AFR 200-3 DEPARTMENT OF THE AIR FORCE AIR FORCE REGULATION NO. 200-3 Washington, 9 July 1965 Intelligence Activities THE MEDICAL INTELLIGENCE PROGRAM This regulation describes the Medical Intelligence Program of the USAF, outlines the relationship of medical intelligence activities with other elements of the intelligence com- munity, establishes responsibility at various levels of command, and provides guidance for accomplishing the USAF medical intelligence effort. It applies to all major air commands, agencies, and offices concerned with collecting, interpreting, and disseminating the medical components of scientific information. Terms Explained 2000.2... ecsccssecscceseseseeeceeeseee The Need for and Scope of the Medical Intelligence Program Paragraph asaseegeccesescseesagereeceeteesensensennensctecseersseeneeseneeneece -- | Cencepts of Medical Intelligence in the USAF ...... eee 3 Sources of Medical Intelligence ................... Responsibilities for the Program Coordination and Liaison 00000........:.ccceceeeceee 1. Terms Explained: a. Aeromedical Intelligence. The segment of medical intelligence that pertains to scien- tific and technical information about any phase of the science and practice of aero- space medicine and bioastronautics. b. Medical Intelligence. Information which, when collected, evaluated, assem- bled, and produced, provides substantive data that permits accurate assessment of the effects of health conditions on the man- power potential of a political or geographic area. It includes the distribution and char- acter of diseases that may influence military operations or the domestic aspects of na- tional security, and also the climatological, physiological, and psychological factors that influence the interrelationship of man and his environment, equipment, and tasks. 2. The Need for and Scope of the Medical Intelligence Program. To succeed in its mis- sion, in war and in peace, the Air Force must have knowledge of all conditions that bear on the capabilities of both friendly and hostile foreign nations. The skills and resources inherent in certain routine func- tions of the USAF Medical Service’s Aerospace Medical Program (e.g., flight medicine, military public health, toxicology, bioenvironmental engineering, nuclear medi- cine, and the biomedical sciences) are nat- OPR: AFMSPA DISTRIBUTION: B urally adapted to the evaluation of data bearing on foreign technology and world- wide health and disease conditions that may adversely affect USAF operational capabil- ity. Medical intelligence functions also com- prise determining and assessing postattack health and sanitary conditions, including the effects of radiological fallout in nuclear war situations in both friendly and hostile areas. 3. Concepts of Medical Intelligence in the USAF. Since medical intelligence helps de- tect new foreign capabilities, particularly those relating to space operations which might not otherwise be elicited, it is a major element of the effort to prevent technologi- cal suyprise. Medical intelligence functions vary, as follows, with the state of conflict: a. Peace or Cold War. During peacetime or cold war conditions, including counter- insurgency operational situations, the Air Force must maintain surveillance over for- eign technological capability in the aero- space and biomedical science area. Signifi- cant information aout capability and new weaponry may be derived from data on the nature and characteristics of certain types of medical research. The world-wide deploy- ment of the USAF requires continuing eval- uation of global and local epidemiological conditions in every echelon of medical re- sponsibility.
AFR 200-3 3-5 _ b. Limited War. During periods of lim- ited war, the peacetime medical intelligence functions continue. Flight medical officers and other Medical Service personnel must also be on the alert to observe the possible introduction of new aerospace medical de- velopments and aircrew protective equip- ment. More intensive observations must be made of the effect health and sanitary con- ditions have on enemy operatioral capability, and concern must be given to the possibility of biological warfare activity. c. Pregeneral and General War. During periods of increased tension which might lead to general war, medical intelligence must be concerned with the possibilities of biological warfare attacks. Once general hostilities have been initiated, in addition to global epidemiological surveillance, intensive intelligence efforts must be directed to eval- uating the effect of nuclear fallout casualties on foreign military and civil populations and their economic capability. The effects of damage and casualties on the military capa- bility of the USAF and other friendly forces must also be determined. 4. Sources of Medical Intelligence. A con- siderable portion of the medical intelligence, or information with a medical intelligence connotation, required by the USAF is avail- able from other departments and govern- mental intelligence agencies. The Defense Intelligence Agency, Central Intelligence Agency, U.S. Public Health Service, State Department, United States Strategic Intelli- gence Board, and similar activities are con- cerned with medical intelligence matters. The USAF Medical Service provides guid- ance, consultation, and specialist personnel to assist in the management and conduct of the aerospace medical intelligence effort. Within the USAF, the Foreign Technology and Aerospace Medical Divisions, AFSC, have basic responsibilities for the aeromedi- cal intelligence aspect of aerospace technical intelligence activities. 5. Responsibilities for the Program a. Assistant Chief of Staff, Intelligence, HQ USAF (AFNIN) is responsible for over- all management of all intelligence activities under USAF cognizance; he will: (1) Establish and formulate USAF re- quirements for medical and aerospace medi- cal intelligence, in coordination with the Surgeon General, USAF (AFMSG) and the Director of Science and Technology (AFRSTA). (2) Maintain liaison wtih other depart- mental and governmental intelligence-pro- ducing agencies to insure that USAF intelli- gence requirements are recognized and that the USAF is aware of and appropriately uses the medical intelligence available from other agencies. (3) Provide and supervise systems to collect and disseminate medical and aero- space medical intelligence information, util- izing the advice and assistance of the Sur- geon General as required. (4) Assemble medical and aerospace medical intelligence from all sources and process it for inclusion in air intelligence studies and estimates. The Surgeon General will support AFNIN in this activity. (5) Immediately refer to the Medical Intelligence Coordinating Panel, AFMSG, operational reporting systern messages that contain information about epidemiological, health, or sanitary matters of a medical intelligence nature. (6) Arrange for the Surgeon General to receive any information that requires professional radiological or bioenvironmental review and assessment, such as dealing with fallout, suspected biological warfare, chemi- cal warfare attacks, etc. (7) Include in the Intelligence Annex of operational directives, plans, and orders prepared by AFNIN, information on health and sanitary conditions in areas of operation, and other epidemiological data and related information provided by AFMSG. b. The Surgeon General, USAF, will: (1) Recommend and advise AFNIN about requirements for medical intelligence, and submit to the intelligence community collecting and other intelligence action re- quirements. (2) Maintain world-wide epidemiologi- cal surveillance and advise Air Staff agencies about the significance of world health con- ditions in current or projected USAF oper- ations. (3) Maintain a Surgeon General’s Med- ical Intelligence Coordinating Panel to pro- vide the necessary technical back-up and support to USAF Medical Service represent- atives assigned to the Defense Intelligence Agency or other intelligence activities, and to serve as the focal point for medical in- telligence activities within the Medical Service. (4) Provide USAF membership and representation on interdepartmental and in- teragency committees or groups that deal with medical intelligence matters, keeping
AFNIN informed on matters of significance that arise from this participation. (5) Plan and participate in quasi-in- telligence activities, such as hosting foreign medical personne! attending U.S. scientific or medical meetings and assemblages. (6) During periods of contingency op- eration or defense readiness, maintain in- creased epidemiological and biomedical in- telligence surveillance, providing AFNIN and other Air Staff agencies with evalua- tions of health and disease data in areas of USAF interest. AFMSG will assure that a medical intelligence capability is inherently present in HQ USAF Rear, or in such alter- nate Headquarters Command Post as may be established, as well as in support of HQ USAF battle-staff activities. ce. Major Air Commands will: (1} Insure Medical Service participa- tion in command intelligence activities, in- cluding assisting, collecting, evaluating, dis- seminating, and coordinating with responsi- ble intelligence agencies information about enemy medical activities. (2) Maintain surveillance and advise HQ USAF (AFNIN and AFMSG) about health and sanitary conditions in their areas of operation that may affect USAF opera- tional capability in those areas. (3) Maintain epidemiological and bio- environmental surveillance over conditions that may be of interest in the national in- telligence effort. This includes reporting the presence of epidemics in indigenous popu- lations, providing information on zoonotic diseases; and making comments and obser- vations about the general health and well- being of both friendly and potentially hostile populations. (4) Participate in evaluating captured foreign materiel or equipment of aerospace medical importance, including aircrew pro- tective devices, personal protective equip- AFR 200-3 5-6 ment against biological and chemical war- fare, equipment for use by missile launch control and handling personnel and similar items, and new or unusual casualty produc- ing devices. d. The Air Force Systems Command will: (1) Through the Foreign Technology and Aerospace Medical Divisions, develop and conduct programs to appraise foreign technical capabilities, performance charac- teristics, and design features of aerospace vehicles and related equipment intended to exploit human capability or protect crew members from stresses of flight. (2) Formulate detailed requirements for foreign technical intelligence to accom- plish the USAF medical intelligence mission, including evaluating technical developments associated with all phases of environmental stress control, utilizing human capabilities and weapons systems, and protecting per- sonnel from the physical, physiological, and psychological stresses associated with Air Force operations. (3) Include information about medical intelligence activities and requirements in courses taught at the USAF School of Aero- space Medicine. (4) Help AFNIN evaluate significant aerospace intelligence data and accomplish assigned technical intelligence functions to support aerospace medical requirements gen- erated by the Defense Intelligence Agency. 6. Coordination and Liaison. AFMSG, AFNIN, and Air Force commands and agen- cies may communicate direct to coordinate the exchange of medical intelligence infor- mation. However, major commands must send medical intelligence communications for the Defense Intelligence Agency or other elements of the intelligenc community to HQ USAF (AFNIN), with information copy to AFMSP, for transmittal to the agency con- cerned. By ORDER OF THE SECRETARY OF THE AIR FORCE OFFICIAL R. J. PUGH Colonel, USAF Director of Administrative Services J. P. McCONNELL General, U. 8. Air Force Chief of Staff