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439 TH Aerospace Medicine Squadron Colonel Joel S. Bogner, Flight Surgeon TRAVEL MEDICINE AND

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) 10 APRIL 2007. This Briefing is: UNCLASSIFIED. THANKS.

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439 TH Aerospace Medicine Squadron Colonel Joel S. Bogner, Flight Surgeon TRAVEL MEDICINE AND

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  1. 439TH Aerospace Medicine Squadron Colonel Joel S. Bogner, Flight Surgeon TRAVEL MEDICINE AND MEDICAL INTELLIGENCE BRIEFING FOR FLIGHT SURGEONS (HOW TO PREPARE AND PRESENT) 10 APRIL 2007 This Briefing is: UNCLASSIFIED.

  2. THANKS • LtCol Thomas Clarke, SFS, Program Director RAM/GPM Residency (Deployment Planning & Medical Threat Assessment). • LtCol Rick Gist, SFS, 926 MDS/SGH (Medical Intelligence for the Flight Surgeon). • SMSgt Frank (Andy) Vanlingen, 439 AMDS, Bioenvironmental Specialist.

  3. The Briefing Keeping your commanders and troops informed and healthy. (You have 5 minutes, maybe!)

  4. Why Medical Intelligence • Force Multiplier • Policy and Strategy Maker

  5. When to Brief • Pre-deployment • During the deployment • Post-deployment

  6. About the Briefing • It’s customized. • You include what you feel is important. • Therefore, YOU become the expert. • And if your wrong, your troops may suffer.

  7. Your Next Assignment

  8. Your Job • Define the medical risks (The ones that count). • Find countermeasures (To minimize or eliminate). • Get support from the people who matter. (Who are they?)

  9. Steps • Identify Threats • Determine Preventative Countermeasures • Determine Options When Prevention Fails • Try to have a backup plan • Make Recommendations • Insure Commander Buy-In & Support • Constant Surveillance to Monitor Status

  10. Risk Assessments • Probability that individuals will be “disabled”. • Period of time. • Which population. • Under what circumstances. • Specific hazards. • Estimated level of impact. (IN ABSENCE OF COUNTERMEASURES)

  11. Addressing Force Health Risks • List of diseases endemic to the region-Limited benefit to troops. • What percentage of forces are likely to be affected by the diseases present. • How many days will be lost. • Operational impact.

  12. Travel Medicine/Medical Intel • Environmental Issues • Weather conditions/climate • Vectors and arthropods • Food and waterborne disease • Disease Surveillance

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

  14. Other Non-classified Sources • www.travelmed.com • www.escapeartist.com/Offshore_Health_Care (Links to hospitals and med schools around the world) • International Society for Infectious Disease www.promedmail.org.

  15. CDC Website • Traveler’s health www.cdc.gov/travel • Comprehensive website for travelers with layman’s infectious disease briefings. • Gives lists of recommended/required vaccinations.

  16. World Health Organization • www.who.int • Good source on recent outbreaks. • Limited info in treatment or countermeasures. • Advisory type website.

  17. Country Specific • USACHPPMS - US ARMY has country specific briefings • http://usachppm.apgea.army.mil/hiomtb/ • AFMIC - Armed Forces Medical Intelligence Center - Username and Password required. • https://afmicuweb.afmic.detrick.army.mil/

  18. Immunizations • What's required where and when and why • AFMS link - Public Health - Deployments - has the most current deployment info from PACOM, CENTCOM

  19. Other Helpful Sources • Navy Environmental Health Center: www.nehc.navy.mil. Occupational and environmental medicine and deployment health topics. • Your Bioenvironmental Specialist

  20. Troop Briefing What To Include ?

  21. Travel Medicine/Med Intel-ID • Vector Borne Disease • Clothing • DEET • Pyrmethrin • Bed nets • Prophylaxis • People Borne Disease • Immunizations • Isolation • Masks • Safe Sex/Condoms

  22. Travel Medicine/Medical Intel-Not ID • 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

  23. Travel Medicine/Med Intel-Other • Animal or Water Exposure • Where to swim • Where or what to drink or eat • Pets • Environmental • Proper Gear • Glasses, goggles, sun block, lip balm • Spare clothing

  24. Transport/Transfer Options

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

  26. POC's • joel.bogner@westover.af.mil DSN 589-3565 • frank.vanlingen@westover.af.mil DSN 589-2523/3565

  27. Questions

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