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NAVADMIN 099/21
MSGID/NAVADMIN/CNO WASHINGTON DC/CNO/MAY//
SUBJ/U.S. NAVY COVID-19 STANDING GUIDANCE//
REF/A/NAVADMIN/OPNAV/160550ZFEB21//
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//
NARR/REF A IS NAVADMIN 037/21, U.S. NAVY COVID-19 STANDARDIZED OPERATIONAL
GUIDANCE VERSION 4.0.
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).//
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 REPLACES U.S. NAVY COVID-19 STANDARDIZED OPERATIONAL
GUIDANCE (SOG) VERSION 4.0 ISSUED IN REF (A) IN ITS ENTIRETY AND BECOMES
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 DURING PORT VISITS. THIS PARAGRAPH
ALSO APPLIES TO USNS, U.S. GOVERNMENT-OWNED VESSELS, AND U.S.-FLAGGED
TIME- AND BAREBOAT-CHARTERED VESSELS, AS WELL AS SOVEREIGN IMMUNE AIRCRAFT.
7.A. IT IS ANTICIPATED THAT SOME COUNTRIES TO WHICH A PORT VISIT MAY BE
PLANNED WILL 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) REMAINS THE ONLY AUTHORIZED MEANS FOR
PROVIDING HEALTH INFORMATION OF THE CREW TO FOREIGN OFFICIALS. PROVIDING ANY
INFORMATION BEYOND THE NAVMED 6210/3 EXCEEDS THE U.S. REQUIREMENTS UNDER
INTERNATIONAL LAW AND ADVANCES A POSITION THE EXECUTIVE BRANCH HAS NOT
AUTHORIZED. SHOULD A HOST NATION REQUIRE INFORMATION BEYOND THE NAVMED
6210/3, CONSULT WITH THE APPLICABLE GEOGRAPHIC NAVAL COMPONENT COMMAND
(GNCC).
7.B. COMMANDING OFFICERS, MASTERS, AND AIRCRAFT COMMANDERS SHALL COMPLY WITH
ALL DOMESTIC AND FOREIGN QUARANTINE REGULATIONS FOR ENTRY INTO PORT, AND MAY
DOCUMENT SUCH COMPLIANCE ON THE NAVMED 6210/3. IF REQUIRED BY THE HOST
NATION TO EXIT THE PIER/AIRPORT FACILITY AND ENTER THE COUNTRY, THE GNCCS, IN
CONJUNCTION WITH THE COUNTRY TEAM, MAY ASSERT THAT ONLY VACCINATED
INDIVIDUALS WILL BE ALLOWED LIBERTY WITHIN THE HOST NATION, BUT MAY NOT
PROVIDE THE PERCENTAGE 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 FACILITIES IN SUPPORT OF PORT VISITS (E.G., INSIDE AN ECP OR SAFE-
HAVEN
ARRANGEMENT) AND NOT ENTERING THE HOST NATION.
7.C. COMMANDING OFFICERS, MASTERS, AND AIRCRAFT COMMANDERS SHALL NOT PROVIDE
ANY INDIVIDUAL OR COLLECTIVE MEDICAL DATA OR COPIES OF WRITTEN 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. UNLESS ENGAGED IN PREAUTHORIZED OR
EMERGENT HEALTHCARE, SERVICE MEMBERS AND THE CREWS OF NAVAL AUXILIARIES WILL
NOT SUBMIT TO HOST NATION COVID -19 TESTING AS A REQUIREMENT OF PORT ENTRY.
HOST NATION OFFICIALS SHALL NOT BE PERMITTED TO REQUIRE PRODUCTION OF, OR
TAKE A PHOTOCOPY OF, SERVICE MEMBERS PROOF OF VACCINATION.
7.D. ANY ACTION THAT MAY CONSTITUTE A WAIVER OR POTENTIAL WAIVER OF
SOVEREIGN IMMUNITY OR THAT MAY RESULT IN COMPROMISE OF OPERATIONAL SECURITY
(OPSEC) MUST BE COORDINATED WITH N3N5 PRIOR TO ACTION BEING TAKEN ON THE
MATTER. IAW NAVY POLICY, GNCCS SHALL PROVIDE AS LITTLE INFORMATION AS
POSSIBLE IN ORDER TO MEET ESSENTIAL OPERATIONAL REQUIREMENTS AND SHOULD NOT
SUBMIT TO ANY REQUIREMENT THAT THE U.S. WOULD NOT REQUIRE OF VISITORS IN A
SIMILAR CATEGORY. EVERY EFFORT WILL BE MADE TO DETERMINE IN ADVANCE WHETHER
A HOST NATION WILL REQUIRE SUCH INFORMATION, AND SHIPS, AND AIRCRAFT MAY BE
DIVERTED IF NECESSARY, TO AVOID THOSE REQUIREMENTS.
7.E. 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 ORCLINIC 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 VADM P. G. SAWYER, DEPUTY CHIEF OF NAVAL OPERATIONS FOR
OPERATIONS, PLANS AND STRATEGY, OPNAV N3/N5.//
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