USPHS Scientific and Training Symposium
Optimizing Health:
Standing up the US Army
Public Health Command
BG Timothy K. Adams
CG, USAPHC (Prov)
21 June 2011
UNCLASSIFIED
BRIEFING OUTLINE
PURPOSE: To provide an overview on the US Army Public Health Command to
USPHS Scientific and Training Symposium attendees.
•
Army Medical Command (MEDCOM) Overview
•
MEDCOM Reorganization: 5 Lines of Effort
•
Public Health Command Background
•
Mission
•
Structure
•
Transition timeline
•
Integration Opportunities
•
Public Health Support to Operations in Japan
•
Questions
UNCLASSIFIED
2
The Department of the Army
TSG & CG
USAMEDCOM
Office of The Surgeon General
US Army Medical Command
(OTSG) Pentagon/Falls Church, VA
An Army Staff Element
Policy and Regulation
Represents the Army
ARSTAF
Principal
(MEDCOM) Fort Sam Houston, TX
Direct Reporting Unit (DRU)
Fixed Facility Healthcare
Doctrine
Training
Leader Development
Organizations
Materiel
Personnel
Facilities
OneStaff
Development, Policy Direction,
Organization, and Overall
Management of an Integrated
Army-wide Health Service System
DoD Executive Agencies
• Armed Forces Institute of Pathology
• DoD Veterinary Services Activity
• Armed Service Blood Program Office
• Military Vaccine Program/Vaccine Hlth Care Netwk
• Armed Forces Health Surveillance Center
• Medical Research for Prevention, Mitigation
and Treatment of Blast Injuries
• Investigational New Drugs Force Health Protection
• Military Entrance Processing Command – (MEDICAL)
COL Martinson/MCSC/(210)221-6213/Wendy.Martinson@us.army.mil
Warrior Transition
Command
Dental
Command
Public Health
Command
(Provisional)
UNCLASSIFIED
Medical
Research &
Materiel
Command
AMEDD Center
& School
Regional
Medical
Commands
(5)
3
Major Subordinate Commands
WESTERN RMC
MEDICAL
RESEARCH &
MATERIEL
COMMAND
NORTHERN RMC
Ft. Detrick
JBLM
MAMC
PUBLIC HEALTH
COMMAND
APG
Ft. Belvoir
SOUTHERN RMC
WBAMC
WARRIOR
TRANSITION
COMMAND
WAMC
Crystal City
Readiness
Division
CRDAMC
DDEAMC
Readiness
Division
FSH
BAMC
Readiness
Division
EUROPE RMC
PACIFIC RMC
Japan
Korea
AMEDDC&S
TAMC
Readines
s Division
FSH
DENCOM
Readiness
Division
FSH
COL Martinson/MCSC/(210)221-6213/Wendy.Martinson@us.army.mil
UNCLASSIFIED
4
AMEDD AT A GLANCE
AMEDD Personnel
World Wide
Beneficiaries
OTSG/MEDCOM Personnel
24,631
40,189
8,429
2,326
75,575
4,397 Medical Corps Officers
904 Dental Corps Officers
8,381 Other Officers
35,792 Enlisted
49,474 Total AC
8,429 Contractors
45,883 Civilian
50,301 Total NG/RC
154,087
Total
546K Active Duty (AD)
814K Family Members (FM) (AD)
214K Dependent Survivor
180K Eligible NG/R
264K Family Members of NG/R
714K Retired
825K FM Retired
TDA Facilities
145K Other
9 Medical Centers
3,702K Total
17 Army Community Hospitals
MEDCOM
Installations
7 Army Health Centers
9 Army Health Clinics (supporting an installation)
128 Army Health Clinics
47 Army Troop Medical Clinics
18 Army Occupational Health Clinics
147 Dental Clinics
96 Veterinary Clinics
31 Research and Development Laboratories
32 Prevention Facilities
541
Walter Reed
Fort Detrick
Total
COL Martinson/MCSC/(210)221-6213/Wendy.Martinson@us.army.mil
UNCLASSIFIED
Total AC Military
Civilians
Contractors
Total NG/RC Military
Total
TOE Units
Active/Reserve
10 / 16 Combat Spt Hosp (CSH)
16 / 22 FWD Surg Tm (FSTs)
100 / 0 Other Active Units
0 / 52 Other Army NG Units
0 /129 Other Army AR Units
126/52/167 AC/NG/AR
Deployable Units
(345 Total)
Daily Expenditures
$35.13M Total
(All appropriations)
5
Average Day in Direct-Care MEDCOM
Inpatient Care
Outpatient Care
41,986 Clinic visits
1,214 Beds Occupied
374 Patients Admitted
64 Births
Dental Services
26,620 Procedures
50,420 Laboratory Procedures
54, 048 Outpatient Pharmacy
Prescriptions
Veterinary Services
1,961 Veterinary Outpatient Visits
and 418 food safety visits
Medical Logistics Services
150,000 Supply Transactions
1561 Medical Maintenance WOs
12,494 Radiology Procedures
Deployments
1,232 Soldiers Deployed
5,879 Immunizations
COL Martinson/MCSC/(210)221-6213/Wendy.Martinson@us.army.mil
UNCLASSIFIED
6
MEDCOM Reorganization - 5 Lines of Effort
MISSION: USAMEDCOM provisionally realigns and reorganizes the CONUS
RMCs NLT 1 OCT 2009 IOT improve span of control, while enhancing support to
Soldiers, beneficiaries, Army readiness and transformation; on order executes
permanent realignment NLT 1 OCT 2010.
ENDSTATE
1
Realign RMCs
RMC boundaries are realigned ICW
Command Plan
TRO boundaries; the respective
2
levels of command and staff
Staff REORG
leadership are reorganized to provide
the proper span of control; the
3
Public Health Command
requisite C2 leaders and structures
are in place and projected
4
accordingly; As the MEDCOM
DENCOM Realign
improves support to Soldiers,
beneficiaries, Army Readiness, and
5
transformation.
WTU / AMAP REORG
UNCLASSIFIED
* Colors group similar / like actions
7
Public Health Command
Transition
US Army Public Health Command (Provisional)
UNCLASSIFIED
8
In the beginning….
•
Idea: merge VETCOM and CHPPM capabilities, optimize public health
support to Army
– Similar, overlapping missions of mutual interest
– Inconsistent public health services across the force
•
Feasibility Study conducted by Public Health Command working group,
September 2008
•
Course of Action chosen by TSG, effective 17 July 2009
– Integrate select missions of CHPPM and VETCOM
– Select Level I and II veterinary services (from VETCOM) and preventive
medicine missions re-aligned to MTF
– Initial Operational Capability – 1 October 2010
– Full Operational Capability – 1 October 2011
US Army Public Health Command (Provisional)
UNCLASSIFIED
9
Commander’s Intent
• MEDCOM will reorganize its public health capabilities to:
– Enhance the health and wellness of Soldiers and military
retirees, their Families, and DA Civilian employees
– Create a single point of accountability and responsibility for
public health within the MEDCOM
– Optimize public health support to the Army
– Improve the planning and use of Army public health assets
across the full spectrum of installations and activities
– Execute effective Veterinary Service programs across the DoD
• End State
– A unified Army public health team that enhances and protects
the health, fitness, and well-being of Soldiers, their Families, DA
Civilian employees, and military retirees; and executes effective
veterinary service programs across the DoD
US Army Public Health Command (Provisional)
UNCLASSIFIED
10
US Army Center for Health Promotion & Preventive Medicine (CHPPM)
What We Do:
• Public Health and Wellness consultants for the Army
• Expertise in field preventive medicine, environmental and occupational health, health promotion and
wellness, epidemiology and disease surveillance, toxicology, laboratory sciences, hazardous and
medical waste, drinking water, entomological vectors, radiation sources and health Risk Communication
Specialized Facilities:
• Analytical Chemistry Laboratories
• Molecular Biology Laboratory
• Radiochemistry Laboratory
• Serum Repository
• Entomology Laboratories
• Toxicology Laboratory
• Soils Laboratory
• Public Health Information
Systems
US Army Public Health Command (Provisional)
UNCLASSIFIED
11
US Army Veterinary Command (VETCOM)
Food Safety/ Defense
•
•
•
•
•
Sanitation Audits/ Approved Sources
Special Events Food Defense Teams
Operational Rations/ DFACS/DeCA/AAFES
Food and Water Vulnerability Assessments
Food and Water Risk Assessments
Animal Medicine
• Military Working Dogs
• Other Government Owned Animals
• Privately Owned Animals
• Human-animal bond program support
One Health – One Medicine
• Public Health Team
• Zoonotic Disease Surveillance/Prevention
Trained Soldiers
• OIF/OEF/ND/HOA/OCO
• Humanitarian Assistance/Civil Affairs
• Special Taskers-Department of State, Secret
Service, USDA, COCOMS
US Army Public Health Command (Provisional)
UNCLASSIFIED
12
PHC Transition Team: A3 Working Groups
Public Health Command
Parent A3
Owned by
PHC Steering Committee
A3-1
Project Governance
A3-2
Policy / Doctrine
Owned by
CPT Lisa Argo
Owned by
COL Debbie Vasut
A3-3
Strategic
Communication
A3-4
Concept Plan
Owned by
Ms. Tina Allen
Owned by
Ms. Lyn Kukral
A3-4.1 DVC
Consolidation
(LTC Kay Burkman)
A3-5
Consolidate Installation
d
Veterinary Services
ue
tin
on by
Owned
c
s
LTC
Di Kay Burkman
A3-6
Enterprise Oversight
Owned by
COL Thomas Delk
A3-6.1 WRMC
Rapid Experiment
(COL Thomas Delk)
A3-6.2 Portfolio
Management
(Mr. Monk/Kirkpatrick)
A3-6.2.1 SRMC IH
Rapid Experiment
(Ms. Donna Doganiero)
A3-7
Support Services
Owned by
COL Shanda Zugner
A3-8
Lab Integration
Owned by
COL Peggy Carter /
LTC Aziz Qabar
A3-7.1 Personnel
(Ms. Debbie Austin)
A3-7.4 Logistics
(Mr. Paul Wilson)
A3-7.8 Resource
Management
(Ms. Schoffstall)
A3-7.11 Protocol
(Ms. Lovetta
Britton)
A3-7.2 Security
(Ms. Veronica
Dudley)
A3-7.6 IM/IT
(Mr. Mark King)
A3-7.9 Inspector
General
(LTC Watson)
A3-7.12 Legal
(Mr. Lorin
Friedman)
A3-7.3 Operations
(Mr. Brian Cashman)
A3-7.7 STRATCOM
(Mr. Kevin Delaney)
A3-7.10 Safety
(Mr. Roy Valiant)
A3-7.13 Public
Affairs
(Ms. Lyn Kukral)
2011 03 07
US Army Public Health Command (Provisional)
A3-9
Health Promotion and
Wellness
A3-10
Clinical Preventive
Medicine
Owned by
Ms. Laura Mitvalsky
Owned by
LTC Cersovsky
A3-6.2.2 VENC
Rapid Experiment
(Ms. Linda Baetz)
Community Health
plete
Promotion
Com Councils RIE
(Ms. Kym Ocasio)
Army Wellness Centers
RIE
plete/ Mr.
(Dr. Steve
omBullock
C
Todd Hoover)
UNCLASSIFIED
13
PHC CONOPS
CHPPM and VETCOM integrate
into the PHC
This slide depicts
MEDCOM
• RVCs and CHPPM Subordinate
Commands integrate into PHC
Regions under the C2 of the PHC
functional areas
• RMCs have C2 of installation
PVNTMED missions
Oversight (PH Missions)
• PHC has oversight of level I-III
PVNTMED missions through
RMCs
RMCs
RMCs
RMCs
RMCs
RMCs
PHC
RMCs oversee I-II VETSVCs;
PHC oversees I-III PVNTMED
• RMCs will have enterprise
oversight and monitoring authority
of the level I-II VETSVC
•Oversight authority infers a level
of monitoring, advising,
coordination and collaboration
needed to execute oversight
Color Legend – Level of PH Services
• Major Sub Command Level (V)
• Strategic Level (V)
• Regional or Area Level (III and IV)
• Installation Level (I and II)
RPHC
RPHC
RPHC
PHC
RPHC
Regions
MTF
MTF
MTF
MTF
MTF
Coordinate / Collaborate
(PH Missions)
PHC
AIPH
PHC
PHC
PHC
District
PHC
District
PHC
District
District
District
Lt Blue
Red
Gold
Green
Installation
Installation
Installation
PVNTMED
Installation
PVNTMED
Installation
PVNTMED
PVNTMED
PVNTMED
US Army Public Health Command (Provisional)
Coordinate / Collaborate
(PH Missions)
UNCLASSIFIED
Installation
Installation
Installation
PVNTMED
Installation
PVNTMED
Installation
PVNTMED
PVNTMED
VETSVCS
14
APHC Strategy Map Alignment to AMEDD BSC
September 2010
World-Class Provider of Public Health Services across DA and DoD.
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 service for Army and DoD Veterinary missions.
Maximize Value in
Health Services
CS 1.0
Minimized Diseases &
Injuries of Military
Significance
CS 2.0
Enhanced Health & WellBeing
CS 1.0, 2.0, 3.0
CS 1.0, 3.0
IP 5.0 Finalize Public Health
Command
Transition Process
IP 6.0 Ensure Effective
Public Health Oversight
IP 7.0, 11.0, 12.0
CS 3.0
Optimized Public Health
Programs and Practices
Learning
and
Growth
Resource
CS 4.0
IP 8.0 Improve Disease &
Injury Surveillance and
Control
IP 7.0 Ensure Safe DoD
Food and Water
IP 10.0 Minimize Risk from Occupational &
Environmental Health Hazards
IP 7.0, 10.0
IP 11.0 Enhance Characterization and
Analysis of Health Status and Threats
IP 7.0, 10 .0
IP 12.0 Ensure High Quality
Veterinary Clinical Services
IP 7.0
IP 13.0 Develop and Enhance Relationships
with Key Partners
IP 8.0, 9.0
MEANS
CS 4.0
Optimized Animal Care
IP 7.0, 10.0
IP 7.0
LG 14.0 Maximize & Sustain Workforce
Competencies
LG 17.0, 18.0
R 17.0 Maximize Human Capital
R 23.0
Optimize Communication and
Knowledge Management
CS 1.0, 2.0, 3.0, 5.0
IP 7.0
IP 9.0 Integrate Delivery of Health
Promotion and Wellness Services
Alignment to AMEDD
Strategic Objectives
shown in red
Balance Innovation with
Standardization
Build the Team
Feedback Adjusts Resourcing Decisions
Patient/Customer/
Stakeholder
Internal Process
WAYS
ENDS
Synchronize Public
Health
CS 6.0 , IP 13.0, 14.0
LG 15.0 Standardize & Document
Command Business Practices
LG 16.0 Improve Knowledge
Management
LG 19.0, 20.0
R 18.0 Optimize Facilities and
Infrastructure
LG 20.0
R 19.0 Forecast Requirements and
Secure Enduring Resources
R 22.0
AMEDD Objectives not aligned to PHC objectives are: IP15.0 Leverage Research, Development and Acqusition and IP 16.0 Synchronize Army Medicine to Support Army Stationing & BRAC
R 21.0
15
PHC Structure, Roles & Responsibilities
PHC Headquarters
Aberdeen Proving Ground, MD
• Provide C2 for PHCRs, PHCDs, AIPH, and MWD Center.
• Provide PH oversight, policy, and promulgation.
Public Health Command – Regions
• Provide C2 of PH Districts.
• Execute specialized core PH services within AOR.
• Monitor training, mentoring, and credentialing.
• Monitor installation level PH mission execution.
• Senior VCO serve as Veterinary Services Advisor to
RMC.
NOTE: DoD MWD (VS) Center and Food, Analysis &
Diagnostic Laboratory aligned under PHCR-South
Public Health Command -Districts
• Execute general core PH services.
• Environmental Health
• Field Preventive Medicine
• Veterinary Public Health
• Provide training and mentoring.
• Monitor installation level EH, FPM, and Vet mission
execution.
• Provide C2 of installation veterinary missions at
CONUS and OCONUS locations.
RPHC
RPHC
RPHC
PHC
RPHC
Regions
PHC
AIPH
Army Institute of Public Health
PHC
Districts
Vet
Branches
& Sections
US Army Public Health Command (Provisional)
PHC
HQ
UNCLASSIFIED
Aberdeen Proving Ground, MD
• Provide unique operational and
strategic services & expertise.
• Develop Public Health programs.
• Provide technical supervision /
consultation.
• Oversee quality assurance /
process improvement.
Color Legend: Level of Public Health Services
Major Sub Command Level (V)
Lt Blue
Strategic Level (V)
Red
Regional or Area Level (III and IV)
Gold
16
USAPHC
(Provisional)
Commander
PHC Organizational
Structure
IOC
Institute of
Public Health
(Provisional)
Portfolio
Strategy &
Innovation
Health
Information
& Services
Informatics
Toxicology
Occupational &
Environmental
Medicine
·
·
·
·
Hearing
Env Medicine
Occ Medicine
Vision
Portfolio
Portfolio
Health Risk
Management
Health
Promotion and
Wellness
Environmental
Health
Engineering
Occupational
Health Sciences
Epidemiology &
Disease
Surveillance
· Risk Comm
· Risk Assmt
· Deployment
Environmental
Surveillance
· Global Threat
Assessment
· ESIP
· ATSDR
· Health
Promotion
Operation
· Health Educ
· Behavioral
Health
· Public Health
Assessment
· Air Quality
· Oper Noise
· Ground,
Surface, & Field
Water
· Haz Med
Waste
· Entomology
· HHA
· IH
· Laser/Optical
· Health
Physics
· DOEHRS
· Ergonomics
· Radiofreq/
Ultrasound
· Injury Prev
· Population
Health
Outcomes
· Prof Med Ed
· BSHOP
Portfolio
Portfolio
Laboratory
Sciences
· Analytical
Chemistry
PHCR
PHCR
Commanders
Commanders
Portfolio
Portfolio
Portfolio
UNCLASSIFIED
RVC Cdr
Veterinary
Services
· Clinical Vet
Medicine
CONCEPT
· Food
Protection
• Align by technical function
(AR 40-5; 40-3)
Oversight / Monitor / Advise
• Implement standard PHC
organizational structure
Oversight /
Regional
Regional
Regional
Regional
Regional
Regional
Regional
Monitor /
Program
Program
Program
Program
Program
• Regional and District
Program
Program
Advise
Occupational &
Epidemiology &
Health
Environmental
personnel execute
Health Risk
Occupational
Laboratory
Environmental
Disease
Promotion and
Health
Health Sciences
Management
Services
Surveillance
Wellness
Engineering
Medicine
operational missions along
the functional portfolios.
Color Legend
• Army Institute of Public Health (IPH) senior managers serve
• Major Sub Command Level (HQ) Lt Blue
as Portfolio Directors overseeing portfolios for MEDCOM
• Strategic Level (V)
Red
Public Health
• Strategic Portfolio Managers
Green
• Develop and analyze PH programs and policy
• Unique Services
Yellow
• Execute unique low-density PH services
• Regional or Area Level (III and IV) Gold
Violet
• District Level (III)
US Army Public Health Command (Provisional)
OPCON /
ATTACH
VETCOM HQ
Regional
Program
Veterinary
Services
PHCD
DVC
Commanders
Commanders
Branches/
Branches/
Sections
Sections
17
USAPHC
Commander
PHC Organizational
Structure
FOC
G-Staff
Portfolio
Toxicology
CONCEPT
• Align by technical function
· Health Effects
(AR 40-5; 40-3)
· Toxicity
Evaluation
• Implement standard PHC
organizational structure
• Regional and District personnel
execute operational missions along
the functional portfolios.
• Army Institute of Public Health (IPH)
senior managers serve as Portfolio
Directors overseeing portfolios for
MEDCOM Public Health
– Develop and analyze PH
programs and policy
– Execute unique low-density PH
services
Lt Blue
Red
Green
Yellow
Gold
Violet
Institute of
Public Health
Portfolio
Technical Shared
Services
TBD
Color Legend
Major Sub Command Level (HQ)
Strategic Level (V)
Strategic Portfolio
Shared Services
Regional or Area Level (III and IV)
District Level (III)
Occupational &
Environmental
Medicine
·
·
·
·
Hearing
Env Medicine
Occ Medicine
Vision
Portfolio
Portfolio
Veterinary
Services
Health
Promotion and
Wellness
Environmental
Health
Engineering
Occupational
Health Sciences
Epidemiology &
Disease
Surveillance
· Clinical Vet
Medicine
· Food
Protection
· Health
Promotion Op
· Health Educ
· Behavioral
Health
· Public Health
Assessment
· Air Quality
· Oper Noise
· Ground,
Surface, & Field
Water
· Haz Med
Waste
· Entomology
· HHA
· IH
· Laser/Optical
· Health Phys
· DOEHRS
· Ergonomics
· Radiofreq/
Ultrasound
·
·
·
·
Portfolio
Portfolio
Laboratory
Sciences
· Analytical
Chemistry
PHCR
PHCR
Commanders
Commanders
Portfolio
Portfolio
Injury Prev
Disease Epi
Prof Med Ed
BSHOP
Portfolio
Health Risk
Management
· Risk Comm
· Risk Assmt
· Deployment
Env. Surv.
· Global Threat
Assessment
· ESIP
· ATSDR
Oversight / Monitor / Advise
Regional
DIvision
Occupational &
Environmental
Medicine
Regional
Division
Regional
Division
Regional
Division
Regional
Division
Laboratory
Services
Veterinary
Services
Health
Promotion and
Wellness
Environmental
Health
Engineering
Regional
Division
Occupational
Health Sciences
Regional
Division
Epidemiology &
Disease
Surveillance
Regional
Division
Health Risk
Management
PHCD
PHCD
Commanders
Commanders
Oversight / Monitor / Advise
Veterinary
Services
Health
Promotion
and Wellness
Environmental
Health
Engineering
Occupational
Health
Sciences
Installation
Installation
VETSVCs
VETSVCs
Updated 2011 03 02
US Army Public Health Command (Provisional)
UNCLASSIFIED
18
Personnel Strength as of 1 Mar 2011
Legacy VETCOM
(1,861)
Legacy CHPPM
(1,190)
3,051
Contractors
201 (17%)
Military
275 (23%)
NAF
500 (16%)
Civilian
714 (60%)
Contractors
201 (7%)
Military
1448 (47%)
Civilian
902 (30%)
NAF
500 (27%)
Military
Civilian
188 (10%) 1173 (63%)
US Army Public Health Command (Provisional)
UNCLASSIFIED
19
Formal Steps to FOC
• Command Implementation Plan (CIP)
– Formal documentation to establish PHC
• Approved by HQDA, dated 23 May 11
• Permanent Order
– Official documentation of the creation of the USAPHC
• In staffing
• Re-designate/Inactivate VETCOM
US Army Public Health Command (Provisional)
UNCLASSIFIED
20
PHC Transition Timeline
Phase I (Provisional)
FY
2011+
Phase II (IOC)
1 OCT 11 – PHC FOC
July 11 – Re-designate / Inactivation Ceremonies
June 11 – Anticipated Permanent Order
May 11 – HQDA Approval of CIP
FY
2011
WRMC/SRMC Enterprise
Rapid Experiment,
Phase II (Monitor)
1 Feb 11 – ATTACH CONUS RVCs to PHCRs
1 Jan 11 - DVCs aligned to RVCs along target CONUS regions
1 DEC 10 – MEDCOM approves CIP
19 Jan 11 – PHC OPORD 11-01 (PHC
Reorganization) published
1 OCT 10 – PHC IOC;
1 AUG 10 – OPCON OCONUS RVCs to PHCRs;
OPCON Installation PM assets to MEDDAC-Japan
FY
2010
1 MAR 10 – BG Adams briefed on CONPLAN
WRMC Enterprise Rapid Experiment, Phase I
(Coordinate/Collaborate)
1 APR 10 –OPCON VETCOM and VETCOM-EUR to PHC (P)
26 FEB 10 – TSG approves CONOPS
19 JAN 10– MEDCOM CofS IPR
1 OCT 09 – Establish PHC(Provisional) per OPORD 10-02 (MEDCOM REORG)
FY
2009
28 AUG 09 – PHC TT Project Charter Approved
17 JUL 09 – WARNO 09-59 (Establishment of USAPHC)
3 JUN 09 – TSG selects PHC COA 3a.1
U.S. Army Public Health Command (Provisional)
UNCLASSIFIED
21
USAPHC Integration Opportunities
Preventive Medicine
Veterinary Health Services
(AR 40-5)
Integration Opportunities
Disease prevention and control
Field preventive medicine
Environmental health
Occupational health
Health surveillance
and epidemiology
Soldier, family,
community health,
and health promotion
Toxicology
Laboratory Services
(AR 40-3, AR 40-656,
AR 40-657, AR 40-905)
•
•
•
•
Disease prevention and control
Veterinary Medical care
Field preventive medicine
for GovernmentEnvironmental health
• Zoonotic disease surveillance
Owned Animals
and control
Health surveillance and
epidemiology
• Food safety and food defense
quality assurance programs
• Laboratory services
Zoonotic disease
• Health risk assessment
surveillance and
control
Emerging Programs
•
•
•
•
Army Wellness Centers
NAF Central Fund
First Year Graduate Veterinary Education (FYGVE)
Community Health Promotion Councils
Health risk assessment
Veterinary Medical care
for Privately-Owned Animals
Health Risk Communication
US Army Public Health Command (Provisional)
Food safety and
food defense
quality assurance
programs
UNCLASSIFIED
22
The New Public Health Paradigm
Laboratory Animal Veterinarian
Sanitary Engineer
Occupational Health Nurse
Health Physicist
Animal Care Specialist
Audiologist
Meteorologist
Entomologist
Veterinary Pathologist
Geologist
Chemist
Nuclear Medical Science Officer
Safety and Occupational Health Specialist
Chaplain
Psychologist
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
U.S. Army Public Health Command (Provisional)
Environmental Scientist
Veterinary Services Food Safety Officer
UNCLASSIFIED
Preventive Medicine Physician
Environmental Protection Specialist
23
Public Health Support to Operations in Japan
• Ambient Radiation Monitoring
– Air
– Water
– Soil
• Food/Bottled Water Testing
• Support personnel evacuations
• Veterinary clinical support to Search and Rescue Dogs
• Support to JSF-J and PACOM
US Army Public Health Command (Provisional)
UNCLASSIFIED
24
Questions
U.S. Army Public Health Command (Provisional)
UNCLASSIFIED
25