Role of the Deployed Industrial Hygiene Officer for the Navy Environmental Health Center
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1 Role of the Deployed Industrial Hygiene Officer for the Navy Environmental Health Center May 2006 Jerry Formisano, Jr., PhD, CIH CDR MSC USN
2 Disclaimer All opinions and ideas expressed during this presentation are solely those of the author, and do not reflect official policy or the official position of either the Department of Defense, U.S. Navy, Bureau of Medicine and Surgery, or the Navy Environmental Health Center. This information is unclassified, and is intended for scientific discussion. 2
3 History of NEHC 1967: Naval Ordnance Systems Command Environmental Health Center 1970: Naval Ordnance Environmental Health Center (NOEHC), NAVORD 1971: Navy Industrial Environmental Health Center (NIEHC). 1974: Naval Environmental Health Center 2002:Commanding Officer of NEHC designated Deputy Chief, Bureau of Medicine and Surgery, for Environmental Health 2005: Re-aligned under the Navy Medicine Support Command (NMSC) as an echelon 4 command. 3
4 Personnel Strength 141 Officers Enlisted Contractors Civilians Total Assigned Personnel as of April 2006:
5 Depth of Capabilities Preventive Medicine Environmental Health Occupational Medicine Industrial Hygiene Entomology Microbiology Biochemistry CBRE Detection, Monitoring, and Assessment Audiology Epidemiology Health Promotion Health Risk Assessment Health Risk Communication Industrial Toxicology Reproductive Hazard Assessment Cancer Cluster Investigations Submarine Atmosphere Assessment 5
6 Readiness Support Team Directorate CAPT Ann Fallon, MC Functional Areas (Departments) Occupational and Environmental Medicine CAPT Garry Rudolph, MC Population Health CAPT Jim Lamar, MC Expeditionary Preventive Medicine CAPT Mike Henderson, MSC Industrial Hygiene CDR Jerry Formisano, MSC Environmental Programs Ms. Yvonne Walker, GS-14 6
7 Industrial Hygiene Department CDR Jerry Formisano, MSC Functional Teams (Divisions) Operating Forces Acquisition Technical Support MEDOSH 7
8 Industrial Hygiene Department Providing design solutions to identified health risks for all DoD personnel exposed to chemical or physical stressors Support to the Fleet, Shore commands, and Marine Corps units Support to higher echelons to enable data-driven policy and decision-making 8
9 IH PRODUCTS AND SERVICES BUMED (M3B3 Support) CNO (N09) Support FDPMU Training Support DOEHRS NOED Submarine Support HMIRS Management WSESRB CIHLs Joint Strike Fighter TYCOM Support SME for Lead, Beryllium, Mold, Ergonomics, Indoor Air Quality Asbestos contracts for analysis and proficiency 9
10 Joint Strike Fighter ESOH IPT Identify, define, and resolve life cycle environmental, safety, and occupational health concerns. Draft Updated 11/03
11 Future Carrier Program ESOH IPT CVNX MISSION: Meeting carrier life cycle ESOH requirements by assessing cost impacts; minimizing programmatic and personnel risks; and improving operational superiority and affordability through deliberate and early planning, timely execution, and partnership with industry. Draft Updated 11/03
12 Submarine Materials Review Compounds Atmosphere New Construction Maintenance Special Ops Draft Updated 11/03
13 Industrial Hygienist Role Medical / Toxicology Safety / Engineering Legal / Public Affairs Draft Updated 11/03
14 Expeditionary Preventive Medicine (EPM) Department Functional Teams (Divisions) Readiness, Operations and Logistics Doctrine and Training Science and Technology 14
15 Expeditionary Preventive Medicine Forward Deployable Preventive Medicine Units (FDPMU) Joint FHP asset assembled from worldwide NEHC assets Provides state-of-the-art detection and real-time on-site analytical and assessment capability for environmental contaminants, disease outbreaks, pathogenic organisms, disease vectors, and CBR agents and contamination Teams are typically comprised of 13 members with four components: Prev Med, Chemical/Radiation, Microbiology, and Disease Vector. Deploy within 96 hours of official validation Deployed 22 FDPMUs since 2002 to OIF, Haiti, GITMO, Katrina, Pakistan and Tsunami Relief with 252 personnel 15
16 Forward Deployable Preventive Medicine Unit What is the FDPMU... Joint service asset Specialized preventive medicine support to forward deployed U.S. forces and JTF Commanders Mobile, agile, rapidly deployable with state-of-the-art detection and diagnostic equipment yielding real-time analytical capabilities Small Footprint Self-sustaining consumables for up to 60-days Flexibility to task organize to meet any contingency from small-scale humanitarian support to major theater war Adaptable to operate from fixed or mobile land bases to maritime platforms Requires BOS and C 4 integration with intheater operations UNCLASSIFIED
17 Prev Med Forward Deployable Preventive Medicine Unit Components Weight and Cube. Chem Micro Six Factors Disease Vector Rad * (Sub-comp of Chem) Logistics Support Manning Structure 1 Micro 1 Lab Tech 1 Biochem # 1 PMO 1 EHO 2 PMTs 1 IHO 2 PMTs 1 Biochem # 1 Ento 2 PMTs 1 Gen Duty HM 1 PMT º 1 IHO * 1 RHO # Weight Cube (CESE) (CESE) Total UNCLASSIFIED # Available as augmentees only * Chem Comp IHO dual-hatted º Primary assignment to DV Comp
18 Forward Deployable Preventive Medicine Unit Current Worldwide Command Configuration NEHC Portsmouth, VA NEPMU 2 NEPMU 7 NEPMU 6 NEPMU 5 Norfolk Sigonella Pearl Harbor San Diego FDPMU East 1 FDPMU East 3 FDPMU West 6 FDPMU West 4 Active Component Active Component Active Component Active Component FDPMU East 2 FDPMU West 5 Active Component Active Component FDPMU East 7 FDPMU West 8 Reserve Comp * Reserve Comp * UNCLASSIFIED
19 Forward Deployable Preventive Medicine Unit FDPMU Primary Mission... To provide Force Health Protection by rapidly assessing, preventing, and controlling health threats in a theater of operations and enhancing organic Preventive Medicine assets UNCLASSIFIED
20 IHO Role Connecting Professional Disciplines Deciphering Complex Issues Immediate Answers, Immediate Response Flexibility and Adaptability 20
21 Forward Deployable Preventive Medicine Unit FDPMU Evolution. MMART 1970 s-1999 Involved basic Preventive Medicine and Vector Control FDL (Forward Deployable Lab) Microbiology Lab (designed in response to Gulf War) PM-MMART (Preventive Medicine Mobile Medical Augmentation Readiness Team) Enhanced Deployment Medical Surveillance functions and Prev Med deployment teams - 6 teams Incorporated FDL and CBR Analytical Capability FDPMU 2004 and beyond Navy s Level III Deployable Preventive Medicine Capability and Disease Medical Surveillance Platform 8 teams Pursuing warfighter validation to become Navy Program of Record UNCLASSIFIED
22 Upcoming EPM Operations USNS Mercy Deployment May 06 Two FDPMU Intermediate Training Courses May/June 06 Two FDPMU Operational Readiness Evaluation Courses July/August 06 Battle Skills Training Course May 06 Sea Breeze Exercise July/Aug 06 OIF 06-08: Four FDPMU Teams deploying ISO GWOT (each for 6 months) 22
23 NEHC Support to Joint Force Health Protection Transformation The Military Departments shall employ flexible, modular, scalable, and interchangeable medical capabilities, logistics, and information management / technology systems to ensure that the best possible medical and rehabilitative carte is delivered to support military operations anywhere in the world. Paul Wolfowitz 23
24 Forward Deployable Preventive Medicine Unit Combat Operations Support: OIF I: 3 teams OIF II: 4 teams OIF 04-06: 4 teams Humanitarian Assistance/Disaster Relief Support Hurricane Ivan: Sept 2004 Tsunami in SE Asia: Jan May 2005 Hurricane Katrina: Sept 2005 Earthquake in Pakistan: Oct 2005 Other OEF Detainee Ops: 4 teams from Jan 02 - May 04 Haiti: Mar-Jun 04 Recent Deployments. UNCLASSIFIED Steady State: 25-40% NEHC personnel deployed
25 Forward Deployable Preventive Medicine Unit Force Health Protection Efforts.. UNCLASSIFIED Capabilities Offered Provides rapid detection of CBR, or environmental hazards - minimize casualty flow Provides endemic, infectious disease assessment Conducts medical and disease vector surveillance operations Supports First Responders with on-site and deep reach back analytical, consultative capabilities Provides realistic CBR / WMD medical scenario training and exercises Operational Risk Communication Expertise Communicates health threats to theater commanders and surgeons other field personnel Assesses hazards, evaluate risk management options, provide recommendations for controls or threat reduction Connects Risk Com to existing Operational Risk Management Plans
26 Forward Deployable Preventive Medicine Unit The FDPMU as a U.S. Navy Asset. SEA STRIKE PREVENTIVE MEDICINE Disease vector control Camp sanitation Disease outbreak investigation ENVIRONMENTAL HEALTH SITE ASSESSMENT Identify vector, chem, bio, rad threats Document identified threats Health Risk Assessment Hazard mitigation RISK COMMUNICATION Risk assessment Risk reduction UNCLASSIFIED SEA SHIELD HOMELAND SECURITY Maritime interdiction support CBRN detection & analysis ASYMMETRIC THREATS TO LITTORAL CONTROL CBRN detection & analysis Collection, reach-back expertise SHORE-BASED SUPPORT Public Health Toxic chemical identification Infectious disease identification SEA BASING RAPID DEPLOYABILITY Movement within a 96 hour window Self-sustainable for 30 days SEA BASED FDPMU Configurable for any platform Expertise just over the horizon SHIPBOARD FORWARD DEPLOYABILITY On-hand 24/7 for use by ground forces Immediate force health protection reach-back
27 Forward Deployable Preventive Medicine Unit Master Training Plan. Navy Training System Plan (NTSP) Provides external funding for required team training and quotas for critical courses Unit Level Sustainment Compliments FDPMU Trng Prgm Individual, component, team focus Mix of didactic and field exercises FDDMU Training Program Unit Level Requirements Battle Skills FPAE PAT program, QA/QC Basic Course Orientation, Equipment, TTX Intermediate Course EHSA, Risk Com, Sampling ORE / Advanced Course Deployment certification Full Scale Exercise scenario driven UNCLASSIFIED
28 IHO Role Summary Presenting Science in a Military Setting Transferring IH professional Skills to a Deployed Environment Increased Need for Adaptable, Capable Scientists for Immediate Response New and Evolving Training 28
29 Questions? 29
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