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Maritime Engagement Missions

Maritime Engagement Missions. CAPT Jim Terbush MC USN Fourth Fleet Surgeon. 1. Maritime Strategy: – Core Capabilities. Forward Presence Deterrence Sea Control Power Projection Maritime Security Humanitarian Assistance and Disaster Response (Smart Power). Purpose.

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Maritime Engagement Missions

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  1. Maritime Engagement Missions CAPT Jim Terbush MC USN Fourth Fleet Surgeon 1

  2. Maritime Strategy: – Core Capabilities • Forward Presence • Deterrence • Sea Control • Power Projection • Maritime Security • Humanitarian Assistance and Disaster Response (Smart Power)

  3. Purpose The purpose of these missions is to train U.S. personnel while providing humanitarian assistance to our Host Nations and send a strong message of U.S. compassion. 3

  4. Endstates • Security, stability and cooperative partnerships are enhanced throughout the region and countries visited. • U.S. personnel are trained and postured to return and conduct future humanitarian support and disaster relief missions. 4

  5. PACIFIC PARTNERSHIP USNS MERCY (T-AH 19) anchored off the coast of Chuuk, Federated States of Micronesia

  6. PACIFIC PARTNERSHIP 2009 Pearl Harbor 8-9 June 24-25 Sep San Diego Marshall Islands 17 - 28 June Kiribati 1 – 14 July Samoa 5 – 16 Sep Solomon Islands 30 July – 12 Aug Cairns 23 – 26 July New Caledonia 16 – 19 Aug Tonga 22 Aug – 2 Sep

  7. PACIFIC PARTNERSHIP 2006-2009 PP10 Bangladesh Cambodia East Timor Indonesia Kiribati Marshall Islands Micronesia New Caledonia Palau Papua New Guinea Philippines Solomon Islands Samoa Tonga Vietnam CP10 Legend MERCY 06 PP 09 PP07 MERCY 10 MERCY 08 7

  8. A young patient onboard USNS MERCY walks for the first time in seven years after surgery on his leg: Republic of the Philippines Photo: Department of the Navy/Department of Defense collection

  9. CONTINUING PROMISE Missions The U.S. Navy Amphibious Assault Ship USS Kearsage (LHD 3)

  10. CONTINUING PROMISE 2009 Norfolk, VA Miami, FL 4-6 Apr Ft. Lauderdale, FL 26-28 Jul Port Au Prince, Haiti 9-20 Apr Santo Domingo, Dominican Republic 21 Apr – 2 May La Union, El Salvador 21 Jun – 2 Jul St Johns, Antigua 5-16 May Corinto, Nicaragua 3-14 Jul VBN, Panama 18-21 Jul Cartagena, Columbia 20-23 May Colon, Panama 24 May-2 Jun Tumaco, Columbia 6-17 Jun UNCLASSIFIED//FOUO 10

  11. CP-09 deliverables • Continuing Promise 2009 services provided: • Patients treated: 100,049 • Surgeries conducted: 1,657 • Prescriptions filled:    135,000 • Dental patients: 15,003 • Animals treated: 13,238   • Seabee’s construction projects; 13 complete

  12. Continuing Promise Countries Visited 2007-2009 CP10 Bahamas Barbados (Lesser Antilles) Belize Brazil Chile Colombia Costa Rica Dominican Republic Ecuador El Salvador Guatemala Guyana Haiti Honduras Jamaica Nicaragua Panama Peru Suriname Trinidad & Tobago Uruguay Mexico CP10 12

  13. Hospital ship USNS Comfort (T-AH 20) receives supplies from the supply ship USNS Peary

  14. LHD Characteristics • Cargo Handling • 1X 40-ton aircraft elevator aft • 1X 20-ton aircraft elevator port • Vehicle Square: 28,700 sq ft • Cargo Cube: 156,000 cu ft • 5X Centerline cargo elevators • 1X Longitudinal pallet conveyor • 2X 3-ton Monorails • Helicopter Deck • Nine spots • Hangar deck • 43X CH-46 equivalents • Well Deck • 249 ft L x 76 ft W x 26 ft 8 in H • 4X LCU • Ship's Boats • 2X Mk-12 36 ft LCPLs UNCLASSIFIED//FOUO 14

  15. Expected Medical Capabilities Direct provision of medical care: General and specialty surgical care Primary care for children and adults Consultative care for children and adults Obstetrical/Gynecological consultative care Dental Care Ophthalmologic services (e.g. cataracts) Optometry services (glasses) Public Health initiatives: Immunization services De-worming Food and water system assessments Structural assessments Assistance in setting up public health systems Veterinary services Epidemiologic/Public Health consultation (i.e. assistance in Avian Influenza preparedness) 15

  16. Expected Medical Capabilities Infrastructure support: Basic biomedical repair Engineering assessments Water/sewer system assessments Structural assessments IM/IT and COMS assessment/support Medical/nursing education: Grand rounds -- mutual education with training in both directions (tropical medicine being one example) Mid-wife training Basic nursing skill training Veterinary services Large animal focus – livestock/food chain Care and immunizations Working Animals 16

  17. Cooperative Surgery with Dominican medical staff on board the USS Kearsarge: CARIBBEAN SEA Photo: Department of the Navy/Department of Defense collection

  18. Engineering Capabilities Broad range of capabilities: Building repairs and improvements examples - clinic or school rehab projects New construction (small projects) example - pump house Pier repair Road repair/construction Runway repair Drainage projects, trenching etc. 18

  19. NGO Partners Development experience Cultural and language skills From the American people CP-07 International Aid donated $111,000 worth of medical supplies, Hugs Across America donated 600 teddy bears, Lion’s Club International donated 30,000 pairs of eyeglasses, PAHO donated $20,000 worth of sealants and varnishes, Project Hope donated $3.4 million in vaccines, medical supplies and books

  20. What We Measure Physical Impacts Outputs and outcomes of the engagement activities Medical Treatments, Engineering Projects, Training Classes Increase in capability and/or capacity resulting from a training event Impacts on Attitudes Change in attitude towards the U.S. or U.S. Military Essentially encompasses different intended audiences: National/Regional/Local officials HN Armed Forces HN Populations Participating PN and NGOs/PVOs Impacts on Behaviors Change in behavior resulting from a change in attitude due to the mission Very difficult to measure since there is no clear cause and effect link and these likely take awhile to become observable 20 20

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