1. U.S. Coast Guard CAPT Jeff Salvon-Harman MD, USCG/USPHS Institute of Medicine Operational and Occupational Medicine Brief 5 March 2013

2. An Average Coast Guard Day… Save 13 lives Assist 98 people in distress Conduct 64 Search and Rescue Cases Interdict and rescue 10 illegal migrants Board 193 ships and boats Launch 164 aircraft missions, logging 317 hours Respond to 12 oil/chemical/HAZMAT spills Seize over 1,000 lbs of illegal drugs valued at $12.9M Escort over 20 larger passenger vessels, military outload vessels and High Interest Vessels Service 135 aids-to-navigation and correct 21 aids-to- navigation discrepancies Complete 31 Port State Control safety and environmental exams on foreign vessels

3. Team Coast Guard Honor, Respect, Devotion to Duty 43,507 Active Duty 7,768 Reservists 7,758 Civilians 36,692 Auxilarists

4. Uniformed Services ArmyNavyMarines Air Force PHS Commissioned Corps Uniformed Uniformed Services NOAA Commissioned Corps Coast Guard Armed Forces Military

5. Coast Guard roles: Maritime Safety, Security, and Stewardship. Title 10 USCG is an Armed Force. Aligns under the Navy in time of war or when directed by the President. Title 14 Coast Guard authorities, including law enforcement. Statutory Missions USCG Authorities at a Glance Protect those on the SeaSearch & Rescue Marine Safety Aids to Navigation Ice Operations Protect the US from threat delivered by Sea Drug Interdiction Migrant Interdiction Other Law Enforcement Ports, Waterways & Coastal Defense Protect the SeaMarine Environmental Protection Living Marine Resources

6. RADM Dollymore (CG-11) Health, Safety, and Work- Life (HSWL) Director Office of Work-Life Policy/Prgm Mgmt Office of Health Services Policy/Prgm Mgmt Office of Safety Policy/Prgm Mgmt HSWL Service Center Service Delivery Mgmt 13 Regional Practices HSWL Deputy Director (CG-11d) Health Services System

7. Healthcare Personnel Physicians: 60 (PHS) Dentists: 60 (PHS) PAs/NPs: 40 (31 CG/9 PHS) Pharmacists: 16 (PHS) Environmental Health Officers: 18 (PHS) Physical Therapists: 3 (PHS) Clinic Administrators: 43 (CG) Health Services Technicians (HS): 738 Includes dental/pharmacy/x-ray techs

8. Healthcare Services Delivered Medical Preventive: Annual Screening, Deployment related, Occupational, Flight/Dive Responsive: Injury, Illness, Wounded, Case Mgmt, Referral Dental Preventive: Annual Screening, Hygiene q6mo Responsive: Restorative, Referral Pharmacy RP locations only, remote support Optometry Contracted on-site when possible Corrective spectacles ordering via NOSTRA Physical Therapy Limited locations, demand based New initiatives to shift from Responsive to Preventive

9. Safety & Environmental Health Office Policy driven from HQ Field implementation of safety program is done by HSWL Service Center District Safety and Environmental Health Officer 18 Offices associated with CG Districts. Leveraging Coast Guard and Public Health Service Officers to meet mission goals. Support all missions of US Coast Guard

10. Occupational Health, Environmental Health, Safety and Industrial Hygiene (Typical Personnel : EH/IH; HSC; MSTC) Moving towards a quantitative/ risk based safety program to better allocate diminishing resources Implementation of risk management tools for operators based on iterative processes. Occupational Health Responsibilities