Military preventive medicine and medical surveillance in the post-cold war era.

In response to the end of the cold war, the United States developed new foreign policy and national security strategies. As a result, many medical support concepts that were operative during the cold war were invalidated. Recently, the Chairman of the Joint Chiefs of Staff provided direction and guidance for long-range strategic planning (Joint Vision 2010). Medical support doctrine that is being developed within the framework of Joint Vision 2010 relies on currently unavailable preventive medicine and medical surveillance capabilities. This report analyzes the relevance and roles of military preventive medicine and medical surveillance in the context of post-cold war resource constraints and military medical support needs, presents the rationale for and objectives of a demand-reduction medical support strategy, and outlines the roles, responsibilities, and characteristics of a defense medical surveillance system.