U.S. Army Public Health Command Overview Commander s Orientation Presented by: Mr. John Resta Deputy to the Commander for Public Health Director, Army Institute of Public Health UNCLASSIFIED
Why do we need Public Health? Communicable diseases Environmental Pollution, Workplace Hazards and Injuries Social health and lifestyle 1776 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 Future Initiatives 1776- General Washington vaccinates the Continental Army against smallpox 1982 - The Armed Forced Pest Management Board recommends the use of permethrin as a military clothing treatment. 2001 - U.S. Army Center for Health Promotion and Preventive Medicine responds to 9-11 incident at Pentagon and to anthrax at Federal post offices and Hart Senate Office Building 2009 - Ft Hood shooting and Behavioral Health Epidemiological Consultations 2010 - Gulf of Mexico Oil spill. Investigated dispersant and hydrocarbon levels in seafood Shoulder-To-Shoulder: No Soldier Stands Alone 2011 - Public Health Command created 2011 - Public Health Command response to Japanese earthquake 2011 - National Prevention Strategy signed by the President of the United States Public Health Command UNCLASSIFIED 2
Personnel/Budget Personnel as of 1 MAR 2013 (3,356) Budget as of 1 MAR 2013 Military 1460 (44%) Contractor 216 (7%) Civilian 1023 (30%) NAF 582 (17%) FY12 Executed $ (million) DHP $ 185.5 Reimb. $ 15.6 OCO $ 8.7 FY13 Planned $ (million) DHP $ 150.2 Reimb. $ 12.1 OCO $ 15.3 Local Nat l 75 (2%) NOTE: FY 12 DHP Execution includes one time project funding. U.S. Army Public Health Command UNCLASSIFIED 3
Laboratory Animal Veterinarian Breadth of Knowledge Sanitary Engineer Statistician Veterinary Pathologist Nuclear Medical Science Officer Occupational Health Nurse Health Physicist Geologist Chemist Safety and Occupational Health Specialist Animal Care Specialist Audiologist Meteorologist Psychologist Entomologist Physicist Safety Engineer Physiologist Medical Officer Social Worker Agronomist Toxicologist Electrical Engineer Mechanical Engineer Environmental Engineer Community Health Nurse Environmental Law Attorney Comparative Medicine Veterinarian Environmental Scientist Chaplain Medical Laboratory Specialist Ergonomist Fire Protection Engineer Dietitian Acoustical Engineer Wildlife Biologist Dental Officer Veterinarian Optometrist Epidemiologist Marine Biologist Physical Therapist Industrial Hygienist Clinical Medicine Veterinarian Preventive Medicine Physician Veterinary Food Inspection Specialist Veterinary Services Food Safety Officer Environmental Protection Specialist Public Health Command UNCLASSIFIED 4
USAPHC Organizational Structure Executive Agencies** Armed Forces Health Surveillance Center (National Capital Region) Military Vaccine Agency (NCR) USAPHC Headquarters (Aberdeen Proving Ground, Md.) Functional Proponent for Preventive Medicine (FPPM)* Proponency Office for Preventive Medicine (NCR, APG, Joint Base San Antonio, Tex.) PHC Region-South (JB San Antonio, Tex.) Food Analysis & Diagnostic Lab PHC Region-North (Fort Meade, Md.) PHC Region-West (JB Lewis-McChord, Wash.) PHC Region-Pacific (Camp Zama, Japan) PHC Region-Europe (Landstuhl, Germany) Veterinary Lab Europe Army Institute of Public Health (APG, Md.) Technical Public Health s DOD Military Working Dog Veterinary Service PHCD-Fort Hood, Tex. PHCD-Fort Gordon, Ga. PHCD-Fort Belvoir, Va. PHCD-Fort Eustis, Va.*** PHCD-Fort Knox, Ky. PHCD-Fort Carson, Colo. PHCD-San Diego, Calif. PHCD-JB Lewis-McChord, Wash. PHCD-Central Pacific PHCD-Western Pacific PHCD-Korea PHCD-Japan PHCD-Southern Europe PHCD-Northern Europe / Dog Center Europe NOTE: Installations specified in parentheses represent the command group location, not units conducting short or long-term split operations, e.g. HQ, PHCR-North, and PHCR-Pacific. * The USAPHC commanding general also serves as the Functional Proponent for Preventive Medicine (FPPM) ** Executive agencies receive administrative support from USAPHC, but the Army surgeon general oversees them *** PHCD-Fort Eustis moving to Fort Bragg, NC. FOC May 2013. Color Legend Level of PH Services Black Major Subordinate Command (V) Grey Executive Agencies Burgundy Regional Command (IV) Tan VETSVC Area or Installation (I-III) U.S. Army Public Health Command UNCLASSIFIED 5
USAPHC Support Worldwide U.S. Army Public Health Command UNCLASSIFIED 6
AIPH Organizational Structure Army Institute of Public Health (Aberdeen Proving Ground, Md.) Environmental Health Engineering (EHE) Epidemiology & Disease Surveillance (EDS) Health Promotion & Wellness (HPW) Health Risk Management (HRM) Laboratory Sciences (LAB) Entomological Sciences Professional Medical Education Army Public Health Nursing Health Risk Communication Lab Operations Water Supply Management Injury Prevention Army Wellness Centers Environmental Health Risk Assessment Lab Analytical Surface Water & Waste Water Hazardous & Medical Waste Air Quality Surveillance Disease Epidemiology Behavioral & Social Health Outcomes Behavioral Health Operations Health Promotion Operations Public Health Assessment Deployment Environmental Surveillance Environmental Surveillance Integration Lab Consultant Operational Noise Occupational & Environmental Medicine (OEM) Occupational Health Sciences (OHS) Toxicology (TOX) Veterinary Services (VET) Army Hearing Program Radiofrequency / Ultrasound Toxicity Evaluation Clinical Veterinary Medicine Tri-Service Vision Conservation & Readiness Environmental Medicine Occupational Medicine Surety Medicine Laser/Optical Radiation Health Physics Industrial Hygiene Field Services Industrial Hyg. Medical Safety Management Health Effects Research Food Protection Health Hazard Assessment Ergonomics U.S. Army Public Health Command UNCLASSIFIED 7
Healthy Community Healthy Animals Healthy People Healthy Work Places Public Health Command UNCLASSIFIED 8