Environmental Health Engineering
Portfolio Opportunities
Presented by:
LTC William Bettin, P.E.
Portfolio Director, Environmental Health Engineering
Army Institute of Public Health
UNCLASSIFIED
BRIEFING OUTLINE
PURPOSE: To provide an overview of the U.S. Army Public
Health Command, and to detail Environmental Health
Engineering (EHE) initiatives and opportunities.
• Command Overview
• EHE Portfolio
• EHE Initiatives
• Matrixed Public Health Response
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
2
Vision
World-Class Provider of Public Health Services across
DA and DoD.
Mission
Promote health and prevent disease, injury, and disability
of Soldiers and military retirees, their Families, and DA
Civilian employees; assure effective execution of full
spectrum veterinary services for Army and DoD
Veterinary missions.
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
3
USAPHC History
1942: Army Industrial Hygiene Laboratory, Johns Hopkins University
1945: Moved to Chemical Warfare Center, Edgewood, MD
1960: Became U.S. Army Environmental Hygiene Agency (USAEHA)
1995: USAEHA formed basis for the U.S. Army Center for
Health Promotion and Preventive Medicine (USACHPPM)
2009: USACHPPM became USAPHC (Prov)
2010: USAVETCOM attached to USAPHC
1994: U.S. Army Veterinary Command (USAVETCOM) activated
with HQ at Ft. Sam Houston Texas
1980: Army Veterinary Corps became the Executive Agent for DoD
Veterinary Service
1973: DCVS positions established within Health Services Command
1916: Army Veterinary Corps established
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
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Breadth of Knowledge
Laboratory Animal Veterinarian
Sanitary Engineer
Occupational Health Nurse
Health Physicist
Animal Care Specialist
Audiologist
Meteorologist
Entomologist
Statistician Veterinary Pathologist
Geologist
Chemist
Safety and Occupational Health Specialist
Chaplain
Psychologist
Nuclear Medical Science Officer
Medical Laboratory Specialist
Ergonomist
Physicist
Fire Protection Engineer
Dietitian
Safety Engineer
Acoustical Engineer
Wildlife Biologist
Medical Officer
Dental Officer
Social Worker
Veterinarian
Agronomist
Optometrist
Toxicologist
Epidemiologist
Electrical Engineer
Marine Biologist
Mechanical Engineer
Environmental Engineer
Physical Therapist
Community Health Nurse
Industrial Hygienist
Clinical Medicine Veterinarian
Environmental Law Attorney
Comparative Medicine Veterinarian
Veterinary Food Inspection Specialist
LTC Bettin/410.436.2306/william.bettin@us.army.mil
Environmental Scientist
Veterinary Services Food Safety Officer
UNCLASSIFIED
Preventive Medicine Physician
Environmental Protection Specialist
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USAPHC Organizational Structure
Executive Agencies**
FPPM*
Armed Forces Health Surveillance Center
(National Capital Region)
Military Vaccine Agency
USAPHC Headquarters
Proponency Office for Preventive Medicine
(Aberdeen Proving Ground, Maryland)
(NCR, APG, Joint Base San Antonio, Texas)
(NCR)
PHC Region-South
(JB San Antonio, Texas)
PHC Region-North
(Fort Belvoir, Va.)
PHC Region-West
(JB Lewis-McChord, Wash.)
PHC Region-Pacific
(Camp Zama, Japan)
PHC Region-Europe
(Landstuhl, Germany)
Veterinary Lab
Europe
DOD Military Working Dogs
Veterinary Services
PHCD-Fort Belvoir, Va.
PHCD-Fort Eustis, Va.
PHCD-Fort Knox, Ky.
PHCD-Fort Carson, Colo.
PHCD-San Diego, Calif.
PHCD-JB Lewis-McChord,
Wash.
PHCD-Central Pacific
PHCD-Western Pacific
PHCD-Korea
PHCD-Japan
PHCD-Southern Europe
PHCD-Northern Europe /
Dog Center Europe
Branches & Sections
Branches & Sections
Branches & Sections
Branches & Sections
Food Analysis & Diagnostic Lab
PHCD-Fort Hood, Texas
PHCD-Fort Gordon, Ga.
Army Institute of
Public Health
(APG, Md.)
Technical Public
Health Portfolios
Branches & Sections
NOTE: Installations specified in parentheses represent the command group location, not units
conducting short or long-term split operations, e.g. HQ, PHCR-North, and PHCR-Pacific.
* USAPHC commanding general dual-hatted as the Functional Proponent for Preventive Medicine
** Executive agencies receive administrative support from USAPHC, but the Army surgeon general
oversees them
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
Color Legend – Level of PH Services
Black
Major Subordinate Command (V)
Grey
Executive Agencies
Burgundy
Tan
Regional Command (IV)
VETSVC Area or Installation (I-III)
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USAPHC Subordinate Commands
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
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AIPH Organizational Structure
Army Institute of Public Health
(Aberdeen Proving Ground, Md.)
Environmental Health
Engineering (EHE)
Portfolio
Epidemiology & Disease
Surveillance (EDS)
Portfolio
Health Promotion &
Wellness (HPW) Portfolio
Health Risk Management
(HRM) Portfolio
Laboratory Sciences (LAB)
Portfolio
Entomological Sciences
Professional Medical Education
Army Public Health Nursing
Health Risk Communication
Lab Operations
Water Supply Management
Injury Prevention
Army Wellness Centers
Environmental Health Risk
Assessment
Lab Analytical
Surface Water & Waste
Water
Disease Epidemiology
Behavioral Health Operations
Deployment Environmental
Surveillance
Lab Consultant
Hazardous & Medical Waste
Behavioral & Social Health
Outcomes
Health Promotion Operations
Ground Water & Solid
Waste
Public Health Assessment
Global Threat Assessment
Environmental Surveillance
Integration
Air Quality Surveillance
Operational Noise
Occupational &
Environmental Medicine
(OEM) Portfolio
Occupational Health
Sciences (OHS) Portfolio
Toxicology (TOX)
Portfolio
Veterinary Services (VET)
Portfolio
Army Hearing Program
Radiofrequency / Ultrasound
Toxicity Evaluation
Clinical Veterinary Medicine
Tri-Service Vision Conservation
& Readiness
Laser/Optical Radiation
Health Effects Research
Food Protection
Environmental Medicine
Occupational Medicine
Surety Medicine
Health Physics
Industrial Hygiene Field Services
Industrial Hyg. Medical Safety
Management
Health Hazard Assessment
LTC Bettin/410.436.2306/william.bettin@us.army.mil
Ergonomics
UNCLASSIFIED
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Environmental Health Engineering (EHE)
Mission: Assess, maintain and improve Soldier
and Army Community environments to advance
readiness, health and sustainability.
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
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EHE Portfolio Capabilities
• Expert Response to Environmental Hazards
• Matrixed Environmental Health (EH) Characterizations
• Multidisciplinary, Full-Spectrum Teams
– Air, water, soil, waste, noise, and insects
• Influence over DOD Public Health Enterprise
–
–
–
–
Advise/assist Level I/II (EH) programs
Develop public health guidance and policy
Reimbursed work
Portfolio management
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
10
EHE Initiatives for FY12
•
Emerging Hazards
– New Building Hazards
– Air Quality Surveillance – Controlled Burns
– Matrixed Response to …
•
Matrixed Projects
– Water Security – Installation AT/FP Efforts
– Army Sustainability (Net Zero) Initiatives
– HQDA-Requested Environmental Health (EH) Projects
•
Enterprise Approach
– Portfolio Management
– Environmental Health Metrics
– Installation-Level Programs (water supply, sanitation,
medical waste)
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
11
Matrixed Public Health Response
Healthy
Community
Healthy
Animals
Healthy
People
Healthy
Work Places
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
12
Situation
• Elevated lead in drinking water at
Army Arsenal housing (OCT 11)
• Lead detected in resident’s blood
(NOV 11)
• Arsenal Command requested
USAPHC support
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
13
Matrixed Lead Hazard Assessment
OCT-NOV 11
DEC 11
GARRISON
INITIAL
RESPONSE
JAN 12
IMPLEMENT
SOLUTIONS
GARRISON SUPPORTED RESPONSE
PHASE I
PHASE II
MAR 12 
FEB 12
PHASE
III
• Risk Communication
• Gather Information
• Recommendations
• PH Perspective
• Assess Pb Hazards
•Follow-up
Assessment
•Garrison Town Hall
•Drinking water
•Residential Structures
•Ambient air quality
•Historical land use
•Medical surveillance
•Consumer products
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
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Lessons -
• Risk Communication
– Early and often
– Build credibility
• Value of Matrixed Public Health Team
– Occupational Medicine
– Environmental Science
– Industrial Hygiene
– Local Medical Staff
• Garrison Responded Well
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
15
Healthy
Community
Healthy
Animals
Healthy
People
Healthy
Work Places
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
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Questions?
LTC William Bettin, P.E.
Environmental Health Engineering
Army Institute of Public Health
(410) 436-2306/8718
William.bettin@us.army.mil
LTC Bettin/410.436.2306/william.bettin@us.army.mil
UNCLASSIFIED
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