1. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Pacific Air Forces PACIFIC ANGEL Wesley Palmer, MD Lt Col, MC, FS, USAF 1

2. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Disclosures Presenter has no interest to disclose. PESG and AMSUS staff have no interest to disclose. This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS. PESG, AMSUS, and all accrediting organization do not support or endorse any product or service mentioned in this activity.

3. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Learning Objectives At the conclusion of this activity, the participant will be able to: 1. Understand the history and origins of PACANGEL 2. Understand the multidisciplinary pillars of PACANGEL and how they relate to each other 3. Understand how GHE best practices shape PACANGEL and how PACANGEL provides data to inform the GHE body of knowledge.

4. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Mission Statement Operation PACIFIC ANGEL (PA) plans and executes Humanitarian Assistance (HA) and Civil Military Operations (CMO) events that directly support CDRUSPACOM and COMPACAF theater engagement strategic objectives CDRUSPACOM-directed humanitarian assistance mission that compliments PACFLT’s PACIFIC PARTNERSHIP ship visits within the PACOM AOR PACAF serves as the Executive Agent (EA) for Operation PACIFIC ANGEL Utilizes USAF/ANG airlift to demonstrate mobility of US Joint/Total Force sourced medical/engineering support and subject matter expert exchange (SMEE) capability Where feasible, National Guard Bureau State Partnership Program (SPP) relationships are exercised

5. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Objectives Facilitate unique military/civilian/non-governmental organization (Mil/Civ/NGO) interoperability amongst US/Host Nation (HN) military, AMEMB Interagency (USAID), Host Nation civilian medical and engineering professionals, PACOM AOR Multilateral military medical and engineering personnel, and US and/or HN NGO’s Promote Building Partner Capacity (BPC) and interoperability by conducting concurrent events with medical Health Services Outreach (HSO), Engineering Civic Action Program (ENCAP), and Subject Matter Expert Exchanges (SMEE’s) Objective: Increase in HN efficiency and effectiveness of future US/HN Interagency, Multilateral military, and NGO response capacity during real world HA/DR scenario By-products: Building military/civilian trust; crating and exercising logistical/contracting agreements; building future airport capacity to receive and support US military HA/DR aircraft

6. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Event Venue Normal event venue is to share procedures and techniques: Medical Health Services Outreach (HSO) focusing on general health/primary care, dental, optometry, women’s health, pediatrics Engineering Civic Action Programs (ENCAP) focusing on the repair/refurbishment and/or upgrade of existing rural medical and school facilities (structural, roofing, electrical, plumbing, flooring) Subject Matter Expert Exchanges (SMEE) focusing veterinary, public health, neonatology, trauma care, first-responder, water surveillance, vector control, crowd control security, construction safety, etc. Airlift and Airfield SMEE’s focusing on airfield/landing zone surveys (update AMC Airfield Suitability and Restrictions Report for aircraft suitability); HA/DR airdrop operations (drop zone control/recovery); HA/DR 463L pallet buildup and inspection, aircraft load planning/aircraft loading procedures, hazardous material packaging and documenting for airlift

7. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Capacity Building Country Revisits build upon prior visits; higher-levels of BPC promoted through follow-on SMEE’s and Provincial access through trust building Multilateral military planners “observe” in other countries prior to participating Multilateral military medical and aircraft participation in other countries (regional capacity building) USAID projects/programs built upon or augmented, where feasible State Partnership Program (SPP) relationships leveraged, where feasible Hawaii with Indonesia; Hawaii/Guam with Philippines; Alaska with Mongolia; Oregon with Bangladesh/Vietnam; Idaho with Cambodia; Nevada with Tonga (staffing Papua New Guinea) NGO partnerships: US-sponsored Project Hope and East Meets West Foundation; International Red Cross and Red Crescent; Host Nation- sponsored NGO’s

8. I n t e g r i t y - S e r v i c e - E x c e l l e n c e History Event locations for execution within countries is determined from PACOM Country Plans/PACAF Annexes, and AMEMB Country Team priorities: FY 08: PA 08 Cambodia FY 09: PA 09-1 Vietnam; PA 09-2 Indonesia/Timor Leste FY10: PA 10-1 Philippines; PA 10-2 Vietnam; PA 10-3 Bangladesh; PA 10- 4 Sri Lanka FY11: PA 11-1 Cambodia, PA 11-2 Timor-Leste, PA 11-3 Indonesia; PA 11-4 Mongolia FY12: PA 12-1 Philippines; PA 12-2 Laos, PA 12-3 Vietnam; PA 12-4 Nepal FY13: PA 13-1 Philippines Revisit; PA 13-2 Indonesia Revisit; PA 13-3 Vietnam (Revisit); PA 13-4 Sri Lanka Revisit; PA 13-5 Cambodia Revisit FY14 (executing): PA 14-1 Bangladesh; PA 14-2 Nepal (replaced Laos); PA 14-3 Tonga; PA 14-4 Mongolia FY15 (scheduled): PA 15-1 Philippines; PA 15-2 Timor-Leste (replaced Thailand) ; PA 15-3 Vietnam; PA 15-4 Papua New Guinea FY16 (scheduled): PA 16-1 Bangladesh; PA 16-2 Cambodia; PA 16-3 Sri Lanka; PA 16-4 Mongolia

9. I n t e g r i t y - S e r v i c e - E x c e l l e n c e 9 Summary Operation PACIFIC ANGEL is an optimum venue to introduce and/or mature HA/DR planning techniques; enhancing Mil/Civ/NGO interoperability; sharing procedures and techniques through subject matter expert exchanges (SMEE’s); and building partnership capacity (BPC) through the execution of concurrent engineering (ENCAP) and medical (HSO) events.

10. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Questions? 10

11. I n t e g r i t y - S e r v i c e - E x c e l l e n c e CE/CME Credit If you would like to receive continuing education credit for this activity, please visit: http://AMSUS.cds.pesgce.com