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1
Maritime Engagement Missions
CAPT Jim Terbush MC USN
Fourth Fleet Surgeon
Maritime Strategy: – Core Capabilities
• Forward Presence
• Deterrence
• Sea Control
• Power Projection
• Maritime Security
• Humanitarian Assistance and Disaster Response (Smart Power)
3
Purpose
• The purpose of these missions is to train U.S. personnel while providing humanitarian assistance to our Host Nations and send a strong message of U.S. compassion.
4
Endstates– Security, stability and cooperative
partnerships are enhanced throughout the region and countries visited.
– U.S. personnel are trained and postured to return and conduct future humanitarian support and disaster relief missions.
USNS MERCY (T-AH 19) anchored off the coast of Chuuk, Federated States of Micronesia
PACIFIC PARTNERSHIPPACIFIC PARTNERSHIP
Solomon Islands30 July – 12 AugSolomon Islands30 July – 12 Aug
Marshall Islands
17 - 28 June
Marshall Islands
17 - 28 June
Tonga22 Aug – 2 Sep
Tonga22 Aug – 2 Sep
Samoa5 – 16 Sep
Samoa5 – 16 Sep
Kiribati1 – 14 July
Kiribati1 – 14 July
New Caledonia
16 – 19 Aug
New Caledonia
16 – 19 Aug
Cairns23 – 26 July
Cairns23 – 26 July
Pearl Harbor 8-9 June
24-25 Sep
Pearl Harbor 8-9 June
24-25 Sep
San DiegoSan Diego
PACIFIC PARTNERSHIP 2009PACIFIC PARTNERSHIP 2009
7
Bangladesh
CambodiaEast Timor
Indonesia
Kiribati
Marshall Islands
Micronesia
New Caledonia
Palau
Papua New Guinea
Philippines
Solomon Islands
Samoa
Tonga
Vietnam
PACIFIC PARTNERSHIP 2006-2009
Legend
MERCY 06 PP 09
PP07 MERCY 10
MERCY 08
PP10 CP10
A young patient onboard USNS MERCY walks for the first time in seven years after surgery on his leg: Republic of the Philippines
Photo: Department of the Navy/Department of Defense collection
The U.S. Navy Amphibious Assault Ship USS Kearsage (LHD 3)
CONTINUING PROMISECONTINUING PROMISEMissionsMissions
10UNCLASSIFIED//FOUO
Port Au Prince, Haiti9-20 Apr
Port Au Prince, Haiti9-20 Apr
Santo Domingo,Dominican Republic
21 Apr – 2 May
Santo Domingo,Dominican Republic
21 Apr – 2 May
St Johns, Antigua5-16 May
St Johns, Antigua5-16 May
Norfolk, VANorfolk, VA
Miami, FL 4-6 AprFt. Lauderdale, FL 26-28 Jul
Miami, FL 4-6 AprFt. Lauderdale, FL 26-28 Jul
La Union, El Salvador21 Jun – 2 Jul
La Union, El Salvador21 Jun – 2 Jul
Corinto, Nicaragua3-14 Jul
Corinto, Nicaragua3-14 Jul
VBN, Panama18-21 Jul
VBN, Panama18-21 Jul
Colon, Panama24 May-2 Jun
Colon, Panama24 May-2 Jun
Tumaco, Columbia6-17 Jun
Tumaco, Columbia6-17 Jun
Cartagena, Columbia20-23 May
Cartagena, Columbia20-23 May
CONTINUING PROMISE CONTINUING PROMISE 20092009
CP-09 deliverables
• Continuing Promise 2009 services provided:• Patients treated: 100,049• Surgeries conducted: 1,657• Prescriptions filled: 135,000• Dental patients: 15,003• Animals treated: 13,238 • Seabee’s construction projects; 13 complete
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Bahamas
Barbados(Lesser Antilles)
Belize
Brazil
Chile
Colombia
Costa Rica
Dominican Republic
Ecuador
El Salvador
Guatemala
Guyana
Haiti
Honduras
Jamaica
Nicaragua
Panama
Peru
Suriname
Trinidad & Tobago
Uruguay
Mexico
Continuing Promise Countries Visited 2007-2009
CP10
CP10
Hospital ship USNS Comfort (T-AH 20) receives supplies from the
supply ship USNS Peary
14
LHD CharacteristicsHelicopter Deck• Nine spots• Hangar deck• 43X CH-46 equivalents
Well Deck• 249 ft L x 76 ft W x 26 ft 8 in H• 4X LCU
Ship's Boats• 2X Mk-12 36 ft LCPLs
Cargo Handling• 1X 40-ton aircraft elevator aft• 1X 20-ton aircraft elevator port• Vehicle Square: 28,700 sq ft• Cargo Cube: 156,000 cu ft• 5X Centerline cargo elevators• 1X Longitudinal pallet conveyor• 2X 3-ton Monorails
UNCLASSIFIED//FOUO
15
Expected Medical Capabilities
• Direct provision of medical care:– General and specialty surgical care– Primary care for children and adults– Consultative care for children and adults– Obstetrical/Gynecological consultative care– Dental Care– Ophthalmologic services (e.g. cataracts)– Optometry services (glasses)
• Public Health initiatives:– Immunization services – De-worming– Food and water system assessments– Structural assessments– Assistance in setting up public health systems– Veterinary services– Epidemiologic/Public Health consultation (i.e. assistance in Avian
Influenza preparedness)
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Expected Medical Capabilities
Infrastructure support:– Basic biomedical repair– Engineering assessments– Water/sewer system assessments– Structural assessments – IM/IT and COMS assessment/support
Medical/nursing education:– Grand rounds -- mutual education with
training in both directions (tropical medicine being one example)
– Mid-wife training– Basic nursing skill training
Veterinary services– Large animal focus – livestock/food chain– Care and immunizations– Working Animals
Photo: Department of the Navy/Department of Defense collection
Cooperative Surgery with Dominican medical staff on board the USS Kearsarge: CARIBBEAN SEA
18
Engineering Capabilities
• Broad range of capabilities: – Building repairs and improvements examples -
clinic or school rehab projects– New construction
(small projects) example - pump house– Pier repair– Road repair/construction– Runway repair– Drainage projects, trenching etc.
NGO Partners
• Development experience• Cultural and language skills• From the American people
CP-07 International Aid donated $111,000 worth of medical supplies, Hugs Across America donated 600 teddy bears, Lion’s Club International donated 30,000 pairs
of eyeglasses, PAHO donated $20,000 worth of sealants and varnishes, Project Hope donated $3.4 million in vaccines, medical supplies and books
A
2020
What We MeasurePhysical Impacts
Outputs and outcomes of the engagement activities Medical Treatments, Engineering Projects, Training Classes Increase in capability and/or capacity resulting from a training event
Impacts on Attitudes Change in attitude towards the U.S. or U.S. Military Essentially encompasses different intended audiences:
National/Regional/Local officials HN Armed Forces HN Populations Participating PN and NGOs/PVOs
Impacts on Behaviors Change in behavior resulting from a change in attitude due to the
mission Very difficult to measure since there is no clear cause and effect
link and these likely take awhile to become observable