and safety of his command. However, within a fixed military installation, either overseas
or in the continental United States (CONUS), the allocation of tasks is somewhat
different and the emphasis shifts to other major areas.
a. Corps of Engineer. On a fixed installation, such responsibilities as water
supply, sewage and refuse disposal, and repair and utilities are assumed by the
Director of facilities engineering (DFAE). The DFAE may or may not also be a member
of a tactical (such as a division or corps) staff. Director of facilities engineering also
perform most insecticide spraying operations in conjunction with the installation
preventive medicine section.
b. Unit Field Sanitation Team. The unit field sanitation team is not operational
in garrison. It assumes a training role in preparation for its employment in the field.
c. Installation Medical Support. In fixed installations, medical support is
rendered on an area rather than an organizational basis. Assigned unit medical
personnel are normally pooled in post medical treatment facilities under the operational
control of the director of health services (DHS). The DHS is a member of the
installation commander's staff and is the commander of the US Army Medical
Department Activity (MEDDAC) providing primary medical support to the installation
(para (1) below). At installations provided medical support by a medical center (para (2)
below), the center commander will appoint an appropriate individual to serve as DHS on
the installation staff.
(1) Medical department activity . A medical department activity (MEDDAC)
is a TDA organization under the jurisdiction of the Commander, US Army Health
Services Command. Its mission is to exercise command and control over assigned and
attached AMEDD units providing health services within its geographical area of
responsibility. A MEDDAC is normally established at each installation having a US
Army hospital or a US Army health clinic. The senior Medical Corps officer assigned to
the hospital or health clinic commands the MEDDAC. When the MEDDAC does not
have a US Army hospital, it includes additional elements normally included in the
(2) Medical center. An Army medical center differs from a US Army hospital
in that it is especially staffed and equipped to afford facilities for the observation,
treatment, and disposition of patients requiring relatively long periods of hospitalization
or highly specialized treatment. A medical center performs the functions of a MEDDAC
in providing area medical support to the installation on which it is located or to adjacent
installations not having MEDDACs.
(3) United.States. Army Health Services Command. The US Army Health
Services Command (HSC) is a major Army command under the jurisdiction of the
Headquarters, Department of the Army, with headquarters at Fort Sam Houston, Texas.
The Commander, HSC, commands all Army health service organizations, units,
facilities, and activities in CONUS except TOE units and those activities controlled
directly by The Surgeon General.