AfR  200-3 
AIR  FORCE  REGULATION 
NO.  200-3 
DEPARTMENT  OF  THE  AIR  FORCE 
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  ZJSAF  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. 
Paragraph 
Terms   Explained   
 —      1 
The  Need  for  and  Scope  of  the  Medical  Intelligence  Program   —  2 
Concepts  of  Medical  Intelligence  in  the  USAF     3 
Sources  of  Medical  Intelligence  - 
 „      4 
Responsibilities  for  the  Program  
Coordination   and   Liaison      „ 
 „ 
I.   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- 
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 surprise.  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  about  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. 
OPR:  AFMSPA 
DISTRIBUTION:   B
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  operational  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  system  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  a3  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
AFR  200-3 
5-6 
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  personnel  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. 
c.  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- 
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  op  the  Secretary  of  the  Air  Force 
Official 
R.  J.  PUGH 
Colonel,  USAF 
Director  of  Administrative  Services 
J.  P.  McCONNELL 
General,  U.  S.  Air  Force 
Chief  of  Staff