U.S. Coast Guard
Institute of Medicine
Operational and
Occupational Medicine
Brief
5 March 2013
CAPT Jeff Salvon-Harman MD, USCG/USPHS
An Average Coast Guard Day…
• Save 13 lives
• Assist 98 people in distress
• Conduct 64 Search and Rescue Cases
• Interdict and rescue 10 illegal migrants
• Board 193 ships and boats
• Launch 164 aircraft missions, logging 317 hours
• Respond to 12 oil/chemical/HAZMAT spills
• Seize over 1,000 lbs of illegal drugs valued at $12.9M
• Escort over 20 larger passenger vessels, military outload
vessels and High Interest Vessels
• Service 135 aids-to-navigation and correct 21 aids-tonavigation discrepancies
• Complete 31 Port State Control safety and environmental
exams on foreign vessels
Team Coast Guard
43,507 Active Duty
7,768 Reservists
7,758 Civilians
36,692 Auxilarists
Honor, Respect, Devotion to Duty
Army
Navy
Marines
Air Force
Military
Armed Forces
Uniformed Services
Uniformed Services
Coast Guard
PHS Commissioned Corps
NOAA Commissioned Corps
USCG Authorities at a Glance
• Coast Guard roles: Maritime Safety, Security, and Stewardship.
• Title 10 USCG is an Armed Force. Aligns under the Navy in time of war or
when directed by the President.
• Title 14 Coast Guard authorities, including law enforcement.
Statutory Missions
Protect those on the Sea
Search & Rescue
Marine Safety
Aids to Navigation
Ice Operations
Protect the US from threat
delivered by Sea
Drug Interdiction
Migrant Interdiction
Other Law Enforcement
Ports, Waterways &
Coastal
Defense
Protect the Sea
Marine Environmental
Protection
Living Marine Resources
Health Services System
RADM Dollymore
(CG-11)
Health, Safety, and WorkLife (HSWL) Director
HSWL Deputy
Director
(CG-11d)
Office of Work-Life
Policy/Prgm Mgmt
Office of Health
Services
Policy/Prgm Mgmt
Office of Safety
Policy/Prgm Mgmt
HSWL Service
Center
Service Delivery
Mgmt
13 Regional
Practices
Healthcare Personnel
Physicians: 60 (PHS)
Dentists: 60 (PHS)
PAs/NPs: 40 (31 CG/9 PHS)
Pharmacists: 16 (PHS)
Environmental Health Officers: 18 (PHS)
Physical Therapists: 3 (PHS)
Clinic Administrators: 43 (CG)
Health Services Technicians (HS): 738
Includes dental/pharmacy/x-ray techs
Healthcare Services Delivered
•Medical
•Preventive: Annual Screening, Deployment related,
Occupational, Flight/Dive
•Responsive: Injury, Illness, Wounded, Case Mgmt, Referral
•Dental
•Preventive: Annual Screening, Hygiene q6mo
•Responsive: Restorative, Referral
•Pharmacy
•RP locations only, remote support
•Optometry
•Contracted on-site when possible
•Corrective spectacles ordering via NOSTRA
•Physical Therapy
•Limited locations, demand based
•New initiatives to shift from Responsive to Preventive
Safety & Environmental Health Office
•Policy driven from HQ
•Field implementation of safety program is done by
HSWL Service Center
•District Safety and Environmental Health Officer
•18 Offices associated with CG Districts. Leveraging
Coast Guard and Public Health Service Officers to meet
mission goals. Support all missions of US Coast Guard
Occupational Health Responsibilities
•Occupational Health, Environmental
Health, Safety and Industrial Hygiene
(Typical Personnel : EH/IH; HSC; MSTC)
•Moving towards a quantitative/ risk based
safety program to better allocate
diminishing resources
•Implementation of risk management
tools for operators based on iterative
processes.