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UNCLASSIFIED//FOUO
Demonstrated Values and Obstacles in Global
Health Engagements USPACOM
COL John Teyhen
USPACOM Global Health
1 December 2016
[email protected]
Overall classification of this brief is:
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Disclosures
• The views and opinions expressed in this presentation are those of the
author and do not necessarily reflect the official policy of the Department
of Defense, U.S. Pacific Command, or the Department of the Navy.
• The presenter has no financial relationships to disclose.
• This continuing education activity is managed and accredited by
Professional Education Services Group in cooperation with AMSUS.
• Neither PESG,AMSUS, nor any accrediting organization support or
endorse any product or service mentioned in this activity.
• PESG and AMSUS staff has no financial interest to disclose.
• Commercial support was not received for this activity.
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Learning Objectives
• At the conclusion of this presentation, the participant will be able to:
– Gain a basic understanding of what the demonstrated values of
conducting Global Health Engagements in the USPACOM are.
– Gain a basic understanding of what the demonstrated obstacles of
conducting Global Health Engagements in the USPACOM AOR are.
– Have an understanding of characteristics of the USPACOM AOR.
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USPACOM Characteristics
• Over half of world
population (3.43 B)
• 52% of Earth’s surface
• 36 countries
• 16 time zones
• Most populous nation
CENTCOM
• Largest democracy
• Largest Muslimmajority
• Smallest republic
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EUCOM
PACOM
2 of 3 largest economies
9 of 10 smallest economies
World’s 6 largest armed forces
5 of 7 U.S. Mutual Defense
NORTHCOM
Treaties
• 5 declared nuclear nations
• Busiest international sea lanes
• 9 of 10 largest ports
SOUTHCOM
AFRICOM
U.S. Forces (AC/RC)
• PACFLT
• PACAF
• USARPAC
• MARFORPAC
• SOCPAC
• DRUs / SUB-Us
• Total Forces:
~ 410K
The Pacific Ocean connects the United
States to the region… it doesn’t separate us
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USPACOM Vision and Mission
• Vision: The Indo-Asia-Pacific region is stable, prosperous, and
characterized by a rules-based international order with the United States
as the security partner of choice.
• Mission: USPACOM protects and defends, in concert with other U.S.
government agencies, the territory of the United States, its people, and its
interests. With allies and partners, we will enhance stability in the IndoAsia-Pacific region by promoting security cooperation, responding to
contingencies, deterring aggression, and, when necessary, fighting to
win.
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USPACOM Priorities
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Defend the Homeland
Be Ready to Fight Tonight
Lead the Rebalance
Have Unity of Purpose
Operationalize Theater Command and Control
Optimize Our Organization
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USPACOM Command Surgeon’s Priorities
• Support to the Warfighter
• Global Health Engagement
• Work with Components
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USPACOM Health Lines of Effort
Operational Medicine
• First Responder Training/Trauma Casualty Care
• Medical Support to HA/DR
• Naval / Undersea Medicine
• Aerospace Medicine
• Patient Movement: CASEVAC, MEDEVAC, AIREVAC
Public Health / Force Health Protection
• Malaria/Dengue
• Emerging Infectious Disease
• Biosurveillance/Lab Capacity Building
• One Health (Animal, Human, Environmental)
Health System Strengthening
• Blood Safety Program
• Medical Education Support
• Maternal & Child Health
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USPACOM Partners for Health
Australia
Philippines Thailand
New Zealand Indonesia Laos
Vietnam
Malaysia
China
Bangladesh Sri Lanka Maldives
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Japan
S. Korea
Singapore Cambodia
Nepal
Brunei
India
Tonga
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USPACOM Health Engagements
Oct 2013 to Oct 2016
Region
# of Events
Countries
China, Japan, Mongolia, South
Korea, Taiwan
Northeast Asia
48
Southeast Asia
181
South Asia
48
Bangladesh, India, Maldives,
Nepal, Sri Lanka
Oceania
45
Australia, Fiji, FSM, Kiribati, New
Zealand, PNG, RMI, Samoa,
Solomon Islands, Tonga
Brunei, Burma, Cambodia, India,
Indonesia, Laos, Malaysia,
Philippines, Singapore,
Thailand, Vietnam
322 in three years
Types of Engagements
Blood Program
Disaster Response Exercise & Exchange
Malaria Reduction
Field Training Exercise
Pacific Angel / Pacific Partnership / Pacific Pathways
Senior Leader Visit
Subject Matter Expert Exchange
First Responder Training
J07 Engagements
 Asia Pacific Military Health Exchange (APMHE)
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Veterinary
Workshop / Seminar / Meeting
International Committee of Military Medicine (ICMM)
Center for Strategic and International Studies (CSIS)
Uniformed Services University of Health Sciences (USU)
Naval War College
Association of Military Surgeons of the United States (AMSUS)
Regional Malaria Meeting (Cambodia)
Global Fund Malaria Meeting (Vietnam)
Visits to Australia, Burma, India, Japan, Malaysia, Philippines,
South Korea, Singapore, Thailand, Vietnam
Hosted SGs from India, Indonesia, PRC, Singapore, Taiwan,
Thailand in last three years
Key senior leader engagements build relationships and open doors
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Global Health Engagement Values
• Supports the USPACOM CDRs Priorities
• Mil to Mil Interoperability
• Builds Capacity
• Peacetime to Crisis mode preparedness
• Serves as a synchronizer between the components
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Global Health Engagement Obstacles
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Synchronization
Politics
Travel – Distance
Competing Interests
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Success Story - Asia Pacific Military Health Exchange
• Asia Pacific Military Health Exchange (APMHE) 16 held in Malaysia in August 2016,
co-hosted by PACOM Surgeon & Malaysia Armed Forces Health Services Director
General
• 491 participants from 28 countries, E-4 to O-9
• Plenary sessions included Multilateral Health Engagement, Global Health Security
Agenda, and Recent Advances and Emerging Issues
• Service-specific Breakouts (Land Forces, Aviation, Maritime Forces)
• Corps-specific Breakouts (Medical-Dental, Nurse, Medical Service, Public Health,
Veterinary, Medical NCO)
• APMHE 17 in Singapore, 23-36 May 2017
• APMHE 18 in China, date TBD
Success Story – Blood Program
• FY16 Cambodia Blood Safety Program:
 Grand Opening: Provincial Blood Transfusion Center, Honorable
Guests: Cambodia Minister of Health; US Ambassador; USARPAC
Deputy Commander; CDC Deputy Country Director;
representatives from the US Navy Research Unit 2; and
USPACOM Joint Blood Program Officer
 Site Visits: Preahket Mealea Military Hospital and National Blood
Transfusion Center
 Workshops: Blood Transfusion Safety attended by Doctors,
Nurses, and Medical Laboratory Technicians from across
the country and various organizations
• FY16 Lao Blood Safety Program:
 Frozen Blood Technology introduction and training was
successfully implemented which needs future assessments by the
JBPO for continue support to improve process.
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Conclusion
• USPACOM Global Health Engagement Mission contributes to
achievement of National Security End States
• Global Health Engagement Serves as a Critical Enabler for
Security Cooperation
• Global Health Engagement values far outweigh obstacles
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Obtaining CME/CE Credit
• If you would like to receive continuing education credit for this
activity, please visit:
http://amsus.cds.pesgce.com