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5th Annual Army FHP Conference

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Confirms effectiveness of the risk control measures ... Perform pest control operations. UNCLASSIFIED. Objectives. Pre-deployment. During deployment ... – PowerPoint PPT presentation

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Title: 5th Annual Army FHP Conference


1
OEHS Campaign Plan Initiative
  • 5th Annual Army FHP Conference
  • 13 August 2002
  • Jeff Kirkpatrick
  • Deployment Environmental Surveillance, USACHPPM

UNCLASSIFIED
2
Outline
  • OEHS Goals
  • OEHS Campaign Objectives
  • Background
  • Tasking
  • Draft Plan
  • Status
  • Issues

UNCLASSIFIED
3
OEHS 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
4
OEHS 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
5
Background
  • 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
6
Tasking
  • 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
7
Draft 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
8
SME Representation/Review
  • USCENTCOM
  • USSOCOM
  • OASD (HA) DHSD
  • NEHC
  • USACHPPM
  • AFIERA
  • USAF ACC
  • AFMOA
  • MEDCOM

UNCLASSIFIED
9
References
  • 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
10
Roles 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
11
ORM Approach
  • Pre-, during, post-deployment phases
  • ORM elements
  • Identify hazard
  • Determine risk
  • Develop countermeasures make risk decisions
  • Implement countermeasures
  • Supervise and evaluate

UNCLASSIFIED
12
OEHS 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
13
Exposure 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
14
OEHS 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
15
OEHS 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
16
Issues
  • Use of exposure biomarkers
  • Data reporting and analysis flow

UNCLASSIFIED
17
Status
  • 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
18
Plan Revisions
  • General concurrence with plan
  • Comments from USCENTCOM, CJTF 180, Service
    Components being incorporated
  • Issues to be addressed

UNCLASSIFIED
19
Summary
  • Campaign plan close to reality
  • Serve as model for other Combatant Command AORs
  • Are there any questions?
  • Thank you

UNCLASSIFIED
20
OEHS Campaign Plan Initiative
  • OEHS Requirements Slides

UNCLASSIFIED
21
Objectives
  • Pre-deployment
  • During deployment
  • Post-deployment

UNCLASSIFIED
22
Objectives 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
23
Objectives 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
24
Objectives Pre-deployment(continued)
  • Communicate health risks
  • Employ PM countermeasures
  • Conduct vulnerability assessments
  • Provide immunizations/medical checks
  • Provide PPE training
  • Conduct health assessments

UNCLASSIFIED
25
Objectives Pre-deployment(continued)
  • Create/Update medical record
  • Conduct pre-deployment health brief

UNCLASSIFIED
26
Objectives
  • Pre-deployment
  • During deployment
  • Post-deployment

UNCLASSIFIED
27
Objectives During deployment
  • Develop maintain surveillance program
  • Request OEHS resources
  • Develop PM sampling protocol criteria
  • Request technical/laboratory assistance

UNCLASSIFIED
28
Objectives During deployment (continued)
  • Perform surveillance
  • Perform continuous risk assessments
  • Employ countermeasures
  • Report/archive surveillance data
  • Document exposures

UNCLASSIFIED
29
Objectives 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
30
Objectives
  • Pre-deployment
  • During deployment
  • Post-deployment

UNCLASSIFIED
31
Objectives Post-deployment
  • Document occupational health assessments
  • Forward assessments to DMSS archive
  • Report all sample results risk assessments

UNCLASSIFIED
32
Objectives 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
33
Objectives 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
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