1. Environmental Health Engineering Portfolio Opportunities Presented by: LTC William Bettin, P.E. Portfolio Director, Environmental Health Engineering Army Institute of Public Health UNCLASSIFIED

2. BRIEFING OUTLINE Command Overview EHE Portfolio EHE Initiatives Matrixed Public Health Response PURPOSE: To provide an overview of the U.S. Army Public Health Command, and to detail Environmental Health Engineering (EHE) initiatives and opportunities. UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 2

3. Vision World-Class Provider of Public Health Services across DA and DoD. Mission Promote health and prevent disease, injury, and disability of Soldiers and military retirees, their Families, and DA Civilian employees; assure effective execution of full spectrum veterinary services for Army and DoD Veterinary missions. UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 3

4. 1942: Army Industrial Hygiene Laboratory, Johns Hopkins University 1916: Army Veterinary Corps established 1973: DCVS positions established within Health Services Command 1980: Army Veterinary Corps became the Executive Agent for DoD Veterinary Service 1994: U.S. Army Veterinary Command (USAVETCOM) activated with HQ at Ft. Sam Houston Texas 1945: Moved to Chemical Warfare Center, Edgewood, MD 1960: Became U.S. Army Environmental Hygiene Agency (USAEHA) 2009: USACHPPM became USAPHC (Prov) 1995: USAEHA formed basis for the U.S. Army Center for Health Promotion and Preventive Medicine (USACHPPM) 2010: USAVETCOM attached to USAPHC USAPHC History UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 4

5. Animal Care Specialist Entomologist Toxicologist Occupational Health Nurse Agronomist Mechanical Engineer Medical Officer Safety Engineer Electrical Engineer Social Worker Environmental Engineer Environmental Law Attorney Meteorologist Environmental Protection Specialist Health Physicist Safety and Occupational Health Specialist Acoustical Engineer Medical Laboratory Specialist Fire Protection Engineer Psychologist Veterinarian Sanitary Engineer Wildlife Biologist Epidemiologist Physical Therapist Industrial Hygienist Chaplain Optometrist Community Health Nurse Chemist Ergonomist Dental Officer Preventive Medicine Physician Nuclear Medical Science Officer Marine Biologist Dietitian Geologist Environmental Scientist Audiologist Physicist Veterinary Services Food Safety Officer Comparative Medicine Veterinarian Laboratory Animal VeterinarianVeterinary Pathologist Veterinary Food Inspection Specialist Clinical Medicine Veterinarian Statistician Breadth of Knowledge UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 5

6. USAPHC Organizational Structure UNCLASSIFIED PHCD-Central Pacific PHCD-Western Pacific PHCD-Korea PHCD-Japan PHCD-Central Pacific PHCD-Western Pacific PHCD-Korea PHCD-Japan PHCD-Fort Carson, Colo. PHCD-San Diego, Calif. PHCD-JB Lewis-McChord, Wash. PHCD-Fort Carson, Colo. PHCD-San Diego, Calif. PHCD-JB Lewis-McChord, Wash. PHCD-Fort Belvoir, Va. PHCD-Fort Eustis, Va. PHCD-Fort Knox, Ky. PHCD-Fort Belvoir, Va. PHCD-Fort Eustis, Va. PHCD-Fort Knox, Ky. PHCD-Southern Europe PHCD-Northern Europe / Dog Center Europe PHCD-Southern Europe PHCD-Northern Europe / Dog Center Europe Army Institute of Public Health (APG, Md.) Army Institute of Public Health (APG, Md.) Technical Public Health Portfolios USAPHC Headquarters (Aberdeen Proving Ground, Maryland) USAPHC Headquarters (Aberdeen Proving Ground, Maryland) Proponency Office for Preventive Medicine (NCR, APG, Joint Base San Antonio, Texas) Proponency Office for Preventive Medicine (NCR, APG, Joint Base San Antonio, Texas) Armed Forces Health Surveillance Center (National Capital Region) Armed Forces Health Surveillance Center (National Capital Region) Military Vaccine Agency (NCR) Military Vaccine Agency (NCR) 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. *USAPHC commanding general dual-hatted as the Functional Proponent for Preventive Medicine **Executive agencies receive administrative support from USAPHC, but the Army surgeon general oversees them Executive Agencies** FPPM* PHC Region-Pacific (Camp Zama, Japan) PHC Region-Pacific (Camp Zama, Japan) PHC Region-West (JB Lewis-McChord, Wash.) PHC Region-West (JB Lewis-McChord, Wash.) PHC Region-North (Fort Belvoir, Va.) PHC Region-North (Fort Belvoir, Va.) Black Grey Burgundy Tan Major Subordinate Command (V) Executive Agencies Regional Command (IV) VETSVC Area or Installation (I-III) Color Legend – Level of PH Services PHC Region-South (JB San Antonio, Texas) PHC Region-South (JB San Antonio, Texas) PHC Region-Europe (Landstuhl, Germany) PHC Region-Europe (Landstuhl, Germany) Veterinary Lab Europe Branches & Sections DOD Military Working Dogs Veterinary Services PHCD-Fort Hood, Texas PHCD-Fort Gordon, Ga. Food Analysis & Diagnostic Lab LTC Bettin/410.436.2306/william.bettin@us.army.mil 6

7. USAPHC Subordinate Commands UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 7

8. AIPH Organizational Structure Army Institute of Public Health (Aberdeen Proving Ground, Md.) Army Institute of Public Health (Aberdeen Proving Ground, Md.) Army Hearing Program Tri-Service Vision Conservation & Readiness Environmental Medicine Occupational Medicine Surety Medicine Occupational & Environmental Medicine (OEM) Portfolio Radiofrequency / Ultrasound Laser/Optical Radiation Health Physics Industrial Hygiene Field Services Industrial Hyg. Medical Safety Management Occupational Health Sciences (OHS) Portfolio Health Hazard Assessment Ergonomics Toxicology (TOX) Portfolio Toxicity Evaluation Health Effects Research Veterinary Services (VET) Portfolio Clinical Veterinary Medicine Food Protection Environmental Health Engineering (EHE) Portfolio Entomological Sciences Water Supply Management Surface Water & Waste Water Hazardous & Medical Waste Ground Water & Solid Waste Air Quality Surveillance Operational Noise Epidemiology & Disease Surveillance (EDS) Portfolio Professional Medical Education Injury Prevention Disease Epidemiology Behavioral & Social Health Outcomes Health Risk Management (HRM) Portfolio Health Risk Communication Environmental Health Risk Assessment Deployment Environmental Surveillance Global Threat Assessment Environmental Surveillance Integration Laboratory Sciences (LAB) Portfolio Lab Operations Lab Analytical Lab Consultant Health Promotion & Wellness (HPW) Portfolio Army Public Health Nursing Behavioral Health Operations Health Promotion Operations Army Wellness Centers Public Health Assessment UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 8

9. Mission: Assess, maintain and improve Soldier and Army Community environments to advance readiness, health and sustainability. Environmental Health Engineering (EHE) UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 9

10. EHE Portfolio Capabilities Expert Response to Environmental Hazards Matrixed Environmental Health (EH) Characterizations Multidisciplinary, Full-Spectrum Teams –Air, water, soil, waste, noise, and insects Influence over DOD Public Health Enterprise –Advise/assist Level I/II (EH) programs –Develop public health guidance and policy –Reimbursed work –Portfolio management UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 10

11. EHE Initiatives for FY12 Emerging Hazards –New Building Hazards –Air Quality Surveillance – Controlled Burns –Matrixed Response to … Matrixed Projects –Water Security – Installation AT/FP Efforts –Army Sustainability (Net Zero) Initiatives –HQDA-Requested Environmental Health (EH) Projects Enterprise Approach –Portfolio Management –Environmental Health Metrics –Installation-Level Programs (water supply, sanitation, medical waste) UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 11

12. HealthyCommunity HealthyAnimalsHealthyPeople Healthy Work Places Matrixed Public Health Response UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 12

13. Elevated lead in drinking water at Army Arsenal housing (OCT 11) Lead detected in resident’s blood (NOV 11) Arsenal Command requested USAPHC support Situation UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 13

14. Matrixed Lead Hazard Assessment Risk Communication PH Perspective Garrison Town Hall Gather Information Assess Pb Hazards Drinking water Residential Structures Ambient air quality Historical land use Medical surveillance Consumer products Recommendations Follow-up Assessment UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 14

15. Lessons - Risk Communication –Early and often –Build credibility Value of Matrixed Public Health Team –Occupational Medicine –Environmental Science –Industrial Hygiene –Local Medical Staff Garrison Responded Well UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 15

16. HealthyCommunity HealthyAnimalsHealthyPeople Healthy Work Places UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 16

17. Questions? LTC William Bettin, P.E. Environmental Health Engineering Army Institute of Public Health (410) 436-2306/8718 William.bettin@us.army.mil UNCLASSIFIED LTC Bettin/410.436.2306/william.bettin@us.army.mil 17