1. Pacific Partnership PDSS 2010 Mission Planning CDR Dale M. Bates U.S. Public Health Service Environmental Health Officer May 24, 2010

2. D i s c l a i m e r Information provided is from the vantage point of the presenter’s experience on the PDSS assignment The content does not represent official USPHS/NAVY positions or policy It does however, make for a good story.

3. In the next 12 minutes... Describe the linkages between planning, mission delivery and the public health value. Describe the PDSS purpose and process of ship-based training missions. Share lessons learned.

4. Our Mission: Strengthening Regional Relationships Prepare in calm to respond in crisis

5. Opportunities for Partnership 4 Host Nations 23 Partner Nations invited –10 Interested – 4 Host Nations NGOs –8 Confirmed –6 In Negotiation Joint and Interagency –Country Teams –USAID –US Public Health Service

6. PACIFIC PARTNERSHIP 10: USNS MERCY PACIFIC PARTNERSHIP 10: USNS MERCY 139 Day Deployment CMO/TSCP 61 days U/W 60 days QOL/PAX VST 18 days Dates are Arrival-Departure days Calculated using 14 kt SOA Pearl Harbor Westbound: 08-10 May Eastbound: 08-10 Sep San Diego Deploy: 01 May Arrive: 17 Sep Indonesia 11-31 Jul (10-30 Jul U.S.) QOL PVST: Darwin 02-07 Aug (01-06 Aug U.S.) Guam Westbound: 21-24 May (20-23 May U.S.) Eastbound: 27-30 Aug (26-29 Aug U.S.) Timor Leste 09-22 Aug (08-21 Aug U.S.) BSP: Jakarta 06 Jul (05 Aug U.S.) QOL PVST: Singapore 01-04 Jul (30 Jun -03 Jul U.S.) Cambodia 15-28 Jun (14-27 Jun U.S.) Vietnam 31 May -12 Jun (30 May - 11 Jun U.S.)

7. Phases of PP2010 Mission Pre-Deployment Site Survey Advanced Team Mission – Ship Sail Follow-up and Evaluation

8. Planning for Core Competencies Medical Dental Veterinary Engineering/Construction Logistics Public Health Public Safety/EM Response Education Support Cultural Affairs

9. PDSS Team Composition – 18 People Command Element – 2/3 Total 1. CDS 21 Rep; PDSS/ADVON Lead* 2. CDS 21 JAG Augment MISC – 4 Total 1. CPF Country Desk Rep** 2. C7F Representative 3. Vet Planner 4. U.S. Public Health Services ENG Element – 5 Total 1. NCR – Lead Planner 2. ENG Det OIC or AOIC 3. Water Well Planner 4. ADVON Engineer 5. ENG EMBED to CDS 21 LOG Element – 3 Total 1. DSCP Commodities Specialist 2. DSCP Contracting Officer 3. FISC YOKO Contracting MED Element – 3/4 Total 1. Medical Officer 2. Medical Planner/ADVON Rep 3. Preventive Medicine

10. Goals of a USPHS attachment to the Navy PDSS activity Look for opportunities to provide broader public health interactions during the mission. Offer the community health focus to the PDSS process as a contributing public health expert.

11. Goals of a USPHS attachment to the Navy PDSS activity Provide the view that the Seabees can be a health related asset. Identify and recommend the ideal PHS staff skill set requirements for the Pacific Partnership 2010.

12. Cultural Adaptation Integrate into Navy mission and culture Integrate into Host Nation culture, values and priorities Adapt public health approaches where opportunities exist Watch, Listen and be Flexible Contribute and negotiate in good faith

13. Planning Adaptability Indonesia – open to sharing goals, successes, and challenges Vietnam – less open to sharing challenges and restricted team movement

14. PDSS CONOPS Mission Statement Specified Tasks Constraints Assumptions Implied Tasks Force Protection Emergency Action Plan Force Health Protection Command & Control Concept of Operations Overall Medical Public Health Veterinarian Engineering Acquisition Logistics Legal Concerns Public Affairs Guidance ADVON Plan Concerns/Action Items Conclusions

15. Public Health CONOPS 11-30 Jul 2010 Morotai – SMEE and Field Training Ternate –Ternate: 12 prevmed team members will fly to Ternate on 10 Jul from Jakarta and conduct; –SMEE Muhammidayah University Basic epidemiology, biostatistics, water, sanitation, vector control, food safety classroom training (at MPH level) –SMEE at Ananda Hospital Classroom training for public health technicians in water quality and analysis, sanitation, vector control, disease management, disease surveillance and food safety –Outreach for water, sanitation, vector control, parasitological lab management at Gambesi Puskesmas at Sio Village at Kampulang Puskesmas At Mare Island (Tidore district) Sofifi –Outreach at community center –Outreach Galala Clinic Ambon/Banda – SMEE and Field Training

16. Veterinary CONOPS 18-25 Jul 2010 Jailolo –VETCAP with Ternate, Jailolo and Sofifi veterinarians and techs at Jailolo Ministry of Agriculture site (under development) at Northern site at Southern site House calls as determined by local staff Roving VETCAP based at Ministry of Agriculture site

17. PUBLIC HEALTH CONOPs 1-11 Jun 2010 Department of Preventive Medicine Description: Department of Preventive Medicine - SMEE Location: get info TBD (Quy Nhon) Pax: 3 RON: No Duration: 3 days to be determined by Host Nation and ADVON Scope of work: SMEE (HN and Navy may present) Topics TBD by Host Nation and ADVON. Possible topics include: Food Safety Management Pest, Vector, and Rodent Control Food and Water Lab Techniques Potable Water and Wastewater Mgt Disease Outbreak Program Mgt Industrial Hygiene Occupational Health

18. PUBLIC HEALTH CONOPs 1-11 Jun 2010 Dept. of Preventive Medicine, Shipboard Training Experience Description: Department of Preventive Medicine, Shipboard PrevMed SMEE Location: USNS MERCY (40 guests) TBD by Host Nation and ADVON Pax: 0 RON: No Duration: 1 day to be determined by Host Nation and ADVON Scope of work: SMEE and Tour Topics TBD by Host Nation and ADVON. Possible topics include: Food Sanitation and Survey Process Water System and Quality Control Vector and Rodent Control Environmental Lab Testing Disease Outbreak and Response

19. PUBLIC HEALTH CONOPs 1-11 Jun 2010 MEDCAP – School Sites Description: Regional Hospital located in Quy Nhon City. Location: get info TBD Pax: 2 RON: No Duration: # days to be determined by host nation and ADVON Scope of work: SMEE Topics TBD by host nation. Possible topics include: Nutrition Child illness care Women’s Health Dental Hygiene Education Family Wellness/Hygiene Disease prevention Environmental Health Principles

20. PUBLIC HEALTH CONOPs 1-11 Jun 2010 Binh Dinh Provincial Hospital Description: SMEE at Regional Hospital located in Quy Nhon City. Location: get info TBD Pax: 2 RON: No Duration: 2 days to be determined by host nation and ADVON Scope of work: SMEE and Information Tour Topics TBD by host nation and ADVON. (HN and Navy may present) Possible topics include: Infection Control Occupational safety program management Hazardous material and biowaste management Emergency preparedness

21. What Was Minor focus of public health and preventive medicine on mission activities – planning during mission Missed partnerships with host nation public health leadership Short term focus on health impacts Preventive Medicine ties to MEDCAP sites Silo approach to preventive medicine Missed opportunities with engineering group to impact public health in a community Missed public health integration with veterinarians

22. Where We Are Now Public Health part of mission planning and implementation Connected to public health officials and able to work as a unique integrative unit Focus on long term health impacts and opportunities Planning allows for public health integration in other mission sectors Engineering works beyond construction and repair, includes water and sanitation for public health impact Acknowledgement of public health ties between Preventive Medicine and Veterinarians.

23. Planning Long Term Public Health Impacts

24. Building Relationships – Planning and Working Together –

25. USPHS on PDSS is Added Value –Increases mission perspective on population and community health –Fosters mission collaborations –Facilitates long term impact focus on mission activities –Supports local public health goals and objectives –Encourages interagency partnership –Ensures public health participation on the mission activity –Allows for skill set matching and maximizes mission impact

26. Questions?