1. INNOVATIVE READINESS TRAINING THANKS TO : UNITED STATES DEPARTMENT OF DEFENSE APPALACHIAN REGIONAL COMMISSION WESTERN MARYLAND HEALTH SYSTEMS HUMAN RESOURCE DEVELOPMENT COMMISSION ALLEGANY COUNTY HEALTH DEPARTMENT Appalachian Mountain IRT 2014

2. Cumberland, Maryland is located in the western portion of the state. Cumberland was at one time the second largest city in Maryland (second to the port city of Baltimore— hence its nickname "The Queen City").

3. Western Maryland Steam Train During the 19th century, three major transportation routes began or ended in Cumberland - the National Road, the Baltimore & Ohio Railroad, and the Chesapeake & Ohio Canal. Cumberland prospered by helping transport raw materials, products, and even people between the East Coast and new states.

4. NEWS OF A GRANT TO BRING THE DEPARTMENT OF DEFENSE TO OUR LITTLE TOWN IS ISSUED AND WE BEGIN PLANNING. January 2014

5. THE GRANT WOULD PROVIDE FREE SERVICES TO THE TRI-STATE AREA FOR DENTAL, VISION, MEDICAL, PAIN MANAGEMENT AND VETERINARY.

6. The day finally arrives!

7. Dr. Roserio was the lead Veterinarian and his first client was a little apprehensive about being in the tent.

8. Our spay/neuter clinic patients started to arrive on the second day.

9. Operating rooms

10. ……they just kept coming

11. Teaching Moments

12. The soldiers and the dogs were great together. Each of the veterinarian technicians would monitor vitals and take care of the dogs as they woke up. One German shepherd even found a forever home with one of the medical doctors.

13. Ready to go home! Each animals was identified with a tag that matched their owners. We gave the owners their tags when they dropped the animals off. This tag stayed with the dog until the owner picked them up in the evening.

14. Waking up and very groggy

15. Medicine was provided

16. 1203 ANIMALS WERE VACCINATED FOR RABIES 187 animals were altered: 88 male cats 24 female cats 52 male dogs 23 female dogs

17. Dentist and technicians are cleaning teeth and extracting teeth Taking X-rays In the meanwhile…..

18. Eye glasses were cut for those who needed them Eye exams were available for all. Also…..

19. Some saw clearly for the 1 st time

20. THE TEAM SERVED 1,102 MEDICAL PATIENTS, 326 DENTAL SURGERIES AND191 DENTAL HYGIENE, 780 OPTICAL PATIENTS, AND 1,647 VETERINARY PATIENTS. IN TOTAL, THE 3RD MEDICAL COMMAND PROVIDED 593 PAIRS OF NEW GLASSES AND 15,929 SERVICES. Other Service Totals

21. DENTAL: $450.00 PER PATIENT MEDICAL: $130.00 NUTRITIONIST: $80.00 PAIN MANAGEMENT: $400-500 VETERINARY: $300.00-$500.00 PER ANIMAL Value of Services Provided

22. MISTY JOY, MPH, REHS ALLEGANY COUNTY HEALTH DEPARTMENT MISTY.JOY@MARYLAND.GOV Thank you