Air Force Reserve Command Integrity — Service —

Air Force Reserve Command Integrity - Service - Excellence 439 TH Aerospace Medicine Squadron Colonel Joel S. Bogner, Flight Surgeon TRAVEL MEDICINE AND MEDICAL INTELLIGENCE BRIEFING FOR FLIGHT SURGEONS (HOW TO PREPARE AND PRESENT) This Briefing is: UNCLASSIFIED.

THANKS FOR OFFICIAL USE ONLY (FOUO) n Lt. Col Thomas Clarke, SFS, Program Director RAM/GPM Residency (Deployment Planning & Medical Threat Assessment). n Lt. Col Rick Gist, SFS, 926 MDS/SGH (Medical Intelligence for the Flight Surgeon). n SMSgt Frank (Andy) Vanlingen, 439 AMDS, Bioenvironmental Specialist. FOR OFFICIAL USE ONLY (FOUO)

Air Force Reserve Command Integrity - Service - Excellence The Briefing Keeping your commanders and troops informed and healthy. (You have 5 minutes, maybe!)

Why Medical Intelligence FOR OFFICIAL USE ONLY (FOUO) n. Force Multiplier n. Policy and Strategy Maker FOR OFFICIAL USE ONLY (FOUO)

When to Brief FOR OFFICIAL USE ONLY (FOUO) n Pre-deployment n During the deployment n Post-deployment FOR OFFICIAL USE ONLY (FOUO)

About the Briefing FOR OFFICIAL USE ONLY (FOUO) n It’s customized. n You include what you feel is important. n Therefore, n And YOU become the expert. if your wrong, your troops may suffer. FOR OFFICIAL USE ONLY (FOUO)

Your Next Assignment FOR OFFICIAL USE ONLY (FOUO)

Your Job FOR OFFICIAL USE ONLY (FOUO) n Define the medical risks (The ones that count). n Find countermeasures (To minimize or eliminate). n Get support from the people who matter. (Who are they? ) FOR OFFICIAL USE ONLY (FOUO)

Steps FOR OFFICIAL USE ONLY (FOUO) n Identify Threats n Determine Preventative Countermeasures n Determine Options When Prevention Fails n Try to have a backup plan n Make Recommendations n Insure Commander Buy-In & Support n Constant Surveillance to Monitor Status FOR OFFICIAL USE ONLY (FOUO)

Risk Assessments FOR OFFICIAL USE ONLY (FOUO) n Probability that individuals will be “disabled”. n n n Period of time. Which population. Under what circumstances. Specific hazards. Estimated level of impact. (IN ABSENCE OF COUNTERMEASURES) FOR OFFICIAL USE ONLY (FOUO)

Addressing Force Health Risks FOR OFFICIAL USE ONLY (FOUO) n List of diseases endemic to the region-Limited benefit to troops. n What percentage of forces are likely to be affected by the diseases present. n How many days will be lost. n Operational impact. FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Medical Intel FOR OFFICIAL USE ONLY (FOUO) n n n Environmental Issues Weather conditions/climate Vectors and arthropods Food and waterborne disease Disease Surveillance FOR OFFICIAL USE ONLY (FOUO)

Information Sources. Unclassified FOR OFFICIAL USE ONLY (FOUO) n Country Specific Medical Intelligence - Iraq, Iran, Korea etc. n http: //usachppm. apgea. army. mil/ Staying Healthy on Deployment - food & water precautions DVD (FREE STUFF!) n www. users. idworld. net/wlldggr (multiple links to medical and non-classified n www. mic. afmic. detrick. army. mil (multiple useful products and latest risk assessments for AOR) n FOR OFFICIAL USE ONLY (FOUO)

Other Non-classified Sources FOR OFFICIAL USE ONLY (FOUO) n www. travelmed. com n www. escapeartist. com/Offshore_Health _Care (Links to hospitals and med schools around the world) n International Society for Infectious Disease www. promedmail. org. FOR OFFICIAL USE ONLY (FOUO)

CDC Website FOR OFFICIAL USE ONLY (FOUO) n Traveler’s health www. cdc. gov/travel n Comprehensive website for travelers with layman’s infectious disease briefings. n Gives lists of recommended/required vaccinations. FOR OFFICIAL USE ONLY (FOUO)

World Health Organization FOR OFFICIAL USE ONLY (FOUO) n www. who. int n Good source on recent outbreaks. n Limited info in treatment or countermeasures. n Advisory type website. FOR OFFICIAL USE ONLY (FOUO)

Country Specific FOR OFFICIAL USE ONLY (FOUO) n USACHPPMS - US ARMY has country specific briefings n n http: //usachppm. apgea. army. mil/hiomtb/ AFMIC - Armed Forces Medical Intelligence Center Username and Password required. n https: //afmicuweb. afmic. detrick. army. mil/ FOR OFFICIAL USE ONLY (FOUO)

Immunizations FOR OFFICIAL USE ONLY (FOUO) What's required where and when and why n AFMS link - Public Health - Deployments - has the most current deployment info from PACOM, CENTCOM n FOR OFFICIAL USE ONLY (FOUO)

Other Helpful Sources FOR OFFICIAL USE ONLY (FOUO) n Navy Environmental Health Center: www. nehc. navy. mil. Occupational and environmental medicine and deployment health topics. n Your Bioenvironmental Specialist FOR OFFICIAL USE ONLY (FOUO)

Troop Briefing FOR OFFICIAL USE ONLY (FOUO) What To Include ? FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Med Intel-ID FOR OFFICIAL USE ONLY (FOUO) n Vector Borne Disease n n n Clothing DEET Pyrmethrin Bed nets Prophylaxis People Borne Disease Immunizations n Isolation n Masks n Safe Sex/Condoms n FOR OFFICIAL USE ONLY (FOUO)

Travel Medicine/Medical Intel. Not ID FOR OFFICIAL USE ONLY (FOUO) n n n n n 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)

Travel Medicine/Med Intel. Other FOR OFFICIAL USE ONLY (FOUO) n Animal or Water Exposure Where to swim n Where or what to drink or eat n Pets n n Environmental Proper Gear n Glasses, goggles, sun block, lip balm n Spare clothing n FOR OFFICIAL USE ONLY (FOUO)

Transport/Transfer Options FOR OFFICIAL USE ONLY (FOUO)

Review FOR OFFICIAL USE ONLY (FOUO) n Recommendations for commanders and/or troops. Pre-Deployment n Post-Deployment n Bring to commander and request support-They must be his recommendations. n Prepare Briefings in advance for Deploying Forces. n Make notes at every reasonable opportunity during the deployment. (Include pictures. ) n Brief co-workers upon your return home. n FOR OFFICIAL USE ONLY (FOUO)

POC's FOR OFFICIAL USE ONLY (FOUO) joel. bogner@westover. af. mil DSN 589 -3565 n frank. vanlingen@westover. af. mil DSN 589 -2523/3565 n FOR OFFICIAL USE ONLY (FOUO)

Questions FOR OFFICIAL USE ONLY (FOUO)