Embed Size (px)
Citation preview
CG, USAPHC (Prov)21 June 2011
BG Timothy K. Adams
Optimizing Health: Standing up the US Army Public Health Command
UNCLASSIFIED
USPHS Scientific and Training Symposium
BRIEFING OUTLINE
2
• 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
PURPOSE: To provide an overview on the US Army Public Health Command to USPHS Scientific and Training Symposium attendees.
UNCLASSIFIED
Office of The Surgeon General(OTSG) Pentagon/Falls Church, VAAn Army Staff ElementPolicy and RegulationRepresents the Army
US Army Medical Command(MEDCOM) Fort Sam Houston, TX
Direct Reporting Unit (DRU) Fixed Facility Healthcare
DoctrineTraining
Leader DevelopmentOrganizations
MaterielPersonnel
Facilities
RegionalMedical Commands (5)
Warrior TransitionCommand
MedicalResearch & MaterielCommand
AMEDD Center & School
DentalCommand
The Department of the Army
OneStaff
TSG & CG USAMEDCOM
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)
ARSTAFPrincipal
Public HealthCommand
(Provisional)
Development, Policy Direction, Organization, and Overall
Management of an Integrated Army-wide Health Service System
UNCLASSIFIEDCOL Martinson/MCSC/(210)221-6213/[email protected] 3
Readiness Division
Major Subordinate Commands
EUROPE RMC
TAMC
JapanKorea
PACIFIC RMC
NORTHERN RMC
Ft. Belvoir
FSHBAMC
WBAMC
WESTERN RMC
JBLMMAMC
Readiness Division
Readiness Division
CRDAMC
DDEAMC
WAMC
Readiness Division Readiness
Division
SOUTHERN RMC
APG
PUBLIC HEALTH COMMAND
MEDICAL RESEARCH &
MATERIEL COMMAND
Ft. Detrick
WARRIOR TRANSITION COMMAND
Crystal City
AMEDDC&S
DENCOM
FSH
FSH
UNCLASSIFIEDCOL Martinson/MCSC/(210)221-6213/[email protected] 4
9 Medical Centers 17 Army Community Hospitals 7 Army Health Centers 9 Army Health Clinics (supporting an installation) 128 Army Health Clinics 47 Army Troop Medical Clinics 18 Army Occupational Health Clinics147 Dental Clinics 96 Veterinary Clinics 31 Research and Development Laboratories 32 Prevention Facilities
541 Total
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)
24,631 Total AC Military40,189 Civilians 8,429 Contractors 2,326 Total NG/RC Military 75,575 Total
546K Active Duty (AD)814K Family Members (FM) (AD)214K Dependent Survivor180K Eligible NG/R264K Family Members of NG/R714K Retired825K FM Retired145K Other3,702K Total
TDA Facilities
TOE Units
Beneficiaries
MEDCOMInstallations
Walter ReedFort Detrick
Daily Expenditures
(All appropriations)$35.13M Total
AMEDD PersonnelWorld Wide
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
OTSG/MEDCOM Personnel
AMEDD AT A GLANCE
UNCLASSIFIEDCOL Martinson/MCSC/(210)221-6213/[email protected] 5
Average Day in Direct-Care MEDCOM
64 BirthsDental Services26,620 Procedures
Inpatient Care
50,420 Laboratory Procedures
12,494 Radiology Procedures
Outpatient Care
5,879 Immunizations
54, 048 Outpatient Pharmacy Prescriptions
Veterinary Services1,961 Veterinary Outpatient Visitsand 418 food safety visits
Deployments1,232 Soldiers Deployed
41,986 Clinic visits1,214 Beds Occupied374 Patients Admitted
Medical Logistics Services150,000 Supply Transactions1561 Medical Maintenance WOs
UNCLASSIFIEDCOL Martinson/MCSC/(210)221-6213/[email protected] 6
RMC boundaries are realigned ICW
TRO boundaries; the respective
levels of command and staff
leadership are reorganized to provide
the proper span of control; the
requisite C2 leaders and structures
are in place and projected
accordingly; As the MEDCOM
improves support to Soldiers,
beneficiaries, Army Readiness, and
transformation.
RMC boundaries are realigned ICW
TRO boundaries; the respective
levels of command and staff
leadership are reorganized to provide
the proper span of control; the
requisite C2 leaders and structures
are in place and projected
accordingly; As the MEDCOM
improves support to Soldiers,
beneficiaries, Army Readiness, and
transformation.
ENDSTATE
Com
man
d P
lan
* Colors group similar / like actions
Realign RMCsRealign RMCs
Staff REORGStaff REORG
Public Health CommandPublic Health Command
DENCOM RealignDENCOM Realign
WTU / AMAP REORGWTU / AMAP REORG
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.
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.
7
1
2
3
4
5
MEDCOM Reorganization - 5 Lines of Effort
UNCLASSIFIED
Public Health Command Transition
US Army Public Health Command (Provisional) 8UNCLASSIFIED
• 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
In the beginning….
9UNCLASSIFIEDUS Army Public Health Command (Provisional)
• 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
Commander’s Intent
10UNCLASSIFIEDUS Army Public Health Command (Provisional)
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
• Radiochemistry Laboratory
• Entomology Laboratories
• Soils Laboratory
• Molecular Biology Laboratory
• Serum Repository
• Toxicology Laboratory
• Public Health Information Systems
US Army Center for Health Promotion & Preventive Medicine (CHPPM)
US Army Public Health Command (Provisional) 11UNCLASSIFIED
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
US Army Veterinary Command (VETCOM)
PHC Transition Team: A3 Working GroupsPublic Health Command
Parent A3
Owned byPHC Steering Committee
A3-1 Project Governance
Owned by
CPT Lisa Argo
A3-2 Policy / Doctrine
Owned by
COL Debbie Vasut
A3-3 Strategic
Communication
Owned by Ms. Lyn Kukral
A3-4 Concept Plan
Owned by
Ms. Tina Allen
A3-4.1 DVC Consolidation
(LTC Kay Burkman)
A3-6.2 Portfolio Management
(Mr. Monk/Kirkpatrick)
A3-5 Consolidate Installation
Veterinary Services
Owned by LTC Kay Burkman
A3-6 Enterprise Oversight
Owned by
COL Thomas Delk
A3-6.1 WRMC Rapid Experiment
(COL Thomas Delk)
A3-7 Support Services
Owned by
COL Shanda Zugner
A3-7.10 Safety(Mr. Roy Valiant)
A3-7.6 IM/IT(Mr. Mark King)
A3-7.1 Personnel(Ms. Debbie Austin)
A3-7.7 STRATCOM(Mr. Kevin Delaney)
A3-7.11 Protocol(Ms. Lovetta
Britton)
A3-7.12 Legal(Mr. Lorin Friedman)
A3-7.2 Security(Ms. Veronica
Dudley)
A3-7.8 Resource Management
(Ms. Schoffstall)
A3-7.13 Public Affairs
(Ms. Lyn Kukral)
A3-7.3 Operations(Mr. Brian Cashman)
A3-7.9 Inspector General
(LTC Watson)
A3-7.4 Logistics(Mr. Paul Wilson)
A3-8 Lab Integration
Owned by
COL Peggy Carter /LTC Aziz Qabar
A3-9 Health Promotion and
Wellness
Owned byMs. Laura Mitvalsky
Community Health Promotion Councils RIE(Ms. Kym Ocasio)
Army Wellness Centers RIE(Dr. Steve Bullock / Mr. Todd Hoover)
Discontinued
Complete
Complete
A3-6.2.1 SRMC IH Rapid Experiment
(Ms. Donna Doganiero)
A3-6.2.2 VENC Rapid Experiment(Ms. Linda Baetz)
A3-10Clinical Preventive
Medicine
Owned byLTC Cersovsky
2011 03 07 UNCLASSIFIED 13US Army Public Health Command (Provisional)
CHPPM and VETCOM integrate into the PHC
• RVCs and CHPPM Subordinate Commands integrate into PHC Regions under the C2 of the PHC
• RMCs have C2 of installation PVNTMED missions
• PHC has oversight of level I-III PVNTMED missions through RMCs
• 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)
Red
Lt Blue
Gold
Green
PHC CONOPS
14UNCLASSIFIED
This slide depicts
functional areas MEDCOM
RMCsRMCsRMCsRMCsRMCs
PHC
RPHCRPHCRPHCRPHCPHCRegions
MTFMTFMTFMTFMTF
PHCDistrict
PHCDistrict
PHCDistrict
PHCDistrict
PHCDistrict
Installation PVNTMEDInstallation PVNTMEDInstallation PVNTMEDInstallation PVNTMEDInstallation
VETSVCS
Installation PVNTMEDInstallation PVNTMEDInstallation PVNTMEDInstallation PVNTMEDInstallation PVNTMED
PHCAIPH
Oversight (PH Missions)
RMCs oversee I-II VETSVCs; PHC oversees I-III PVNTMED
Coordinate / Collaborate(PH Missions)
Coordinate / Collaborate(PH Missions)
Coordinate / Collaborate(PH Missions)
Monitor (PH Missions)
US Army Public Health Command (Provisional)
15
CS 1.0 Minimized Diseases &
Injuries of Military Significance
IP 6.0 Ensure Effective Public Health Oversight
R 18.0 Optimize Facilities and Infrastructure
APHC Strategy Map Alignment to AMEDD BSC September 2010P
atie
nt/C
usto
mer
/S
take
hold
erIn
tern
al P
roce
ssL
ear
nin
g a
nd
Gro
wth
ME
AN
SW
AY
S
Res
ou
rce
EN
DS
Maximize Value in Health Services
Synchronize Public Health
Build the TeamBalance Innovation with
StandardizationOptimize Communication and
Knowledge Management
Fe
edb
ack
Ad
just
s R
eso
urci
ng
De
cisi
ons
LG 14.0 Maximize & Sustain Workforce Competencies
IP 9.0 Integrate Delivery of Health Promotion and Wellness Services
IP 11.0 Enhance Characterization and Analysis of Health Status and Threats
IP 10.0 Minimize Risk from Occupational & Environmental Health Hazards
IP 13.0 Develop and Enhance Relationships with Key Partners
IP 8.0 Improve Disease & Injury Surveillance and
Control
IP 5.0 Finalize Public Health Command
Transition Process
IP 7.0 Ensure Safe DoD Food and Water
R 19.0 Forecast Requirements and Secure Enduring Resources
World-Class Provider of Public Health Services across DA and DoD.
IP 12.0 Ensure High Quality Veterinary Clinical Services
LG 15.0 Standardize & Document Command Business Practices
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.
CS 1.0, 2.0, 3.0 CS 4.0
Alignment to AMEDD Strategic Objectives shown in red
IP 7.0, 11.0, 12.0 IP 7.0 IP 7.0, 10.0 IP 7.0, 10.0
IP 7.0 IP 7.0, 10 .0 IP 7.0
IP 8.0, 9.0 CS 6.0 , IP 13.0, 14.0
LG 17.0, 18.0 LG 19.0, 20.0 LG 20.0
R 23.0 R 22.0 R 21.0
LG 16.0 Improve Knowledge Management
R 17.0 Maximize Human Capital
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
CS 2.0Enhanced Health & Well-
Being
CS 3.0 Optimized Public Health Programs and Practices
CS 4.0 Optimized Animal Care
CS 1.0, 2.0, 3.0, 5.0CS 1.0, 3.0
PHC Structure, Roles & Responsibilities
16
Color Legend: Level of Public Health ServicesMajor Sub Command Level (V)Strategic Level (V)Regional or Area Level (III and IV)
Lt Blue
Gold
Red
PHCHQ
PHCAIPH
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
PHC HeadquartersAberdeen Proving Ground, MD
• Provide C2 for PHCRs, PHCDs, AIPH, and MWD Center.• Provide PH oversight, policy, and promulgation.
Army Institute of Public HealthAberdeen Proving Ground, MD
• Provide unique operational and strategic services & expertise.• Develop Public Health programs.• Provide technical supervision / consultation.• Oversee quality assurance / process improvement.
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.
Vet Branches
& Sections
PHCDistricts
RPHCRPHCRPHCRPHCPHC Regions
UNCLASSIFIEDUS Army Public Health Command (Provisional)
Branches/Sections
PHCR Commanders
USAPHC(Provisional)Commander
Portfolio
Health Risk Management
Portfolio
Laboratory Sciences
Informatics
Portfolio
Occupational Health Sciences
Portfolio
Epidemiology & Disease
Surveillance
Institute of Public Health (Provisional)
PHCDCommanders
Health Information & Services
Regional Program
Health Risk Management
Regional Program
LaboratoryServices
Regional Program
Occupational Health Sciences
Regional Program
Epidemiology & Disease
Surveillance
Portfolio
Veterinary Services
Regional Program
Veterinary Services
Strategy & Innovation
Portfolio
Health Promotion and
Wellness
Regional Program
Health Promotion and
Wellness
Portfolio
Environmental Health
Engineering
Regional Program
Environmental Health
Engineering
Oversight / Monitor / Advise
DVCCommanders
Portfolio
Occupational & Environmental
Medicine
Regional Program
Occupational & Environmental
Medicine
PHCRCommanders
· Hearing· Env Medicine· Occ Medicine· Vision
· Analytical Chemistry
· Risk Comm· Risk Assmt· Deployment Environmental Surveillance· Global Threat Assessment· ESIP· ATSDR
· 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
· Health Promotion Operation· Health Educ· Behavioral Health· Public Health Assessment
RVC Cdr
VETCOM HQ
Branches/Sections
Oversight / Monitor /
Advise
OPCON /ATTACH
· Clinical Vet Medicine· Food Protection
Toxicology
Color Legend• Major Sub Command Level (HQ)• Strategic Level (V)• Strategic Portfolio Managers• Unique Services• Regional or Area Level (III and IV)• District Level (III)
Lt Blue
Green
Red
Gold
Violet
Yellow
PHC Organizational Structure
IOC
CONCEPT• Align by technical function
(AR 40-5; 40-3)• 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
US Army Public Health Command (Provisional) 17UNCLASSIFIED
PHC Organizational Structure
FOC PHCR Commanders
USAPHCCommander
Portfolio
Veterinary Services
Portfolio
Laboratory Sciences
Portfolio
Occupational Health Sciences
Portfolio
Epidemiology & Disease
Surveillance
Institute of Public Health
Veterinary Services
PHCDCommanders
Regional Division
Veterinary Services
Regional Division
LaboratoryServices
Regional Division
Occupational Health Sciences
Regional Division
Epidemiology & Disease
Surveillance
Oversight / Monitor / Advise
Portfolio
Health Risk Management
Occupational Health
Sciences
Regional Division
Health Risk Management
Portfolio
Health Promotion and
Wellness
Health Promotion
and Wellness
Regional Division
Health Promotion and
Wellness
Portfolio
Environmental Health
Engineering
Environmental Health
Engineering
Regional Division
Environmental Health
Engineering
Oversight / Monitor / Advise
Portfolio
Occupational & Environmental
Medicine
Regional DIvision
Occupational & Environmental
Medicine
· Hearing· Env Medicine· Occ Medicine· Vision
· Analytical Chemistry
· Clinical Vet Medicine· Food Protection
· Air Quality· Oper Noise· Ground, Surface, & Field Water· Haz Med Waste· Entomology
· HHA· IH· Laser/Optical· Health Phys· DOEHRS· Ergonomics· Radiofreq/Ultrasound
· Injury Prev· Disease Epi· Prof Med Ed· BSHOP
· Risk Comm· Risk Assmt· Deployment Env. Surv.· Global Threat Assessment· ESIP· ATSDR
· Health Promotion Op· Health Educ· Behavioral Health· Public Health Assessment
Installation VETSVCs
Installation VETSVCs
PHCR Commanders
PHCDCommanders
Technical Shared Services
TBD
Updated 2011 03 02
G-Staff
Portfolio
Toxicology
· Health Effects· Toxicity Evaluation
Color LegendMajor Sub Command Level (HQ)Strategic Level (V)Strategic PortfolioShared ServicesRegional or Area Level (III and IV)District Level (III)
Lt Blue
GreenRed
GoldViolet
Yellow
CONCEPT• Align by technical function
(AR 40-5; 40-3)• 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
US Army Public Health Command (Provisional) 18UNCLASSIFIED
Personnel Strength as of 1 Mar 20113,051
UNCLASSIFIED
Lega
cy C
HP
PM
(1
,190
)Le
gacy
VE
TC
OM
(1
,861
)
Military 275 (23%)
Civilian 714 (60%)
Contractors 201 (17%)
Military 1173 (63%)
Civilian 188 (10%)
NAF500 (27%)
Military 1448 (47%)
Civilian 902 (30%)
Contractors 201 (7%)
NAF 500 (16%)
19US Army Public Health Command (Provisional)
• 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)
Formal Steps to FOC
20UNCLASSIFIED
PHC Transition Timeline
UNCLASSIFIED
FY2009
FY2010
FY2011
FY2011+
28 AUG 09 – PHC TT Project Charter Approved
19 JAN 10– MEDCOM CofS IPR
1 MAR 10 – BG Adams briefed on CONPLAN26 FEB 10 – TSG approves CONOPS
1 APR 10 –OPCON VETCOM and VETCOM-EUR to PHC (P)
1 DEC 10 – MEDCOM approves CIP
3 JUN 09 – TSG selects PHC COA 3a.1
1 OCT 09 – Establish PHC(Provisional) per OPORD 10-02 (MEDCOM REORG)
17 JUL 09 – WARNO 09-59 (Establishment of USAPHC)
1 Jan 11 - DVCs aligned to RVCs along target CONUS regions19 Jan 11 – PHC OPORD 11-01 (PHC Reorganization) published
1 Feb 11 – ATTACH CONUS RVCs to PHCRs
U.S. Army Public Health Command (Provisional)
Phase II (IOC)Phase I (Provisional)
1 OCT 11 – PHC FOC
WRMC/SRMC Enterprise Rapid Experiment, Phase II (Monitor)
June 11 – Anticipated Permanent Order
May 11 – HQDA Approval of CIP
July 11 – Re-designate / Inactivation Ceremonies
WRMC Enterprise Rapid Experiment, Phase I (Coordinate/Collaborate)
1 AUG 10 – OPCON OCONUS RVCs to PHCRs; OPCON Installation PM assets to MEDDAC-Japan
1 OCT 10 – PHC IOC;
21
USAPHC Integration Opportunities
Preventive Medicine Veterinary Health Services
• Disease prevention and control • Field preventive medicine• Environmental health• Health surveillance and
epidemiology• Laboratory services• Health risk assessment
Integration Opportunities
Emerging Programs
• Army Wellness Centers• NAF Central Fund• First Year Graduate Veterinary Education (FYGVE) • Community Health Promotion Councils
(AR 40-3, AR 40-656,AR 40-657, AR 40-905)
Veterinary Medical care for Government-Owned Animals
Zoonotic diseasesurveillance and
control
Food safety andfood defense
quality assuranceprograms
Veterinary Medical care for Privately-Owned Animals
(AR 40-5)
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
Health risk assessment
Health Risk Communication
• Zoonotic disease surveillance and control
• Food safety and food defense quality assurance programs
US Army Public Health Command (Provisional) 22UNCLASSIFIED
Animal Care Specialist
Entomologist
Toxicologist
Occupational Health Nurse
Agronomist
Mechanical Engineer
Medical Officer
Safety Engineer
Electrical Engineer
Social Worker
Environmental Engineer
Environmental Law Attorney
Meteorologist
Environmental Protection Specialist
Health Physicist Safety and Occupational Health Specialist
Acoustical Engineer
Medical Laboratory Specialist
Fire Protection EngineerPsychologist
Veterinarian
Sanitary Engineer
Wildlife Biologist
Epidemiologist
Physical Therapist
Industrial Hygienist
Chaplain
Optometrist
Community Health Nurse
Chemist
Ergonomist
Dental Officer
Preventive Medicine Physician
Nuclear Medical Science Officer
Marine Biologist
Dietitian
Geologist
Environmental Scientist
Audiologist
Physicist
The New Public Health Paradigm
Veterinary Services Food Safety Officer
Comparative Medicine Veterinarian
Laboratory Animal Veterinarian Veterinary Pathologist
Veterinary Food Inspection Specialist
Clinical Medicine Veterinarian
U.S. Army Public Health Command (Provisional) 23UNCLASSIFIED
• 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
24
Public Health Support to Operations in Japan
UNCLASSIFIEDUS Army Public Health Command (Provisional)
Questions
25UNCLASSIFIEDU.S. Army Public Health Command (Provisional)
