Environmental Health Engineering Portfolio Opportunities

1. Environmental Health Engineering Portfolio Opportunities Presented by: LTC William Bettin, P.E. Portfolio Director, Environmental Health Engineering Army Institute of Public Health UNCLASSIFIED

2. BRIEFING OUTLINE PURPOSE: To provide an overview of the U.S. Army Public Health Command, and to detail Environmental Health Engineering (EHE) initiatives and opportunities. • Command Overview • EHE Portfolio • EHE Initiatives • Matrixed Public Health Response UNCLASSIFIED

3. Vision World-Class Provider of Public Health Services across DA and DoD. Mission Promote health and prevent disease, injury, and disability of Soldiers and military retirees, their Families, and DA Civilian employees; assure effective execution of full spectrum veterinary services for Army and DoD Veterinary missions. UNCLASSIFIED

4. USAPHC History 1942: Army Industrial Hygiene Laboratory, Johns Hopkins University 1945: Moved to Chemical Warfare Center, Edgewood, MD 1960: Became U.S. Army Environmental Hygiene Agency (USAEHA) 1995: USAEHA formed basis for the U.S. Army Center for Health Promotion and Preventive Medicine (USACHPPM) 2009: USACHPPM became USAPHC (Prov) 2010: USAVETCOM attached to USAPHC 1994: U.S. Army Veterinary Command (USAVETCOM) activated with HQ at Ft. Sam Houston Texas 1980: Army Veterinary Corps became the Executive Agent for DoD Veterinary Service 1973: DCVS positions established within Health Services Command 1916: Army Veterinary Corps established UNCLASSIFIED

5. Breadth of Knowledge Laboratory Animal Veterinarian Veterinary Pathologist Nuclear Medical Science Officer Sanitary Engineer Statistician Health Physicist Geologist Chemist Occupational Health Nurse Safety and Occupational Health Specialist Animal Care Specialist Audiologist Chaplain Medical Laboratory Specialist Meteorologist Psychologist Ergonomist Fire Protection Engineer Physicist Entomologist Dietitian Acoustical Engineer Safety Engineer Wildlife Biologist Medical Officer Dental Officer Social Worker Veterinarian Agronomist Optometrist Toxicologist Epidemiologist Electrical Engineer Marine Biologist Mechanical Engineer Physical Therapist Environmental Engineer Industrial Hygienist Community Health Nurse Clinical Medicine Veterinarian Environmental Law Attorney Preventive Medicine Physician Environmental Scientist Comparative Medicine Veterinarian Environmental Protection Specialist Veterinary Food Inspection Specialist Veterinary Services Food Safety Officer UNCLASSIFIED

6. USAPHC Organizational Structure Executive Agencies** USAPHC Headquarters (Aberdeen Proving Ground, Maryland) FPPM* Armed Forces Health Surveillance Center (National Capital Region) Proponency Office for Preventive Medicine (NCR, APG, Joint Base San Antonio, Texas) Military Vaccine Agency (NCR) PHC Region-South (JB San Antonio, Texas) PHC Region-North (Fort Belvoir, Va.) PHC Region-West (JB Lewis-McChord, Wash.) PHC Region-Pacific (Camp Zama, Japan) PHC Region-Europe (Landstuhl, Germany) Army Institute of Public Health (APG, Md.) Veterinary Lab Europe Technical Public Health Portfolios PHCD-Fort Belvoir, Va. PHCD-Fort Eustis, Va. PHCD-Fort Knox, Ky. PHCD-Fort Carson, Colo. PHCD-San Diego, Calif. PHCD-JB Lewis-McChord, Wash. PHCD-Central Pacific PHCD-Western Pacific PHCD-Korea PHCD-Japan PHCD-Southern Europe PHCD-Northern Europe / Dog Center Europe DOD Military Working Dogs Veterinary Services Food Analysis & Diagnostic Lab PHCD-Fort Hood, Texas PHCD-Fort Gordon, Ga. Branches & Sections Branches & Sections Branches & Sections Branches & Sections Branches & Sections NOTE: Installations specified in parentheses represent the command group location, not units conducting short or long-term split operations, e.g. HQ, PHCR-North, and PHCR-Pacific. * USAPHC commanding general dual-hatted as the Functional Proponent for Preventive Medicine ** Executive agencies receive administrative support from USAPHC, but the Army surgeon general oversees them Color Legend – Level of PH Services Black Major Subordinate Command (V) Grey Executive Agencies Burgundy Regional Command (IV) Tan VETSVC Area or Installation (I-III) UNCLASSIFIED

7. USAPHC Subordinate Commands UNCLASSIFIED

8. AIPH Organizational Structure Army Institute of Public Health (Aberdeen Proving Ground, Md.) Laboratory Sciences (LAB) Portfolio Environmental Health Engineering (EHE) Portfolio Epidemiology & Disease Surveillance (EDS) Portfolio Health Promotion & Wellness (HPW) Portfolio Health Risk Management (HRM) Portfolio Entomological Sciences Professional Medical Education Army Public Health Nursing Health Risk Communication Lab Operations Environmental Health Risk Assessment Water Supply Management Injury Prevention Army Wellness Centers Lab Analytical Surface Water & Waste Water Disease Epidemiology Behavioral Health Operations Lab Consultant Deployment Environmental Surveillance Hazardous & Medical Waste Behavioral & Social Health Outcomes Health Promotion Operations Global Threat Assessment Ground Water & Solid Waste Public Health Assessment Environmental Surveillance Integration Air Quality Surveillance Operational Noise Occupational & Environmental Medicine (OEM) Portfolio Occupational Health Sciences (OHS) Portfolio Toxicology (TOX) Portfolio Veterinary Services (VET) Portfolio Army Hearing Program Radiofrequency / Ultrasound Toxicity Evaluation Clinical Veterinary Medicine Tri-Service Vision Conservation & Readiness Health Effects Research Food Protection Laser/Optical Radiation Health Physics Environmental Medicine Industrial Hygiene Field Services Occupational Medicine Industrial Hyg. Medical Safety Management Surety Medicine Health Hazard Assessment UNCLASSIFIED Ergonomics

9. Mission: Assess, maintain and improve Soldier and Army Community environments to advance readiness, health and sustainability. Environmental Health Engineering (EHE) UNCLASSIFIED

10. EHE Portfolio Capabilities • Expert Response to Environmental Hazards • Matrixed Environmental Health (EH) Characterizations • Multidisciplinary, Full-Spectrum Teams • Air, water, soil, waste, noise, and insects • Influence over DOD Public Health Enterprise • Advise/assist Level I/II (EH) programs • Develop public health guidance and policy • Reimbursed work • Portfolio management UNCLASSIFIED

11. EHE Initiatives for FY12 • Emerging Hazards • New Building Hazards • Air Quality Surveillance – Controlled Burns • Matrixed Response to … • Matrixed Projects • Water Security – Installation AT/FP Efforts • Army Sustainability (Net Zero) Initiatives • HQDA-Requested Environmental Health (EH) Projects • Enterprise Approach • Portfolio Management • Environmental Health Metrics • Installation-Level Programs (water supply, sanitation, medical waste) UNCLASSIFIED

12. Matrixed Public Health Response Healthy Community Healthy Animals Healthy People Healthy Work Places UNCLASSIFIED

13. Situation • Elevated lead in drinking water at Army Arsenal housing (OCT 11) • Lead detected in resident’s blood (NOV 11) • Arsenal Command requested USAPHC support UNCLASSIFIED

14. Matrixed Lead Hazard Assessment • Risk Communication • PH Perspective • Garrison Town Hall • Gather Information • Assess Pb Hazards • Drinking water • Residential Structures • Ambient air quality • Historical land use • Medical surveillance • Consumer products • Recommendations • Follow-up Assessment UNCLASSIFIED

15. Lessons - • Risk Communication • Early and often • Build credibility • Value of Matrixed Public Health Team • Occupational Medicine • Environmental Science • Industrial Hygiene • Local Medical Staff • Garrison Responded Well UNCLASSIFIED

16. Healthy Community Healthy Animals Healthy People Healthy Work Places UNCLASSIFIED

17. Questions? LTC William Bettin, P.E. Environmental Health Engineering Army Institute of Public Health (410) 436-2306/8718 William.bettin@us.army.mil UNCLASSIFIED