Navy FDPMU Teams

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Navy FDPMU Teams

• Deployed Environmental/ Preventive Medicine and
  Worldwide Humanitarian Assistance

Anne Baptiste, JD, CIH
Andrew J. Bobb, PhD LT MSC USN
Navy Environmental and Preventive Medicine Unit
FIVE San Diego, CA
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What is an Forward Deployed Preventive Medicine
Unit (FDPMU)?

• 10-16 Public Health, environmental and scientific
  specialists

• Preventive Medicine Officer
• Industrial Hygiene Officer
• Environmental Health Officer
• Medical Entomologist

• Microbiologist
• Biochemist
• Radiation Health Officer
• 6 Preventive Medicine Technicians
• Laboratory Technician

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What is a Forward Deployed Preventive Medicine
Unit (FDPMU)?

• 6 Mission-Configurable Equipment Blocks

• Microbiology- Microscopy, Biological containment,
  microbiological culture, Polymerase chain
  reaction
• Chemistry- Gas Chromatography/Mass Spectrometry,
  Infrared spectrometry, PID
• Vector Control Insect traps, identification
  tools, sprayers
• Preventive Medicine- Water analysis (colorimetric
  wet chemistry)
• Logistics- Shelters, Generators, Environmental
  Control, Communication, Transportation.

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What is an Forward Deployed Preventive Medicine
Unit (FDPMU)?

• Over 16,000 man-hours of training
• HAZWOPER
• Transportation of hazardous materials
• Medical Management of Chemical and Biological
  Casualties
• Combined Humanitarian Assistance Response
  Training
• Weapons Qualification and Battle Skills
• HAPSITE Smart/HAZMAT ID Basic/Advanced
• Operational Entomology
• Field Exercises and readiness exams
• Etc.

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What does an FDPMU do?

• Deploy with 24-48 hours notice
• Provide technical expertise
• Environmental Health Site Assessment
• ASTM validated process
• Long-term archive of deployment exposures
• Portable laboratory capability
• regardless of extreme or adverse conditions.

Force Health Protection- Anytime, Anywhere
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History of the FDPMU

• PM-MMART
• NDL
• FDPMU Deployments
• Iraq (Congressional mandate for troop health)
• Haiti
• Tsunami
• Katrina
• Pakistan earthquake

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FDPMU Concept of Operations

• Joint Service asset
• Transportation to theater by supported agency
• Organic power, shelter, short-range communication
  and transportation
• Additional support in theater by designated
  unit(s)

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Unique self-sustaining capability

• 30 day supply of food, water, travel meds,
  weapons/ armor, PPE, suite of instruments and
  their consumables
• Deploy with tents, generators, trucks and ALS
  (Advanced Laboratory System) vehicle or operate
  from ships as needed

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FDPMU Chemical Equipment
Instrument Principle of Operation Tests
HACH (PM) colorimetric spectrophotometer water quality
CHPPM Kits (PM) Collection of environmental media for lab analysis in US air, water, soil
Hapsite portable gas chromatograph/ mass spectrometer (GC/MS) air, water, soil, solids, clothing (ppm - ppt)
HazMatID attenuated infrared spectroscopy solids, liquids, pastes (gt10 content)
Mini-Vols dust collection PM 10 2.5
Standard IH gear personal sampling pumps, PIDs and gas detection NIOSH type analytes and 4-gas detection
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HACH Water Quality Testing

• Portable, lab process instruments reagents
  for all water analysis
• About 20 tests by colorimetric spectrometry
• Primary analytes are cations (nitrates, sulfates,
  nitrites) and metals (lead, arsenic, zinc)

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Purpose of HACH testing

• Test surface water before processing to target
  treatment adequately
• Identify cations that can be pre-filtered from
  treatment if known to be present

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HazMatID

• Portable, Ruggedized FTIR Instrument
• Covalent Chemical Bond
• An infrared spectrum has peaks where light energy
  is absorbed by molecular bonds
• Identification Methods
• Correlation Chart for Absorption Landmarks
• Bonds between particular atoms (functional
  groups) occur at characteristic wave numbers
• Molecular fingerprinting/Libraries

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HazMat ID (more than a white powder identifier)

• Libraries include

Common chemicals Drug precursors
Explosives/ Propellants Forensic drugs
White powders Chemical WMDs
Pesticides NIOSH chemicals
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HazMatID Main Components
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HazMatID
Can Identify Solids, liquids, and powders Must have a COVALENT CHEMICAL BOND Organic compounds Petroleum products, Pesticides, Fertilizers, Plastics (too big for the Hapsite) Many inorganic compounds Water, Mineral acids (sulfuric, nitric) Inorganic oxides (rust, talc), Nitrates, Chlorates and Phosphates. Cant Identify Elemental substances Metals (iron, aluminum, etc.) Non-metals (sulfur, phosphorus, etc.) Ionic salts (i.e. sodium chloride) Dilute aqueous (water-based) solutions, or individual components of any mixture Less than 10 concentration Biological Agents cannot be speciated But can ID proteins as a screening tool
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HAPSITE

• Field-portable Gas Chromatograph/Mass
  Spectrometer (GC/MS)
• Light Weight ( 35 lbs)
• Rugged for field use
• Easily decontaminated
• Portable for use with battery
• Programmable for self-contained use or
  controlled by laptop computer
• Built in GPS

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HAPSITE Capabilities/Limitations

• Analyzes VOCs in air, liquid, and solid samples
  (low ppm to mid ppt)
• Boiling Point Less Than 250oC
• Molecular Weight Less Than 300
• Differs from other GC/MS

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Hapsite Applications

• Separates mixtures, identifies and quantifies
  selected Volatile Organic Chemicals (VOCs),
  containing carbon
• Identifies and quantifies Traditional Low-level
  Chemical Warfare Agents
• Environmental site assessment data
• Identifies unknown substances in hazardous waste
  and emergency response
• Problem solving environmental applications

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IRAQ - Al Asad Airbase Unearthed Drum
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Al Asad
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Unearthed Drum
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New Iraqi Army Training Base, Kirkush Air
Water Sampling
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Air Chromatogram
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Water Chromatogram
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Dust Monitoring
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Hurricane Katrina Relief

• Locations
• Pensacola
• NAS Pascagoula
• JRB New Orleans
• Four (4)Naval installations in MS LA
• Four (4) US Navy Ships ported in MS LA

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Hurricane Katrina Relief

• Deployed on 2 Sep 05
• Less than 24 hours upon notification
• Complete team deployed 8 Sep 05

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Hurricane Katrina Relief

• Conducted 64 comprehensive water analyses
• Collected and analyzed water from local military
  installations, hospitals, FEMA sites, etc.
• Conducted 21 site assessments
• Health and Sanitation
• Occupational Exposure
• Disease Vector
• Provided risk assessments to multiple federal
  agencies

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FEMA Site, Biloxi, Mississippi High School
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New Orleans, LA

• Coordinated efforts with
• JTF-Katrina
• FEMA
• EPA
• CDC
• State of Louisiana
• City of New Orleans
• Technishes Hilfswerk

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New Orleans, LA

• NASAs Michoud Space Center
• Convention Center
• Hyatt Regency EOC
• Charity Hospital
• Bywater Hospital
• St. Bernard Parish
• Algiers Parish
• Plaquemines Parish
• Ninth Ward

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Tsunami Relief
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The Situation
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Analysis
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Response
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Education
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Summary / Questions?

• FDPMUs
• Team capabilities
• Public health mission for troops
• Humanitarian relief

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Contingency Slides Follow
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Iraq

• Al Asad Airbase
• New Iraqi Army Training Base, Kirkush
• Fallujah
• Al Qaim

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Unearthed Drum
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Kirkush
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Fallujah
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Al Qaim
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NAS Pascagoula , Mississippi
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House Flies
Fruit flies
Blow/Bottle Flies
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