This publication sets forth principles to assist commanders and staffs to plan for and conduct operations in which their forces may encounter the employment or threat of nuclear, biological, and chemical weapons and other toxic materials. These principles apply to joint, multinational, and interagency operations. The crises and conflicts that characterize the international security environment pose complex simultaneous challenges to the interests and security of the United States. The Armed Forces of the United States, in the United States or abroad, may be required to conduct operations in nuclear, biological, and chemical (NBC) environments. The principles set forth in this publication are designed to enable combatant commanders and subordinate joint force commanders (JFCs) to plan for, train their forces for, and execute their assigned missions in a tumultuous international security environment against a varied set of NBC-capable adversaries. The Armed Forces of the United States plan for and conduct operations to overcome complex simultaneous challenges across the range of military operations against adversaries who may be armed with NBC weapons. While any given threat and operation may be focused principally in a particular overseas region, the adversary may have the motivation and means to extend the conflict to other regions including US territory. Threat - Adversaries may be particularly inclined to threaten or use nuclear, biological, and chemical (NBC) weapons in asymmetric operations to overcome the military strengths and assail the vulnerabilities of the United States and its multinational partners. EXECUTIVE SUMMARY * CHAPTER I * THE STRATEGIC CONTEXT * - General * - International Environment * - NBC Weapons * - Threat * - Strategic Guidance * CHAPTER II * PEACETIME PREPAREDNESS AND THE TRANSITION TO OPERATIONS * - General * - Preparedness in the United States * - Preparedness in Theater Operational Areas * - Considerations for Supported and Supporting Combatant Command Strategic Planning * - Considerations at the Outset of Operations * CHAPTER III * SUSTAINED COMBAT OPERATIONS * - General * - Principles of Operations in NBC Environments * - Principles of NBC Defense * - Relationship of NBC Defense to Other Offensive and Defensive Capabilities * - Special Considerations for Sustained Combat * - Logistics and Rear Area Operations * - Responsibilities for Operations in NBC Environments * CHAPTER IV * HEALTH SERVICE SUPPORT * - General * - Campaign Planning * - Health Service Support * - Preventive Medicine Principles * - Countermeasures and Response to NBC Medical Effects * - Patient Movement * - Casualty Decontamination and Triage * - Medical Treatment Facilities * CHAPTER V * SUPPORTING CONFLICT TERMINATION * - General * - Transition to Conflict Termination * - Post-Conflict Operations * CHAPTER VI * MILITARY OPERATIONS OTHER THAN WAR * - General * - Overview * - Peacetime Preparations and Transition to Operations * - MOOTW Within the United States * APPENDIX * A Threat Considerations * B Nuclear Hazard Considerations * C Biological Hazard Considerations * D Chemical Hazard Considerations * E Treaty, Legal, and Policy Obligations * F References * GLOSSARY * Part I Abbreviations and Acronyms * Part II Terms and Definitions

1. Scope - This publication provides doctrine to assist commanders and staffs in planning, preparing for, conducting, and assessing operations in which their forces may encounter chemical, biological, radiological, and nuclear threats and hazards. These principles apply across the range of military operations. 2. Purpose- This publication has been prepared under the direction of the Chairman of the Joint Chiefs of Staff. It sets forth joint doctrine to govern the activities and performance of the Armed Forces of the United States in joint operations and provides the doctrinal basis for interagency coordination and for US military involvement in multinational operations. It provides military guidance for the exercise of authority by combatant commanders and other joint force commanders (JFCs) and prescribes joint doctrine for operations, education, and training. It provides military guidance for use by the Armed Forces in preparing their appropriate plans. It is not the intent of this publication to restrict the authority of the JFC from organizing the force and executing the mission in a manner the JFC deems most appropriate to ensure unity of effort in the accomplishment of the overall objective. 3. Application- a. Joint doctrine established in this publication applies to the Joint Staff, commanders of combatant commands, subunified commands, joint task forces, subordinate components of these commands, and the Services. b. The guidance in this publication is authoritative; as such, this doctrine will be followed except when, in the judgment of the commander, exceptional circumstances dictate otherwise. If conflicts arise between the contents of this publication and the contents of Service publications, this publication will take precedence unless the Chairman of the Joint Chiefs of Staff, normally in coordination with the other members of the Joint Chiefs of Staff, has provided more current and specific guidance.

This publication provides doctrine to assist commanders and staffs in planning, preparing for, conducting, and assessing operations in which their forces may encounter chemical, biological, radiological, and nuclear threats and hazards. These principles apply across the range of military operations. This publication has been prepared under the direction of the Chairman of the Joint Chiefs of Staff. It sets forth joint doctrine to govern the activities and performance of the Armed Forces of the United States in joint operations and provides the doctrinal basis for interagency coordination and for US military involvement in multinational operations. It provides military guidance for the exercise of authority by combatant commanders and other joint force commanders (JFCs) and prescribes joint doctrine for operations, education, and training. It provides military guidance for use by the Armed Forces in preparing their appropriate plans. It is not the intent of this publication to restrict the authority of the JFC from organizing the force and executing the mission in a manner the JFC deems most appropriate to ensure unity of effort in the accomplishment of the overall objective. Joint doctrine established in this publication applies to the Joint Staff, commanders of combatant commands, subunified commands, joint task forces, subordinate components of these commands, and the Services. The guidance in this publication is authoritative; as such, this doctrine will be followed except when, in the judgment of the commander, exceptional circumstances dictate otherwise. If conflicts arise between the contents of this publication and the contents of Service publications, this publication will take precedence unless the Chairman of the Joint Chiefs of Staff, normally in coordination with the other members of the Joint Chiefs of Staff, has provided more current and specific guidance. Commanders of forces operating as part of a multinational (alliance or coalition) military command should follow multinational doctrine and procedures ratified by the United States. For doctrine and procedures not ratified by the United States, commanders should evaluate and follow the multinational command's doctrine and procedures, where applicable and consistent with US law, regulations, and doctrine.

The threatened or actual employment of chemical, biological, radiological, and nuclear (CBRN) material, including toxic industrial materials (TIMs), can seriously challenge US military operations. The deadly, destructive, and disruptive effects of these weapons and materials merit continuous consideration by the joint force commander (JFC) and supporting commanders. The worldwide availability of advanced military and commercial technologies and information (including dual use and emerging nontraditional threats), combined with commonly available transportation and delivery means, may allow adversaries opportunities to acquire, develop, and employ CBRN weapons without regard for national or regional boundaries. The Department of Defense (DOD) has expanded CBRN defense capabilities to address the complexities of the strategic context in which US forces may perform missions in CBRN environments.

This publication sets forth principles to assist commanders and staffs to plan for and conduct operations in which their forces may encounter the employment or threat of nuclear biological and chemical weapons and other toxic materials. These principles apply to joint multinational and interagency operations.

DigiCat Publishing presents to you this special edition of "Health Service Support in a Nuclear, Biological, and Chemical Environment" (Tactics, Techniques, and Procedures) by United States. Department of the Army. DigiCat Publishing considers every written word to be a legacy of humankind. Every DigiCat book has been carefully reproduced for republishing in a new modern format. The books are available in print, as well as ebooks. DigiCat hopes you will treat this work with the acknowledgment and passion it deserves as a classic of world literature.