Public Health Career Field Initiatives: Home Station Medical

Report
Headquarters U.S. Air Force
Integrity - Service - Excellence
AF Public Health Update
Lt Col James A. Mullins
10 Feb 10
1
Overview

PH home station medical response equipment package

Factory permethrin treatment of ABUs status

Leadership update
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2
All Hazards Response

All Hazards Planning, Preparedness, and Response
 All Hazards:
 Counter-CBRN
 Epidemics
 Natural disasters
 Priority Areas:
 Anthrax attacks & threat of BW agents
 Planning for Pandemic Influenza
 Radiation threats
 Humanitarian missions/disaster response
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Home Station Medical
Response (HSMR) Program

Respond to up to 300 casualties and 150 responders in first 24 hrs

(Un)Known CBRNE agents

Coordination with base responders and local community
886A Patient Decon Equipment
886D In Patient Med Response
886I Lab Response Equipment 886C Immediate Medical Response
886E Pharmaceuticals
886H Threat Agent Detection
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Public Health Disaster
Response Role
Public Health Readiness
Biological Agent Detection
Foodborne
Vectorborne
Agent Detection Agent Detection
HML
Biological Agent Response
Communicable
Disease
Surveillance
Response
Planning
Containment
Strategies
ESSENCE
DCP
Alternate
PHEO
Surveillance
Reportable Diseases
Community
Relationships
Investigations
Risk Comm
Control
Measures
Local
Agency
Coordination
PI
JBAIDS
EHP
Trigger Events
FBI
Epidemiological
Investigations
Threat
Assessments
Medical Intelligence
Other Bio
EX
ROM
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Public Health HSMR
Package
ALLOWANCE STANDARD: Potential Components

886P.a: Foodborne Agent Detection

886P.b: Vectorborne Agent Detection

886P.c: Epidemiological Surveillance and Response

Response Planning

C-RW / C-CW Role
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Operational Vectorborne
Threats
Mosquito-borne diseases: Tick-borne diseases:
Chikungunya
Dengue
Eastern Equine Encephalitis
Japanese Encephalitis
LaCrosse Encephalitis
Korean Hemorrhagic Fever
Malaria
Rift Valley Fever
St. Louis Encephalitis
West Nile Virus
Western Equine Encephalitis
Yellow Fever
Babesiosis
Human Granulocytic Ehrlichiosis (HGE)
Human Monocytic Ehrlichiosis (HME)
Lyme Disease
Rocky Mountain Spotted Fever
Southern Tick Associated Rash Illness (STARI)
Sandfly-borne diseases:
Leishmaniasis
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Larvae Collection Kit
This kit is an assortment of tools for larval sampling neatly
organized in a durable bright yellow toolbox. Tools in this kit
are:
dipper with telescoping handle
3 sizes of screened strainer-dippers
white shallow larval tray
sieve set for debris separation and larvae concentration
(2) 250ml sample jars
permanent marker pen (wipes clean with isopropyl
alcohol)
500ml wash bottle
waterproof flashlight
waterproof notepad
large aquatic pipette (50ml)
(3) small aquatic pipettes (3ml)
gloves
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ABC Trap Kit with CO2
This kit provides the same capabilities as TRAPKIT1 with the added feature of being able to
use dry ice as an integral source of CO2 for attracting mosquitoes or other Dipterans. This
kit includes the American Biophysics CO2LID which is an insulated 2 liter container,
assembled directly to the top of the trap, with a built-in manifold to provide CO2 at a
continuous rate of approximately 500 ml per minute.
CO2 (Dry Ice) Container:
Top inside diameter: 11.3 cm
Inside height: 19.8
Flow rate: approx. 500 ml/min
1.5lbs of dry ice.
Contents:
ABCTRAP1
CO2LID
NET1
ROPE1
BAT6/10
Capacity: 4.0 lbs. of dry ice
Bottom inside diameter: 10.8cm
Volume: 1.90 liters
Flow Time: approx. 11.5 hrs for
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Vectorborne Agent
Detection


Base package of vectorborne surveillance equipment at all
installations:

1 Mosquito Larvae Collection Kit

4 ABC Traps with CO2 Container

Misc. Items for Flea & Tick Collection
Linkage w/ capability to send specimens for pathogen testing

JBAIDS: Leishmaniasis, Malaria, Dengue Fever

USACHPPM: West Nile, encephalitidies, other pathogens
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Vectorborne Agent
Detection


Expanded package of vectorborne surveillance equipment for
installations with significant vector threat and/or environment:

Additional traps and collection kits

Microscope and lamp

Additional sample testing supplies
Linkage w/ capability to send specimens for pathogen testing

JBAIDS: Leishmaniasis, Malaria, Dengue Fever

USACHPPM: West Nile, encephalitidies, other pathogens
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Next Steps

Seymour-Johnson AFB NC named as Pilot Unit for package
 Currently compiling all the equipment and doing validation
 Once finalized, info will be sent to the MEFPAK who will
orchestrate purchase AF wide

Anticipate equipment delivery beginning summer/fall 2010
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12
ABU Factory Permethrin
Tx Status

AF Uniforms and Program Policy (AF/A1SO) supports factory
treatment of ABUs
 Focus on fire retardant ABUs (ABE-FR) initially
 Representatives from Uniform Board at previous AFPMB mtg

Initiative has been pre-empted by other issues in recent months

AF/A1SO participating in congressional mandated joint utility
uniform meetings
 Focus likely on Services' heavy reliance on each other's
RDT&E initiatives and partnerships during standardization
 AF/A1SO planned to discuss permethrin treatment as side bar
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13
PH Leadership Update

Asso Corps Chief, PH (Col John Kildew)
 Currently deployed, Balad AB Iraq
 Projected to retire Dec 2010

HQ ACC/SGPM (Col (s) Sam Hall)
 Acting Asso. Corps Chief, PH while Col Kildew deployed
 Likely will PCS to HQ AF/SG summer 2010
 Replacement at HQ ACC/SGPM TBD

AF/SG Alternate Rep to AFPMB (Lt Col Mike Lundy)
 PCSing to Maxwell AFB (Sq/CC), summer 2010
 Replacement TBD
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14
Questions/Discussion
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15

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