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The Continuing Promise 2010 Mission: Lessons from The Eho perspective

LT Racquel Stephenson, MPH, REHS COF Symposium EHO Category Day June 21, 2011. The Continuing Promise 2010 Mission: Lessons from The Eho perspective. Background. Four month duration (July-November 2010) Mission: Provide medical care and infrastructure improvements in eight nations

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The Continuing Promise 2010 Mission: Lessons from The Eho perspective

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  1. LT Racquel Stephenson, MPH, REHS COF Symposium EHO Category Day June 21, 2011 The Continuing Promise 2010 Mission:Lessons from The Eho perspective

  2. Background • Four month duration (July-November 2010) • Mission: • Provide medical care and infrastructure improvements in eight nations • Provide humanitarian assistance and disaster response SMEEs; aid in the event of a disaster

  3. History • 5th mission in four years to the region • Previous missions: • over 270,000 patients treated • numerous infrastructure projects completed • millions of items donated • hundreds of thousands educated Information Source: United States Southern Command: Continuing Promise 2010 (http://www.southcom.mil/appssc/factFiles.php?id=155)

  4. USPHS Involvement • Invited by US Navy • Previous involvement in CP09 • Coordinated by OFRD • OIC: CAPT Maurice Sheehan, FDA

  5. The Amphibious Ship USS Iwo Jima (LHD 7) Information Source: United States Southern Command: Continuing Promise 2010 http://www.southcom.mil/appssc/factFiles.php?id=155)

  6. Background • Diplomatic mission • Direct care and public health • Primary care, optometry, surgery, ob/gyn, dentistry dermatology, pharmacy, veterinary, prev med, health ed • Engineering • Training Information Source: United States Southern Command: Continuing Promise 2010 (http://www.southcom.mil/appssc/factFiles.php?id=155)

  7. Background • Crew: • 1700 U.S. Uniformed Service personnel • DOD • USPHS • NGOs (40+) • International Partners

  8. CP10 PHS 2nd Rotation Costa Rica and Guatemala • PREV MED • CAPT Rossanne Philen, Medical Officer, Translator/ Health Educator, CDC • CDR Carma Ayala, Health Educator/ Translator, CDC • CDR Michael Schmoyer, Health Educator/ Translator, CDC • LT Racquel Stephenson, EHO, ATSDR • DENTAL • CDR Cristino Gavarrete, Dentist, ICE • PHARMACY • LCDR Yon You, Pharmacist, CDC • LT Lisa Tung, Pharmacist, FDA

  9. Daily Life • 12-16 hour days (0530 - 2200) • Meals (Wardroom or MREs) • Transportation • LCU or Helo to/from shore (if no port) • Vans • Clinic hours: 0800 – 1600 • Cleaning stations (if not manifested) • Team briefs • Mission briefs • 2 minute showers! • Drills

  10. Environmental Pharmacy Preventive Medicine Dental Health Education

  11. Preventive Medicine • 4 drinking water facility assessments • 2 solid waste site assessments • 2 safety assessments • 1 restaurant inspection • 3 dw assessments at private establishments

  12. Health Education • Basic hygiene • Point of use drinking water treatment/storage • Vectorborne disease prevention • Chronic disease prevention • CVD • Diabetes

  13. Other Prev Med Activities SMEE Entomology

  14. EHO Lessons Learned • Prev Med • Bring supplies/equipment for chlorine testing • Bring supplies for testing to provide to host nation (HN) • Bring health education materials, preferably ones that are interactive for kids • Limited photocopy/printing • Limited computer access

  15. EHO Lessons Learned • Prev Med cont’d • May be viewed as expert if only EHO • Limited ability to provide concrete/tangible solutions to HN • Awareness and Education • Challenges with follow-up

  16. EHO Lessons Learned • Health • Be prepared for daily exercise • Hot/humid, no AC at clinics • Hydrate • Bring snacks • MREs are tasty at first, but… • Malaria prophylaxis • Stress relief (day off, gym, recreation) • Bring hand sanitizer/wipes and toilet paper

  17. EHO Lessons Learned • Cultural Competency • Attend mission briefs • Pre-conceived ideas about US, HN, and mission • Considerations when approaching HN counterparts • Considerations when devising health education messages/interventions • Bi-lingual team member(s)

  18. Questions?

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