1. U.S. Ebola Epidemic Response: Leadership Perspectives Leadership Perspectives RADM Scott Giberson Assistant U.S. Surgeon General Commander, Commissioned Corps Ebola Response

2. U.S. Strategy Four key goals: 1.Control the epidemic at its source; 2.Mitigate second-order impacts (ex. economic, social, etc.) 3.Engage and coordinate with a broader global audience; and 4.Fortify global health security infrastructure in the region and beyond.

3. Strategic Coordination White House NSC and Ebola lead (“Czar”) HHS Ebola Coordination Team Main HHS Assets CDC CDC Commissioned Corps Commissioned Corps NIH NIH ASPR ASPR

4. HHS Assets Ebola response matched Commissioned Corps’ mission, skill sets, capabilities, and mandate.

5. Overall USG Response in partnership with Govt of Liberia (GoL) CoM / USAID- DART United Nations Mission for Emergency Ebola Response (UNMEER)

6. Defined Responsibilities Commissioned Corps Direct Patient CareDirect Patient Care Network of Public health expertiseNetwork of Public health expertise Orchestrate patient care with stakeholdersOrchestrate patient care with stakeholders CDC Strategic SME Support to CoMStrategic SME Support to CoM TrainingTraining EpidemiologyEpidemiology DOD MMU logistics, Life Support for assetsMMU logistics, Life Support for assets Lab missionsLab missions Mass training and educationMass training and education

7. Success of Mission (USG) 1.Three most affected countries “ebola-free” 2.Mitigated fear and potential global pandemic 3.Protected U.S. health security 4.Minimized second- order impacts 5.Coordinated with a broader global audience

8. Success of Mission (HHS) Successful international deployment Successful international deployment Domestic measures Domestic measures Enhanced border screening Enhanced border screening New redeployment and reintegration processes (MMU mission – 0 casualties) New redeployment and reintegration processes (MMU mission – 0 casualties) Developed a domestic hospital preparedness network Developed a domestic hospital preparedness network

9. “Collaborative is the new norm…” - ADM McRaven, USN

10. Partnering Success Strategic NSC – Mission, Level of Care NSC – Mission, Level of Care HHS Secretary - Response assets / capabilities HHS Secretary - Response assets / capabilities State / CoM State / CoMOperational HHS Coordination Team HHS Coordination Team USAID - Fiscal / LNOs USAID - Fiscal / LNOs CDC – Epidemiology CDC – EpidemiologyTactical DoD – Life Support, Logistics requirements, C2 DoD – Life Support, Logistics requirements, C2 NGOs - “Hot-Zone” training NGOs - “Hot-Zone” training

11. Corps’ Challenges Internal Funding streams and color of money. “Novel response”: high risk / high visibility Just-in-time training External Challenges Lack of logistics capacity. Operational realities of communications, logistics, and timelines Expectation management

12. Lessons Observed 1.Explore more effective and adaptable funding streams in response 2.Need defined roles in international settings 3.Explore international framework for response (i.e. National Response Framework) 4.Collaboration necessary (i.e. pre/post training) 5.HHS coordinating body effective 6.Corps’ capabilities, network, & challenges

13. Leadership Perspective 1.Assess the situation – use an effective leadership style. 2.Be prepared for the challenges, provide solutions 3.Leverage others’ expertise 4.Lead Collaboration. 5.Build new bridges.