JOAG Journeyman Series

January 14, 2011

History 5th mission in four years to the region To date:

over 270,000 patients treatednumerous infrastructure projects completed millions of items donatedhundreds of thousands educated

Background CP 10

Four month duration (July-November 2010)Mission:

○ Provide medical care and infrastructure improvements in eight nations

○ Provide humanitarian assistance and disaster response SMEEs; aid in the event of a disaster

The Amphibious Ship USS Iwo Jima (LHD 7)

Background

Diplomatic mission Direct care and

public healthPrimary care,

optometry, surgery, ob/gyn, dentistry dermatology, pharmacy, prev med, health ed

Training

Background

Crew: 1700 U.S. Uniformed Service personnel

○ DOD○ USPHS

NGOs (40+) International Partners

USPHS Involvement

Invited by US Navy Previous involvement

in CP09 Coordinated by OFRD OIC: CAPT Sheehan

Daily Life 12-16 hour days (0530 - 2200) Meals (Wardroom or MREs) Transportation

LCU or Helo to/from shore (if no port)Vans

Clinic hours: 0800 – 1600 Cleaning stations (if not manifested) Team briefs Mission briefs 2 minute showers!

CP10 PHS 1st RotationHaiti and Colombia

LCDR Eduardo Gomez, CDC Microbiologist, Health Educator/Translator

LCDR Richard Schobitz, DoD Psychologist,

LCDR Timothy Jetton, FDA Pharmacist

LT Jaclyn Rubio, SAMSHA Project Manger, Health Educator/Translator

LT Joseph Ndifor, HHS Health Educator

LTJG Brek Steele, CDC Environmental Health Officer

Pharmacy

Health Education

Environmental

Oral Hygiene

Preventive Medicine

Mental Health

CP10 PHS 1st RotationHaiti and Colombia

• Environmental Assessments: 5 drinking water facilities (>20 water sources tested) 2 waste-water treatment facilities 6 solid-waste sites 8 schools 4 hospitals 2 food establishments

• Veterinarian Services: Thousands of pets vaccinated and de-wormed

• Health education 54 nurses received tropical medicine training Thousands received general hygiene training Thousands received fluoride treatments and oral hygiene education Hundreds of medical personnel received additional training

Pharmacy Over 15,000 prescriptions filled Thousands of children treated for intestinal parasites

CP10 PHS 2nd Rotation Costa Rica and

Guatemala CAPT Rossanne Philen, Medical

Officer, Translator/ Health Educator, CDC

CDR Carma Ayala, Health Educator/ Translator, CDC

CDR Cristino Gavarrete, Dentist, ICE CDR Michael Schmoyer, Health

Educator/ Translator, CDC LCDR Yon You, Pharmacist, CDC LT Lisa Tung, Pharmacist, FDA LT Racquel Stephenson, EHO,

ATSDR

Pharmacy

Health Education

Environmental

Preventive Medicine

Dental

CP10 PHS 2nd Rotation Costa Rica and Guatemala

Preventive Medicine 4 drinking water facility assessments 2 solid waste site assessments 2 safety assessments 1 restaurant inspection 3 dw assessments at private establishments

Health education Thousands of patients received education on basic hygiene,

vectorborne disease prevention, chronic disease prevention Pharmacy

16,000 medications dispensed and over 600 de-worming treatments Dental

650 procedures (restorations, extractions, etc.)

CP10 PHS 3rd RotationNicaragua and Panama

CAPT Angela Martinelli, Nurse Officer, Health Educator

CAPT Elvira Hall-Robinson, Veterinarian Officer, Health Educator/Veterinarian

CDR Tony Beltran, Dentist LT Katrina Kiang, Pharmacist LT Michelle Sandoval, Health

Educator/Translator LT Chris Cordes, Optometrist

Pharmacy- LT Kiang

Health Education-LT Sandoval

Veterinarian- CAPT Hall-Robinson Preventive Medicine-

CAPT Martinelli

Dental- CDR BeltranOptometry- LT Cordes

CP10 PHS 3rd Rotation Nicaragua and Panama

Health Education Preventive medical education on numerous topics from hand

washing/basic hygiene, community disease prevention to vector born illness

Collaborated with local ministries of health to provide vaccinations Pharmacy

15,500 medications dispensed and over 500 de-worming treatments Dental

Provided dental care to the indigenous population of Nicaragua and Panama under hazardous conditions.

Served as interpreter between non-Spanish speaking multinational, local providers and patients from host countries.

Extracted over 600 non-restorable teeth and placed over 50 restorations Veterinarian Services

Worked with host nation vets to provide de-worming and basic vaccinations for thousands of animals (dogs, cats, horses, cows, monkeys)

Optometry Provided ~1500 patient examinations, helping to dispense over ~1100 pairs of

glasses

CP10 PHS 4th Rotation Guyana and Suriname

CP10 PHS 4th Rotation Guyana and Suriname

CP10 PHS 4th Rotation Guyana and Suriname

Highlights: Provided diverse public health assessments of

hospitals, schools, slaughterhouses, factories (soda, bread), restaurants, water plant, residential water supplies, solid waste sites, etc

Presented findings in a roundtable with regional environmental health professionals in Berbice, Guyana

Participated in overnight stays in urban and rural locations

Provided mental health care both on and off ship Worked on a shipboard influenza outbreak

investigation with USN colleagues Change in mission with diversion to Haiti!

Questions?