CONTINUING PROMISE 09 After Action Report

1. CONTINUING PROMISE 09After Action Report Antigua and Barbuda 5-16 MAY QUICK LOOK Partnership for the Americas Unclassified / FOUO

2. CONTINUING PROMISE 09Medical (General) • Medical providers from Partner Nations (Canada, El Salvador, Netherlands, Nicaragua, and Dominican Republic), Joint Services (Coast Guard, Navy, Army, Air Force, and USPHS), and NGOs provided medical care at 3 diverse sites. • Preventive medicine at 6 sites • Medical: • 12,639 patient encounters • 42,986 healthcare service encounters • 131 biomedical evaluations and repairs • 13,823 prescriptions filled ashore • 4,609 optometry patients seen ashore • 6,645 pairs of glasses provided Training: Basic Life Support - 226 Advanced Cardiac Life Support - 30 Pediatric Advanced Life Support - 25 Lectures at Hospital - 275 Ultrasound - 42 Pre-Hospital Trauma Life Support - 43 Nursing Seminar - 100 Gerontology at Fine’s Institute - 42 Exercise Therapy - 40 Stress Management Counseling - 25 Informal Health Promotion - 1,060 Partnership for the Americas Unclassified / FOUO

3. CONTINUING PROMISE 09 Medical (Surgery) • Preoperative screening clinic conducted in 3 days at the Multipurpose Center • Donated orthopedic surgery fracture table to Mount Saint John Medical Center • Established working collaborations with local physicians • Participated in evening lecture series at local hospital • Surgical: • 234 patients screened for surgery • 161 surgeries performed aboard COMFORT over 6 operating days Partnership for the Americas Unclassified / FOUO

4. CONTINUING PROMISE 09Dental • Educational partnership with Antigua local dentists • - 6 Antigua Dentists attended a full day educational seminar • aboard: CEREC lecture, hands-on patient demonstrations • COMFORT Hotel patients and escorts: 118 patients = 330 • dental services • Dental: • 2,346 patient encounters accomplished • 5,733 dental services rendered • 2,341 dental exams given • 1,677 fluoride varnishes completed • 908 oral hygiene instructions given • 597 cleanings done • 523 extractions completed • 216 fillings completed Partnership for the Americas Unclassified / FOUO

5. CONTINUING PROMISE 09Veterinary • Met with Director of Department of Agriculture, Host Nation veterinarians, Humane Society, PAAWS, and equine owners to discuss Host Nation goals • Coordinated and worked side-by-side with Host Nation veterinarians and owners • Demonstrated veterinary preventive medicine, safe animal handling, and animal husbandry to Host Nation livestock owners • Veterinary: • - 2,084 animals treated • - 5,770 total veterinary services provided Partnership for the Americas Unclassified / FOUO

6. CONTINUING PROMISE 09Engineering • Mental Hospital project: • Constructed and installed 26 windows • Repaired/replaced 17 door jambs and installed new doors • with locks, repair/replace 75 feet of gutter • Installed 39 florescent light fixtures • Install new panel box and re-wired building to include grounding • Installed 2-inch grey water line from shower/kitchen • Repaired 10 feet of 3-inch grey water line • Painted entire interior/exterior of the building • Project in conjunction with Rotary Club Antigua • Provided engineering subject matter expert exchange • with Antigua Public Works Department Partnership for the Americas Unclassified / FOUO

7. CONTINUING PROMISE 09Strategic Communications • Multiple ceremonies attended by DVs and media • Opening and closing ceremonies • Donated items turnover • DV / media luncheon and tour • Visits by US leadership • Chargé d'Affaires Eastern Caribbean and MILGRP CDR • Informal interaction with Host Nation • Sports day with Antigua Barbuda Defense Force: soccer and cricket • Nurses Week celebration with Antigua Nurses Association • Opening ceremony, community service, training, socials Partnership for the Americas Unclassified / FOUO

8. CONTINUING PROMISE 09Strategic Communications • Visitors: 24 DVs / 426 visitors • COMREL • 4 projects with 60 total volunteers, $688 in materials: Green Bay School, Boys Training School, HIV/AIDS network, senior citizens home • PAO • New strategy: Op-Ed, blogger roundtable, media contest offering tour of COMFORT, SMEs on radio shows • 12 CP09 picture posters displayed at new St John’s Hospital Partnership for the Americas Unclassified / FOUO

9. CONTINUING PROMISE 09Strategic Communications • Band Concerts - Opening/closing/pallet ceremonies - MIL-to-MIL SMEE and concert at Camp Blizzard - Observed steel drum rehearsal - Music/Dental Hygiene Educational Clinic collaboration - Concerts at Heritage Quay - Concerts at Multicultural Center medical site - Participated in service at St. Peter’s Anglican Church - DV event aboard USNS COMFORT Partnership for the Americas Unclassified / FOUO

10. CONTINUING PROMISE 09Strategic Communications • AFSOUTH Band • 16 total events • 3,865 total audience members • Significant audience members: Governor General; Prime Minister; ABDF Chief; Chargé d'Affaires; Chief Medical Officer; Ministers of State, Finance, Agriculture, Tourism, National Security and Tourist • PAO • Media availabilities: 39 • Total media outlets: 71 • Released images / stories / video: 131 / 14 / 102 minutes • Commander’s Blog entries: 6 Partnership for the Americas Unclassified / FOUO

11. CONTINUING PROMISE 09Strategic Communications • 41 total media reports • Print: 30 stories, photos, and cartoons by Antigua and Barbuda two daily newspapers, Antigua Sun and Daily Observer, and online Caribarena • Radio: 9 live interviews/talk shows lasting from 15-40 mins. • TV: 2 live broadcasts on morning shows for 30 mins. • Content: Medical sites, surgeries, DV visits, band performances, NGO donations, Seabees, Nurses Week activities, education training, opening and closing ceremonies. • Tone and sentiment: 23 neutral, 17 positive, 1 negative Partnership for the Americas Unclassified / FOUO

12. CONTINUING PROMISE 09Strategic Communications • Observations - High volume of reporting given the minimal number of media outlets in Antigua and Barbuda - Media reporting communicated high level of support and engagement from HN GOV (PM and some ministerial level) and overall positive impact on HN populace - Limited negative reporting on long waits in line to receive treatment was offset by reports indicating positive overall impact on HN populace, including 3 positive Op-Eds thanking COMFORT medical personnel for treatment Partnership for the Americas Unclassified / FOUO

13. CONTINUING PROMISE 09Strategic Communications • Donations • A total of 70 pallets provided by Project Handclasp, Latter-Day Saints Charities, Project HOPE • Project Handclasp sewing machine donated to Piggotts Women's Group through the Directorate of Women’s Affairs • Donations worth over $350K Partnership for the Americas Unclassified / FOUO

14. CONTINUING PROMISE 09Security and Stability • Nursing SME • Antigua Nurses Association and the School of Nursing onboard for general discussion / ship tour • Antigua Nurses Association Annual Meeting and Education Conference. 14 COMFORT nurses in attendance, 3 presented • 6 Antigua and 6 COMFORT personnel joined to do health care screening and counseling at 3 locations • 40 Antigua nursing students onboard over 5 days with their instructors doing clinical as well as at the Multicultural Center daily. • 10 community leaders and 38 Antigua nurses attended lectures Partnership for the Americas Unclassified / FOUO

15. CONTINUING PROMISE 09Security and Stability • Seabees and Antigua Public Works Department SME • Project planning • Retaining walls and concrete reinforcement • Electrical • General carpentry • Air Force South Band SME • 20 personnel from Antigua and Barbuda Defense Force Band and Air Force South Band discussion and music exchange • Dental SME • 6 local dentists onboard for new technology ceramic crown making demonstration Partnership for the Americas Unclassified / FOUO