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

Headquarters U.S. Air Force

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AF Public Health Update

Lt Col James A. Mullins10 Feb 10

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

Overview

PH home station medical response equipment package Factory permethrin treatment of ABUs status Leadership update

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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

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

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

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

886E Pharmaceuticals

886C Immediate Medical Response

886H Threat Agent Detection

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

Public Health Disaster Response Role

Biological Agent Detection

Foodborne Agent

Detection

Vectorborne Agent

Detection

Communicable Disease

Surveillance

Biological Agent Response

Response Planning

Containment

Strategies

Epidemiological

Investigations

Community

Relationships

HML

JBAIDS

FBI

ESSENCE

Reportable Diseases

Trigger Events

Medical Intelligence

DCP

PI

Other Bio

EX

Alternate PHEO

EHP

ROM

Investigations

Control Measures

Risk Comm

Local Agency Coordination

Surveillance

Threat Assessments

Public Health Readiness

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

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

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

Operational Vectorborne Threats

Mosquito-borne diseases:ChikungunyaDengueEastern Equine EncephalitisJapanese EncephalitisLaCrosse EncephalitisKorean Hemorrhagic FeverMalariaRift Valley FeverSt. Louis EncephalitisWest Nile VirusWestern Equine EncephalitisYellow Fever

Tick-borne diseases:BabesiosisHuman Granulocytic Ehrlichiosis (HGE)Human Monocytic Ehrlichiosis (HME)Lyme DiseaseRocky Mountain Spotted FeverSouthern Tick Associated Rash Illness (STARI)

Sandfly-borne diseases:Leishmaniasis

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

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

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

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: Capacity: 4.0 lbs. of dry ice Top inside diameter: 11.3 cm Bottom inside diameter: 10.8cm Inside height: 19.8 Volume: 1.90 liters Flow rate: approx. 500 ml/min Flow Time: approx. 11.5 hrs for 1.5lbs of dry ice. Contents:

· ABCTRAP1 · CO2LID · NET1 · ROPE1 · BAT6/10

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

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

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

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

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

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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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

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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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

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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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

Questions/Discussion

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