UNCLASSIFIED//
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TO NAVADMIN
INFO SECNAV WASHINGTON DC
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UNCLAS
NAVADMIN 110/21
MSGID/NAVADMIN/CNO WASHINGTON DC/CNO/JUN//
SUBJ/U.S. NAVY COVID-19 STANDING GUIDANCE UPDATE 1//
REF/A/NAVADMIN/OPNAV/241900ZMAY21//
REF/B/MEMO/OSD/12APR2021//
REF/C/NAVADMIN/OPNAV/042044ZMAY21//
REF/D/MEMO/OSD/04MAY2021//
REF/E/DOC/NMCPHC/14MAY2021//
REF/F/DOC/NMCPHC/19MAR2021//
REF/G/NAVADMIN/OPNAV/251655ZJUN20//
REF/H/MEMO/OSD/11JUN2020//
REF/I/DHA-IPM 20-004/6MAY2021//
REF/J/NAVADMIN/OPNAV/301952ZAPR21//
REF/K/NAVADMIN/OPNAV/051532ZAPR21//
REF/L/MEMO/OSD/06JUL2020//
REF/M/NAVADMIN/OPNAV/071719ZJUL16//
NARR/REF A IS NAVADMIN 099/21, U.S. NAVY COVID-19 STANDING GUIDANCE.
REF B IS USD P&R FORCE HEALTH PROTECTION (FHP) SUPPLEMENT 20 - DOD GUIDANCE
FOR PERSONNEL TRAVELING DURING THE CORONAVIRUS DISEASE 2019 PANDEMIC
AVAILABLE AT https://www.defense.gov/Explore/Spotlight/Coronavirus/Latest-
DOD-Guidance/.
REF C IS NAVADMIN 088/21, SARS-COV-2 VACCINATION AND REPORTING POLICY.
REF D IS USD P&R FORCE HEALTH PROTECTION (FHP) SUPPLEMENT 16 REVISION 1 DOD
GUIDANCE FOR DEPLOYMENT AND REDEPLOYMENT OF INDIVIDUALS AND UNITS DURING
CORONAVIRUS DISEASE 2019 PANDEMIC AVAILABLE AT
https://www.defense.gov/Explore/Spotlight/Coronavirus/Latest-DOD-Guidance/.
REF E IS NAVY AND MARINE CORPS PUBLIC HEALTH CENTER U.S. NAVY FORCE HEALTH
PROTECTION WITH CONSIDERATIONS FOR VACCINE EFFICACY.
REF F IS NAVY AND MARINE CORPS PUBLIC HEALTH CENTER DOCUMENT ASSESSING REAL
COVID-19 RISK.
REF G IS NAVADMIN 178/20, COVID-19 TESTING.
REF H IS USD P&R FHP SUPPLEMENT 11 GUIDANCE FOR CORONAVIRUS DISEASE 2019
SURVEILLANCE AND SCREENING WITH TESTING.
REF I IS THE DEFENSE HEALTH AGENCY-INTERIM PROCEDURES MEMORANDUM ON THE
DEPARTMENT OF DEFENSE CORONAVIRUS DISEASE 2019 VACCINATION PROGRAM
IMPLEMENTATION.
REF J IS NAVADMIN 086/21, UPDATED GUIDANCE TO COMMANDERS ON ADJUSTING HEALTH
PROTECTION CONDITIONS AND BASE SERVICES DURING COVID-19 PANDEMIC (CORRECTED
COPY).
REF K IS NAVADMIN 073/21, NAVY MITIGATION MEASURES IN RESPONSE TO CORONAVIRUS
OUTBREAK UPDATE 7 (CONDITIONS-BASED APPROACH TO COVID-19 PERSONNEL MOVEMENT
AND TRAVEL RESTRICTIONS).
REF L IS OSD MEMO ON ASSURING ALLIES AND PARTNERS REGARDING US FORCE
DEPLOYMENTS IN A CORONAVIRUS DISEASE 2019 ENVIRONMENT.
REF M IS NAVADMIN 158/16, SOVEREIGN IMMUNITY POLICY.//
POC/COVID-19 CRISIS ACTION TEAM /(703) 681-1125/EMAIL:
usn.ncr.bumedfchva.mbx.bumed-2019-ncov-response-cell@mail.mil.
RMKS/1. THIS MESSAGE UPDATES PARAGRAPH (7) IN U.S. NAVY COVID-19 STANDING
GUIDANCE. REF (A) IS CANCELLED. WITH MORE THAN A YEAR OPERATING IN THE
COVID-19 ENVIRONMENT, OUR SAILORS, CIVILIANS AND CONTRACTOR PERSONNEL HAVE
ASSUMED PERSONAL RESPONSIBILITY AND GAINED SIGNIFICANT EXPERTISE IN
MITIGATING AND PREVENTING THE SPREAD OF THE DISEASE AS DEMONSTRATED BY
ACHIEVING THE LOWEST SERVICE COVID-19 CASE COUNT AND HIGHEST VACCINATION
RATES.
WE MUST CONTINUE TO PURSUE FULL VACCINATION AND APPLY BEST HEALTH PROTECTION
MEASURES BOTH AT HOME AND AT WORK TO SUSTAIN AND IMPROVE UPON THIS
PERFORMANCE. COMMANDING OFFICERS ARE ULTIMATELY RESPONSIBLE FOR THE HEALTH
PROTECTION OF THEIR CREWS AND SHOULD APPLY THE GUIDANCE PROVIDED BELOW TO
BEST FIT THEIR SPECIFIC OPERATIONAL SITUATION SUPPORTED BY THE MEDICAL
COMMUNITY AND GUIDED BY THEIR CHAIN OF COMMAND. IN THE ABSENCE OF OPNAV OR
DEPARTMENT OF DEFENSE (DOD) GUIDANCE, FOLLOW THE CENTERS FOR DISEASE CONTROL
(CDC) GUIDANCE.
WIDESPREAD IMMUNIZATION, COMMAND ENGAGEMENT, CREW OWNERSHIP, AND INDIVIDUAL
ACCOUNTABILITY ARE THE CORNERSTONES TO OUR SUCCESS TO DATE. HEALTH
PROTECTION MEASURES SUCH AS VACCINATION, THE CREATION OF A BUBBLE, FACE
COVERINGS, PHYSICAL DISTANCING, STAYING OUT OF THE WORKSPACE WHEN FEELING ILL
AND AGGRESSIVE SPACE CLEANING ARE THE GREATEST INFLUENCERS TO PREVENT AND
ISOLATE COVID-19. THE COVID-19 VACCINES AUTHORIZED BY THE U.S. FOOD AND DRUG
ADMINISTRATION ARE SAFE, EFFECTIVE AND IN PARTICULAR, ARE VITAL TO PROTECTING
RECIPIENTS FROM HOSPITALIZATION AND DEATH. COMMANDING OFFICERS SHOULD MAKE
EVERY EFFORT TO EDUCATE THEIR CREWS ON THE IMPORTANCE OF VACCINATION AND
FACILITATE OPEN DISCUSSIONS WITH MEDICAL PERSONNEL IF THERE ARE QUESTIONS.
DOCUMENTED COVID-19 CASES AMONG IMMUNIZED PERSONNEL ARE VERY INFREQUENT AND
ALL CASES HAVE BEEN MILD TO MODERATE.
CONSISTENT WITH REF (F), TO DATE NONE OF THE MORE THAN 230,000 FULLY
IMMUNIZED NAVY AND MARINE CORPS MEMBERS HAVE BEEN HOSPITALIZED.
2. DEFINITIONS. COVID-19 CASE, CLOSE CONTACT, INFLUENZA LIKE ILLNESS (ILI),
ISOLATION, QUARANTINE, TESTING (DIAGNOSTIC, SCREENING, AND SURVEILLANCE), AND
OTHER DEFINITIONS ARE AVAILABLE ON THE CDC WEBSITE. THE FOLLOWING NAVY
DEFINITIONS ARE PROVIDED:
2.A. PATIENT (OR PERSON) UNDER INVESTIGATION (PUI): AN INDIVIDUAL WITH
SYMPTOMS OF COVID-19 WHO HAS A TEST RESULT PENDING OR WOULD HAVE BEEN TESTED
HAD A TEST BEEN AVAILABLE.
ASYMPTOMATIC INDIVIDUALS QUARANTINED DUE TO CLOSE CONTACT WITH A COVID-19
POSITIVE MEMBER ARE NOT CLASSIFIED AS PUIS. ASYMPTOMATIC INDIVIDUALS BEING
TESTED FOR COVID-19 ARE NOT CONSIDERED PUIS WHILE AWAITING TEST RESULTS.
2.B. HIGH-RISK PERSONNEL: THOSE INDIVIDUALS, DESIGNATED BY A MEDICAL
PROVIDER, WHO MEET THE CDC CRITERIA FOR INCREASED RISK OF SEVERE ILLNESS
HTTPS://WWW.CDC.GOV/CORONAVIRUS/2019-NCOV/NEED-EXTRA-PRECAUTIONS/
PEOPLE-AT-HIGHER-RISK.HTML.
2.C. RESTRICTION OF MOVEMENT (ROM): GENERAL DOD TERM FOR LIMITING PERSONAL
INTERACTION TO REDUCE RISK TO THE HEALTH, SAFETY AND WELFARE OF A BROADER
COHORT. PERSONNEL EXECUTING A ROM ARE CONSIDERED TO BE IN A DUTY STATUS AND
ROM PERIODS WILL NOT BE COUNTED AS LEAVE.
2.C.1. ROM-SEQUESTER: U.S. NAVY TERM FOR PREEMPTIVE SEPARATION OF FORCES TO
REDUCE RISK OF INFECTION WHILE ATTEMPTING TO ESTABLISH A COVID-FREE BUBBLE.
2.D. BUBBLE: TERM FOR INDIVIDUALS, UNITS OR INSTALLATIONS THAT HAVE
ESTABLISHED LOW PROBABILITY OF COVID-19 INFECTION DUE TO CREW IMMUNIZATION
LEVEL AND/OR COMPLETION OF 14 DAY ROM-SEQUESTER FOR NON-IMMUNIZED
INDIVIDUALS.
2.E. VACCINATED: AN INDIVIDUAL WHO HAS RECEIVED THE FIRST SHOT IN A SERIES
OF TWO SHOTS OF COVID-19 VACCINE. WHILE NOT USED IN THE TRADITIONAL MEDICAL
CONTEXT, THE TERMS VACCINATED AND IMMUNIZED WILL BE USED TO DIFFERENTIATE
THOSE WHO HAVE RECEIVED PARTIAL OR FULL DOSES, RESPECTIVELY.
2.F. IMMUNIZED / FULLY VACCINATED: INTERCHANGEABLE TERMS FOR AN INDIVIDUAL
WHO COMPLETED THE VACCINE SERIES AND IS CONSIDERED IMMUNE TWO WEEKS AFTER THE
VACCINE SEQUENCE IS COMPLETE. IMMUNITY DURATION WILL BE GUIDED BY CDC, BUT
IS NO LESS THAN SEVEN MONTHS FOR THIS STANDING GUIDANCE.
2.G. DEFERRED: AN INDIVIDUAL WHO WAS OFFERED AN AUTHORIZED VACCINE, BUT
DECLINED OR WAS UNABLE TO RECEIVE IT FOR ANY REASON. THESE INDIVIDUALS ARE
ENCOURAGED AND ALLOWED TO CHOOSE, AT ANY TIME, TO RECEIVE THE VACCINE UNLESS
MEDICALLY CONTRAINDICATED. AFTER RECEIVING A VACCINE DOSE, AN INDIVIDUAL
WILL NO LONGER BE LISTED AS DEFERRED.
2.H. BUBBLE TO BUBBLE TRANSFER (B2BT): TERM FOR MOVEMENT OF UNITS OR
PERSONNEL FROM ONE BUBBLE TO ANOTHER VIA CONTROLLED MEANS. A WIDE VARIETY OF
MODES OR MEANS OF TRANSPORTATION CAN BE USED FOR B2BT. THE KEY FACTOR IS
THAT THE EVOLUTION IS CLOSELY CONTROLLED TO MINIMIZE RISK OF COVID-19
EXPOSURE TO BOTH INDIVIDUALS AND UNITS WHO HAVE NOT COMPLETED A ROM-SEQUESTER
DURING TRANSFER.
2.I. HEALTH PROTECTION MEASURES (HPM): TERM FOR MEASURES TAKEN TO DECREASE
RISK OF COVID-19 IN AN OPERATIONAL SETTING. THIS INCLUDES PHYSICAL
DISTANCING, WEARING OF FACEMASKS, AND ENHANCED ENVIRONMENTAL CLEANING. FULLY
IMMUNIZED INDIVIDUALS ARE NOT REQUIRED TO WEAR FACEMASKS OR PHYSICALLY
DISTANCE FROM OTHERS. EXCEPTIONS ARE THAT FACEMASKS ARE STILL REQUIRED FOR
ALL MEDICAL AND DENTAL PERSONNEL WHEN PROVIDING HEALTH CARE AND FOR ALL
INDIVIDUALS UNDERGOING TRAVEL ABOARD PUBLIC TRANSPORTATION TO JOIN A CREW
ALREADY UNDERWAY, REGARDLESS OF IMMUNIZATION STATUS.
3. CLOSE CONTACTS AND SYMPTOMATIC PERSONNEL.
3.A. CLOSE CONTACTS WHO HAVE BEEN FULLY VACCINATED AND INDIVIDUALS WHO HAVE
TESTED POSITIVE IN THE PAST THREE MONTHS DO NOT NEED TO QUARANTINE.
ASYMPTOMATIC PERSONNEL WHO ARE NOT IMMUNIZED AND ARE SUSPECTED OF EXPOSURE
SHALL QUARANTINE IN ACCORDANCE WITH (IAW) CDC AND LOCAL MEDICAL GUIDANCE.
3.B. SYMPTOMATIC PERSONNEL REGARDLESS OF IMMUNIZATION STATUS SHALL FOLLOW
LOCAL MEDICAL AND CDC GUIDANCE ON WHAT TO DO WHEN YOU ARE SICK.
3.C. A NON-IMMUNIZED PATIENT WITH SUSPECTED COVID-LIKE ILLNESS (CLI) OR ILI
WHO HAS TESTED NEGATIVE FOR COVID-19 MAY RETURN TO WORK AFTER: (1) AT LEAST
24 HOURS AFTER THE RESOLUTION OF FEVER WITHOUT THE USE OF FEVER REDUCING
MEDICATION; (2) IMPROVEMENT IN SYMPTOMS AND; (3) AT LEAST 10 DAYS SINCE THE
ONSET OF SYMPTOMS. IMMUNIZED PATIENTS WITH SUSPECTED CLI/ILI SHOULD CONSULT
THEIR MEDICAL PROVIDER BEFORE RETURNING TO WORK.
3.D. COVID-19 CASES MAY CONTINUE TO TEST POSITIVE FOR UP TO THREE MONTHS DUE
TO THE PRESENCE OF PERSISTENT NON-INFECTIOUS VIRAL FRAGMENTS AND THEREFORE
EXEMPT FROM TESTING PROTOCOL FOR THREE MONTHS FROM THE EARLIER OF SYMPTOM
ONSET OR FIRST POSITIVE TEST. INDIVIDUALS WHO EXHIBIT NEW OR PERSISTENT
SYMPTOMS DURING THAT THREE MONTH PERIOD SHOULD BE EVALUATED BY A MEDICAL
PROVIDER.
3.E. OUTBREAK INVESTIGATION AND CONTACT TRACING WORKFORCE TRAINING. EACH
COMMAND WILL MAINTAIN THE ABILITY TO EXECUTE CONTACT TRACING FOR ASSIGNED
PERSONNEL BY HAVING AN APPROPRIATE NUMBER OF PERSONNEL TRAINED (NO LESS THAN
TWO) BASED ON UNIT IMMUNIZATION LEVEL. NAVY E-LEARNING: CONTACT TRACING
TRAINING FOR SAILORS AND MARINES CFHP-NMFSC-CTSM-01 OR TEST-OUT ASSESSMENT
FOR CONTACT TRACING TRAINING FOR SAILORS AND MARINES CFHP-NMFSC-CTSMTA-01.
4. DEPLOYED OPERATIONS
4.A. PRE-DEPLOYMENT SCREENING. SCREENING FOR ALL PERSONNEL WILL CONSIST OF
AN ASSESSMENT OF EXPOSURE HISTORY, A REVIEW OF ANY PAST TESTING AND A
THOROUGH EVALUATION OF THE MEMBERS RISK FACTORS FOR SEVERE ILLNESS FROM
COVID-19. THE DECISION TO DEPLOY A HIGH RISK INDIVIDUAL MUST BE MADE, AT A
MINIMUM, BY THE COMMANDING OFFICER IN CONSULTATION WITH MEDICAL PROVIDERS.
MILITARY SEALIFT COMMAND (MSC) WILL MEDICALLY SCREEN CIVIL SERVICE AND
CONTRACT PERSONNEL FOR DEPLOYMENT ON MSC VESSELS IAW EXISTING MSC
INSTRUCTIONS AND CONTRACTS. IMMUNIZATION STATUS SHOULD BE PART OF THE
DECISION TO DEPLOY HIGH RISK PERSONNEL ALONG WITH THE PERCENT OF THE UNIT
IMMUNIZED, THE PROXIMITY TO AN MILITARY TREATMENT FACILITY (MTF) OR AFLOAT
MEDICAL FACILITY WITH COVID THERAPEUTICS AND ICU CAPABILITIES, AND MEDICAL
PROVIDER CONSULTATION.
4.B. PRE-DEPLOYMENT ROM-SEQUESTER. ROM-SEQUESTER IS NOT REQUIRED FOR
IMMUNIZED INDIVIDUALS ATTACHED TO SHIPS OR SUBMARINES, NOR FOR IMMUNIZED
INDIVIDUALS TRAVELING BY AIRCRAFT UNLESS OTHERWISE REQUIRED BY GCC AS MEANS
OF RESPECTING HN LAW OR BY A MORE RESTRICTIVE DOD POLICY. FOR NON-IMMUNIZED
INDIVIDUALS ONLY, 14-DAY ROM-SEQUESTER WITH TEST-IN AND TEST-OUT IS REQUIRED
PRIOR TO DEPLOYMENT.DURING ROM-SEQUESTER, CONDUCT ENHANCED DAILY PERSONNEL
MEDICAL SCREENING.
4.B.1. IAW REF (D), NON-IMMUNIZED PERSONNEL DEPLOYING OUTSIDE THE UNITED
STATES NOT USING MILITARY/CHARTERED TRANSPORTATION WILL CONDUCT A 14-DAY ROM
PRIOR TO DEPLOYMENT UNLESS COMBATANT COMMAND MANDATES IN-COUNTRY ROM. IAW
REF (B), NCC MAY DELEGATE TO FIRST FLAG OFFICER/SES IN CHAIN OF COMMAND THE
AUTHORIZATION TO REDUCE THIS ROM TIMELINE TO AS FEW AS SEVEN DAYS IF
OPERATIONALLY NECESSARY WITH A NEGATIVE PCR TEST ADMINISTERED ONE TO THREE
DAYS PRIOR TO EMBARKATION. INDIVIDUALS WHO HAVE HAD COVID-19 IN THE PAST
THREE MONTHS ARE EXEMPT FROM ROM. IF TRAVELING OCONUS AND THE HOST NATION
REQUIRES IN-COUNTRY ROM, CONUS PRE-DEPLOYMENT ROM-SEQUESTER IS NOT REQUIRED
UNLESS THE HOST NATION OR COMBATANT COMMAND EXPLICITLY MANDATES BOTH.
IMMUNIZED AND NON-IMMUNIZED PERSONNEL MUST CONSULT FOREIGN CLEARANCE GUIDANCE
FOR MOST CURRENT REQUIREMENTS APPLICABLE TO ALL TRAVELERS, AVAILABLE AT
HTTPS://WWW.FCG.PENTAGON.MIL.
4.B.2. ROM-SEQUESTER CONDUCTED ASHORE REQUIRES ISOLATION PER CDC GUIDANCE
(IDEALLY SEPARATE ROOM, NO SHARED BATHROOM).
A SECOND TEST SHALL BE CONDUCTED ON OR AFTER DAY 14 FOR NON-IMMUNIZED
PERSONNEL. A NEGATIVE COVID TEST RESULT IS REQUIRED TO EMBARK AN OPERATIONAL
UNIT IF NON-IMMUNIZED, OR IAW WITH NCC APPROVED COMMUNITY CONOPS (E.G.,
SSN/SSBN).
4.C. UNDERWAY HEALTH PROTECTION MEASURES (HPM). BASED ON A YEAR OF
EXPERIENCE AND EXTENSIVE MODELING BY NAVY AND MARINE CORPS PUBLIC HEALTH
CENTER INCORPORATING BASELINE NATURAL IMMUNITY, COVID PREVALENCE AND VACCINE
EFFECTIVENESS WHICH IS CONTAINED IN REFS (E) AND (F), RECOMMEND UNDERWAY HPM
IMPLEMENTATION AS FOLLOWS:
-- LARGE DECKS WITH MEDICAL CAPABILITY (LPD/LHD/LHA/CVNS) AFTER NON-IMMUNIZED
INDIVIDUALS COMPLETE QUALITY 14 DAY PRE-DEPLOYMENT ROM AND HAVE A NEGATIVE
PCR TEST PRIOR TO EMBARKING:
NCCS MAY RELAX HPM FOR ALL CREWMEMBERS ONCE UNDERWAY PROVIDED IMMUNIZATION
RATE OF COMBINED CREW IS GREATER THAN 70%. IF IMMUNIZATION RATE IS LESS THAN
70%, NON-IMMUNIZED CREWMEMBERS MUST PRACTICE HPM FOR AT LEAST 14 DAYS
UNDERWAY. IF NO CASES FOR AT LEAST 14 DAYS, THEN NCCS MAY RELAX HPM.
-- SMALLER SHIPS OR THOSE WITH LESS ON-BOARD MEDICAL CAPABILITY (LHD/LHA/LPDS
WITHOUT FLEET SURGICAL TEAM OR BOARD CERTIFIED MEDICAL OFFICER EMBARKED),
AFTER NON-IMMUNIZED INDIVIDUALS COMPLETE QUALITY 14 DAY PRE-DEPLOYMENT ROM
AND HAVE A NEGATIVE PCR TEST PRIOR TO EMBARK: NCCS MAY RELAX UNDERWAY HPM
FOR ALL CREWMEMBERS ONCE UNDERWAY IF CREW IMMUNIZATION RATE IS GREATER THAN
80% (DUE TO LESS ONBOARD MEDICAL CAPABILITY). IF IMMUNIZATION RATE IS LESS
THAN 80%, NON-IMMUNIZED CREWMEMBERS MUST PRACTICE HPM FOR AT LEAST 14 DAYS
UNDERWAY. IF NO CASES FOR AT LEAST 14 DAYS, THEN NCCS MAY RELAX HPM.
-- FOR ALL UNITS REGARDLESS OF TYPE WHEN NON-IMMUNIZED INDIVIDUALS HAVE NOT
COMPLETED PRE-DEPLOYMENT ROM (E.G., LOCAL OPS, GROUP SAIL OR C2X): NCCS MAY
RELAX UNDERWAY HPM FOR ALL CREWMEMBERS PROVIDED COMBINED IMMUNIZATION RATE IS
AT LEAST 90%. IF IMMUNIZATION RATE IS LESS THAN 90%, NON-IMMUNIZED
CREWMEMBERS MUST PRACTICE HPM FOR AT LEAST 14 DAYS UNDERWAY. IF NO CASES FOR
AT LEAST 14 DAYS, THEN NCCS MAY RELAX HPM.
-- HPM MEASURES MAY BE TEMPORARILY RELAXED WHERE OPERATIONALLY NECESSARY.
-- IT IS ALWAYS GOOD PRACTICE FOR ALL CREWMEMBERS TO PRACTICE HPM WHENEVER
PRACTICAL REGARDLESS OF VACCINATION STATUS TO HELP PREVENT A WIDE VARIETY OF
SHIPBORNE DISEASES.
4.C.1. DISEASE SEVERITY AND VACCINES. GIVEN FDA AUTHORIZED VACCINES PROTECT
AGAINST DISEASE SEVERITY, EVEN IN THE VERY SMALL PERCENT OF PEOPLE WHO MAY
POTENTIALLY STILL GET COVID-19 INFECTION, THE RISK OF HAVING TO MEDEVAC AN
IMMUNIZED COVID-19 INFECTED INDIVIDUAL IS EXTREMELY LOW. REDUCING THE
LIKELIHOOD OF SEVERE ILLNESS IS A KEY OUTCOME MEASURE THAT SPEAKS TO THE
ABILITY TO MAINTAIN OPERATIONS AT SEA WITHIN EXISTING MEDICAL CAPABILITIES.
4.D. PENETRATING A BUBBLE. SHIP RIDERS (E.G., CONTRACTORS, TECH REPS,
INSPECTION TEAMS, ETC.), DIRECT SUPPORT PERSONNEL, AND ALL OTHERS ASSISTING
COMMANDS PRIOR TO BUBBLE ESTABLISHMENT WILL ADHERE TO LOCAL FORCE HEALTH
PROTECTION MEASURES. WHEN INVOLVED IN MOVEMENT TO SEQUENTIAL COMMANDS, IT
MAY BE ADVISABLE TO ROM-SEQUESTER NON-IMMUNIZED COHORTS, USE BUBBLE TO BUBBLE
TRANSPORTATION, AND/OR TEST NON-IMMUNIZED INDIVIDUALS PERIODICALLY.
IMMUNIZED INDIVIDUALS ARE NOT REQUIRED TO ROM-SEQUESTER. NCCS MAY REQUIRE
NON-IMMUNIZED SHIP RIDERS PENETRATING AN ESTABLISHED BUBBLE TO COMPLETE A 14-
DAY ROM-SEQUESTER WITH TEST-IN AND TEST-OUT PRIOR TO EMBARKING DEPENDENT ON
CREW IMMUNIZATION LEVEL.
A TEST IS NOT REQUIRED FOR PERSONNEL WHO HAVE RECOVERED FROM
COVID-19 WITHIN THE PAST 90 DAYS (DUE TO THE POSSIBILITY OF PERSISTENT
POSITIVE RESULTS IN NON-INFECTIOUS PERSONS).
IMMUNIZED PCS AND SHIP RIDERS WHO ARE ASYMPTOMATIC DO NOT NEED TO CONDUCT ROM
PRIOR TO EMBARKING A SHIP. MITIGATION PLANS FOR NON-IMMUNIZED INDIVIDUALS TO
PENETRATE AN ESTABLISHED BUBBLE WITHOUT A 14 DAY ROM-SEQUESTER AND/OR TEST
DUE TO EMERGENT OPERATIONAL REQUIREMENTS MUST BE APPROVED BY THE COMMANDING
OFFICER.
4.E. PORT VISITS. COMMANDING OFFICERS MAY ALLOW IMMUNIZED INDIVIDUALS ON
UNITS MAKING PORT CALLS IN OVERSEAS SAFE HAVEN PORTS WHERE THERE IS U.S.
PRESENCE AND BASE FACILITIES (E.G., GUAM, BAHRAIN, YOKOSUKA, ROTA, SASEBO) TO
TAKE ADVANTAGE OF BASE SERVICES. GEOGRAPHIC NCCS (DELEGABLE TO NUMBERED
FLEET COMMANDERS) WILL CONTROL FOREIGN PORT VISIT OFF-BASE LIBERTY FOR ALL
INDIVIDUALS IN COORDINATION WITH COUNTRY TEAMS AND LOCAL AUTHORITIES TAKING
INTO ACCOUNT INDIVIDUAL AND CREW IMMUNIZATION STATUS, COUNTRY COVID
PREVALENCE AND MISSION REQUIREMENTS.
4.F. AIRCRAFT OPERATIONS. COMMANDERS MAY NEED TO EXEMPT AIRCREW AND
AIRCRAFT MAINTAINERS FROM THIS GUIDANCE TO MEET EMERGENT OPERATIONAL OR
NATOPS CURRENCY REQUIREMENTS. MITIGATION PLANS MUST BE APPROVED BY THE
COMMANDING OFFICER. FOR AVIATION UNITS EMBARKED ON SURFACE UNITS, MITIGATION
PLANS WILL BE INCLUDED AND APPROVED AS PART OF THE OVERALL SHIP HEALTH
PROTECTION PLAN.
4.G. TESTING. TESTING IS THE ONLY METHOD TO DETECT ASYMPTOMATIC
TRANSMISSION WITHIN THE NON-IMMUNIZED FORCE. CONSIDER SCREENING TESTS FOR
NON-IMMUNIZED INDIVIDUALS DURING OFRP CYCLE TO IDENTIFY
COVID-19 EARLY AND TO BREAK THE TRANSMISSION CYCLE. CONTINUOUSLY ASSESS THE
INTEGRITY OF A BUBBLE THROUGH CLI/ILI SCREENING OF NON-IMMUNIZED PERSONNEL.
PLATFORMS WITH TESTING CAPABILITY SHOULD EMPLOY SYMPTOMATIC TESTING
(DIAGNOSTIC) FOR EVERYONE AND TARGETED CREW TESTING (SCREENING) FOR NON-
IMMUNIZED SAILORS. ALL COVID-19 DIAGNOSTIC TESTS MUST BE ENTERED IN THE
MEDICAL RECORD.
SCREENING AND SURVEILLANCE TESTS THAT ARE INDIVIDUALLY IDENTIFIABLE MUST BE
ENTERED INTO THE MEDICAL RECORD. DIAGNOSTIC POOLED TESTING UNDERWAY IS
ALLOWED FOR MODERATE COMPLEXITY LABS USING BIOFIRE AND CEPHEID AND WILL ONLY
BE CONDUCTED IN DIRECT COORDINATION WITH NAVAL HEALTH RESEARCH CENTER AND
REQUIRES NOTIFICATION OF BUMED SURGEON GENERAL OR DEPUTY SURGEON GENERALS
OFFICE BY THE FLEET SURGEON.
4.H. POST-DEPLOYMENT. IAW CDC GUIDANCE, NON-IMMUNIZED PERSONNEL RETURNING
TO CONUS FROM DEPLOYMENT ARE REQUIRED TO HAVE A NEGATIVE VIRAL TEST RESULT NO
MORE THAN THREE DAYS BEFORE TRAVEL INTO THE U.S.; BE TESTED 3-5 DAYS AFTER
ARRIVAL AND STAY HOME AND SELF-QUARANTINE FOR SEVEN FULL DAYS, EVEN IF THE
TEST IS NEGATIVE. POST DEPLOYMENT ROM AND TESTING IS NOT REQUIRED FOR
PERSONNEL WHO HAVE RECOVERED FROM COVID-19 WITHIN THE PAST 90 DAYS (DUE TO
THE POSSIBILITY OF PERSISTENT POSITIVE RESULTS IN NON-INFECTIOUS PERSONS),
AND DOES NOT APPLY TO SHIPS, THEIR EMBARKED AIRCRAFT OR SUBMARINES RETURNING
TO PORT PROVIDED THERE HAVE BEEN NO ACTIVE COVID-19 CASES OR POTENTIAL
CONTACT WITH INFECTED PERSONNEL DURING THE LAST 14 DAYS OF DEPLOYMENT.NON-
IMMUNIZED INDIVIDUALS WHO DO NOT GET TESTED MUST STAY HOME AND SELF-
QUARANTINE FOR 10 DAYS AFTER TRAVEL.
NON-IMMUNIZED SERVICE MEMBERS REDEPLOYING FROM, ORTHROUGH, A FOREIGN COUNTRY,
UPON ARRIVAL AT THE DESTINATION DOMICILE WILL ROM AT THEIR PERSONAL RESIDENCE
(OR APPROPRIATE DOMICILE) FOR AT LEAST 10 DAYS WITHOUT TESTING OR AFTER AN
APPROPRIATE RISK ASSESSMENT BY THE FIRST FLAG OFFICER IN THE CHAIN OF COMMAND
FOR SEVEN DAYS WITH A NEGATIVE COVID-19 TEST WITHIN 48 HOURS PRIOR TO THE END
OF THE SEVEN DAY ROM. SERVICE MEMBERS REQUIRED TO ROM ARE RESTRICTED TO
THEIR RESIDENCE AND MUST LIMIT CLOSE \CONTACTS FOR THE DURATION OF ROM.
4.H.1. IMMUNIZED PERSONNEL HAVE NO ROM OR TESTING REQUIREMENTS POST-
DEPLOYMENT.
4.H.2. AT THE COMPLETION OF DEPLOYMENT, MILITARY PERSONNEL WILL COMPLETE A
POST-DEPLOYMENT HEALTH ASSESSMENT (DD FORM 2796) AND POST-DEPLOYMENT HEALTH
REASSESSMENT (DD FORM 2900) IAW REF (D).
5. ALL UNITS, STAFFS AND SHORE COMMANDS.
5.A. HPM. FOLLOW LATEST DOD FORCE HEALTH PROTECTION, CDC AND STATE/LOCAL
AREA GUIDANCE TO ENSURE THE HEALTH OF THE FORCE.
5.B. SEE REF (J) NAVADMIN FOR LATEST GUIDANCE ON ADJUSTING HEALTH PROTECTION
CONDITIONS AND BASE SERVICES.
5.C. SEE REF (K) NAVADMIN UPDATES FOR LATEST GUIDANCE ON CONDITIONS BASED
APPROACHES TO PERSONNEL MOVEMENT AND TRAVEL RESTRICTIONS.
6. CIVILIAN EMPLOYEES. COMMANDERS MUST ENSURE ROM AND MEDICAL SCREENING
GUIDANCE GIVEN TO DOD CIVILIAN EMPLOYEES CAN BE APPLIED CONSISTENT WITH
APPLICABLE CIVILIAN PERSONNEL LAW, REGULATION, AND POLICY.
6.A. CONTRACTOR PERSONNEL. THIS GUIDANCE DOES NOT ALTER, MODIFY, OR CHANGE
THE TERMS AND CONDITIONS OF ANY DOD CONTRACT.
COMMANDERS MUST ENSURE ROM AND MEDICAL SCREENING GUIDANCE GIVEN TO DOD
CONTRACTOR PERSONNEL CAN BE APPLIED CONSISTENT WITH THE PERTINENT CONTRACT
AND APPLICABLE PROCUREMENT LAW, REGULATION, AND POLICY.
7. PROVISION OF CREW HEALTH INFORMATION, TESTING AND QUARANTINE.
NCCS WILL MAKE EVERY EFFORT TO COMPLY WITH THE POLICY GUIDANCE IN REF (L)
REGARDING HOST NATION COVID-19 QUARANTINE AND TESTING REQUIREMENTS FOR
ARRIVING U.S. FORCES AND CIVILIAN PERSONNEL.
7.A. SOVEREIGN IMMUNITY. SOME COUNTRIES MAY REQUEST DETAILED INFORMATION
ABOUT THE HEALTH OF THE CREW ONBOARD, INCLUDING TEST RESULTS, PROOF OF
VACCINATION, ETC., AS A CONDITION OF ENTRY. IT IS DOD AND DEPARTMENT OF THE
NAVY POLICY TO PRESERVE THE SOVEREIGN IMMUNITY OF WARSHIPS, NAVAL
AUXILIARIES, AND SOVEREIGN IMMUNE AIRCRAFT, INCLUDING PROTECTING CREW
INFORMATION, TO THE MAXIMUM EXTENT POSSIBLE. THE NAVY DECLARATION OF HEALTH
(NAVMED 6210/3) IS THE ONLY AUTHORIZED MEANS FOR PROVIDING HEALTH INFORMATION
OF THE CREW TO FOREIGN OFFICIALS. PROVIDING ANY INFORMATION BEYOND THE
NAVMED 6210/3 AS A CONDITION OF ENTRY EXCEEDS THE U.S. REQUIREMENTS UNDER
INTERNATIONAL LAW AND CONTRARY TO THE EXECUTIVE BRANCH POSITION. SHOULD A
HOST NATION REQUIRE INFORMATION BEYOND THE NAVMED 6210/3 AS A CONDITION OF
ENTRY, CONSULT WITH THE APPLICABLE GEOGRAPHIC NAVAL COMPONENT COMMAND (GNCC).
SEE REF (M) FOR ADDITIONAL GUIDANCE.
7.A.1. COMMANDING OFFICERS, MASTERS, AND AIRCRAFT COMMANDERS SHALL COMPLY
WITH ALL DOMESTIC AND FOREIGN QUARANTINE REGULATIONS FOR PORT ENTRY, AND MAY
DOCUMENT SUCH COMPLIANCE ON THE NAVMED 6210/3. COMMANDING OFFICERS, MASTERS,
AND AIRCRAFT COMMANDERS SHALL NOT PROVIDE ANY INDIVIDUAL OR COLLECTIVE
MEDICAL DATA OR COPIES OF HEALTH RECORDS, NOR ANY SUPPLEMENTARY OR LOCALLY
DEMANDED HEALTH FORMS, AND SHALL NOT GRANT ACCESS TO SHIP OR CREW HEALTH
RECORDS OR ALLOW THE SAME TO BE SEARCHED OR INSPECTED BY HOST NATIONS.
7.A.2. SERVICE MEMBERS AND THE CREWS OF NAVAL AUXILIARIES WILL NOT SUBMIT TO
HOST NATION COVID-19 TESTING AS A REQUIREMENT OF PORT ENTRY. NOR SHALL HOST
NATION OFFICIALS BE PERMITTED TO REQUIRE PRODUCTION OF, OR TAKE A PHOTOCOPY
OF, SERVICE MEMBERS PROOF OF VACCINATION AS A CONDITION OF PORT ENTRY.
7.A.3. ANY ACTION THAT MAY CONSTITUTE A WAIVER OR POTENTIAL WAIVER OF
SOVEREIGN IMMUNITY MUST BE COORDINATED WITH OPNAV N3N5 PRIOR TO ACTION BEING
TAKEN. IAW REFS (L) AND (M), AND NAVY POLICY, GNCCS SHALL PROVIDE AS LITTLE
INFORMATION AS POSSIBLE IN ORDER TO MEET MISSION ESSENTIAL OPERATIONAL
REQUIREMENTS AND SHOULD NOT SUBMIT TO ANY REQUIREMENT THAT THE U.S. WOULD NOT
REQUIRE OF SIMILAR VISITORS (E.G., THE U.S. DOES NOT REQUIRE HN TESTING OR
PROOF OF VACCINATION FOR THE CREWS OF VISITING WARSHIPS OR NAVAL
AUXILIARIES). GNCCS WILL DETERMINE IN ADVANCE WHICH HOST NATIONS WILL
REQUIRE SUCH INFORMATION AND SHIPS MAY BE DIVERTED AS NECESSARY, TO AVOID
PROVIDING INFORMATION CONTRARY TO THESE REQUIREMENTS.
7.B. OPNAV STRONGLY DISFAVORS PERMITTING HOST NATION TESTING OF PERSONNEL.
HOST NATION TESTING MAY NOT MEET U.S. HEALTH AND SAFETY PROTOCOLS, MAY
UNNECESSARILY EXPOSE OUR PERSONNEL TO FOREIGN DATA COLLECTION, MAY PROVIDE
UNVERIFIABLE AND/OR INACCURATE RESULTS, AND ESTABLISHES POOR PRECEDENT FOR
FUTURE HEALTH EMERGENCIES.WHEN GNCCS DETERMINE THAT ACQUIESCING TO HN TESTING
IS NECESSARY FOR MISSION ACCOMPLISHMENT, GNCCS WILL CONSULT WITH BUMED OR
FORCE SURGEON TO ENSURE THAT SUCH HN TESTING MEETS ESTABLISHED INTERNATIONAL
STANDARDS OF CARE. ADDITIONALLY, ACQUIESCING TO HOST NATION TESTING IS
CONTRARY TO U.S. PRACTICE FOR SIMILAR VISITORS.
7.C. PERSONNEL EXITING THE PIER/AIRPORT FACILITY. IF REQUIRED TO EXIT THE
PIER/AIRPORT FACILITY AND ENTER THE HOST NATION, THE GNCCS, IN CONJUNCTION
WITH THE COUNTRY TEAM, MAY ASSERT THAT ONLY VACCINATED INDIVIDUALS WILL BE
ALLOWED WITHIN THEHOST NATION, BUT MAY NOT PROVIDE THE PERCENTAGE OR TOTAL
NUMBER OF THE CREW THAT HAS BEEN VACCINATED. OTHER ALLOWABLE MEASURES
INCLUDE SUBMITTING TO A TEMPERATURE SCAN UPON ENTERING/EXITING THE PIER OR
THE AIRPORT. THESE ASSERTIONS AND MEASURES SHOULD NOT BE ALLOWED FOR
PERSONNEL SOLELY USING PIER/AIRPORT FACILITIES IN SUPPORT OF PORT VISITS
(E.G., INSIDE AN ECP OR SAFE-HAVEN ARRANGEMENT) AND NOT ENTERING THE HOST
NATION.
7.C.1. AIRCRAFT COMMANDERS SHALL COMPLY WITH FOREIGN CLEARANCE GUIDE
REQUIREMENTS FOR ENTRY INTO THE HOST NATION (E.G., MOVING OUTSIDE OF AN ECP
OR SAFE-HAVEN ARRANGEMENT).
7.C.2. U.S. WARSHIPS AND NAVAL AUXILIARIES. HOST NATION TESTING OF
INDIVIDUALS FORENTRY INTO THE HOST NATION FOR MISSION ESSENTIAL OPERATIONAL
REQUIREMENTS, BUT NOT LIBERTY, CAN BE APPROVED BY THE GNCC. SHIPS ENTERING A
HOST NATION UNDER SUCH CONDITIONS SHOULD LIMIT THEIR SHORE PARTY TO MISSION
ESSENTIAL PERSONNEL. GNCCS SHOULD MAKE EVERY ATTEMPT TO GAIN HOST NATION
PERMISSION TO HAVE THE NAVY CONDUCT ONBOARD TESTING USING NAVY EQUIPMENT
PRIOR TO ENTRY TO AVOID SUBJECTING U.S. PERSONNEL TO LOCAL HEALTH TESTING.
GNCCS ACQUIESCING TO HN TESTING FOR MISSION ESSENTIAL OPERATIONAL
REQUIREMENTS SHOULD NOTIFY OPNAV N3N5. NOTIFICATION SHOULD INCLUDE
DESCRIPTION OF HN REQUIREMENTS.
OPNAV N3N5 APPROVAL IS REQUIRED PRIOR TO HOST NATION TESTING FOR QUALITY OF
LIFE (LIBERTY) PORT VISITS. UNITS REQUESTING LIBERTY IN PORTS REQUIRING HOST
NATION TESTING MUST ROUTE A REQUEST VIA THE CHAIN OFCOMMAND TO OPNAV N3N5.
REQUESTS SHALL CONTAIN JUSTIFICATION FOR SELECTING A PORT REQUIRING HOST
NATION TESTING, TESTING REQUIREMENTS OF THE HOST NATION, WHY AN ALTERNATE
PORT IS NOT FEASIBLE, AND IMPACT TO MISSION IF THE REQUEST IS DENIED.
REQUESTS SHOULD ALSO INCLUDE AN ASSESSMENT OF THE MEDICAL RISK, LEGAL RISK,
COLLECTION AND PRIVACY RISK, ANTITERRORISM/FORCE PROTECTION RISK, MISSION
RISK, AND COUNTRY TEAM COORDINATION.
NOTIFICATIONS AND REQUESTS SHOULD BE SENT VIA RECORD MESSAGE TRAFFIC.
7.D. GNCCS WILL ENSURE APPROPRIATE TRAINING ON THE PROTECTION OF HEALTH
INFORMATION AS PART OF OPSEC/PERSONAL SECURITY AND ON THE IMPORTANCE OF
VIGOROUSLY DEFENDING THE ABSOLUTE SOVEREIGN IMMUNITY OF WARSHIPS AND THE
SOVEREIGN IMMUNITY OF OTHER STATE VESSELS AND AIRCRAFT.
8. TESTING. REF (G) IS CANCELLED AND REPLACED WITH THE FOLLOWING GUIDANCE.
8.A. ASYMPTOMATIC TESTING REQUESTS AND COORDINATION.
COMMANDS WILL COORDINATE TESTING NEEDS WITH THEIR SUPPORTING MTF 60 DAYS IN
ADVANCE FOR PLANNED SHIP / SQUADRON / UNIT MOVEMENTS. ADVANCED PLANNING IS
REQUIRED TO ENSURE TESTING CAPACITY IS AVAILABLE TO SUPPORT OPERATIONAL
DEMANDS.
8.A.1. ISIC AND TYPE COMMANDERS WILL ENSURE TESTING IS PLANNED AND
COORDINATED IN ADVANCE.
8.A.2. ISIC AND TYPE COMMANDERS WILL COORDINATE WITH THE APPROPRIATE NAVY
MEDICAL REGION TO SUPPORT SHORT NOTICE (LESS THAN TWO WEEKS ADVANCED
PLANNING) TESTING.
8.B. SENTINEL SURVEILLANCE TESTING (SST) IS REQUIRED PER REF (H). SST IS
DESIGNED TO DETECT AND PREVENT ASYMPTOMATIC SPREAD OF COVID-19. COMMANDS
WITH GREATER THAN 75% FULLY IMMUNIZED PERSONNEL WILL TEST THE DESIGNATED
PERCENTAGES IN PARAGRAPH 8.B.1 AND 8.B.2 MONTHLY VICE EVERY 14 DAYS DUE TO
HIGHER VACCINATION RATES. COMMANDS WITH GREATER THAN 85% IMMUNIZATION DO NOT
REQUIRE SST. COMMANDS WHO ARE TESTING THEIR INSTALLATION/UNIT POPULATION TO
MEET TRAVEL/HOST NATION/FHP 16 TRAVEL REQUIREMENTS CAN INCLUDE THOSE TESTS IN
THEIR SST CALCULATIONS.
8.B.1. COMMANDS WILL TEST 1% OF NON-IMMUNIZED CREW/STAFF EVERY 14
DAYS.COMMANDS WITHOUT ORGANIC TESTING CAPABILITY WILL COORDINATE WITH THEIR
SERVICING MTF.
8.B.2. MEDICAL COMMANDS UNDER THE AUTHORITY, DIRECTION AND CONTROL OF THE
NAVY WILL TEST TEN PERCENT OF NON-IMMUNIZED PERSONNEL EVERY 14 DAYS.
9. VACCINE ORDERING AND ADMINISTRATION. AMPLIFYING GUIDANCE TO REF (C).
9.A. NEW COVID VACCINATION SITES MUST COMPLETE TRAINING, LOGISTICS, AND
PREPAREDNESS FOR VACCINE ADVERSE REACTIONS IAW REF (I), COMPLETE A READY TO
RECEIVE CHECKLIST AND SUBMIT TO TYCOM FOR REVIEW.
9.A.1. COMMANDING OFFICERS OF NEW VACCINATION SITES WILL ENSURE VACCINATION
PERSONNEL COMPLETE TRAINING REQUIRED BY REF
(I) AS PART OF THE READY TO RECEIVE CHECKLIST.
9.A.2. COMMANDING OFFICERS OF NEW VACCINATION SITES WILL ENSURE APPROPRIATE
COLD STORAGE CONDITIONS ARE AVAILABLE, TEMPERATURE CONDITIONS ARE SPECIFIC TO
EACH VACCINE AND AVAILABLE FROM THE US FDA FOR AUTHORIZED AND LICENSED
VACCINES.
9.B. ONLY SHIPS WITH ROLE TWO CAPABILITIES EMBARKED ARE AUTHORIZED TO
ADMINISTER VACCINE WHILE AT SEA. ALL FLEET PLATFORMS WHO HAVE COMPLETED
REQUIREMENTS IAW REF (I) ARE AUTHORIZED TO ORDER AND ADMINISTER VACCINE PIER-
SIDE WHEN ACCESS TO ROLE TWO OR EMERGENCY MANAGEMENT SERVICES SUPPORT IS
READILY AVAILABLE.
10. EXTERNAL NAVY VACCINE REPORTING. ACTIVE DUTY AND RESERVE PERSONNEL
VACCINATED AT A COMMERCIAL OR GOVERNMENT VACCINATION SITE OUTSIDE THE DEFENSE
HEALTH AGENCY NETWORK WILL PROVIDE VACCINATION DOCUMENTATION TO THEIR UNIT
MEDICAL REPRESENTATIVE FOR INCLUSION IN ELECTRONIC HEALTH RECORDS.
UNITS WITHOUT ORGANIC MEDICAL PERSONNEL WILL PROVIDE VACCINATION
DOCUMENTATION TO THE LOCAL MILITARY TREATMENT FACILITY OR CLINIC WHERE THEIR
PRIMARY CARE IS PROVIDED. RESERVE UNITS WILL ACTIVELY VERIFY VACCINATION
STATUS AT EACH VIRTUAL OR IN PERSON DRILL WEEKEND AND RESERVISTS WILL TURN IN
THEIR VACCINE DOCUMENTATION AT THEIR NEXT WORKDAY/DRILL DAY FOR INCLUSION IN
THEIR HEALTH RECORD.
11. RELEASED BY RADM K. O. THOMAS, ASSISTANT DEPUTY CHIEF OF NAVAL
OPERATIONS FOR OPERATIONS, PLANS AND STRATEGY, OPNAV N3/N5B.//
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