Public Health Command-Europe (PHC-E) and Occupational Health Services at Camp Darby, Livorno, Italy. Non-personal services to provide Health Surveillance Services to all U.S. Army in Europe (USAREUR) Local National (LN) employees in accordance with Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008, n. 81 e s.m.i.), revision November 2020, as well as Conditions of Employment for Local National Employees of the U.S. Armed Forces in Italy (COE) effective 1 November 2018, to include all future updates and revisions. Occupational Examinations of LN employees must be conducted by qualified physicians fully licensed to practice medicine in the Tuscany Region, with, at a minimum, with steady current credentials in Occupational Health Surveillance (Medico Competente) in accordance with Article 38 (Titoli e requisiti del medico competente) of the Legislative Decree 81/2008.