Presentation is loading. Please wait.

Presentation is loading. Please wait.

Identify Applicable Policies, Agreements and Understandings

Similar presentations


Presentation on theme: "Identify Applicable Policies, Agreements and Understandings"— Presentation transcript:

1 Identify Applicable Policies, Agreements and Understandings
EO Identify Applicable Policies, Agreements and Understandings

2 REFERENCES CF H Svcs G – Force Health Protection (D FHP) Medical Intelligence CFAOs DAODs QR&Os

3 REFERENCES 6. Health Canada 7. Public Health Agency of Canada 8. Health Services Support to CF Operations; B-GJ /FP-000 9. Canada Labour Code, Part II

4 REFERENCES 10. D Safe G, General Safety Program
Volume 1; A-GG /AG-001 Volume 2; C /AG-001 Construction Engineering Technical Orders (CETO)

5 AGENDA Doctrine Principles of H Svcs Sp General CFHS Mission Functions
Organization Force Health Protection (D FHP) Policy Overview

6 AIM As a Preventive Medicine Technician, you must be able to research policies, agreements and understandings and apply them throughout your military career

7 DOCTRINE Doctrine provides the fundamental tenets for the employment of military forces The CF uses a. CF Doctrine when under CF control; b. NATO Doctrine when under NATO control; and c. other doctrine only when specifically approved 1. Doctrine provides the fundamental tenets for the employment of military forces. It provides commanders with underlying principles to guide their planning and conduct of operations. It deals with the present and is not inherently forward looking. However, the future should not be constrained by current doctrine; rather, doctrine should provide the foundation and point of departure for new activities and concepts. 2. The CF uses: a. CF Doctrine when under CF Control; b. NATO Doctrine when under NATO control; and c. other doctrine only when specifically approved

8 DOCTRINE Plans and operations will be based on approved doctrine
Health services support (HSS) doctrine sets out the principles that guide the employment of the CF Health Services (CF H Svcs) and describes the capabilities and organizations necessary for effective HSS. 3. Plans and operations will be based on approved doctrine. Doctrine will, as far as practicable, be consistent with the doctrine of Canada's major allies to provide the capacity to conduct/participate in combined (multi-national) operations. 4. Health services support (HSS) doctrine sets out the principles that guide the employment of the CF Health Services (CFHS) and describes the capabilities and organizations necessary for effective HSS. It is based on the premise that the raison d’etre of the CF is war fighting but, like all modern armed forces, the CF are required to undertake many non-combat tasks. This latter aspect does not, however, reduce or alter the requirement for combat capable, adaptable and deployable forces that are physically, mentally and morally prepared to fight and win in support of national objectives.

9 PRINCIPLES OF HEALTH SERVICES SUPPORT
CONFORMITY HSS must conform to the constraints imposed by the physiology and pathology of the sick and injured, and be governed by the highest standards of medical and dental practice and ethics. HSS planners ensure adequate support at the right time and the right place. Conformity. HSS must conform to the constraints imposed by the physiology and pathology of the sick and injured, and be governed by the highest standards of medical and dental practice and ethics. HSS should also conform to OPLANs, requirements and the supported Environment's operations doctrine. Only by participating in the development of OPLANs can HSS planners ensure adequate support at the right time and the right place.

10 PRINCIPLES OF HEALTH SERVICES SUPPORT
PROXIMITY The speed with which treatment is initiated is extremely important in reducing morbidity and mortality. HSS therefore involves appropriate positioning of resources, moving resources as necessary to maintain appropriate proximity to the supported forces, and providing for rapid evacuation of the sick and injured. The efficient allocation of resources and the judicious location of treatment facilities should optimize access to treatment. Proximity. The speed with which treatment is initiated is extremely important in reducing morbidity and mortality. HSS therefore involves appropriate positioning of resources, moving resources as necessary to maintain appropriate proximity to the supported forces, and providing for rapid evacuation of the sick and injured. Resources should be positioned so that initial surgery can be completed within six hours of injury/on set of illness. Initial surgery, carried out as soon as possible after injury/onset of illness, ideally within the first hour, is the most important factor in reducing mortality rates and is the focal point of operational HSS. The efficient allocation of resources and the judicious location of treatment facilities should optimize access to treatment.

11 PRINCIPLES OF HEALTH SERVICES SUPPORT
FLEXIBILITY Detailed and carefully planned HSS helps to ensure minimum reaction time. Flexibility essential for rapid response should be maintained by committing only the HSS resources that are required for current or imminent tasks. Flexibility. Detailed and carefully planned HSS helps to ensure minimum reaction time. Flexibility essential for rapid response should be maintained by committing only the HSS resources that are required for current or imminent tasks.

12 PRINCIPLES OF HEALTH SERVICES SUPPORT
MOBILITY Treatment units should retain mobility as long as possible. Mobility is measured by the extent to which a unit can move its personnel and equipment with organic transportation. Mobility. The HS should be associated in all aspects with and maintain close proximity to the forces they support. Treatment units should retain mobility as long as possible. Resources should be organized to allow part of a unit to move while the remainder holds the sick and injured until they can be cleared. Mobility is measured by the extent to which a unit can move its personnel and equipment with organic transportation.

13 PRINCIPLES OF HEALTH SERVICES SUPPORT
CONTINUITY Treatment must be continuous and progressive to the level necessary for the definitive treatment of the sick and injured to minimize mortality and morbidity. The operations of essential treatment facilities should not be terminated until their functions have been assumed by another facility.

14 PRINCIPLES OF HEALTH SERVICES SUPPORT
CONTROL Control of HSS resources should be exercised at the highest level possible to ensure that all HSS requirements are considered and that resources are used efficiently. Effective control of HSS resources depends on the timely exchange of accurate information between commanders and staffs. Control. Control of HSS resources should be exercised at the highest level possible to ensure that all HSS requirements are considered and that resources are used efficiently. Effective control of HSS resources depends on the timely exchange of accurate information between commanders and staffs.

15 Framework for Health Services Support
GENERAL CF members have their health protected, promoted, and restored in accordance with the principles expressed in the Canada Health Act. The levels of health care accessibility and quality of health care afforded CF members are to be comparable to those afforded all Canadians GENERAL 1. As an outcome of legislation, policy, and military efficiency, CF members have their health protected, promoted and restored in accordance with the principles expressed in the Canada Health Act. The levels of health care accessibility and quality of health care afforded CF members are to be comparable to those afforded to Canadians, in general. This includes:

16 Framework for Health Services Support
GENERAL Commander CF Health Services Group Responsible to the CDS for provision of an all encompassing single line of HSS that equally applies to the CF’s Regular Force and Reserve Force components The CF H Svcs are centralized in the CF Health Services Group (CF H Svcs Gp) under the leadership of the Commander, CF H Svcs Gp, who is responsible to the CDS for provision of an all-encompassing single line of HSS that equally applies to the CF’ s Regular Force and Reserve Force components. Which includes

17 Framework for Health Services Support
GENERAL In-garrison HSS in accordance with the CF Spectrum of Care; 2. Operational HSS to maritime, land, air and special ops; Specialized individual medical training; HS logistics; FHP services; 6. Support to CF environmental medicine; HSS comprising: (1) In-garrison HSS in accordance with the CF Spectrum of Care. (2) Operational HSS to the maritime, land, air, special operations and joint forces, including the maintenance of operational readiness for CF operational tasks /contingencies. (3) Specialized individual medical and dental training of CFHS personnel. (4) HS logistics. (5) FHP services. (6) Medical and military services in support of CF environmental medicine requirements.

18 Framework for Health Services Support
GENERAL Military Strategic-Level HSS planning & coordination; Medical Intelligence; CF health policies & Programs; and 10. CF H Svcs regulatory affairs. b. Force generation of HSS capabilities. c. DND/CF corporate services comprising: (1)Military strategic-level HSS planning and co-ordination. (2) Medical intelligence, in conjunction with the Chief of Intelligence staff. (3) DND/CF health policies and programs. (4) DND/CF HS Regulatory Affairs.

19 Framework for Health Services Support
GENERAL The mandate of the CFHS is to provide the HSS necessary to sustain a multi-purpose, deployable, combat capable force across the full spectrum of military scenarios. Professional, effective, responsive, relevant and efficient in-garrison HSS and HSS to deployed operations is provided through a strong framework of professional standards and a single corporate management entity. 3. The mandate of the CFHS is to provide the HSS necessary to sustain a multi-purpose, deployable, combat capable force across the full spectrum of military scenarios. Professional, effective, responsive, relevant and efficient in-garrison HSS and HSS to deployed operations is provided through a strong framework of professional standards and a single corporate management entity.

20 CF H SVCS MISSION The mission of the CF H Svcs Gp is to
Promote Health protection Deliver quality HSS to the CF ANYTIME ANYWHERE

21 FUNCTIONS Functions inherent in CF H Svcs Gp mission accomplishment encompass: developing, implementing, and maintaining HSS accountability frameworks; developing, implementing, and sustaining programs for the prevention of preventable injuries and illnesses to protect CF members and meet the requirements of CF operations; developing, implementing, and sustaining HSS structures and capabilities that ensure continuity of care to CF members; and ensuring the sustainability of the CF H Svcs. Functions inherent in CF H Svcs Gp mission accomplishment encompass: a. Developing, implementing, and maintaining HSS accountability frameworks. b. Developing, implementing, and sustaining programs for the prevention of preventable injuries and illnesses to protect CF members and meet the requirements of CF operations. c. Developing, implementing, and sustaining HSS structures and capabilities that ensure continuity of care to CF members. d. Ensuring the sustainability of the CFHS.

22 ORGANIZATION CF H Svcs Gp Commander; National –Level Headquarters;
H Svcs Gp’s and Centres; Deployable Health Hazard Assessment Teams (DHHAT); Joint Operations Gp HSS Detachment; 1 Canadian Field Hospital; Environmental Medicine Establishment; CF Health Services Training Centre; and Central Medical Equipment Depot The CF H Svcs Gp is comprised of: a. A commander. b. A national-level HQ comprised of Regular Force, Reserve Force and civilian personnel. c. H Svcs Gps and Centres responsible for in-garrison health care and for force generation of HSS. Each element is affiliated and responsive to the HSS requirements of a given population at risk. Each element is comprised of Regular Force and Reserve Force and civilian personnel. d. Deployable Health Hazard Assessment Teams. e. The Joint Operations Group HSS Detachment. f. The 1 Canadian Field Hospital. g. The CF Environmental Medicine Establishment. h. The CF Medical Services School. i. The CF Dental Services School. j. The CF Central Medical Equipment Depot.

23 MEDICAL PROF TECH NETWORK
The CF Medical “Prof Tech Net” is based on the concept of centralized control and decentralized execution Surg Gen develops the military strategic-level direction Translated into Policy actions by CF H Svcs Gp HQ ‘Pushed’ to operational and tactical level for implementation At each level personnel are able to obtain supervision and mentoring from an identified Sr Prof Tech person Clinical practice is guided through professional technical (Prof Tech) networks: a. Medical. The CF Medical Prof Tech Network is based on the concept of centralized control and decentralized execution. On behalf of the CDS, the CF Surgeon General develops the military strategic level direction for medical care. This direction is translated into policy actions by CF H Svcs Gp HQ and "pushed" to the operational and tactical level elements for implementation. At each level down to the Medical Technician, personnel are able to obtain supervision/mentoring from an identified senior Prof Tech person. Note: The Environmental Medical Advisors and the operational Command Surgeons (Comd Surgs) are responsible to the CF Surgeon General for the exercise of medical Prof Tech functions within their respective supported command, for the development of Environment /Command specific medical policy and the adaptation of CF medical policies to their affiliated Environment /Command.

24 FORCE HEALTH PROTECTION
Introduction Force Protection (FP) involves the protection of personnel, facilities and equipment in all locations Physical and Operational Security; Safety; and Health. 1. Force Protection (FP) involves the protection of personnel, facilities, and equipment in all locations and situations. The three primary foci for FP are: a. Physical and Operational Security - guarding personnel and material against hostile intent. b. Safety - protecting individuals against injuries from inappropriate procedures and inattention. c. Health - protecting individuals against the physical environment and disease.

25 FORCE HEALTH PROTECTION
Introduction Prevention of disease and injuries is the most efficient means of providing commanders with the maximum number of health soldiers. The health threat accounting for the vast majority of non-effectiveness is comprised of six main categories: 1. Heat Injures Cold Injuries 2. Arthropod Diseases 5. Diarrheal Diseases 3. Trauma Injuries Occupational Injuries Prevention of disease and injuries is the most efficient means of providing commanders with the maximum number of healthy soldiers. In past conflicts the occurrence of preventable diseases and non-battle injuries has affected fighting forces to the extent of rendering major combat units non-effective. The health threat accounting for the vast majority of non-effectiveness is comprised of six main categories: a. Heat injuries - caused by heat stress and insufficient water consumption. b. Cold injuries - caused by combinations of low temperatures, wind and wetness. c. Diseases - caused by arthropod/animal bites, biological warfare. d. Diarrhoea diseases - caused by contaminated water and foods combined with not practising individual and unit preventive measures. e. Diseases, trauma or injuries - caused by physical or mental unfitness. f. Environmental or occupational injuries - caused by gases, noise, vibration, blast, overpressure, radiation, directed energy, and toxic industrial material.

26 FORCE HEALTH PROTECTION
Introduction Conditions conducive to incidents of preventable injuries and illnesses should be reduced to protect members and to meet the requirements of operations individual members CF Chain-of-Command tactical level strategic level specialist elements Conditions conducive to incidents of preventable injuries and illnesses should be reduced to protect Canadian Forces (CF) members and to meet the requirements of operations. This can be achieved through a centrally directed Force Health Protection (FHP) system that engages individual members and the CF chain-of-command, from tactical through military strategic levels, and specialist elements of the CF Health Services (CFHS).

27 FORCE HEALTH PROTECTION
General FHP aims at the efficient mitigation of preventable injuries and illnesses to both protect CF members and meet the requirements of CF Operations FHP aims at the efficient mitigation of preventable injuries and illnesses to both protect CF members and meet the requirements of CF operations.

28 FORCE HEALTH PROTECTION
General Based on a national-level planning capability, a deployable strategic health threat and risk assessment capability and operational and tactical level prevention and promotion capabilities. The CF centre of expertise in each of the specialized disciplines (5) of FHP Staffed with Preventive Medicine Technicians and health promotion-oriented professionals FHP is based on a national-level planning capability, a deployable strategic health threat and risk assessment capability and operational and tactical level prevention and promotion capabilities. The CF Health Services Group (CF H Svcs Gp) HQ FHP staff functions as the CF centre of expertise in each of the specialized disciplines of FHP. FHP is staffed with preventive medicine and health promotion-oriented professionals. FHP consists of five interrelated components

29 FORCE HEALTH PROTECTION
General Epidemiology the conduct of evidence-based studies pertaining to operational, occupational and clinical medicine; disease and injury surveillance, globally investigations of outbreaks within the CF; and maintenance of morbidity and mortality databases Epidemiology - entails the conduct of evidence-based studies pertaining to operational, occupational, and clinical medicine; disease and injury surveillance, globally investigations of outbreaks within the CF; and maintenance of morbidity and mortality databases

30 FORCE HEALTH PROTECTION
General Communicable Disease Control infectious disease control; hygiene and sanitation; pest control; travel hazards; and reportable disease control Communicable Diseases Control - includes infectious diseases control programs; hygiene and sanitation; pest controls; travel hazards; and obligations related to reportable diseases.

31 FORCE HEALTH PROTECTION
General Occupational & Environmental Health occupational health hazard exposures environmental health hazards toxicology Occupational and Environmental Health - deals with issues related to environmental and occupational health hazards, and toxicology.

32 FORCE HEALTH PROTECTION
General Health Promotion enhancing wellness; eliminating high-risk behaviours; stress management addiction lifestyle injury prevention Health Promotion - aims at enhancing "wellness" and reducing or eliminating high-risk behaviours. It covers issues related to stress management, addiction, lifestyle, and injury prevention.

33 FORCE HEALTH PROTECTION
General Operational Medicine occupational hazards specific or unique to military operations: Medical Intelligence Operational Medicine - addresses occupational hazards specific or unique to military operations. It comprises medical intelligence; casualty prevention and management; medical aspects of conventional and directed-energy weapons, chemical, biological, radiological and nuclear (CBRN) release; and aerospace and diving medicine.

34 FORCE HEALTH PROTECTION
Assessments Epidemiological surveillance and health reporting; Medical information collection and intelligence; Preventive Medicine services; and Health education and promotion for deploying personnel FHP assessments should focus on the readiness of the HSS structure to prevent and respond to personnel injuries and illnesses i.e., organizational and planning readiness. HSS capabilities, which should serve as qualitative items for assessment, include: a. Surface and air medical evacuation (MEDEVAC) capabilities. b. Emergency medical, dental and surgical capabilities. c. Epidemiological surveillance and health reporting functions. d. Medical information collection and intelligence functions. e. Preventive medicine services. f. Overall HSS command, control and planning functions. h. HSS for non-CF personnel and humanitarian HSS. i. Health Services (HS) logistics. j. Health education and promotion for troops on operations. k. HSS for non-CF personnel and humanitarian HSS capabilities. l. Overall HSS command and control capabilities. m. Overall HSS planning capabilities. The conduct of major combined/joint exercises should require the assessment of key aspects of participating HSS structures. Assessment criteria utilized for this function should focus on a range of both organizational, resource, and performance characteristics of both the supporting and the training HSS structures, as well as those of the external organizations supporting the deployment of forces.

35 FORCE HEALTH PROTECTION
Pre-Deployment HSS Readiness Assessment Overall health readiness status of personnel; Epidemiological surveillance data collection and reporting; and Selected Preventive Medicine re-enforcement training During the preparation and deployment phases of CF operations, several key monitoring and surveillance functions provide important measures of HSS readiness. These measures are: a. Assessment of the overall health readiness status of the troops through situation reports. b. Establishment of an epidemiological surveillance data-collection and reporting system. c. Verification of a system for the management of stress and prevention of posttraumatic stress disorders. d. Certification of the readiness and preparedness of supporting non-CF HSS capabilities. e. Assessment of the FHP function that will: (1) Provide commanders with an assessment of the readiness and adequacy of the HSS structure at all levels. (2) Identify positive lessons learned to assist and thereby promote the exploitation of operational success. (3) Advise commanders on HSS requiring national or collective action. f. Provision of selected preventive medicine reinforcement training.

36 FORCE HEALTH PROTECTION
Morbidity Surveillance and Casualty Reporting Disease surveillance function serves as a key indication of force health status and as a key warning system or sentinel to trigger further investigation, preventive countermeasures, or other command action to reduce the adverse impacts of health threat. Provides an estimate of the impact – manpower and working days losses of disease occurrence Both morbidity surveillance and casualty reporting systems are important functions performed by HSS staff to support the operational-level commander in the efficient mitigation of preventable injuries and illnesses. The disease surveillance function serves as a key indication of force health status and as a key warning system or sentinel to trigger further investigation, preventive countermeasures, or other command action to reduce the adverse impacts of health threats. It also provides an estimate of the impact i.e., manpower and working day losses of disease occurrence.

37 FORCE HEALTH PROTECTION
Morbidity Surveillance and Casualty Reporting Morbidity surveillance involves the monitoring, collection and evaluation of illness/injury data on all deployed personnel who report for medical treatment, both on an outpatient and inpatient basis; Runs in conjunction with other national reporting systems, where relevant findings are reported as feedback; Availability of reliable, quantitative planning and resource allocation data and useful trend analysis by illness and injury category A morbidity surveillance system e.g., EpiNATO is a tool managed by the HSS staffs of deployed forces at all levels. It involves the monitoring, collection and evaluation of illness/injury data on all deployed personnel who report for medical treatment, both on an outpatient and inpatient basis. It is also set to run in conjunction with other national reporting systems. In EpiNATO, epidemiological data on all treatment visits, including first and subsequent attendance in the area of operations (AO), are collated and analysed at theatre-level. Relevant findings are reported as feedback to the reporting units. HSS commanders and staffs thus have reliable, quantitative planning and resource allocation data and useful trend analyses by illness and injury category.

38 FORCE HEALTH PROTECTION
Morbidity Surveillance and Casualty Reporting Through the quantitative identification of causes of morbidity and qualitative measuring of their effect, an evaluation of both occurrences and consequences may be derived Findings may then be used to support appropriate response actions, both in the short and long term Through the quantitative identification of causes of morbidity and qualitative measuring of their effect, an evaluation of both occurrences and consequences is derived. Findings may then be used to support appropriate response actions, both in the short and long terms.

39 FORCE HEALTH PROTECTION
Preventive Medicine Measures Essential element of force employment Implementation during the warning and preparation phases and continues throughout the operation and extends well into the post-operation period Involves all personnel personal protective measures trained accordingly Preventive medicine measures are an essential element of force employment. Their implementation begins during the warning and preparation phases and continues throughout the operation, regardless of overall changes in the conduct of the operation and should extend well into the post-operation period. They involve every individual in the AO, who must be aware of necessary personal protective measures and be trained accordingly. The organization to undertake preventive medicine measures should be in place from the outset and should extend from operational level to the lowest levels of the tactical units. Its shape and size should be mission-specific but should include, at least, individual preventive medicine advice at every level of operational command. Depending on the circumstances, this advice may come from a single staff officer with multiple HSS responsibilities or from a full preventive medicine staff.

40 FORCE HEALTH PROTECTION
Preventive Medicine Measures Disease and non-battle injuries will be ever present risks to personnel; HSS plans should include provision for Preventive Medicine and the means to effectively implement them; Operations plan execution requires a close collaboration of Preventive Medicine and all other aspects of FHP programs. Disease and non-battle injuries will be ever-present risks to personnel. HSS plans should include provision for preventive medicine measures and the means to effectively implement them. Operations plan execution requires a close collaboration of preventive medicine and all other aspects of FHP programs.

41 FORCE HEALTH PROTECTION
Preventive Medicine Measures Identifying the risks and threats to the health of all personnel deployed in a specific area of operations from terrain, climate, endemic disease and special environmental and occupational hazards; Advising on and auditing the quality of food and water; Auditing and supervising implemented Preventive Medicine measures Preventive medicine services should be capable of: a. Identifying the risks and threats to the health of all personnel deployed in a specific area of operations from terrain, climate, endemic disease and special environmental and occupational hazards. b. Advising on and auditing the quality of water and food. c. Auditing and supervising implemented preventive medicine measures

42 FORCE HEALTH PROTECTION
Preventive Medicine Measures Identifying necessary preventive and controlling measures and advising commanders on their implementation development of immunization policies appropriate training of personnel prevention of food borne diseases prevention of waterborne diseases prevention of arthropod diseases d. Identifying necessary preventive and controlling measures and advising commanders on their implementation, to include the development of policy on immunization and prophylactics measures and on the appropriate training of all personnel, especially on measures to prevent food/waterborne and arthropod-borne diseases.

43 FORCE HEALTH PROTECTION
Preventive Medicine Measures Gathering of epidemiological and other technical statistics and information Advising commanders on the overall health threat and risks and the limitations they may place on operations e. Gathering of epidemiological and other technical statistics and information. f. Advising commanders on the overall health threat and risks and the limitations they may place on operations.

44 FORCE HEALTH PROTECTION
Preventive Medicine Requirements Medical Information and Intelligence The single most essential requirement of Preventive Medicine is the source of prompt, usable medical information and intelligence Information and intelligence should be accurate and its source sufficiently dynamic to inform the user quickly of threat changes 1. Medical Information/Intelligence. The single most essential requirement of preventive medicine is a source of prompt, usable medical information and/or intelligence, available at the planning phase before the outset of an operation. Information and intelligence should be accurate and its source sufficiently dynamic to inform the user quickly of threat changes.

45 FORCE HEALTH PROTECTION
Preventive Medicine Requirements Immunizations, Education and Training Resources will include provision for immunizations advice on training prevention of disease and non-battle injuries prophylactic medical material spectrum of mission specific dependent support measures 2. Immunizations, Education and Training Materiel. Other preventive medicine resources will include provision for immunizations against specified diseases and chemoprophylaxis, advice on training and information for the prevention of disease and non-battle injuries, prophylactic medical materiel and a spectrum of mission dependent support measures.

46 FORCE HEALTH PROTECTION
Preventive Medicine Requirements Laboratory Capabilities Surveillance and assessment of environmental health risks sampling and analysis for food and water contamination air and soil contamination 3. Laboratory Capabilities. Surveillance and assessment of environmental health risks require laboratory capabilities. These capabilities should include technology for sampling and analysis for radiological, biological and chemical contaminants in air, soil, water, and food supplies. Mobile laboratory capabilities are required to support immediate sampling and initial screening of hazards. Fixed laboratory capabilities are required to support both confirmatory evaluations and more extensive assessment of collected field samples pertaining to naturally occurring and manmade health risks.

47 FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties Preventive Medicine Services enhance unit effectiveness by reducing the exposure of personnel to disease and environmental and Industrial hazards Dependant for success upon the awareness and support of commanders at all levels Preventive medicine services enhance unit effectiveness by reducing the exposure of personnel to disease and other environmental and industrial hazards. These services are normally provided at all levels of HSS in an AO. They are dependent for success upon the awareness and support of commanders at all levels.

48 FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties Assisting in the control of animal-borne diseases, including technical consultation, entomological surveillance and the reinforcement of unit organic spraying/dusting capabilities Assisting in the control of water-borne diseases, including water quality, surveillance of water purification facilities and technical consultation in treating water under all operational conditions The minimum level of preventive medicine services should include: Assisting in the control of animal-borne diseases, including technical consultation, entomological surveillance, and reinforcement of unit organic spraying/dusting capabilities. b. Assisting in the control of water-borne diseases, including water quality, surveillance of water purification facilities, and technical consultation in treating water under all operational conditions.

49 FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties Assisting in controlling food-borne diseases, including surveillance of kitchens and dining facilities Assisting in de-infestation procedures for ships, aircraft, vehicles and back loaded cargo and equipment Professional supervision of immunization and drug prophylactic activities for the prevention or suppression of communicable diseases c. Assisting in controlling food-borne diseases, including surveillance of ice and dining facilities. d. Assisting in de-infestation procedures for ships, aircraft, vehicles and back loaded cargo and equipment. e. Professional supervision of immunization and drug prophylactics activities for the prevention or suppression of communicable diseases.

50 FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties Assisting in controlling excessive occupational exposures to such hazards as ionizing and non-ionizing radiation, toxic gases, noise and environmental and climatic extremes Assisting in identifying and investigating disease outbreaks and advising on appropriate measures to prevent recurrences Advising on medical aspects of CBRN f. Assisting in controlling excessive occupational exposures to such hazards as ionizing and non-ionizing radiation, toxic gases, noise and environmental and climatic extremes. g. Assisting in identifying and investigating disease outbreaks and advising on appropriate measures to prevent recurrences. h. Advising on medical aspects of CBRN environments.

51 FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties Educating personnel in appropriate hygiene and sanitation practices Technical consultation concerning the selection and development of bivouac sites, refugee camps and POW holding areas Technical consultation in renovating or repairing public utilities of towns and villages i. Educating personnel in appropriate hygiene practices and training of unit sanitation teams. j. Technical consultation concerning the selection and development of bivouac sites, refugee camps, and PW holding areas and camps. k. Technical consultation in renovating or repairing public utilities of towns and villages located in the AO.

52 FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties Professional and technical advice to commanders at all levels on measures to reduce non-effectiveness from sickness and injury Surveillance of military environments in general to detect and identify actual or potential health hazards and to formulate suitable means for minimizing their effects l. Professional and technical advice to commanders at all levels on measures to reduce non-effectiveness from sickness and injury. m. Surveillance of military environments in general to detect and identify actual or potential health hazards and to formulate suitable means for minimizing their effects.

53 FORCE HEALTH PROTECTION
Preventive Medicine Responsibilities Command Responsibilities CF H Svcs Responsibilities Other Responsibilities Engineers Logistic Services Unit personnel Responsibilities for preventive medicine are divided into three general areas: Command Responsibilities. At each level of command from sub-unit to higher-level formations, the commander has overall responsibility for preventive medicine for personnel under command. Preventive medicine services are provided by CFHS personnel integral or attached to the formation/unit. b. CFHS Responsibilities. The CFHS is responsible for providing preventive medicine advice, recommending preventive medicine measures and for providing technical supervision of the implementation of such measures. This responsibility rests particularly with HSS commanders; HSS staff officers and preventive medicine technicians. c. Other Responsibilities. Responsibilities for preventive medicine continue beyond commanders and the CFHS. Some of these responsibilities belong to the Engineers, Logistics Services and unit personnel. ENGINEER SERVICES • Designing, constructing and maintaining facilities and services necessary for maintaining health. • Providing potable water. • Implementing some pest control measures. LOGISTICS SERVICES • Laundry and bath facilities. • Food services. • Issuing personal hygiene materials. • Issuing materials for pest control and local sanitation. • Providing and repairing clothing and footwear. UNIT PERSONNEL • Unit water and sanitary duty personnel are responsible for performing routine hygiene duties in units.

54 FORCE HEALTH PROTECTION MEASURES
Individual FHP Measures Heat Injuries: consuming sufficient quantities of water at frequent intervals and using work/rest cycles as directed Cold Injuries: wearing proper clothing, changing socks, using care in handling fuel, avoiding cold metal contact and exercising limbs to keep warm Pest Control: using insect repellents, taking prophylactic measures and wearing operational clothing properly The individual member is responsible for employing appropriate countermeasures to protect against: a. Heat injuries, by consuming sufficient quantities of water at frequent intervals and using work/rest cycles as directed. b. Cold injuries, by wearing proper clothing, changing socks, using care in handling fuel, avoiding cold metal contact and exercising limbs to keep warm. c. Mosquito, fly and other arthropod-borne disease by using insect repellents, taking prophylactic measures, and wearing operational clothing properly.

55 FORCE HEALTH PROTECTION MEASURES
Individual FHP Measures Enteric Disease: using approved disinfectants whenever the potability of water is uncertain, eating only approved foods and burying wastes Skin Disease: practising good personal hygiene and washing as practicable as possible Injury: wearing appropriate protective clothing and devices and taking appropriate precautions d. Enteric disease, by using approved disinfectants whenever the potability of water is uncertain, eating only approved foods and burying wastes to prevent breeding of insects. e. Skin disease, by practising good personal hygiene and washing as often as practicable. f. Injury, by wearing appropriate protective clothing and devices and taking appropriate precautions.

56 FORCE HEALTH PROTECTION MEASURES
Tactical-Level FHP Measures Tactical- level formations and major units have PMed Tech’s attached Tactical commanders are responsible for implementing FHP measures ensuring command awareness of the health threat and its risks incorporating FHP collective protection measures into orders ensuring maintenance of immunizations and prophylactic measures Inspecting water and food sources Tactical-level formations and major units have PMed Techs attached. Tactical commanders (formation, unit, and sub-unit) are responsible for implementing FHP measures that affect the formation/unit as a whole and are beyond the capability of the individual, including: a. Ensuring command awareness of the health threat and risks. b. Incorporating FHP collective protection measures into orders. c. Ensuring maintenance of immunizations and prophylactic measures. d. Inspecting water and food sources.

57 FORCE HEALTH PROTECTION MEASURES
Tactical-Level FHP Measures obtaining water from approved sources and monitoring water supplies for potability and adequacy burying and burning wastes to prevent insect breeding obtaining food from approved sources and protecting it during storage and preparation to prevent contamination using approved pesticides and vegetation control to reduce arthropod-borne risk providing equipment and supplies necessary for personal hygiene and sanitation enforcing control measures to prevent injury from environmental extremes monitoring the status of FHP measures e. Obtaining water from approved sources and monitoring water supplies for potability and adequacy. f. Burying or burning all wastes to prevent insect breeding. g. Obtaining food only from approved sources and protecting it during storage and preparation to prevent contamination. h. Using approved pesticides and vegetation control to reduce arthropod-borne risk. i. Providing equipment and supplies necessary for personal hygiene and sanitation. j. Enforcing control measures to prevent injury from environmental extremes. k. Monitoring the status of FHP measures.

58 FORCE HEALTH PROTECTION MEASURES
Operational-Level FHP Measures Operational-level Commanders are responsible for ensuring overall co-ordination of FHP within their command, including the protection of supported dependencies Preventive medicine and health promotion personnel are integral to H Svcs Gp and Maritime HS Centres and are attached to TFs to provide technical supervision of and support to the FHP programs of operational formations and their dependencies. Operational-level commanders are responsible for ensuring overall co-ordination of FHP within their command, including the protection of supported dependencies. Their Formation Surgeon and HSS staff and supporting HSS functional elements assist commanders. Laboratory services are provided from external resources or by Role 3-treatment facilities.

59 FORCE HEALTH PROTECTION MEASURES
Military Strategic-Level FHP Measures Health Surveillance Medical Intelligence Research and Development Policies, Doctrine, Plans, Standards and Procedures DHHAT Auditing and reporting on implementation of FHP measures Military strategic-level FHP measures emanate from CF H Svcs Gp FHP branch and are comprised of: a. Health surveillance, global and CF populations at home and abroad. b. Medical Intelligence, in conjunction with NDHQ/DG Intelligence (J2). c. FHP related Research and Development. d. FHP policies, doctrine, plans, standards, and procedures. e. DHATT identification, assessment, reporting, and monitoring, at home and abroad. f. Evolution and monitoring of the CF Health Promotion Program. g. Auditing and reporting on the implementation of FHP measures, for the CDS.

60 FORCE HEALTH PROTECTION MEASURES
Pre-Emptive FHP Measures Pre-Deployment Measures: Awareness of potential health threats; implement appropriate countermeasures Training individuals Monitoring immunization status Availability of FHP-related supplies Early Deployment Measures: Controlling arthropod vectors Surveillance of water and food sources Overall health protection Subsequent Measures: Formulation of site specific tasks for early implementation FHP depends on pre-emptive measures to reduce morbidity. Actions that should be taken include: Pre-deployment Measures - such as: Making commanders aware of potential health threats and ensuring that appropriate countermeasures are implemented. Training individuals in the appropriate preventive medicine measures for the operation, including unit water and sanitation teams. (3) Monitoring the immunization status of all deployable personnel. (4) Ensuring availability of FHP-related supplies. b. Early Deployment Measures. Immediate effectiveness of FHP measures depends largely on preventive medicine elements arriving during the initial deployment phase, to mitigate prevailing environmental and occupational health threats to arriving forces. This should include: Controlling arthropod vectors. (2) Ensuring early surveillance of water and food sources. (3) Ensuring health protection of civilian labour. c. Subsequent Measures. Formulation of site-specific pre-emptive actions for early implementation.

61 Policies, Directives and Regulations
Force Health Protection Index Medical Intelligence

62 Policies, Directives and Regulations
Administration CFAO’s; DAOD’s; QR&O’s

63 Policies, Directives and Regulations
Technical Orders Construction Engineering Technical Orders (CETO’s) Canadian Forces Technical Orders C /MS-001: Respiratory Protection Program A-AD-121-F01/JX-000: Manual of Abbreviations A-AD-121-F02/JX-001: Terminology Manual A-MD /FP-001: CF Health Manual

64 Policies, Directives and Regulations
Federal Acts and Regulations Public Health Agency of Canada (PHAC) Health Canada National Joint Council Treasury Board Regulations

65 Policies, Directives and Regulations
General Safety DND General Safety Program; Volumes 1 and 2 Canada Labour Code – Part II

66 Policies, Directives and Regulations
Provincial Regulations Ministry of the Environment Service Ontario – E-Laws

67 Conclusion

68


Download ppt "Identify Applicable Policies, Agreements and Understandings"

Similar presentations


Ads by Google