ESOH overview

1
HQDA Policy Force Health Protection
Occupational And Environmental Health (OEH)
Threats LTC Steve Jones Office ODASA for
Environment, Safety, and Occupational Health
2
Major Drivers

• DOD Policy
• DOD-I 6490.3 Implementation and Application of
  Joint Medical Surveillance for Deployments, Aug
  97
• DOD-I 6055.1, Safety and Occupational Health
  Program, Aug 98
• JCS Memorandum MCM-251-98, 04 DEC 98, "Deployment
  Health Surveillance and Readiness." (Under
  Revision, 1 Oct 01)
• JCS Force Health Protection Capstone Document,
  Jan 00
• Presidential Review Directive 5, Force Health
  Protection, Aug 98
• Joint Doctrine
• Joint Publication (JP) 4.04 - Joint Doctrine for
  Civil Engineering Support (under revision)
• JP 4.02 - Joint Doctrine for Health Service
  Support in Joint Operations (under revision)
• JP 3.11 - Joint Doctrine for Operations in
  Nuclear, Biological, and Chemical (NBC)
  Environments, 11 Jul 00

• Common Theme identify and assess potential
  hazards, and evaluate and document actual
  exposures..

3
Sequence of Events

• NBCE PAT Team Chartered by ASG(FP) 1997
• 1998 Medical FAA issue
• HQDA DCSOPS letter thru VCSA to SECARMY
• DASA(ESOH) Lead for the issue
• Initial brief to DASA-ESOH - Jul 99
• Policy document development and informal
  coordination - Jul 99 - Jun 00
• Working Group meeting to finalize draft - Jun 00
• Army-wide staffing of draft policy Sep-Nov 00
• Final coordination Jan- Mar 01
• Sent to USAPA for final publication - May 01
• USAPA Home Page 27 Jun 01

4
Main Features of OEH Threats Policy

• Overall Policy and guidance for protecting
  deployed personnel
• Specific responsibilities for
• Secretariats
• ARSTAF
• MACOMs
• Commanders, leaders, and other decision makers
• Guidance for medical and non-medical combat and
  materiel developers
• Development of DTLOMS to execute policy
• Use of ORM principles to
• Manage OEH threats
• Minimize risk to personnel

http//www.usapa.army.mil/pdffiles/l1_011.pdf.
5
Main Features of OEH Threats Policy

• Applicable to
• The accidental or deliberate release of
  non-weaponized Toxic Industrial Materials (TIMs),
  hazardous physical agents, ionizing and
  non-ionizing radiological hazards, and the
  residue from the use of nuclear or chemical
  weapons. 
• Environmental contaminants to include vector- and
  arthropod-borne threats, residues, or agents,
  naturally occurring or resulting from previous
  activities of US forces or other concerns, such
  as non-US military forces, local national
  governments, or local national agricultural,
  industrial or commercial activities.
• The TIMs or hazardous physical agents currently
  being generated as a by-product of the activities
  of US forces or other concerns, such as non-US
  military forces, local national governments, or
  local national agricultural, industrial or
  commercial activities

6
Key Policy Elements

• Commanders are required
• To adhere, in non-deployed situations, to
  Federal, State, and host nation statutory and
  regulatory laws, directives, and guidance
  governing OEH except were specifically exempted
  for military unique equipment and operations.
• To adhere, in deployed situations, to garrison
  OEH standards, so far as the tactical situation
  permits. When mission accomplishment requires
  overriding peacetime standards, such decisions
  must be made at the appropriate level of command
  as specified in operation orders, and based on
  full consideration of tactical OEH risks.
• To use the ORM process to minimize the total risk
  to personnel.
• To consider both short-term and long-term health
  risks to personnel arising from FHP-OEH exposures
  in all risk decisions.
• To ensure that any decisions to override
  peacetime regulatory occupational and
  environmental health standards are documented,
  archived and reevaluated on a recurring basis.

7
Specific Responsibilities

• OTSG/MEDCOM/AMEDD CS
• Policy and health criteria
• Long-term acceptable levels of exposure
• Exposure to low levels of OEH threat agents
• DTLOMS ICW USA Chemical CS
• Implementation Plans
• Resources
• Training
• Time-lines

8
Specific Responsibilities

• TRADOC/USA Chemical CS
• DTLOMS ICW AMEDD CS
• Implementation Plans
• Resources
• Training
• Time-lines

9
Policy Execution

• Implementation Plans due at ODCSOPS in 120 days
  after Policy publication (Oct 01)
• ODCSOPS to submit consolidated Implementation
  Plans to ASA-IE/DASA-ESOH) in 60 days (Dec 01)

10
Work-in Progress

• AMEDD Policy Implementation Working Group
• Draft Joint Service Instruction (JESWG)
• Update of Dec 98 JCS MEMO to CINCs and Services
• AMEDD CS, Draft Operational Concept for FHP in
  a Global Environment (TRADOC PAM 525-50, Jul 01)
• TRADOC Implementation Meeting 18 Sep 01
• CHPPM Technical Guides

11
Challenges and Way Ahead

• Requires a comprehensive DTLOMS approach.
• Resources for full policy implementation
• Needs to be integrated with NBC Defense,
  Environmental Quality via Operational Risk
  Management.
• Requires robust, deployment IM/IT solution.
• Unit/Personnel Location Issue
• Linked w/Health Outcomes System (Environmental
  Epidemiology)
• Impact of PRD-5, Public Law 105-85 (Low-level
  exposures)

12
Additional Information

• LTC Steven Jones, DASA-(ESOH), 703-697-0440,
  Steven.Jones_at_hqda.army.mil
• John J. Resta, CHPPM, 410.436.5244,
  John.Resta_at_apg.amedd.army.mil