Navy and Marine Corps Public Health Center Command Brief for the Defense Health Board by Captain Todd L. Wagner, NMCPHC Commanding Officer Nov.

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Navy and Marine Corps Public Health Center Command Brief for the Defense Health Board by Captain Todd L. Wagner, NMCPHC Commanding Officer Nov. 2, 2017 0

MISSION The Navy and Marine Corps Public Health Center (NMCPHC) is the Navy and Marine Corps' center for public health services. NMCPHC provides leadership and expertise to ensure mission readiness through disease prevention and health promotion in support of the National Military Strategy. VISION A healthy and resilient Navy and Marine Corps community inspired and enabled to achieve the highest quality of life., - - - '-- - ta NAUYAND MARINE CORPS PUBLIC HEALTH CENTER 1

Global Presence - Commands - - Detachments Navy Environmental Preventive Medicine Unit 5 (FDPMU & CIHL) San Diego, CA Navy Drug Screening Laborato - Great Lakes IL Tri-Service Vision Conservation and Readiness Program - Aberdeen Proving Grounds, MD Navy Dosimetry Center - Belhesda MD Navy Bloodborne Infection Management Cent.er - Bethesda, MD Navy Environmental, Preventive Medicine Unit 6 - O Pearl Harbor. HI C6F Surgeon'sOffice Naples. ttaty Navy Environmental Preventive Medicine Unit 7 - Roto, Spain Centers for Disease Control and Prevention Entomology Center - AUanta GA Navy Marine Corps Public Health Center - Norfolk VA Navy Environmental Preventive Medicine Unit 2 (FOPMU & CIHL) Norfolk VA Navy Drug Screening Laboratory - Jacksonville, FL Navy Entomology Center of Excellence - Jacksonvilte FL Center for Medical, Agricultural, and Veterinary Entomology - Gainesville. FL 2

Global Current/Future Operations NORTHCOM CUOPS: Puerto Rico Support FUOPS: Bold Alligator * CENTCOM EUCOM CUOPS: Aegis Ashore Poland FUOPS: MAREUR, Norway PACOM FUOPS: FDPMU Pacific Partnership; GHE SE Asia AFRICOM CUOPS: Ghana and Uganda FUOPS: GHE Event Angola SOUTHCOM CUOPS: Southern Partnership Station 17; SPS 18; Haiti FUOPS: Continuing Promise [-------==------] (Anmrctic ], FUOPS: Future Missions / Operations (3-6 months out) * II MEF Exercise at Camp Lejeune, NC _ --.c: - - _,_ - ~ - 3

NMCPHC Top Public Health Issues and Capabilities Predict Prevent Respond 4

Vector Borne Disease The Most Murderous Animal on Earth: Mosquitoes CBS News Navy looks for answers after Seabee dies from malaria Stars and Stripes Birth Defects Rise Twentyfold in Mothers With Zika, C.D.C. Says New York Times West Nile virus, Chikungunya, Malaria, Dengue fever, and Zika. Insect and tick-borne diseases are major public health issues threatening military personnel and their families world-wide, in garrison and deployed. NMCPHC s Impact Policy and guidance Tools and techniques On-site assistance Partnerships 5

Psychological Health Service members returning from deployment may be at increased risk for some mental health outcomes including post-traumatic stress disorder (PTSD), major depressive disorder (MDD), alcohol/substance abuse, and suicide attempt/ideation Navy Marine Corps Public Health Center (NMCPHC) For every one suicide, there are at least four reported suicide attempts among active duty service members in the Navy and Marine Corps. DOD Suicide Event Report Calendar year 2014 Suicide and suicide related behaviors, although rare, can have lasting effects within a command, directly impacting readiness through loss of highly trained service members, reducing morale, and redirecting command assets. NMCPHC s Impact Education Data analysis Awareness and prevention resources 6

Tobacco Tobacco use has numerous documented negative health effects, affecting nearly every organ in the body. Quitting smoking, however can lead to positive, immediate, and long-term health benefits. It is never too late to quit NMCPHC Tobacco use adversely affects readiness. It results in reduced physical fitness, lung capacity, stamina, health, and visual acuity. NMCPHC s Impact Educational resources and facilitator training Health surveillance and analysis NMCPHC Workplace Health Risk Assessment 7

Drug Abuse Drug overdose deaths and opioid-involved deaths continue to increase in the United States. The majority of drug overdose deaths (more than six out of ten) involve an opioid MMWR Morbidity and Mortality Weekly Report The United States is in the midst of an opioid overdose epidemic and service members are not immune. Opioid abuse and dependency degrades operational readiness and is inconsistent with our core values. NMCPHC s Impact Health surveillance and analysis Training Policy Methods development and testing 8

Occupational and Environmental Exposures U.S. Navy investigates report of cancer cluster at Guantanamo Reuters Military lawyers to sue Pentagon over cancerlinked Guantánamo housing, work areas Miami Herald Military moms fear contaminants at housing base are giving children cancer Fox News NMCPHC offers worldwide technical assistance to the Navy, Marine Corps, and other DOD activities through excellence in risk assessment. NMCPHC s Impact Industrial Hygiene Subs in Space Health Risk Assessment and Communications Beaufort Guantanamo Bay 9

Disclaimers The views expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense nor the United States Government. I am a military service member of the United States government. This work was prepared as part of my official duties. Title 17 U.S.C. 105 provides that 'copyright protection under this title is not available for any work of the United States government.' Title 17 U.S.C. 101 defines a U.S. government work as work prepared by a military service member or employee of the U.S. government as part of that person's official duties. 10