439 th aerospace medicine squadron colonel joel s. bogner, flight surgeon travel medicine and

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Air Force Reserve Command

439TH Aerospace Medicine SquadronColonel Joel S. Bogner, Flight Surgeon

TRAVEL MEDICINE

AND

MEDICAL INTELLIGENCE BRIEFING

FOR

FLIGHT SURGEONS

(HOW TO PREPARE AND PRESENT)

10 APRIL 2007

This Briefing is: UNCLASSIFIED.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

THANKS

LtCol Thomas Clarke, SFS, Program Director RAM/GPM Residency (Deployment Planning & Medical Threat Assessment).

LtCol Rick Gist, SFS, 926 MDS/SGH (Medical Intelligence for the Flight Surgeon).

SMSgt Frank (Andy) Vanlingen, 439 AMDS, Bioenvironmental Specialist.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Air Force Reserve Command

The BriefingKeeping your commanders and troops

informed and healthy.(You have 5 minutes, maybe!)

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Why Medical Intelligence

Force MultiplierPolicy and Strategy Maker

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

When to Brief

Pre-deployment

During the deployment

Post-deployment

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

About the Briefing

It’s customized.

You include what you feel is important.

Therefore, YOU become the expert.

And if your wrong, your troops may suffer.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Your Next Assignment

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Your Job

Define the medical risks (The ones that count).

Find countermeasures (To minimize or eliminate).

Get support from the people who matter. (Who are they?)

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Steps

Identify Threats Determine Preventative Countermeasures Determine Options When Prevention Fails

Try to have a backup plan Make Recommendations Insure Commander Buy-In & Support Constant Surveillance to Monitor Status

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Risk Assessments

Probability that individuals will be “disabled”. Period of time. Which population. Under what circumstances. Specific hazards. Estimated level of impact.

(IN ABSENCE OF COUNTERMEASURES)

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Addressing Force Health Risks

List of diseases endemic to the region-Limited benefit to troops.

What percentage of forces are likely to be affected by the diseases present.

How many days will be lost.

Operational impact.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Medical Intel

Environmental Issues Weather conditions/climate Vectors and arthropods Food and waterborne disease Disease Surveillance

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Information Sources-Unclassified

Country Specific Medical Intelligence - Iraq, Iran, Korea etc. http://usachppm.apgea.army.mil/

Staying Healthy on Deployment - food & water precautions DVD (FREE STUFF!)

www.users.idworld.net/wlldggr (multiple links to medical and non-classified

www.mic.afmic.detrick.army.mil (multiple useful products and latest risk assessments for AOR)

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Other Non-classified Sources

www.travelmed.com

www.escapeartist.com/Offshore_Health_Care (Links to hospitals and med schools around the world)

International Society for Infectious Disease www.promedmail.org.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

CDC Website

Traveler’s health www.cdc.gov/travel

Comprehensive website for travelers with layman’s infectious disease briefings.

Gives lists of recommended/required vaccinations.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

World Health Organization

www.who.int

Good source on recent outbreaks.

Limited info in treatment or countermeasures.

Advisory type website.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Country Specific

USACHPPMS - US ARMY has country specific briefings http://usachppm.apgea.army.mil/hiomtb/

AFMIC - Armed Forces Medical Intelligence Center - Username and Password required. https://afmicuweb.afmic.detrick.army.mil/

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Immunizations

What's required where and when and why AFMS link - Public Health - Deployments - has the

most current deployment info from PACOM, CENTCOM

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Other Helpful Sources

Navy Environmental Health Center: www.nehc.navy.mil. Occupational and environmental medicine and deployment health topics.

Your Bioenvironmental Specialist

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Troop Briefing

What

To

Include ?

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Med Intel-ID

Vector Borne Disease Clothing DEET Pyrmethrin Bed nets Prophylaxis

People Borne Disease Immunizations Isolation Masks Safe Sex/Condoms

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Medical Intel-Not ID

Motor Vehicle Accidents/Collisions Sports Related Injuries Work Related Injuries (Heat/Dehydration, Lifting,

Noise, Fumes) “Friendly Altercations” Medication Problems Alcohol Consumption Travel/R & R Battle Injury (Tactics, Armor, Kevlar, Awareness) Eye protection

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Med Intel-Other

Animal or Water Exposure Where to swim Where or what to drink or eat Pets

Environmental Proper Gear Glasses, goggles, sun block, lip balm Spare clothing

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Transport/Transfer Options

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Review

Recommendations for commanders and/or troops. Pre-Deployment Deployment Post-Deployment

Bring to commander and request support-They must be his recommendations.

Prepare Briefings in advance for Deploying Forces. Make notes at every reasonable opportunity during

the deployment. (Include pictures.) Brief co-workers upon your return home.

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

POC's

joel.bogner@westover.af.mil DSN 589-3565 frank.vanlingen@westover.af.mil DSN 589-2523/3565

FOR OFFICIAL USE ONLY (FOUO)

FOR OFFICIAL USE ONLY (FOUO)

Questions