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Learn about the dedicated team of over 6,700 public health professionals delivering health programs and leading emergency responses. Explore the history, mission, and partnerships of the USPHS.
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United States Public Health Service Military Officers Association of America RADM Margaret M. Kitt, MD, MPH Assistant Surgeon General Deputy Director National Institute for Occupational Safety and Health
Overview • Public Health Service is a team of more than 6,700 full-time, well-trained, highly qualified public health professionals • Dedicated to delivering: • The Nation’s public health promotion and disease prevention programs • Advancing public health science • All officers are presidentially appointed • Officers are assigned to over 18 Operating Divisions, 9 US Departments, and over 800 locations worldwide
Overview con’t • Fill essential public health leadership and service roles within the Nation’s Federal Government agencies and programs • Serve by providing essential health care services to underserved and vulnerable populations • Known as America’s Health Responders
USPHS History 1798 - Marine Hospital Service established 1889 - PHS Commissioned Corps officially established by Congress, with rank and pay similar to Navy 1912 - Renamed Public Health Service 1939 - Transferred from the Treasury Department to the Federal Security Agency (now known as the Department of Health and Human Services)
Marine Hospitals • Established by President John Adams • Medical care for merchant seamen • Vital for economic development and national security Castle Island in Boston Harbor was chosen as the temporary site for the first marine hospital-1799
USPHS Commissioned Corps Mission Protecting, promoting, and advancing the health and safety of the nation
USPHS Commissioned CorpsCore Values Leadership Service Integrity Excellence
USPHS Commissioned CorpsLeadership • The Surgeon General is the leader of the Commissioned Corps • U.S. Surgeon General, Vice Admiral (VADM) Jerome M. Adams, M.D., M.P.H. • Reports to the Assistant Secretary for Health • Secretary of the US Department of Health and Human Services • Acting Assistant Secretary for Health Don Wright, M.D., M.P.H.
U. S. Public Health Service • Dual personnel system-civil servants and Commissioned Corp officers • Approximately 60,000 employees • Roughly 6,700 active duty officers (no enlisted) • Serves as a flexible, value-added, human capital asset for Operating divisions positions or initiatives requiring public health expertise.
U. S. Public Health Service • Hold positions in the areas of: • Health care delivery • Disease control and prevention • Biomedical research • Regulation of food, drugs, and medical devices • Mental health and drug abuse
Professional Categories • Dentist • Dietitian • Engineer • Environmental Health • Health Services • Nurse • Pharmacist • Physician • Scientist • Therapist • Veterinarian
HHS Operating Divisions • Agency for Healthcare Research and Quality (AHRQ) • Agency for Toxic Substances and Disease Registry (ATSDR) • Centers for Disease Control and Prevention (CDC) • Food and Drug Administration (FDA) • Health Resources and Services Administration (HRSA) • Centers for Medicare and Medicaid Services (CMS) • Indian Health Service (HIS)
HHS Operating Divisions con’t • National Institutes of Health (NIH) • Office of the Assistant Secretary of Health (ASH) • Office of the Secretary • Program Support Center (PSC) • Substance Abuse and Mental Health Services Administration (SAMHSA) • Office of the Assistant Secretary for Preparedness and Response (ASPR)
Non-HHS Agencies/Programs • District of Columbia Commission on Mental Health Services • Environmental Protection Agency (EPA) • Federal Bureau of Prisons (FBOP) • National Oceanic and Atmospheric Administration (NOAA) • National Park Service (NPS) • U.S. Department of Agriculture (USDA) • U.S. Department of Defense (DoD) • U.S. Department of Homeland Security (DHS) • Division of Immigration Health Services (DIHS) • U.S. Coast Guard (USCG) • U.S. Marshals Service (USMS)
Selected Emergency Response and Deployments Corps officers have been deployed on over 350 missions, some examples: • 2001: 9/11; anthrax attacks • 2004: Indian Ocean tsunami • 2005: Hurricane Katrina/Rita • 2008: Hurricane Gustav/Ike • 2010: Haiti earthquake • 2010: Deepwater Horizon • 2010: Japan earthquake • 2012: Super-storm Sandy
Selected Emergency Response and Deployments con’t • 2013: Boston Marathon bombing • 2014 - 2015: Ebola • 2015: Unaccompanied minors from Mexico • 2016: Zika • 2017: Hurricane Harvey/Irma • Numerous flood/icestorms • Medical outreach to underserved populations
DoD-USPHS Partnership for Psychological Health • Memorandum of agreement signed in 2008 • Initiative was designed to ensure that service members, their families, and veterans receive resources they need by increasing the availability of behavioral health services • Behavioral health officers are detailed to military medical treatment facilities across the Nation to treat service members who are returning from overseas deployment
USPHS Attributes • Corps officers are stationed in nearly every community in the US, including underserved and vulnerable assignments • Active duty 24/7 • Adaptable, mobile, and deployable active duty force ready to meet public health needs and demands • Unique as facilitators and representatives of national health priorities
Differences Between Uniformed and Armed Services • USPHS’s focus is on delivering the Nation’s public health promotion and disease prevention programs and advancing public health science • Non-military uniformed service are not typically trained in arms • Have opportunities to participated in voluntary short-term efforts providing public health emergency response and disaster recovery support
USPHS Distinctiveness • Unique statutory responsibility of being an active duty medical infrastructure of the US Coast Guard and the NOAA Corps • Provides direct medical care to federal prisons and responsibility of being designated law enforcement officers • Only uniformed service with these obligations regarding provision of medical services
USPHS Distinctiveness • In times of war or national emergency, the President has by Executive Order declared the Corps to be a military service • In this status, the Corps constitutes a branch of the land and naval forces of the US and are subject to the Uniformed Code of Military Justice • Corps is the only uniformed service in the world that is • dedicated to public health • Commissioned by the President • Deployed by the HHS Secretary