eo 001.03 identify applicable policies, agreements and understandings
TRANSCRIPT
EO 001.03
Identify Applicable Policies,
Agreements and Understandings
REFERENCES
1. CF H Svcs G – Force Health Protection (D FHP)
http://hr.ottawa-hull.mil.ca/health-sante/pd/idx-fhp-psf-eng.asp
2. Medical Intelligence http://hr.ottawa-hull.mil.ca/cfhs/private/op/int/default-eng.asp
3. CFAOshttp://admfincs.mil.ca/admfincs/subjects/cfao/intro_e.asp
4. DAODshttp://admfincs.mil.ca/admfincs/subjects/daod/intro_e.asp
5. QR&Oshttp://admfincs.mil.ca/qr_o/intro_e.asp
REFERENCES
6. Health Canadahttp://www.hc-sc.gc.ca/index-eng.php
7. Public Health Agency of Canadahttp://www.phac-aspc.gc.ca/index-eng.php
8. Health Services Support to CF Operations; B-GJ-005-410/FP-000
http://cfd.mil.ca/websites/Resources/dgfda/Pubs/CF%20Joint%20Doctrine%20Publications/CF%20Joint%20Doctrine%20-%20B-GJ-005-410%20FP-000%20-%20Health%20Services%20-%20EN%20(10%20Feb%2007).pdf
9. Canada Labour Code, Part IIhttp://www.hrsdc.gc.ca/eng/labour/health_safety/overview.shtml
REFERENCES
10. D Safe G, General Safety Program
Volume 1; A-GG-040-001/AG-001
http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/pp/index-eng.asp
Volume 2; C-02-040-009/AG-001
http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/gss-nsg/index-eng.asp
11. Construction Engineering Technical Orders (CETO)
http://admie.ottawa-hull.mil.ca/dgme/CETOs/Active_CETOs_e.htm
AGENDA
1. Doctrine
2. Principles of H Svcs Sp
3. General
4. CFHS Mission
5. Functions
6. Organization
7. Force Health Protection (D FHP)
8. Policy Overview
AIM
As a Preventive Medicine Technician, you must be able to research policies, agreements and understandings and apply them throughout
your military career
DOCTRINE
Doctrine provides the fundamental tenets for the employment of military forces
The CF uses
a. CF Doctrine when under CF control;
b. NATO Doctrine when under NATO control; and
c. other doctrine only when specifically approved
DOCTRINE
Plans and operations will be based on approved doctrine
Health services support (HSS) doctrine sets out the principles that guide the employment of the CF Health Services (CF H Svcs) and describes the capabilities and organizations necessary for effective HSS.
PRINCIPLES OF HEALTH SERVICES SUPPORT
CONFORMITY
HSS must conform to the constraints imposed by the physiology and pathology of the sick and injured, and be governed by the highest standards of medical and dental practice and ethics.
HSS planners ensure adequate support at the right time and
the right place.
PRINCIPLES OF HEALTH SERVICES SUPPORT
PROXIMITY
The speed with which treatment is initiated is extremely important in reducing morbidity and mortality. HSS therefore involves appropriate positioning of resources, moving resources as necessary to maintain appropriate proximity to the supported forces, and providing for rapid evacuation of the sick and injured.
The efficient allocation of resources and the judicious location of treatment facilities should optimize access to treatment.
PRINCIPLES OF HEALTH SERVICES SUPPORT
FLEXIBILITY
Detailed and carefully planned HSS helps to ensure minimum reaction time.
Flexibility essential for rapid response should be maintained by committing only the HSS resources that are required for current or imminent tasks.
PRINCIPLES OF HEALTH SERVICES SUPPORT
MOBILITY
Treatment units should retain mobility as long as possible.
Mobility is measured by the extent to which a unit can move its personnel and equipment with organic transportation.
PRINCIPLES OF HEALTH SERVICES SUPPORT
CONTINUITY
Treatment must be continuous and progressive to the level necessary for the definitive treatment of the sick and injured to minimize mortality and morbidity.
The operations of essential treatment facilities should not be terminated until their functions have been assumed by another facility.
PRINCIPLES OF HEALTH SERVICES SUPPORT
CONTROL
Control of HSS resources should be exercised at the highest level possible to ensure that all HSS requirements are considered and that resources are used efficiently.
Effective control of HSS resources depends on the timely exchange of accurate information between commanders and staffs.
Framework for Health Services Support
GENERAL
CF members have their health protected, promoted, and restored in accordance with the principles expressed in the Canada Health Act.
The levels of health care accessibility and quality of health care afforded CF members are to be comparable to those afforded all Canadians
Framework for Health Services Support
GENERAL
Commander CF Health Services Group
Responsible to the CDS for provision of an all encompassing single line of HSS that equally applies to the CF’s Regular Force and Reserve Force components
Framework for Health Services Support
GENERAL
1. In-garrison HSS in accordance with the CF Spectrum of Care;
2. Operational HSS to maritime, land, air and special ops;
3. Specialized individual medical training;
4. HS logistics;
5. FHP services;
6. Support to CF environmental medicine;
Framework for Health Services Support
GENERAL
7. Military Strategic-Level HSS planning & coordination;
8. Medical Intelligence;
9. CF health policies & Programs; and
10. CF H Svcs regulatory affairs.
Framework for Health Services Support
GENERAL
The mandate of the CFHS is to provide the HSS necessary to sustain a multi-purpose, deployable, combat capable force across the full spectrum of military scenarios.
Professional, effective, responsive, relevant and efficient in-garrison HSS and HSS to deployed operations is provided through a strong framework of professional standards and a single corporate management entity.
CF H SVCS MISSION
The mission of the CF H Svcs Gp is to
Promote Health protection
Deliver quality HSS to the CF
ANYTIME
ANYWHERE
FUNCTIONS
Functions inherent in CF H Svcs Gp mission accomplishment encompass:
developing, implementing, and maintaining HSS accountability frameworks;
developing, implementing, and sustaining programs for the prevention of preventable injuries and illnesses to protect CF members and meet the requirements of CF operations;
developing, implementing, and sustaining HSS structures and capabilities that ensure continuity of care to CF members; and
ensuring the sustainability of the CF H Svcs.
ORGANIZATION
CF H Svcs Gp
1. Commander;
2. National –Level Headquarters;
3. H Svcs Gp’s and Centres;
4. Deployable Health Hazard Assessment Teams (DHHAT);
5. Joint Operations Gp HSS Detachment;
6. 1 Canadian Field Hospital;
7. Environmental Medicine Establishment;
8. CF Health Services Training Centre; and
9. Central Medical Equipment Depot
MEDICAL PROF TECH NETWORK
The CF Medical “Prof Tech Net” is based on the concept of centralized control and decentralized execution
Surg Gen develops the military strategic-level direction
Translated into Policy actions by CF H Svcs Gp HQ
‘Pushed’ to operational and tactical level for implementation
At each level personnel are able to obtain supervision and mentoring from an identified Sr Prof Tech person
FORCE HEALTH PROTECTION
Introduction
Force Protection (FP) involves the protection of personnel, facilities and equipment in all locations
Physical and Operational Security;
Safety; and
Health.
FORCE HEALTH PROTECTION
Introduction
Prevention of disease and injuries is the most efficient means of providing commanders with the maximum number of health soldiers.
The health threat accounting for the vast majority of non-effectiveness is comprised of six main categories:
1. Heat Injures 4. Cold Injuries
2. Arthropod Diseases 5. Diarrheal Diseases
3. Trauma Injuries 6. Occupational Injuries
FORCE HEALTH PROTECTION
Introduction
Conditions conducive to incidents of preventable injuries and illnesses should be reduced to protect members and to meet the requirements of operations
individual members
CF Chain-of-Command
tactical level
strategic level
specialist elements
FORCE HEALTH PROTECTION
General
FHP aims at the efficient mitigation of
preventable injuries and illnesses
to both protect CF members and meet the
requirements of
CF Operations
FORCE HEALTH PROTECTION
General
Based on a national-level planning capability, a deployable strategic health threat and risk assessment capability and operational and tactical level prevention and promotion capabilities.
The CF centre of expertise in each of the specialized disciplines (5) of FHP
Staffed with Preventive Medicine Technicians and health promotion-oriented professionals
FORCE HEALTH PROTECTION
General
Epidemiology
the conduct of evidence-based studies pertaining to operational, occupational and clinical medicine;
disease and injury surveillance, globally investigations of outbreaks within the CF; and
maintenance of morbidity and mortality databases
FORCE HEALTH PROTECTION
General
Communicable Disease Control
infectious disease control;
hygiene and sanitation;
pest control;
travel hazards; and
reportable disease control
FORCE HEALTH PROTECTION
General
Occupational & Environmental Health
occupational health hazard exposures
environmental health hazards
toxicology
FORCE HEALTH PROTECTION
General
Health Promotion
enhancing wellness;
eliminating high-risk behaviours;
stress management
addiction
lifestyle
injury prevention
FORCE HEALTH PROTECTION
General
Operational Medicine
occupational hazards specific or unique to military operations:
Medical Intelligence
FORCE HEALTH PROTECTION
Assessments
Epidemiological surveillance and health reporting;
Medical information collection and intelligence;
Preventive Medicine services; and
Health education and promotion for deploying personnel
FORCE HEALTH PROTECTION
Pre-Deployment HSS Readiness Assessment
Overall health readiness status of personnel;
Epidemiological surveillance data collection and reporting; and
Selected Preventive Medicine re-enforcement training
FORCE HEALTH PROTECTION
Morbidity Surveillance and Casualty Reporting
Disease surveillance function serves as a key indication of force health status and as a key warning system or sentinel to trigger further investigation, preventive countermeasures, or other command action to reduce the adverse impacts of health threat.
Provides an estimate of the impact – manpower and working days losses of disease occurrence
FORCE HEALTH PROTECTION
Morbidity Surveillance and Casualty Reporting
Morbidity surveillance involves the monitoring, collection and evaluation of illness/injury data on all deployed personnel who report for medical treatment, both on an outpatient and inpatient basis;
Runs in conjunction with other national reporting systems, where relevant findings are reported as feedback;
Availability of reliable, quantitative planning and resource allocation data and useful trend analysis by illness and injury category
FORCE HEALTH PROTECTION
Morbidity Surveillance and Casualty Reporting
Through the quantitative identification of causes of morbidity and qualitative measuring of their effect, an evaluation of both occurrences and consequences may be derived
Findings may then be used to support appropriate response actions, both in the short and long term
FORCE HEALTH PROTECTION
Preventive Medicine Measures
Essential element of force employment
Implementation during the warning and preparation phases and continues throughout the operation and extends well into the post-operation period
Involves all personnel
personal protective measures
trained accordingly
FORCE HEALTH PROTECTION
Preventive Medicine Measures
Disease and non-battle injuries will be ever present risks to personnel;
HSS plans should include provision for Preventive Medicine and the means to effectively implement them;
Operations plan execution requires a close collaboration of Preventive Medicine and all other aspects of FHP programs.
FORCE HEALTH PROTECTION
Preventive Medicine Measures
Identifying the risks and threats to the health of all personnel deployed in a specific area of operations from terrain, climate, endemic disease and special environmental and occupational hazards;
Advising on and auditing the quality of food and water;
Auditing and supervising implemented Preventive Medicine measures
FORCE HEALTH PROTECTION
Preventive Medicine Measures
Identifying necessary preventive and controlling measures and advising commanders on their implementation
development of immunization policies
appropriate training of personnel
prevention of food borne diseases
prevention of waterborne diseases
prevention of arthropod diseases
FORCE HEALTH PROTECTION
Preventive Medicine Measures
Gathering of epidemiological and other technical statistics and information
Advising commanders on the overall health threat and risks and the limitations they may place on operations
FORCE HEALTH PROTECTION
Preventive Medicine Requirements
Medical Information and Intelligence
The single most essential requirement of Preventive Medicine is the source of prompt, usable medical information and intelligence
Information and intelligence should be accurate and its source sufficiently dynamic to inform the user quickly of threat changes
FORCE HEALTH PROTECTION
Preventive Medicine Requirements
Immunizations, Education and Training
Resources will include
provision for immunizations
advice on training
prevention of disease and non-battle injuries
prophylactic medical material
spectrum of mission specific dependent support measures
FORCE HEALTH PROTECTION
Preventive Medicine Requirements
Laboratory Capabilities
Surveillance and assessment of environmental health risks
sampling and analysis for food and water contamination
air and soil contamination
FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties
Preventive Medicine Services
enhance unit effectiveness by
reducing the exposure of personnel to
disease and environmental and
Industrial hazards
Dependant for success upon the awareness and
support of commanders at all levels
FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties
Assisting in the control of animal-borne diseases, including technical consultation, entomological surveillance and the reinforcement of unit organic spraying/dusting capabilities
Assisting in the control of water-borne diseases, including water quality, surveillance of water purification facilities and technical consultation in treating water under all operational conditions
FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties
Assisting in controlling food-borne diseases, including surveillance of kitchens and dining facilities
Assisting in de-infestation procedures for ships, aircraft, vehicles and back loaded cargo and equipment
Professional supervision of immunization and drug prophylactic activities for the prevention or suppression of communicable diseases
FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties
Assisting in controlling excessive occupational exposures to such hazards as ionizing and non-ionizing radiation, toxic gases, noise and environmental and climatic extremes
Assisting in identifying and investigating disease outbreaks and advising on appropriate measures to prevent recurrences
Advising on medical aspects of CBRN
FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties
Educating personnel in appropriate hygiene and sanitation practices
Technical consultation concerning the selection and development of bivouac sites, refugee camps and POW holding areas
Technical consultation in renovating or repairing public utilities of towns and villages
FORCE HEALTH PROTECTION
Spectrum of Preventive Medicine Duties
Professional and technical advice to commanders at all levels on measures to reduce non-effectiveness from sickness and injury
Surveillance of military environments in general to detect and identify actual or potential health hazards and to formulate suitable means for minimizing their effects
FORCE HEALTH PROTECTION
Preventive Medicine Responsibilities
Command Responsibilities
CF H Svcs Responsibilities
Other ResponsibilitiesEngineers
Logistic Services
Unit personnel
FORCE HEALTH PROTECTION MEASURES
Individual FHP Measures
Heat Injuries: consuming sufficient quantities of water at frequent intervals and using work/rest cycles as directed
Cold Injuries: wearing proper clothing, changing socks, using care in handling fuel, avoiding cold metal contact and exercising limbs to keep warm
Pest Control: using insect repellents, taking prophylactic measures and wearing operational clothing properly
FORCE HEALTH PROTECTION MEASURES
Individual FHP Measures
Enteric Disease: using approved disinfectants whenever the potability of water is uncertain, eating only approved foods and burying wastes
Skin Disease: practising good personal hygiene and washing as practicable as possible
Injury: wearing appropriate protective clothing and devices and taking appropriate precautions
FORCE HEALTH PROTECTION MEASURES
Tactical-Level FHP Measures
Tactical- level formations and major units have PMed Tech’s attached
Tactical commanders are responsible for implementing FHP measures
• ensuring command awareness of the health threat and its risks
• incorporating FHP collective protection measures into orders
• ensuring maintenance of immunizations and prophylactic measures
• Inspecting water and food sources
FORCE HEALTH PROTECTION MEASURES
Tactical-Level FHP Measures
• obtaining water from approved sources and monitoring water supplies for potability and adequacy
• burying and burning wastes to prevent insect breeding
• obtaining food from approved sources and protecting it during storage and preparation to prevent contamination
• using approved pesticides and vegetation control to reduce arthropod-borne risk
• providing equipment and supplies necessary for personal hygiene and sanitation
• enforcing control measures to prevent injury from environmental extremes
• monitoring the status of FHP measures
FORCE HEALTH PROTECTION MEASURES
Operational-Level FHP Measures
Operational-level Commanders are responsible for ensuring overall co-ordination of FHP within their command, including the protection of supported dependencies
FORCE HEALTH PROTECTION MEASURES
Military Strategic-Level FHP Measures
Health Surveillance
Medical Intelligence
Research and Development
Policies, Doctrine, Plans, Standards and Procedures
DHHAT
Auditing and reporting on implementation of FHP measures
FORCE HEALTH PROTECTION MEASURES
Pre-Emptive FHP Measures
Pre-Deployment Measures:• Awareness of potential health threats; implement appropriate countermeasures
• Training individuals
• Monitoring immunization status
• Availability of FHP-related supplies
Early Deployment Measures:• Controlling arthropod vectors
• Surveillance of water and food sources
• Overall health protection
Subsequent Measures:Formulation of site specific tasks for early implementation
Policies, Directives and Regulations
Force Health Protection Index
http://hr.ottawa-hull.mil.ca/health-sante/pd/idx-fhp-psf-eng.asp
Medical Intelligence
http://hr.ottawa-hull.mil.ca/cfhs/private/op/int/default-eng.asp
Policies, Directives and Regulations
Administration
CFAO’s;http://admfincs.mil.ca/admfincs/subjects/cfao/toc_e.asp
DAOD’s;http://admfincs.mil.ca/admfincs/subjects/daod/intro_e.asp
QR&O’shttp://admfincs.mil.ca/qr_o/intro_e.asp
Policies, Directives and Regulations
Technical Orders
Construction Engineering Technical Orders (CETO’s)
http://admie.ottawa-hull.mil.ca/dgme/CETOs/Active_CETOs_e.htm
Canadian Forces Technical Orders
C-87-040-000/MS-001: Respiratory Protection Program
A-AD-121-F01/JX-000: Manual of Abbreviations
A-AD-121-F02/JX-001: Terminology Manual
A-MD-213-001/FP-001: CF Health Manual
Policies, Directives and Regulations
Federal Acts and Regulations
Public Health Agency of Canada (PHAC)http://www.phac-aspc.gc.ca/index-eng.php
Health Canadahttp://www.hc-sc.gc.ca/index-eng.php
National Joint Councilhttp://www.njc-cnm.gc.ca/directive/oshd-dsst/index-eng.php
Treasury Board Regulationshttp://www.tbs-sct.gc.ca/hr-rh/osh-sst/index-eng.asp
Policies, Directives and Regulations
General Safety
DND General Safety Program; Volumes 1 and 2http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/pp/index-eng.asp
http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/gss-nsg/doc/C-02-040-009-AG-001_e.pdf
Canada Labour Code – Part IIhttp://www.tbs-sct.gc.ca/pubs_pol/hrpubs/tbm_119/clc-cct-eng.asp
Policies, Directives and Regulations
Provincial Regulations
Ministry of the Environmenthttp://www.ene.gov.on.ca/environment/en/resources/index.htm
Service Ontario – E-Lawshttp://www.e-laws.gov.on.ca/navigation?file=home&lang=en
Conclusion