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LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
MILITARY ENVIRONMENTAL HEALTH RAPID RESPONSE TO HA&DR OPS
DEALING WITH DISASTERS
17 SEP 2015
MILITARY MEDICAL/ENVIRONMENTAL
HEALTH RAPID RESPONSE TO HA&DR
OPERATIONS
Lt Col Gareth Moore RAMC MCIEH CMIOSHHead of Army EH Cadre
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
Planning to Support HADR
Once UK Assistance has been requested
Initial Planning Group convened at Joint Force HQ
Bespoke Recce team established (minimum of operational planner, medical planner/env hlth, logistician, engineer)
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
Med Recce in Support HADR
Identify and prioritise health threats based on medical risks – i.e. Medical Needs Assessment – this will determine the most appropriate troops to task (e.g. Royal Engineers to Nepal under direction of Env Hlth Specialist)
Determine efficacy of Host Nation Med Services – will determine level of deployed medical care - e.g. UK Mil Med Support to Sierra Leone.
Health Protection of the Deployed Force
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
UK FORCE HEALTH PROTECTIONSTRATEGY
Health IntelligenceHealth ProtectionMorbidity SurveillanceMedical PlanningRecording Environmental ExposureCBW MonitoringEmployabilityDeployabilityMitigation of health hazards of the workplaceMed FP audits
Operational DeploymentsRecruit
Collect health data:- PUD- Smoking- Fitness- Obesity- Alcohol- Sexual Health- Suicide rate- Dental health- Immunisation schedules- Post-code- Employability
Train
Health PromotionHealth ProtectionQuality Health ServicesEpidemiology Health InformationEmployabilityMitigation of health hazards of the workplace
Post-deployment
Health SurveillanceHealth ResearchIdentifying cohortsEmployabilityDeployabilityMitigation of health hazards of the workplace
Discharge
Analysis of Medical Discharges
Force Generation Pathway
Force Health Protection
Pre-deployment
Med/EH Recce/Needs AssessmentMedical IntelligenceCountry Health InformationHealth PromotionHealth ProtectionQuality Health ServicesEpidemiology EmployabilityMedical Preparation of the ForceMed FP AuditsPre deployment briefings
Pre-Recruitment
Understand health of population:- Smoking- Fitness- Obesity- Alcohol- Sexual Health- Suicide rate- Dental health- Immunisation schedules- Post-code
Post-Discharge
Health surveillance of veteransPost discharge health surveillance
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
Med Assessment Criteria – Disease And Injury
Prevention
Identify Population at Risk
Shelter – Infrastructure capacity
and stability
Endemic Disease threats
Food and Water – Quantity
Integrity
Sanitation & Waste
Medical Support
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
HEALTH RISK MATRIX EXAMPLE
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
Army EH - Force Protection Model
Phys
ical
BiologicalC
hemicalEH
Mon
itori
ng&
Inve
stig
atio
n
Policy & Procedures
Advice &
Training
Pre
ven
tio
n
ControlCorre
ction
Assessment
External Threats
Internal Threats
De
plo
yed
No
n-D
ep
loye
d
Disease, Climate & Geography, Flora & Fauna,
EIH
Co
mm
un
ication
Disease, Food & Water, Waste,
Premises, Processes,
Force Health Force Health Protection MeasuresProtection Measures
•Hazard Identification & Risk Assessment
•Health Surveillance & Information
•Disease Control & Prevention
•Operational Sanitation
•Env & Indust HazAssessment
•Food Hygiene & Safety
•Water Quality Analysis
•Occupational Hygiene
•Vector & Pest Control
•Bio Security
Force Health Force Health Preparation MeasuresPreparation Measures
•Hazard Identification & Risk Assessment
•Health Surveillance & information
•Disease Control & Prevention
•Building & Barrack Hygiene
•Conservancy & Pollution Control
•Food Hygiene & Safety
•Water Quality Analysis
•Occupational Hygiene
•Vector & Pest Control
•Bio Security
LT COL GW MOORE RAMC – SO1 EH, Hd Of Army Env Hlth (01276 412931, [email protected])
Recent UK Mil Interventions
Recent military support to HADR Operations
Nepal
Sierra Leone
Philippines
Bosnia
UK Resilience(e.g. Floods)
Strategic Med/PH/EH Support to National Health Services:
Afghanistan
Iraq
articleStory
