch. 2 What are the 5 risks factors for food borne illness outbreaks? - ANS - improper hot/cold holding temperatures of potentially hazardous food - improper cooking temperature of food - dirty and/or contaminated utensils and equipment - poor employee health and hygiene (hand washing) - food from unsafe sources Per what reference are temperatures maintained for storage of potentially hazardous foods confirmed? - ANS NAVMED P-5010 Ch. 1 Review food safety and training in compliance with what reference? - ANS OPNAVINST 4061.4 When reviewing DNBI weekly reports for the past month, what is being looked for? - ANS spikes in GI or respiratory disease What form serves as the SSCEC or the SSCC? - ANS NAVMED 6210/1 How many pages does the NAVMED 6210/1 consist of? - ANS 2 pages What is check on the NAVMED 6210/1 if the ship has cargo and who must the weight be confirmed with? - ANS - LADEN is checked - tons are confirmed with SUPPO If the evidence box is checked, what is documented and where? - ANS - it is documented in the comment page (2nd page) - a brief clear description, recommended corrective actions, and applicable references If NAVMED 6210/1 is printed on one page (front and back) where is the seal placed? - ANS space provided on front of document If NAVMED 6210/1 is printed on 2 pages, where is the seal placed? - ANS - page 1 on the space provided - page 2 on the lower right hand corner Who must the inspector debrief and what must be discussed? - ANS - the SMDR - debrief on: - findings - recommendations with corrective actions What form is used for 30 Day Extension? - ANS NAVMED 6210/2 Notification of 30 Day Extension of Ship Sanitation Certificate Copies of SSCECs and SSCCs are kept via what files? - ANS command/UIC files Who is responsible for the QA program oversight and liaison with NMCPHC? - ANS Preventive Medicine Departments at MTFs and NEPMUs Under Quality Assurance, NEPMUs will provide what? - ANS SSC training for Navy authorized SSC inspectors