environmental health engineering portfolio opportunities presented by: ltc william bettin, p.e....

Environmental Health Engineering Portfolio Opportunities

Presented by:LTC William Bettin, P.E.

Portfolio Director, Environmental Health EngineeringArmy Institute of Public Health

UNCLASSIFIED

BRIEFING OUTLINE

• Command Overview

• EHE Portfolio

• EHE Initiatives

• Matrixed Public Health Response

PURPOSE: To provide an overview of the U.S. Army Public Health Command, and to detail Environmental Health

Engineering (EHE) initiatives and opportunities.

UNCLASSIFIEDLTC Bettin/410.436.2306/[email protected] 2

VisionWorld-Class Provider of Public Health Services across

DA and DoD.

MissionPromote health and prevent disease, injury, and disability of

Soldiers and military retirees, their Families, and DA Civilian employees; assure effective execution of full

spectrum veterinary services for Army and DoD Veterinary missions.


1942: Army Industrial Hygiene Laboratory, Johns Hopkins University

1916: Army Veterinary Corps established

1973: DCVS positions established within Health Services Command

1980: Army Veterinary Corps became the Executive Agent for DoD Veterinary Service

1994: U.S. Army Veterinary Command (USAVETCOM) activated with HQ at Ft. Sam Houston Texas

1945: Moved to Chemical Warfare Center, Edgewood, MD

1960: Became U.S. Army Environmental Hygiene Agency (USAEHA)

2009: USACHPPM became USAPHC (Prov)

1995: USAEHA formed basis for the U.S. Army Center for Health Promotion and Preventive Medicine (USACHPPM)

2010: USAVETCOM attached to USAPHC

USAPHC History


Animal Care Specialist

Entomologist

Toxicologist

Occupational Health Nurse

Agronomist

Mechanical Engineer

Medical Officer

Safety Engineer

Electrical Engineer

Social Worker

Environmental Engineer

Environmental Law Attorney

Meteorologist

Environmental Protection Specialist

Health Physicist Safety and Occupational Health Specialist

Acoustical Engineer

Medical Laboratory Specialist

Fire Protection EngineerPsychologist

Veterinarian

Sanitary Engineer

Wildlife Biologist

Epidemiologist

Physical Therapist

Industrial Hygienist

Chaplain

Optometrist

Community Health Nurse

Chemist

Ergonomist

Dental Officer

Preventive Medicine Physician

Nuclear Medical Science Officer

Marine Biologist

Dietitian

Geologist

Environmental Scientist

Audiologist

Physicist

Veterinary Services Food Safety Officer

Comparative Medicine Veterinarian

Laboratory Animal Veterinarian Veterinary Pathologist

Veterinary Food Inspection Specialist

Clinical Medicine Veterinarian

Statistician

Breadth of Knowledge


USAPHC Organizational Structure

UNCLASSIFIED

PHCD-Central PacificPHCD-Western Pacific

PHCD-KoreaPHCD-Japan

PHCD-Fort Carson, Colo.PHCD-San Diego, Calif.

PHCD-JB Lewis-McChord, Wash.

PHCD-Fort Belvoir, Va.PHCD-Fort Eustis, Va.PHCD-Fort Knox, Ky.

PHCD-Southern EuropePHCD-Northern Europe /

Dog Center Europe

Army Institute of Public Health(APG, Md.)

Technical Public Health Portfolios

USAPHC Headquarters(Aberdeen Proving Ground, Maryland)

Proponency Office for Preventive Medicine(NCR, APG, Joint Base San Antonio, Texas)

Armed Forces Health Surveillance Center(National Capital Region)

Military Vaccine Agency(NCR)

NOTE: Installations specified in parentheses represent the command group location, not units conducting short or long-term split operations, e.g. HQ, PHCR-North, and PHCR-Pacific.

* USAPHC commanding general dual-hatted as the Functional Proponent for Preventive Medicine** Executive agencies receive administrative support from USAPHC, but the Army surgeon general

oversees them

Executive Agencies**

FPPM*

PHC Region-Pacific(Camp Zama, Japan)

PHC Region-West(JB Lewis-McChord, Wash.)

PHC Region-North(Fort Belvoir, Va.)

Black

Grey

Burgundy

Tan

Major Subordinate Command (V)

Executive Agencies

Regional Command (IV)

VETSVC Area or Installation (I-III)

Color Legend – Level of PH Services

PHC Region-South(JB San Antonio, Texas)

PHC Region-Europe(Landstuhl, Germany)

Veterinary Lab Europe

Branches & SectionsBranches & SectionsBranches & Sections

Branches & Sections

Branches & Sections

DOD Military Working Dogs Veterinary Services

PHCD-Fort Hood, TexasPHCD-Fort Gordon, Ga.

Food Analysis & Diagnostic Lab

LTC Bettin/410.436.2306/[email protected] 6

USAPHC Subordinate Commands


AIPH Organizational Structure

Army Institute of Public Health(Aberdeen Proving Ground, Md.)

Army Hearing Program

Tri-Service Vision Conservation & Readiness

Environmental Medicine

Occupational Medicine

Surety Medicine

Occupational & Environmental Medicine

(OEM) Portfolio

Radiofrequency / Ultrasound

Laser/Optical Radiation

Health Physics

Industrial Hygiene Field Services

Industrial Hyg. Medical Safety Management

Occupational Health Sciences (OHS) Portfolio

Health Hazard Assessment

Ergonomics

Toxicology (TOX) Portfolio

Toxicity Evaluation

Health Effects Research

Veterinary Services (VET) Portfolio

Clinical Veterinary Medicine

Food Protection

Environmental Health Engineering (EHE)

Portfolio

Entomological Sciences

Water Supply Management

Surface Water & Waste Water

Hazardous & Medical Waste

Ground Water & Solid Waste

Air Quality Surveillance

Operational Noise

Epidemiology & Disease Surveillance (EDS)

Portfolio

Professional Medical Education

Injury Prevention

Disease Epidemiology

Behavioral & Social Health Outcomes

Health Risk Management (HRM) Portfolio

Health Risk Communication

Environmental Health Risk Assessment

Deployment Environmental Surveillance

Global Threat Assessment

Environmental Surveillance Integration

Laboratory Sciences (LAB) Portfolio

Lab Operations

Lab Analytical

Lab Consultant

Health Promotion & Wellness (HPW) Portfolio

Army Public Health Nursing

Behavioral Health Operations

Health Promotion Operations

Army Wellness Centers

Public Health Assessment


Mission: Assess, maintain and improve Soldier

and Army Community environments to advance

readiness, health and sustainability.

Environmental Health Engineering (EHE)


EHE Portfolio Capabilities

• Expert Response to Environmental Hazards

• Matrixed Environmental Health (EH) Characterizations

• Multidisciplinary, Full-Spectrum Teams – Air, water, soil, waste, noise, and insects

• Influence over DOD Public Health Enterprise– Advise/assist Level I/II (EH) programs– Develop public health guidance and policy– Reimbursed work – Portfolio management


EHE Initiatives for FY12

• Emerging Hazards

– New Building Hazards– Air Quality Surveillance – Controlled Burns– Matrixed Response to …

• Matrixed Projects– Water Security – Installation AT/FP Efforts– Army Sustainability (Net Zero) Initiatives– HQDA-Requested Environmental Health (EH) Projects

• Enterprise Approach– Portfolio Management– Environmental Health Metrics – Installation-Level Programs (water supply, sanitation,

medical waste)


HealthyCommunity

HealthyAnimals

HealthyPeople

HealthyWork Places

Matrixed Public Health Response


• Elevated lead in drinking water at

Army Arsenal housing (OCT 11)

• Lead detected in resident’s blood

(NOV 11)

• Arsenal Command requested

USAPHC support

Situation


Matrixed Lead Hazard Assessment

GARRISON INITIAL

RESPONSEGARRISON SUPPORTED RESPONSE

IMPLEMENT

SOLUTIONS

• Risk Communication

• PH Perspective

•Garrison Town Hall

OCT-NOV 11 DEC 11 JAN 12 FEB 12 MAR 12

PHASE I PHASE IIPHASE

III

• Gather Information

• Assess Pb Hazards

• Drinking water

• Residential Structures

• Ambient air quality

• Historical land use

• Medical surveillance

• Consumer products

• Recommendations

•Follow-up Assessment


Lessons -

• Risk Communication– Early and often– Build credibility

• Value of Matrixed Public Health Team– Occupational Medicine– Environmental Science– Industrial Hygiene– Local Medical Staff

• Garrison Responded Well


HealthyCommunity

HealthyAnimals

HealthyPeople

HealthyWork Places


Questions?

LTC William Bettin, P.E.Environmental Health Engineering

Army Institute of Public Health

(410) 436-2306/[email protected]


environmental health engineering portfolio opportunities presented by: ltc william bettin, p.e....

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