National Jamboree

Health and Wellness Leader Portal

 Contingent Health & Wellness Preparation

The 2026 National Jamboree is designed to be a safe, fun, and memorable event for all attendees. This Health and Wellness Guide for Contingent Leaders provides essential information to prevent, recognize, and manage basic medical and mental health issues. While the Jamboree Health and Wellness and Emergency Management Operations teams hope that all attendees enjoy the event without needing our services, we are available 24/7 throughout the Jamboree to assist with serious medical and mental health conditions.
Jamboree Health & Wellness Leadership
Jamboree Health & Wellness Leadership brings together a highly coordinated team of medical, mental health, logistics, and well-being professionals to ensure a safe, thriving experience for every participant. Guided by the Health & Wellness Pillar Chair/Jamboree Chief Medical Officer, and supported by dedicated chiefs, directors, and program leads across all service areas, this team integrates clinical care, mental health support, supply chain management, and youth well-being into one unified system.
Overview of Jamboree Medical Services
The Jamboree Medical and EMS services include a fully functional urgent and emergency care clinic system, as well as an EMS response system staffed by hundreds of licensed healthcare professionals. Emergency and specialty services are available at the Jamboree Health Center.
24-Hour Base Camp Primary/Urgent Care Clinic Locations
  • Basecamp E Medical (Staff/JST): E2 Subcamp next to Subcamp HQ
  • Basecamp C Medical: C2 Subcamp next to C Tower
  • Basecamp D Medical: Pigott Bunkhouse 1st Floor (Check in between Pigott Bunkhouse and Dining Hall near to Delta House Road)
Base Camp Clinic Services
  1. Self-help station
  2. Medical triage, treatment, observation, and discharge at various care levels
  3. Transport to higher care clinics or offsite (non-emergency van through EMS ambulance)
  4. Mental health triage and evaluation
  5. Listening Ear
  6. Altitude Adjustment: mental health and wellness space. Learn about the brain’s emotional regulation systems and dopamine/device addiction. Activities may include:
    • Music
    • Aromatherapy
    • Conversation Starters
    • Collaborative Activities
    • Healthy Device Use
Program Medical Clinic Locations
  1. Challenge Camp A/B: B2 Subcamp next to B2 Pavilion along Alpha Bravo Road
  2. Action Point: Along Action Point Road, across from the Visitor Service Information Booth just before the Consol Energy Bridge
  3. Thrasher Mountain: at the Trax and the Park
Program clinics are open during program hours for acute urgent and emergency care. All medical services except for extended observation are available.
AT&T Stadium Clinic
The AT&T Stadium Clinic is only open during arena shows and on Sunday, July 26 during Religious Services and the Americana Extravaganza. All medical services except for extended observation are available.
Jamboree Health Center (JHC) – Subcamp D2, Across from D Tower
Offers 24-hour basic emergency services including diagnostics, treatment, and triage:
  • Emergency mental health evaluation and treatment.
  • Observation and transfer to base camp facilities.
  • Specialty clinics (limited hours) including orthopedics (X-ray available), vision services, and dental care.
Jamboree Health & Wellness Care Model
The model of care at the Jamboree escalates from Scout Rendered First Aid to Contingent Health & Wellness Leader Rendered First Aid to care at a Jamboree Clinic.
Scout Rendered First Aid
Scouts attending the National Jamboree should be prepared to manage basic first aid needs, such as abrasions, superficial lacerations, splinters, contusions, blisters, and insect bites. Scouts should carry a basic first aid kit, which should include:
  • 6-10 latex-free adhesive bandages in assorted sizes
  • 2-4 sterile gauze pads (3”x3” or 4”x4”)
  • Roll of latex-free adhesive tape
  • 3”x6” piece of moleskin, cut into pieces OR 4-6 hydrocolloid blister dressings in a variety of sizes
  • Disposable latex-free gloves
  • 4 alcohol wipes
  • 3” elastic bandage
  • Antibiotic ointment packet
  • Tweezers and scissors
Scouts should follow daily hydration guidelines and encourage their buddy to increase fluid intake if signs of mild dehydration (thirst, dizziness, headache, muscle cramps) appear.
Feminine Hygiene Personal Kit
  • Chosen period product
  • Liners
  • Spare underwear or period underwear
  • Personal hygiene wipes
  • Hand sanitizer
  • Small bag or pouch
Contingent Rendered First Aid
Contingents are expected to manage other first aid needs that do not require care at a Jamboree clinic. This may include deeper abrasions, mild sprains, and mild dehydration.
Jamboree Medical Care
  • Jamboree Base Camp medical clinics provide primary/urgent medical care beyond first aid.
  • Program clinics provide urgent to emergent medical care and transfer offsite.
  • The Jamboree Health Center (JHC) provides the highest level of care at the National Jamboree. It is a free-standing emergency/observation department and specialty care clinic. JHC is NOT a Base Camp medical facility, but it does accept walk in patients.
Within each 40-person contingent (36 Scouts + 4 Adult Leaders), a minimum of one leader will be designated as the Health & Wellness Contingent Leader. This is required for the 2026 NJ.
Health & Wellness Contingent Leader Qualifications
Must hold at least one of the following levels of training. A copy of the current license or certification must be reviewed and confirmed to be valid through the end of the Jamboree (including travel, if applicable) by your council.
  1. Wilderness First Aid or First Responder
  2. Outdoor Emergency Care/Ski Patrol
  3. EMT-Basic, EMT-Advanced, or Paramedic
  4. Military Corpsman, Medic (or Equivalent Medical Training)
  5. Licensed Practical (or Vocational) Nurse
  6. Registered Nurse
  7. Certified Registered Nurse Anesthetist
  8. Licensed Nurse Practitioner
  9. Licensed Physician’s Assistant
  10. Licensed Physician, MD or DO
Wilderness First Aid is the minimum requirement for a Health & Wellness Contingent Leader. It is a 16-hour, in-person course, and each participant must have current adult CPR/AED certification prior to participation in WFA. Scouting America has identified the following providers for WFA training:
  1. American Red Cross
  2. Emergency Care & Safety Institute
  3. Providers accredited by the American Camp Association (ACA) under the ACA’s standard
WFA courses offered by any other provider do not meet Scouting America’s requirements. The current listing of the American Camp Association (ACA) accredited training can be obtained from the following nationally recognized organizations:
HW.2.2/ST.3.2 First Aid & Emergency Care Personnel
 
Organization
Certification
Aerie Medicine
Wilderness First Aid and Wilderness First Responder
American Red Cross
Wilderness and Remote First Aid
American Safety & Health Institute
Wilderness First Aid (16 – hour course)
AmeriMed CPR Training
Wilderness First Aid
Canadian Red Cross
Wilderness and Remote First Aid and Advanced Wilderness and Remote First Aid
Center for Wilderness Safety
Wilderness First Aid
Emergency Care and Safety Institute (ECSI)
American Academy of Orthopedic Surgeons: Wilderness First Aid Standard, Wilderness First Aid ADVANCED Level Course
International Wilderness Medicine Educators
Wilderness First Aid
Kane Schools
Wilderness First Aid and Wilderness First Responder
Longleaf Wilderness Medicine
Wilderness First Aid and Wilderness First Responder
Med Training Group
Wilderness First Aid
National Search & Rescue (NASAR)
Wilderness First Aid and Wilderness First Responder
National Safety Council
NSC Advanced First Aid
National Ski Patrol
Outdoor Emergency Care
NOLS Wilderness Medicine
Wilderness First Aid, Wilderness Advanced First Aid, Wilderness First Responder, and Wilderness EMT
Remote Medical International
Wilderness First Aid, Wilderness First Responder
Sierra Rescue
Wilderness First Aid, Wilderness Advanced First Aid, Wilderness First Responder, Wilderness First Aid 3-Day, Wilderness First Aid 2-Day
SOLO
Wilderness First Aid, Wilderness First Responder, CPR
St. John’s Ambulance (Canada, Australia)
Wilderness First Aid
The Mountaineers
Mountaineering Oriented First Aid
University of Colorado Department of Emergency Medicine
Wilderness First Aid
University of New Mexico International Mountain Medicine Center
Wilderness First Aid, Wilderness First Responder, Wilderness EMT
Wilderness Medical Associates
Wilderness First Aid, Wilderness Advanced First Aid, Wilderness First Responder, Wilderness EMT
Wilderness Medicine of Utah
Wilderness First Aid
Wilderness Medical Training Center
Wilderness First Aid, Wilderness Advanced First Aid, Wilderness First Responder, Wilderness EMT
Wilderness Medicine Outfitters
Wilderness First Aid, Wilderness First Responder (Distance learning course does not quality)
Wilderness Safety Council
Wilderness First Aid
Scouting America, American Red Cross, and the Emergency Care and Safety Institute (ECSI) have national agreements, with the primary goal to help councils become self-sufficient in teaching First Aid Courses. Wilderness First Aid is a specified course in these agreements. Contact or visit your council service center for more information about the implementation and availability of agreements that may be in place with your council.
Health & Wellness Contingent Leader Registration
During subcamp registration, check in at the medical desk to confirm contact information. The medical team will inquire if there are any medical issues or concerns within the contingent.
Health & Wellness Contingent Leader Responsibilities
  1. Collection and maintenance of the Annual Health and Medical Record (AHMR)
  2. Oversight of AHMR submission in a timely manner during Jamboree registration
  3. Oversight of contingent members’ medications and medication storage as necessary
  4. Awareness of special medical needs of contingent members
  5. Awareness of behavior/emotional conditions of contingent members
  6. Awareness of Psychiatric First Aid
  7. Triage of contingent members for care within the contingent vs Jamboree medical clinic
  8. Serves as the liaison for Jamboree Health & Wellness
  9. Oversight of First Aid Kit(s)
IItems for this kit must be assembled and maintained by the contingent. Items may be able to be resupplied by Jamboree Health & Wellness. If extra supplies are available, this will be communicated to contingent leaders during the Jamboree. For a 40-person contingent, the kit should include, at a minimum:
Dressing Supplies
 
Item
Quantity
Adhesive tape, 1-inch
1 roll
Assorted adhesive bandages
1 box of 100
Coban self-adhesive bandage 2-inch
3
Elastic bandages, 4-inch
3
Gauze roller bandage, 2-inch
4
Gauze roller bandage, 3-inch
4
Hydrocolloid blister pads (assorted sizes) or moleskin
2 packages
Sterile gauze pads, 4 x 4 inch
24
Triangular bandages
4
Q-Tips or other cotton tipped applicators
1 small package
Tincture of benzoin
1 small bottle or applicators
Cleansing Supplies
 
Item
Quantity
Alcohol swabs/pads
50
Small bar of antibacterial soap
1
Small bottle of hand sanitizer
1 bottle (8 ounces)
Equipment
 
Item
Quantity
CPR mouth barrier
1
Digital thermometer
1
Latex-free gloves
1 box
Instant Cold Compresses
6
Pencil/pen and paper (small spiral notebook)
1 each
Plastic safety goggles or glasses
1 pair
Safety pins
10
SAM splint
4
Scissors
1 pair
Tweezers
1 pair
Medications
 
Item
Quantity
Acetaminophen, 325 mg tablets
1 bottle of 250
Antibacterial ointment (triple antibiotic ointment)
1 tube
Insect bite/stings wipes
30
Diphenhydramine (e.g., Benadryl), 25 mg tablets/capsules
1 bottle of 100
Gel pads for blisters/burns
2 packs
Ibuprofen (e.g., Motrin), 200 mg tablets
1 bottle of 250
Skin care cream/ointment
1 tube
Sunscreen (at least SPF 30)
1 tube
Aloe vera gel for sunburn
1 tube
Hydrocortisone 1 percent cream
1 tube
Antacid (Tums)
1 large bottle
Ziplock plastic bag, 18 x 24 inches
2
Feminine Hygiene
 
Item
Quantity
Teen Liners with Wings (Variety pack)
36 count
Thin liners
50 count
Smaller tampons, assorted flow with applicator
50 count
Nonscented/sensitive flushable intimate or cleaning wipes
100-250 count
Disposable period underwear, assorted sizes
7-10 count each size
The quantity of supplies should be fully considered based on the number of contingent members, contingent member medical conditions, travel to and from the Jamboree, any side trips or tours, as well as the 10-day Jamboree.
  • 4 Months Pre-Jamboree: Jamboree Health & Wellness Site for Contingent Leaders
  • 2 Months Pre-Jamboree: Jamboree Health & Wellness Safety Moments and Messaging Begin
Health & Wellness Leader Webinar – Date TBD
  1. Health & Wellness Leader position qualifications & responsibilities
  2. CampDoc and Council AHMR Report
  3. Liaison concept between Jamboree Health and Wellness Services and Contingent
  4. Health & Wellness Site for Contingent Leaders
  5. Personal & Contingent First Aid Kit contents
  6. Public Health Screening and Health & Wellness Check-in process at the Jamboree
Important Preparation for Health & Wellness Contingent Leaders
  1. Contingent First Aid Kit: Each contingent must have and maintain a first aid kit. This will be useful during pre-Jamboree training and travel.
  2. Annual Health and Medical Record (AHMR): In addition to CampDoc access for the AHMR, it is recommended to keep a file with at least two copies of each member’s AHMR.
  3. Review Health Records: Read each participant’s AHMR for special health issues, medications, and other concerns. Do this early to allow time for questions and clarifications with participants or their guardians.
  4. Medication Management: Ensure each participant has their necessary medications in properly labeled containers, with enough to last the entire Jamboree plus five extra days for potential travel delays. Routine meds can be administered by the individual under the supervision of an adult leader. Verify that emergency medications (e.g., asthma inhalers, diabetic medications, EpiPens) are always with the participant, that the emergency medications are not expired, and that the Health & Wellness Contingent Leader knows how to administer them.
  5. Refrigerated Medications: Medications requiring refrigeration or medical assistance will be stored at subcamp headquarters or the basecamp medical clinic. Ensure these medications are logged, stored, and retrieved at the end of the Jamboree.
  6. Check-In Preparation: It is helpful to keep one copy of each participant’s AHMR in a file for quick access during check-in at the Jamboree site.
Important Preparation for Participants
  1. Physical Readiness: Prepare for the physical demands of walking long distances.
  2. Buddy System: Always travel with a buddy or in patrol groups per Scouting America guidelines. Have a plan in place in case you are separated.
  3. Day Pack: Each participant should carry these safety essentials in a day pack:
    1. Navigation: Map, Compass, device GPS
    2. Sun Protection: Sunglasses, sunscreen, hat
    3. Insulation: Rain shell
    4. Illumination: Flashlight or headlamp, spare batteries or charger
    5. First Aid Kit
    6. Repair Tool: Multifunction knife or multitool
    7. Nutrition: Healthy snacks
    8. Hydration: Water bottle or bladder
    9. Handheld device and charger/battery
    10. Download the Jamboree App: Coming late Spring 2026
  4. Timekeeping/Punctuality: Wear a watch, know your schedule, and be on time to avoid delaying your contingent.
  5. Personal First Aid Kit: Each member must have a personal first aid kit per the minimum content list.
  6. Hydration: Pack adequate personal water containers and drink adequate amounts of water +/- electrolytes daily to avoid dehydration.
  7. Personal Hygiene, Chafing: Wash hands frequently, shower daily, and change into clean, dry clothes. Wear non-cotton, moisture-wicking clothing to prevent chafing and heat rash. Use drying powders or skin care creams as needed.
  8. Foot Care: Ensure you have properly fitted boots or shoes and take care of your feet by washing and drying regularly.
  9. Rest and Sleep: Ensure that you get enough sleep to maintain energy and health. Naps can be helpful if the temperature and humidity cooperate!
  10. Sun Protection: Apply sunscreen with at least SPF 30 early in the morning and reapply at lunch. Wear a wide-brimmed hat, use lip balm with sunscreen, and wear sunglasses.
  11. Eyeglasses/Contacts: Eyeglasses/Contacts: Bring a copy of your current prescription and a spare pair of glasses if possible. This will be useful if your glasses or contacts are lost or broken.
Arrival at the Jamboree
  1. Health Screening: Upon arrival at the Ruby Welcome Center, each contingent will complete a public health screening and a mental health survey. We are working on an online component to this in the hour prior to arrival to expedite check in. Look for information in the Spring of 2026.
  2. Hydration on Arrival: Ensure everyone is well-hydrated upon arrival. Hand out a one-quart bottle of Gatorade or water to each member as they depart the bus.
  3. Medical Clinics: Each base camp has a medical clinic. This is your contingent’s primary medical facility, but attendees can visit any Jamboree medical facility for assistance.
  4. Special Needs: Special needs participants and their caregiver (if applicable) will be identified on a list provided to the medical clinic, basecamp chief, and subcamp chief. Ensure contact information is available in case of separation.

Nutrition and Food Safety

Participants will be provided with a selection of healthy foods to help them stay active and healthy. Encourage everyone to minimize snack foods, candy, and high-fat fast foods in their diet. They should be encouraged to eat fresh fruits and vegetables daily. High-fiber foods are essential for maintaining health and regularity. Be cautious of stale or unrefrigerated foods that may cause food poisoning. When in doubt, throw it out!
Gastrointestinal (GI) illnesses are the most common infectious diseases encountered when camping, primarily transmitted through contaminated food or water. With a few simple common-sense practices, most GI illnesses can be avoided. The U.S. Department of Agriculture suggests the following steps:
  1. Clean – Wash your hands, cooking utensils, and food preparation surfaces often.
  2. Separate — Keep meat separate from other foods. If you use a cutting board to prepare meat, wash the board and utensils before other foods touch them. Wash containers and plates that have touched meat before using them for other foods.
  3. Cook — Cook food thoroughly.
  4. Food Storage — Since there is no provision for refrigeration in the troop/crew sites, plan meal sizes to avoid leftovers. Place any leftovers in the compost and recycling bins.
  5. Storage of Cooking Equipment — Store plates, cups, eating utensils, and cookware cleanly between meals or re-sanitize them before use.
Begin cleanup by setting out three basins:
  1. Wash — Use a large basin containing hot water with a few drops of biodegradable soap.
  2. Rinse — Use clear, hot water. Use hot-pot tongs to dip plates and utensils in the hot rinse.
  3. Sanitize — Use either boiling water or a cold-rinse basin with a sanitizing tablet or bleach to kill bacteria. If using a tablet, soak for at least 30 seconds and air dry. If using bleach (1 tablespoon of bleach per gallon of water), soak for two minutes and air dry.
Lay clean dishes, pots, and utensils on a plastic sheet on a table or hang them in a mesh dish bag to let them air dry. Here’s a helpful article from [Bryan on Scouting] that describes the three pot method in detail.
The three-pot method: This is how to wash dishes at a campsite

Common Jamboree Medical Conditions

A National Jamboree at the Summit is an exhilarating experience that comes with its own set of risks. Every Scout must “Be Prepared” to recognize common conditions related to heat exposure and manage basic musculoskeletal injuries. All Scouts MUST carry a basic first aid kit. The contingent Health & Wellness ASM is the first resource to manage conditions that are outside the scope of Scout rendered first aid training that are not significant enough to be seen in one of the Jamboree Clinics.
Gastroenteritis
Gastroenteritis is the most common infectious disease encountered when camping, primarily transmitted through contaminated food and water.
  • Prevention: Proper hygiene and sanitation prevent most GI illnesses. Wash your hands and sanitize all cooking and eating equipment properly. Do not simply wipe them clean. Safe food preparation is important and includes cleaning surfaces properly and using appropriate refrigeration/storage.
  • Symptoms: May include nausea, vomiting, diarrhea, and abdominal cramps. Red flags include intractable vomiting, bloody or copious diarrhea, fever, and localized abdominal pain. Any significant case of gastroenteritis should be seen in one of the medical clinics.
  • Treatment: Focus on fluid and electrolyte replacement. See guidelines for dehydration treatment. Anti-nausea medications may be useful and may be given at one of the Jamboree clinics. Most communicable GI illnesses seen at the Jamboree are either toxin-mediated or viral, making antibiotics unnecessary and ineffective.
Dehydration
The climate at the Summit, combined with the activities of the Jamboree, can result in rapid and unexpected dehydration. Dehydration occurs when the body loses more fluids than it takes in, leading to an imbalance of electrolytes.
    • Prevention: Follow the Water Intake Guide. Be aware of the risk of overhydration from water alone, which can cause hyponatremia (low sodium). A 1:1 water/electrolyte mix will help maintain hydration balance. In high heat, four to six quarts of this mix may be required daily. Flavored drink mixes can also help. Avoid caffeine. Cooling can help on hot days.
  • Symptoms:
    • Mild: Muscle cramps, dizziness, fatigue, dry mouth, thirst.
    • Moderate to Severe: Nausea and vomiting, confusion, lethargy, loss of coordination.
  • Treatment:
    • General Hydration Guidelines: Drink four to six ounces of water or sports beverage every 15–20 minutes during mild to moderate exertion. Dilute commercially available sports drinks by 50% for ideal electrolyte and carbohydrate concentrations. Aim for clear urine as a hydration goal.
    • Heat Dissipation Tips: Wear loose-fitting, light-colored wicking clothing. Avoid direct sunlight when possible. Frequently douse skin with cool fluids via a misting spray.
    • Acclimatization: Gradually increase exposure and activity in a hot environment over five to 10 days, aiming for at least two hours a day of light to moderate exercise in the last few days.
    • Management: Mild cases can be managed within the contingent. Moderate to severe cases should be evaluated at a Jamboree medical clinic.
Sunburn
Sunburn is skin damage caused by excessive exposure to ultraviolet (UV) rays from the sun. Sunburn is easy to diagnose with redness in sun-exposed areas. Symptoms range from mild redness to severe pain, blistering, and peeling. The best treatment is prevention.
  • Prevention:
    • Limit sun exposure and wear waterproof sunscreen
    • Reapply sunscreen every two hours or after swimming/perspiring
    • Wear wide-brimmed hats and seek shade when available between 10 a.m. and 4 p.m.
  • Symptoms: Red/painful skin, blisters, swelling, peeling skin.
    • Control pain with OTC pain relievers like acetaminophen or ibuprofen
    • Soak with cool water and use moisturizers like aloe vera
    • Blistering or large areas of involvement warrant evaluation at a Jamboree medical clinic
Heat Illness
Heat-related illnesses can escalate quickly from mild conditions like heat cramps to severe, life-threatening conditions like heatstroke. Early recognition allows for prompt intervention, which can prevent the condition from worsening. Early intervention often leads to better recovery outcomes. For example, treating heat exhaustion promptly can prevent it from progressing to heatstroke, which has a much higher risk of severe complications.
Heat Exhaustion
  • Prevention:
    • Stay hydrated.
    • Wear lightweight, loose-fitting clothing.
    • Take breaks in shaded or hydration/misting areas
  • Symptoms: Heavy sweating, weakness, cool/pale/clamming skin, fast/weak pulse, nausea, vomiting, fainting.
  • Treatment & Immediate Actions:
    • Move to a cooler environment.
    • Loosen clothing.
    • Apply cool, wet cloths to the body.
    • Sip water slowly.
    • If symptoms persist, seek evaluation at a Jamboree medical clinic.
Heatstroke
Heatstroke is a severe heat-related illness that requires emergent medical attention.
    • Prevention: Follow the same preventative measures as for heat exhaustion. Be vigilant about the signs of heat-related illnesses.
    • Symptoms: High body temperature (104°F or higher), hot/red/dry skin, rapid/strong pulse, confusion, coma.
  • Treatment & Immediate Actions:
    • Call emergency services immediately.
    • Move the person to a cooler place.
    • Use cool cloths or a cool bath to lower body temperature.
    • Do not give fluids if the person is unconscious.
Strains and Sprains
Strains involve overstretched or torn muscles or tendons, while sprains involve ligaments.
  • Prevention:
    • Warm up before physical activities.
    • Use proper techniques and equipment.
    • Be cautious in rough or uneven terrain.
  • Symptoms: Pain, swelling, bruising, limited mobility.
  • Treatment – (R.I.C.E. Method):
    • Rest: Avoid activities that cause pain or swelling.
    • Ice: Apply ice packs for 15-20 minutes every 2-3 hours.
    • Compression: Use an elastic bandage to reduce swelling.
    • Elevation: Elevate the injured area above the heart level.
    • Seek Jamboree medical care if unable to bear weight with limping, obvious body deformity, severe bruising, or swelling to see if evaluation for a fracture is needed.
Minor Cuts, Scrapes, and Bruises
Scouts should be able to manage these conditions with their personal first aid kit.
  • Prevention:
    • Wear protective clothing and gear.
    • Be cautious in rough or uneven terrain.
  • Symptoms:
    • Cuts: Bleeding, open wound.
    • Scrapes: Raw, scraped skin.
    • Contusions: Discoloration, swelling, pain.
  • Treatment:
Cuts:
  • Clean the wound with water and mild soap.
  • Apply an antiseptic.
  • Cover with a sterile bandage.
  • Seek Jamboree medical clinic evaluation if the cut is deep, gaping, or won’t stop bleeding.
Scrapes:
  • Clean the area thoroughly.
  • Apply an antibiotic ointment.
  • Cover with a clean bandage.
Bruises:
  • Apply ice packs to reduce swelling.
  • Elevate the affected area.
  • Rest and avoid strenuous activities.
Overview
Foot injuries can turn any Scouting adventure into a painful memory. The 2026 National Jamboree footprint involves hills and uneven terrain. Comfortable feet are crucial for a great experience. Jamborees involve a lot of walking (10-12 miles a day is common), so proper foot care is essential.
Footwear Tips
  • Wear comfortable, well-fitted, broken in athletic or walking shoes.
  • Avoid new shoes or boots; break them in first.
  • Closed-toe shoes help protect your feet from injury.
  • Sandals and open-toe shoes are only allowed in shower areas.
Sock Tips
  • Wear synthetic sock liners to wick moisture and reduce friction.
  • Wear padded wool, wool blend, or synthetic outer socks. Avoid cotton socks.
Foot Hygiene
  • Trim toenails at least one week before the Jamboree.
  • Keep feet dry and clean. Change into clean, dry socks daily.
  • Wash feet regularly and let them air-dry at night.
  • Bring antifungal powder or ointment if you have athlete’s foot.
Blister Prevention and Care
  • Pay attention to hot spots and treat them immediately with moleskin.
  • If a blister forms, apply moleskin around it to prevent further injury.
  • Ensure all contingent members know how to properly apply moleskin.
  • Disinfect and bandage if the skin tears.
Boot/Shoe Fitting
  • Try on both shoes at the store, fitting to the larger foot.
  • Wear the same socks you’ll use at the Jamboree.
  • Ensure a proper fit with room for one finger behind the heel.
  • Lace up fully and test on a 30-degree incline.
  • Break in shoes or boots at home before the Jamboree.
Special Considerations
  • Exercise: Prepare your feet and body for the strenuous wilderness experience.
  • Foot and Ankle Problems: See a podiatrist for any issues before the Jamboree. At the Jamboree, podiatrists staff specialty clinics at Charlie and Echo Base Camp Medical Clinics and may be available on call at the Jamboree Health Center during daytime hours. General wound care involves cleaning with soap and water, applying antibiotic ointment, and bandaging with a bandage change daily.
Overview
Unless you have camped in West Virginia previously, you may not be aware of the wildlife challenges common at the Summit. The potentially dangerous ones can be summarized in five groups. Here’s the lowdown on each:
Reptiles
The two dangerous reptiles in the area are both snakes: copperheads and eastern timber rattlesnakes. The best policy with snakes is to avoid them. Stay away from areas of tall grass and stay on established trails. Should you be bitten by a snake, seek immediate medical attention. Do not apply a tourniquet or attempt to extract venom.
Copperhead
Eastern Timber Rattlesnake
Mammals
The Summit hosts lots of mammals, a few of which could be dangerous; among them are bears, bats, raccoons, and many small animals. The danger with bears is obvious. With bats and terrestrial mammals, there is always the chance they could be carriers of rabies. A person may be exposed to rabies if saliva or central nervous system tissue from the rabid animal enters an open, fresh wound or mucous membrane (eye, mouth, or nose). It’s best to avoid all contact and any activity that could attract the animals, such as leaving food in your campsite or tent. If there is concern about potential rabies exposure—that is, if an animal has bitten someone—the encounter must be reported to the local health department by West Virginia state law. Ensure that the area of the bite is well-cleansed with warm, soapy water. Bats have small teeth that do not leave obvious marks, so medical advice should be sought in certain situations such as awakening to find a bat in your tent. Prompt wound care and post-exposure vaccinations and immune globulin are highly effective in preventing human rabies from animal bites. Immediately report animal bites to a Jamboree medical facility.
Poison Ivy
Poison ivy, oak, and sumac are all lurking in the Jamboree area. Poison ivy is most common throughout the Summit and areas of Jamboree activities. It is identified by three-parted, bright green, waxy leaf clusters, and sometimes grayish-white or amber berries.
  • Prevention: Avoid contact with these plants and remove any clothing that may have encountered poison ivy oil. Wash with soap and water, then apply a skin cleanser made for poison ivy (Zanfel), taking care not to expose other skin surfaces.
  • Symptoms: Redness, itching, swelling, and blistering of skin. Red flag if large areas of skin are affected.
  • Treatment: OTC antihistamines can be used for itch. Topical hydrocortisone can be used as well, especially if the rash is small. Most simple cases of poison ivy do not need evaluation in a Jamboree clinic. For diffuse rash, refer to a Jamboree clinic for evaluation for need for oral steroids.
Mountain Laurel
There is also a toxic plant with which you may not be familiar: mountain laurel. This plant is unique in that toxins are found in its pollen as well as in the berries and green parts, so even honey made from mountain laurel would be toxic and life-threatening if ingested.
Arachnids
Watch out for these three species: black widow spiders, brown recluse spiders, and ticks. If you’re not familiar with them, do some research and familiarize yourself before arriving at the Summit. Black widows are shiny black medium-sized spiders (up to half an inch in body length) with red markings on the underside of the belly. They are often found in tangled webs in dark, undisturbed places close to the ground, or occasionally indoors. Brown recluse spiders have not been recorded in West Virginia but have been seen in bordering states (Kentucky, Ohio); they are characterized by the violin-shaped marking on their back and their unique clustering of eyes (three pairs). As the name implies, this spider builds its web in undisturbed areas. Both spiders can bite without you ever seeing them, unlike ticks. Plan to check for ticks daily at a minimum, and anytime you are in tall grass or the woods. It is unlikely that anyone at the Jamboree will encounter a poisonous spider, but if you believe you have been bitten, seek Jamboree medical clinic evaluation.
Black Widow
Brown Recluse
Ticks
Ticks can transmit many illnesses including Lyme disease and Rocky Mountain spotted fever. They are common in areas with weeds, shrubs, and trees, and at forest boundaries where deer and other mammals are found. Ticks sit on low-hanging shrubs with their legs outstretched until an animal or human passes. Once on your body, they may take up to several hours to find a suitable spot to attach with their mouthparts.
  • Prevention: Stay out of the trees and underbrush. Check clothing and exposed skin twice daily. Check your bedding often. Tuck shirts into pants. Spray clothing with permethrin. Wear DEET (no more than 30 percent concentration) insect repellent.
  • Treatment: When a tick is removed within 48 hours, the victim rarely contracts Lyme disease. For this reason, it is very important to check for ticks often and to remove them immediately upon discovery. To remove a tick:
    1. Use thin-tipped tweezers to grasp the tick as close to the skin surface as possible.
    2. Pull the tick straight upward with steady pressure.
    3. Wash the bite with soap and water, then wash hands after the tick has been removed.
    4. Watch for local infection and symptoms of tick-borne illness, especially fever, headache, and rash. (The incubation period can be from three to 30 days.)
  • The “DO NOTS” of Tick Removal:
    1. Do not use petroleum jelly, fingernail polish, rubbing alcohol, hot matches, or gasoline.
    2. Do not grab the rear end of the tick. This expels gastric contents and increases the chance of infection.
    3. Do not twist or jerk the tick, as this will most likely cause incomplete removal.
Insects
The Summit’s insect inhabitants should not surprise you: bees, hornets, wasps, and mosquitoes are the primary culprits. We’re sure you know to avoid them. Mosquitoes are capable of transmitting diseases, and the Summit is in an area known for La Crosse encephalitis. In addition, mosquitoes carrying West Nile encephalitis have been found in Fayette and Raleigh counties; human cases have been recorded in Fayette and Kanawha counties. Both diseases can cause inflammation of the brain. Since there are no vaccines available to prevent either disease, Jamboree participants are encouraged to protect themselves against mosquito bites. Participants should apply mosquito repellant on exposed skin, and wear pants and long-sleeve shirts (weather permitting) while hiking in wooded areas and in the evening. Like any camping trip, it pays to be aware of the potential dangers in the area, so you know what to watch for – and what to do if you have an encounter.
Stings & Bites
A severe allergic reaction is one of the true medical emergencies. All contingent leaders should identify any contingent member who is allergic to stings. Any attendees with a severe bee or related allergy should carry an EpiPen.
Wasps, Bees, and Ants
Although a nonallergic person can withstand a multitude of stings (500 to 1,400) before experiencing a life-threatening reaction, one sting for an allergic patient can be fatal in minutes to hours.
  • Prevention: Be cautious and avoid any swarming/buzzing insects, as wasps and yellow jackets are frequently encountered at the Summit. Pay particular attention to charging stations, as they frequently build nests in those areas.
  • Symptoms: The most common sign of a sting is a small red patch that burns and itches. A wider patch with swelling and pain may occur with a wasp or hornet sting. Red flags include general symptoms such as diffuse red skin, hives, swelling of the lips or tongue, wheezing, abdominal cramps, and diarrhea. (If these occur, you should proceed quickly to a medical facility.)
  • Treatment:
    • Scrape away the stinger in a horizontal fashion with a card or other flat surface. Do not use your hand.
    • Do not grasp the stinger sac because this can empty its contents into the skin. (If you are unable to remove the stinger horizontally, remove by any means available.)
    • Wash the site with soap and water.
    • Place a cold compress on the site.
    • If hives occur with nausea, vomiting, wheezing, and/or respiratory difficulty, go immediately to the nearest medical facility.
    • A person who knows they are allergic should have an epinephrine auto-injector on hand. If this is the case, it should be administered immediately.
Mosquitoes
Mosquito-borne diseases include diseases caused by viruses (also called arboviruses) and parasites which are transmitted through the bite of an infected mosquito. The most reported mosquito-borne illness in West Virginia is La Crosse encephalitis; however, travel-associated mosquito-borne diseases (such as dengue fever and malaria) are also reported in West Virginia residents each year. Mosquito-borne diseases are most common during the summer and fall months when mosquitoes are active. Prevention of mosquito-borne illness includes removing containers that collect water near homes (where mosquitoes lay eggs) and the regular use of mosquito repellants.
  • Prevention:
    • Be aware of peak mosquito hours.
    • For many mosquitoes, peak hours are dusk and dawn.
    • Peak hours for mosquitoes that transmit La Crosse encephalitis virus are during the daytime.
    • Wear protective clothing such as long sleeves, pants, and socks when the weather permits.
    • Use insect repellant that contains DEET, picaridin, IR3535, or oil of lemon eucalyptus on exposed skin and clothing when outdoors.
    • Always follow package directions.
    • Apply sparingly to children, avoiding hands and face, and wash them with soap and water when they come indoors.
    • Permethrin is a repellant that can be applied to clothing. It provides protection through multiple washes. Do not apply permethrin directly to skin.
    • Mosquitoes can lay eggs in small amounts of water. Empty standing water from activity areas, including canoes and other boats.
Emergencies
Call 911 immediately. You can also call for Jamboree EMS if the emergency isn’t suspected to be life-threatening.
Asthma
Patients with a history of asthma can experience a variety of triggers at the Jamboree. Increased dust, pollen, and dehydration can all aggravate asthma.
  • Prevention: Ensure all participants with asthma bring enough inhaled medications for the entire Jamboree. An extra or new rescue (albuterol) inhaler is recommended. Increasing controller medicine prior to arrival and during the Jamboree can also be helpful.
  • Arena Shows: Dust stirred up by large crowds can be problematic. Stay hydrated.
  • Medication Access: Always keep asthma medications on hand and use them as needed.
  • Severe Reactions: If experiencing severe asthma symptoms or symptoms are not relieved with 4-6 puffs of albuterol, visit a Jamboree medical clinic immediately.
Diabetes
Diabetic patients can be particularly sensitive to the high carbohydrate foods at the Jamboree, as well as the differences in physical activity.
  • Medication and Supplies: Diabetic participants should bring an adequate supply of medications and testing supplies.
  • Self-Care: Generally, diabetics should manage their own care. If control is poor or illness occurs, visit a Jamboree medical clinic.
  • Insulin Shock (Hypoglycemia): If blood sugar drops too low:
    • Conscious: Administer oral glucose or sweetened drinks like fruit juice.
    • Unconscious: Seek medical help immediately.
CPAP Machines
It is the responsibility of the CPAP user to bring and maintain their CPAP machines. CPAP machines must be battery-powered due to lack of electricity in subcamps and staff sites. Charging Stations are available, but in high demand. Bring an extra CPAP battery as a backup.

Mental Health & Well‑Being

This content is intended to help teens and young adults (ages 12–25) attending the National Jamboree; some information may also help older adults.
Disclaimer
This information is from Jamboree Health & Wellness and does not represent the views of any other group or institution. It is not intended to be a professional resource for mental health screening, diagnosis, and treatment advice. It’s not meant to replace the judgment of a contingent leader or healthcare professional. It is a resource.
Purpose
  • Become familiar with basic mental health concepts and terms.
  • Recognize possible mental health issues early; spot when someone isn’t acting like themselves.
  • Respond to a person in distress in a reasonable, empathetic, and supportive way to avoid escalating a potential crisis.
  • Utilize Jamboree Mental Health services as needed, available 24/7.
Importance of Mental Health History in the AHMR
It’s crucial for all Jamboree participants, leaders, and staff to be open about their medical and mental health history and prepare accordingly. Generally, any past or current treatment should be disclosed. Pay special attention to two aspects of the AHMR: medication and medical supplies & aids. Relevant mental health history includes any past or current involvement in:
  • Counseling or psychotherapy
  • Treatment with psychotropic medication
  • Psychiatric hospitalization
Typically, mental health history won’t disqualify someone from attending the National Jamboree, except in cases of:
  • Serious mental impairment that:
    • Isn’t adequately controlled by prescribed medication
    • Is controlled by medication, but the participant isn’t taking it as prescribed
    • Results in significant increased risk to self or others
  • Anti‑Social Behavior, such as:
    • Safeguarding Violations
    • Breaches of the Jamboree Code of Conduct
    • Breaking State Law
    • Being deemed “unmanageable” by contingent leadership
In the Jamboree’s stressful environment, pre‑existing physical and mental health conditions might reoccur. Contingent leadership must be fully informed about the health and wellness needs of all participants. Failing to report all current and past health issues can delay accurate assessment by contingent leadership and health care staff, potentially leading to suboptimal outcomes and negatively impacting the Jamboree experience.
TIP: When contingent leadership is aware of medical, mental, emotional, and social health issues, they can better recognize warning signs of potential problems. This awareness enables them to intervene or seek mental health staff assistance, preventing issues from escalating. Full disclosure of medical and mental health histories is essential for this process.
Key Terms (Glossary)
Altitude Adjustment
A wellness space in each medical clinic that includes basic mental health support and listening ear services. (See BCMH and JHCMH for mental care services.)
BCC
Base Camp Clinic. One in each base camp: Charlie (C), Delta (D), and Echo (E). Medical and mental health services are fully integrated.
BCMH
Base Camp Mental Health. Mental health professionals available to help in each BCC.
CMO
Chief Medical Officer. One per base camp and one overall for the Jamboree (JCMO).
Contingent
A group of participants and leaders from the same area.
Distressed Individual
Someone showing signs of emotional or psychological distress.
JST
Jamboree Service Team. Staff providing essential services.
Contingent Leader
An adult volunteer.
LE
Listening Ear. A service for anyone needing to talk in a safe space.
LES
Listening Ear Station. Where Listening Ear services are offered.
JHCMH
Jamboree Health Center Mental Health. Professional mental health services at the Jamboree Health Center.
MHS
Mental Health Services. Services provided by professionals and volunteers.
Participant
Preferred term for someone getting mental health services.
SCC
Sub‑Camp Chaplains. Offer spiritual and basic mental health services.
Clinical Services (Three Levels)
Level I
Listening Ear (LE) — safe space to relax and share; empathetic staff offer guidance and refer when needed. Sub‑Camp Chaplains (SCC) — support common emotional reactions (homesickness, social difficulties) and help leaders find solutions.
Level II
Base Camp Clinic Mental Health (BCMH) — licensed professionals support significant mental/behavioral issues beyond contingent leaders’ capacity.
Level III
JHCMH Clinic — serious issues including potential harm to self/others; licensed professionals assess, advise on medication/safeguarding, and decide on hospitalization or dismissal.
Ancillary Services
  • Hospital Outreach (HO) — emotional/spiritual support for participants treated overnight; coordinates with leadership and parents; assists return to contingent.
  • Critical Incident Stress Management (CISM) — immediate psychological support during critical/traumatic events; part of the Emergency Action Plan.
Basic Distinctions
  • Mental Health — emotional, psychological, and social well‑being affecting how we think, feel, and act.
  • Mental Illness/Disorder — conditions affecting thinking, emotions, or behavior that impair daily tasks and stress handling.
  • Mental Health Problem — short‑term difficulties with daily life due to emotional/psych/behavioral issues.
Common Misconceptions
  • ADD/ADHD — neurological disorders (not mental illnesses); involve attention/impulse control; treatment may include meds, therapy, lifestyle.
  • Autism — developmental disorder (not mental illness); affects social skills/communication/behavior; family support and routines are crucial.
  • Stress — normal response; can be helpful but chronic stress harms health.
Healthy Psychological Functioning & Normality
“Normal” varies widely by temperament, beliefs, background, and experience. Traits like empathy, shyness, impulsiveness, moodiness, and aggressiveness exist on a spectrum. Emotions such as joy, sadness, anger, and nervousness are universal. One in three adults and one in five adolescents experience a mental health issue each year. The key is frequency and intensity and their impact on daily life and others.
Differentiating Normal vs. Concerning
  • Biological: Sleeping more during growth spurts is normal. Unexplained changes in appetite, energy, or sleep might be concerning.
  • Interpersonal: Feeling upset after a fight/breakup is normal. If it persists or worsens, it’s concerning.
  • Intrapersonal: Seeking comfort from a pet is normal. Deliberately harming animals is concerning.
  • Risk Taking: Experimenting with substances is common. Serious risk‑taking or breaking laws is concerning.
  • School/Learning: Not wanting to wake for school is normal. Refusing to attend, with other distress signs, is concerning.
  • Social Behavior: Wanting more time with friends is normal. Avoiding activities and retreating into digital worlds is concerning.
Common Mental Conditions & Disorders
  • Adjustment Disorders: Temporary emotional reactions to stress; homesickness is a mild example.
  • Anxiety Disorders: Severe fear/anxiety (e.g., panic disorder, phobias, OCD, PTSD).
  • Mood Disorders: Disturbances in mood (dysthymia, major depression, bipolar disorder).
  • Personality Disorders: Distorted and dysfunctional patterns of behavior/thought/emotion.
  • Thought Disorders: Serious illnesses involving disconnection from reality (e.g., schizophrenia).
Psychologically Healthy Coping
Make these habits part of routines before, during, and after the Jamboree.
Avoid Unhealthy Stuff
Leaders & JST: If needed, taper alcohol, cigarettes, and any non‑prescribed pain meds prior to the Jamboree. Contingent Members: Set rules to cut back on soda, energy drinks, and junk food. Emphasize water at pre‑Jamboree activities.
Best Health Practices
  • Diet: Balanced meals and snacks.
  • Exercise: ≥ 30 minutes meaningful activity.
  • Hydration: ≥ 2 liters daily (eight 8‑oz glasses).
  • Sleep: Adults 7–8h; teens 9–10h.
Leaders/JST: Model behaviors; track progress; set measurable goals. Members: Share tips with parents; make contests fun (leaders vs. participants).
Social
Partner Up: Activities with others become habits. Leaders/JST: Pair with another leader/JST. Members: Form 2–3 person buddy/truddie groups.
Psychological
Humor/Laughter/Smiling: Lower stress, relax muscles, distract from pain, create happiness, defuse anger, strengthen relationships, enhance teamwork. Leaders/JST: Use smiles and laughter to break the ice; plan fun activities. Members: A genuine smile is a universal greeting.
Promote Open Disclosure & Sharing Feelings
Everyone faces stress. Don’t keep it secret or self‑medicate. Listen to those who know you and act on concerns. Ignoring mental health can harm your experience and those who rely on you. Share distress with loved ones, friends, or leaders before and during the Jamboree. Document past issues in the AHMR. If distressed on arrival, note it in screening to access help.
Electronic Device Impact
  • Overexposure: Online volume is staggering; isolation without guidance can lead to misinterpretation and consequences.
  • Compulsive Connectivity: Alerts trigger dopamine; instant gratification can replace real‑world risk taking.
  • Diminished Socialization: Digital skills rise while real‑life social skills may suffer; empathy and non‑verbal cues can fade.
  • Refuge for Dysfunction: Devices can obscure issues; online activity may replace group interaction and increase isolation.
“See Something — Say Something”
The most reliable sign of emotional distress is a noticeable, unexplained change in usual behavior. Be vigilant for precursors:
Behavior “Types”
  • The Loner: isolated; no buddy for activities.
  • The Easy Target: stands out due to weight/disability/appearance/behavior.
  • The Outsider: nervous/shy/quiet; hangs back; unfamiliar with others.
  • The Digitally Connected: constant device use; prefers virtual interactions.
  • The Fragile: health conditions affecting daily functioning.
Interpersonal Issues
  • Exclusion from activities, rumors, or jokes targeting the participant.
  • Contentious interactions with popular members (may reflect attraction).
Risks of Harm to Self & Others
Self‑injury and suicide are serious issues among teens and young adults; Scouting is not immune.
  • Self‑Injury: intentional injury without suicidal intent; often hidden. Signs include unexplained interpersonal difficulties, unpredictable behavior, and inappropriate clothing for weather.
  • Suicide: any reference to suicide or self‑harm must be taken seriously and treated as a top priority.
If you suspect risk: Do not leave the person alone. Call 911 or contact the Summit Operations Center. Provide details (who, what, when, where). Notify a Contingent Leader and ensure the individual is attended to at a Base Camp Clinic.
At the Jamboree
Arrival (Ruby Welcome Center): public‑health and mental‑health questionnaire; services provided promptly if needed; check‑in completes at sub‑camp. Daily Contingent Check‑In: use the Buddy System for quick assessments at a set time/place near the campsite. Address questions, observe well‑being, and team unity. Keep private conversations brief and follow safeguarding procedures. Sub‑Camp Chaplaincy: build relationships with assigned staff; review MHS, Safeguarding, and Code of Conduct; seek help for minor psychological issues. Prepare to “Trade” (Patch Trading): a natural icebreaker fostering interaction since 1937; can consume hours and helps connect unfamiliar participants.
Contingent Leader Management Strategies
  • Know Your Members: motivations, history, interests; identify potential problems and plan accordingly.
  • Meetings & Activities: observe interactions; identify Buddy Teams; allow participants to assess leadership.
  • Clear Policies: appearance, buddy teams, conduct, electronics, legal considerations, medication, possessions.
Elevate Your Well‑Being (Program)
Peak Wellness
Main program area on the AT&T arena rim. Interactive space to learn healthy habits and resilience; activities (e.g., yoga) with a focus on wellness.
Altitude Adjustment
Safe spaces at Jamboree clinics to disconnect and engage face‑to‑face. Learn about dopamine/device addiction and emotional regulation; activities include conversation starters, games, crafts, and nightly wellness themes (aromatherapy, mindfulness, etc.).
Mental Health Problems at a Jamboree
Mental health support and care is available to ALL participants. Issues may be pre‑existing or acquired during the event.
Pre‑Existing Conditions
  • Unresolved psychological issues (often omitted from records) may be triggered.
  • Dysfunctional personality traits can be exacerbated.
  • Non‑adherence to treatment regimes can lead to dysfunction.
  • Temporary loss of familial support may lead to poor decisions, social anxiety, withdrawal.
Acquired Conditions
  • Biological: exertion, unfamiliar food, dehydration, lack of sleep.
  • Psychological/Social: limited internet, interpersonal conflicts.
  • Other transitional issues: disorientation, loss of privacy, shared facilities.
There Will Be Injuries & Problems
About one in five adolescents have mental health issues. At a large, busy event, some will get hurt or sick, and some will struggle without usual supports. Experiences may trigger or worsen issues from mild to severe.
The Power of One … “It’s Being a Scout.”
If you see someone upset, help. Offer water, a seat, or a walk to the nearest LES or Medical Clinic. Introduce yourself and keep conversation light. Small acts of kindness make a big difference.
Your Mental State is Our Priority: Jamboree Health & Wellness Services are available 24/7. Visit any Listening Ear Station in the base camps. Chaplains from various denominations are available. Licensed mental health professionals at each Medical Clinic are ready to help; the Mental Health Clinic staff are prepared to step in if safety is a concern.