Title: 5th Annual Army FHP Conference
1OEHS Campaign Plan Initiative
- 5th Annual Army FHP Conference
- 13 August 2002
- Jeff Kirkpatrick
- Deployment Environmental Surveillance, USACHPPM
UNCLASSIFIED
2Outline
- OEHS Goals
- OEHS Campaign Objectives
- Background
- Tasking
- Draft Plan
- Status
- Issues
UNCLASSIFIED
3OEHS Goals
- Identify quantify OEH risks so commanders can
- incorporate health risks in their ORM process
- balance OEH risk with operational risk mission
requirements - Make risk mitigation decisions
- Allow mission accomplishment
- Minimize total risk to soldier
- Maximize overall soldier health
- Document deployment exposures
UNCLASSIFIED
4OEHS Campaign Objectives
- Identify, assess, survey, and communicate OEH
risks to commanders and personnel - Review, assess, document archive OEHS
assessments for lessons learned - Ensure documentation in individual medical
records - Provide continuous review and update of
environmental health risks with in-theater data
UNCLASSIFIED
5Background
- USCENTCOM OEHS support past 4 years
- K2 briefing to DCINC-CENTCOM Jun 02
- OEHS concerns at other sites
- Army TSG/Under Secretary of Army strategic
concerns - Value placed on exposure biomarkers
- Data reporting/analysis process broken
UNCLASSIFIED
6Tasking
- CHPPM take lead in preparing a Joint Deployment
OEHS Campaign Plan - Focus on CJTF 180 JOA/USCENTCOM AOR
- Address pre-, during, post deployment phases
- Comply with JCS Directive
- Update health risks in theater
UNCLASSIFIED
7Draft Plan
- Joint/Service SME representation/review
- References
- Roles and responsibilities
- Operational Risk Management Approach
- Pre-, during, post-deployment phases
- Incorporates exposure biomarker use
- In-theater surveillance hub (reporting data
flow) - Information to Commander, lessons learned,
feedback
UNCLASSIFIED
8SME Representation/Review
- USCENTCOM
- USSOCOM
- OASD (HA) DHSD
- NEHC
- USACHPPM
- AFIERA
- USAF ACC
- AFMOA
- MEDCOM
UNCLASSIFIED
9References
- USCENTCOM OEF Theater Campaign Plan Annex Q,
(Secret) Nov 01 - Joint Pub 5-00.1 Joint Doctrine for Campaign
Planning, Jan 02 - MCM-0006-02, Updated Procedures for Deployment
Health Surveillance Readiness, Feb 02 - Other references (Combatant commands, Services)
UNCLASSIFIED
10Roles and Responsibilities
- Pre-, during, post deployment
- Supported Supporting Combatant Commands
- CJTF 180
- Service Components
- Theater Medical Surveillance Hub
- Maneuver units
- PM units/Organic PM personnel
- Supporting Commands and Agencies
UNCLASSIFIED
11ORM Approach
- Pre-, during, post-deployment phases
- ORM elements
- Identify hazard
- Determine risk
- Develop countermeasures make risk decisions
- Implement countermeasures
- Supervise and evaluate
UNCLASSIFIED
12OEHS within the ORM Process
1. Identify Hazards
- Intelligence estimate
- Contingency/Operational planning
- OEH hazard surveillance during military
operations - Risk communication planning
5. Supervise Evaluate
2. Determine Risk
- Inspections audits
- DNBI reporting
- Medical exams for known exposures
- Illness investigations/Epidemiology studies
- Medical record keeping
- Evaluate risk communication efforts
- Severity probability of health effect
- ORM risk levels
- Stakeholder interest/concern assessment
3. Develop Countermeasures Make Risk Decisions
4. Implement Countermeasures
- Eliminate the hazard
- Change the process
- Pathway barriers
- Risk acceptance decision at the proper level of
authority - Risk communication strategy
- Institute new procedures
- Purchase/modify equipment
- Immunizations
- Implement risk communication strategies
- Train personnel
UNCLASSIFIED
13Exposure Biomarker Use
- Mission does not allow standard monitoring
- Documents short term exposure history (pre-,
during, post deployment) - Supports exposure assessment
- Confirms effectiveness of the risk control
measures - Clinical results eases exposure-related concerns
among the deployed forces
UNCLASSIFIED
14OEHS Data Reporting/Analysis
- Existing approach broken
- Data in CJTF 180 JOA not available
- JCS Designated OEHS data repository (CHPPM DESP)
not receiving data or reports - Creation of in-theater surveillance hub
- Patterned after doctrine being prepared by AMEDD
CS Chemical School - TAML plays central role
- NEHC/CHPPM/AFIERA/TEU assets
- Extensive use of USCENTCOM SIPRNET
UNCLASSIFIED
15OEHS Data Reporting/Analysis Flow
CENTCOM SIPRNET
CENTCOM
Theater Medical Surveillance Hub
Analysis
Reports Data
TAML
CJTF 180
Analysis Results
CHPPM DESP
Reports Data
Task Force Elements
AFIERA
TEU
NEHC
Note 1. Theater Medical Surveillance Hub
consists of TAML augmented with assets from
CHPPM, AFIERA, NEHC, TEU 2. Theater has
assigned PM units Organic PM assets 3. CONUS
Health Surveillance Centers include CHPPM, NEHC,
AFIERA
UNCLASSIFIED
16Issues
- Use of exposure biomarkers
- Data reporting and analysis flow
UNCLASSIFIED
17Status
- CHPPM drafted plan
- Draft plan sent to Workgroup others for review
- Draft plan briefed to several GOs
- Submitted to USCENTCOM for staffing
- USCENTCOM staffing completed 6 Aug 2002
- Plan revision ongoing
UNCLASSIFIED
18Plan Revisions
- General concurrence with plan
- Comments from USCENTCOM, CJTF 180, Service
Components being incorporated - Issues to be addressed
UNCLASSIFIED
19Summary
- Campaign plan close to reality
- Serve as model for other Combatant Command AORs
- Are there any questions?
- Thank you
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20OEHS Campaign Plan Initiative
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21Objectives
- Pre-deployment
- During deployment
- Post-deployment
UNCLASSIFIED
22Objectives Pre-deployment
- Develop maintain an EBS using IHAs
- Establish countermeasures/risk control actions
for specific OEH risks - ID resources for IHA validation/risk
assessment/EBS operations - Establish risk communication plan
- Establish OEH data recording archiving
procedures
UNCLASSIFIED
23Objectives Pre-deployment (continued)
- ID health risks
- Resource OEHS
- Conduct ORM training
- Conduct coordinated site studies
- Perform risk assessments
- Develop health risk summary
- Incorporate in plans
UNCLASSIFIED
24Objectives Pre-deployment(continued)
- Communicate health risks
- Employ PM countermeasures
- Conduct vulnerability assessments
- Provide immunizations/medical checks
- Provide PPE training
- Conduct health assessments
UNCLASSIFIED
25Objectives Pre-deployment(continued)
- Create/Update medical record
- Conduct pre-deployment health brief
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26Objectives
- Pre-deployment
- During deployment
- Post-deployment
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27Objectives During deployment
- Develop maintain surveillance program
- Request OEHS resources
- Develop PM sampling protocol criteria
- Request technical/laboratory assistance
UNCLASSIFIED
28Objectives During deployment (continued)
- Perform surveillance
- Perform continuous risk assessments
- Employ countermeasures
- Report/archive surveillance data
- Document exposures
UNCLASSIFIED
29Objectives During deployment(continued)
- Link exposure records to medical record
- Perform risk assessments (updated/new)
- Communicate health risks
- ID Unit/personnel/locations
- Perform pest control operations
UNCLASSIFIED
30Objectives
- Pre-deployment
- During deployment
- Post-deployment
UNCLASSIFIED
31Objectives Post-deployment
- Document occupational health assessments
- Forward assessments to DMSS archive
- Report all sample results risk assessments
UNCLASSIFIED
32Objectives Post-deployment (continued)
- Conduct health assessments
- ID personnel medical evaluation needs
- Conduct/document medical debriefing
- Input significant exposures/events/issues in
After Action Reports (AARs) - Provide AARs to Intelligence Service centers
UNCLASSIFIED
33Objectives Post-deployment(continued)
- Develop forward FHP lessons learned to JULLS
- Conduct TB screening as necessary
- Collect serum samples as required
- Conduct health assessments/debriefings
- Evaluate personnel with health related concerns
UNCLASSIFIED