U.S. Army Perspective  Occupational Medicine and  Industrial (Occupational) Hygiene “My Story” LTC Dennis Palalay, U.S. Ar...
Overview of U.S Department of  Defense Organizations and Programs <ul><li>Department of Defense </li></ul><ul><li>Army Pre...
Overview of U.S. DoD How We Evolved… 5.3M Strong 1.4 M Active Duty 654K Civilians 1.2M Guard and Reserve 2.0M Retirees and...
 
 
 
 
Department of Homeland Security
Homeland Security
U.S. DoD In Comparison…
U.S. DoD - Couple of Facts <ul><li>More than 450,000 employees are overseas, both afloat and ashore </li></ul><ul><li>5,00...
U.S. Army Preventive Medicine <ul><li>Functional Area of Health Care Delivery </li></ul><ul><li>Component of Force Health ...
U.S. Army Preventive Medicine OBJECTIVES <ul><li>Improvement in beneficiary health </li></ul><ul><li>Reduction in short- a...
U.S. Army Preventive Medicine Programs and Services <ul><li>Disease Prevention and Control </li></ul><ul><li>Field Prevent...
Army Occupational Health <ul><li>The Deputy Assistant Secretary of the Army for Environment, Safety, and Occupational Heal...
Army Occupational Health Programs and Services <ul><li>Medical surveillance examinations and screenings </li></ul><ul><li>...
Army Occupational Health Capability – Professional Disciplines <ul><li>Occupational Medicine Physicians </li></ul><ul><li>...
War Stories Industrial Hygiene Applications in Deployment Occupational and Environmental Health Surveillance Environmental...
My Disaster and Emergency Response Experiences <ul><li>1992 – Floods Mid West U.S. </li></ul><ul><li>1994 – Haitian and Cu...
Mission Statement <ul><li>WHO: USACHPPM SMART-PM </li></ul><ul><li>WHAT: Provide Environmental Health Site Assessment (EHS...
The Deployment Site  Assessment Process <ul><li>Objective - Exposure Pathways </li></ul><ul><li>Pre-deployment activities ...
Exposure Pathways Water Inhalation Deposition Ingestion Soil Ingestion/ Dermal Absorption Dermal Contact Air   Deposition ...
Soldier Occupational Hazard Assessment (SOHA)
Soldier Occupational Hazard Assessment   <ul><li>Ergonomics </li></ul><ul><li>Noise  </li></ul><ul><li>Heat Stress </li></...
The Stryker Family of Vehicles
The Stryker Family of Vehicles
Stryker Variants <ul><li>Infantry Carrier Vehicle (ICV)  </li></ul><ul><li>Mobile Gun System (MGS) </li></ul><ul><li>There...
 
 
Stryker Brigade Combat Team
Stryker Brigade Combat Team
Stryker Brigade Combat Team <ul><li>Provide </li></ul><ul><li>Protection </li></ul>
Stryker Brigade Combat Team
Stryker Brigade Combat Team
Health Hazard Assessment Program <ul><li>To identify, assess, and make recommendations to eliminate or control health haza...
IH Sampling Strategy <ul><li>Active and Passive Sampling Devices </li></ul><ul><li>No Disruption To Mission </li></ul><ul>...
Direct Assessment   Use of Passive Monitor ACT Card Passive Monitor Organic Vapor Monitor Passive Monitors  sampling for C...
Questions?
U.S. Army Perspective  Occupational Medicine and  Industrial (Occupational) Hygiene Mahalo - Thank You! LTC Dennis Palalay...
 
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Occupational Hygiene as a Profession: How Do You Get In and Where Can It Take You?

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LTC Dennis Palalay
U.S. Army Medical Department
Environmental Science and Engineering Officer
18th Medical Command, Deployment Support
Fort Shafter, Hawaii
dennis.palalay@us.army.mil

(Invited, Friday 28, Ilott Room, 1.30)

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  • http://www.airforce-magazine.com/MagazineArchive/Magazine%20Documents/2009/May%202009/0509facts_fig.pdf
  • 2009 Numbers http://www.airforce-magazine.com/MagazineArchive/Magazine%20Documents/2009/May%202009/0509facts_fig.pdf http://www.defense.gov/pubs/dod101/dod101.html#infrastructure
  • Occupational Hygiene as a Profession: How Do You Get In and Where Can It Take You?

    1. 1. U.S. Army Perspective Occupational Medicine and Industrial (Occupational) Hygiene “My Story” LTC Dennis Palalay, U.S. Army Medical Department Environmental Science and Engineering Officer 18 th Medical Command, Deployment Support Fort Shafter, Hawaii [email_address] Occupational Hygiene as a profession How do you get in and where can it take you?
    2. 2. Overview of U.S Department of Defense Organizations and Programs <ul><li>Department of Defense </li></ul><ul><li>Army Preventive Medicine </li></ul><ul><li>Army Occupational Health Program </li></ul><ul><ul><li>General </li></ul></ul><ul><ul><li>Occupational Medicine </li></ul></ul><ul><ul><li>Industrial (Occupational) Hygiene </li></ul></ul><ul><li>War Stories </li></ul>
    3. 3. Overview of U.S. DoD How We Evolved… 5.3M Strong 1.4 M Active Duty 654K Civilians 1.2M Guard and Reserve 2.0M Retirees and Families Receiving Benefits Army Navy 1775 Marines 1790 1947 Coast Guard Air Force War Department (1789) Dept. of Army (1947) Department of the Navy (1798) Dept. of Air Force (1947) Dept. of Defense (1949)
    4. 8. Department of Homeland Security
    5. 9. Homeland Security
    6. 10. U.S. DoD In Comparison…
    7. 11. U.S. DoD - Couple of Facts <ul><li>More than 450,000 employees are overseas, both afloat and ashore </li></ul><ul><li>5,000 different locations or sites, 30 million acres </li></ul><ul><li>Pentagon (DoD Headquarters) - Despite 17.5 miles of corridors it takes only seven minutes to walk between any two points in the building </li></ul>
    8. 12. U.S. Army Preventive Medicine <ul><li>Functional Area of Health Care Delivery </li></ul><ul><li>Component of Force Health Protection </li></ul><ul><li>Anticipation, prediction, identification, surveillance, evaluation, prevention, and control of disease and injuries: </li></ul><ul><ul><li>Communicable diseases </li></ul></ul><ul><ul><li>Vector-, food-, air-, and water-borne diseases. </li></ul></ul><ul><ul><li>OEH-related diseases and injuries </li></ul></ul><ul><ul><li>Disease and non-battle injuries (DNBIs) </li></ul></ul><ul><ul><li>Training injuries </li></ul></ul>Army Regulation 40-5 Preventive Medicine
    9. 13. U.S. Army Preventive Medicine OBJECTIVES <ul><li>Improvement in beneficiary health </li></ul><ul><li>Reduction in short- and long-term health risks </li></ul><ul><li>Reduction of health care costs due to chronic disease and conditions caused by injury </li></ul><ul><li>Improved performance through reduced morbidity </li></ul><ul><li>Improvement in Soldier and other beneficiary self-care capabilities and activities </li></ul><ul><li>Mitigation of the impact of large-scale public health emergencies </li></ul>Army Regulation 40-5 Preventive Medicine
    10. 14. U.S. Army Preventive Medicine Programs and Services <ul><li>Disease Prevention and Control </li></ul><ul><li>Field Preventive Medicine </li></ul><ul><li>Environmental Health </li></ul><ul><li>Occupational Health </li></ul><ul><li>Soldier, Family, Community Health, and Health promotion </li></ul><ul><li>Health Surveillance and Epidemiology </li></ul><ul><li>Preventive Medicine Toxicology and Laboratory Services </li></ul><ul><li>Health Risk Assessment </li></ul><ul><li>Health Risk Communication </li></ul>Army Regulation 40-5 Preventive Medicine
    11. 15. Army Occupational Health <ul><li>The Deputy Assistant Secretary of the Army for Environment, Safety, and Occupational Health provides policy, goals, guidance, and management oversight of the Army Occupational Health Program, as the Army component of the DOD Safety and Occupational Health Program </li></ul><ul><li>Anticipate, identify, assess, communicate, mitigate and control occupational disease and injury threats to Army personnel </li></ul><ul><li>Provided by a variety of professional disciplines </li></ul>Department of the Army Pamphlet 40-11 Medical Services - Preventive Medicine
    12. 16. Army Occupational Health Programs and Services <ul><li>Medical surveillance examinations and screenings </li></ul><ul><li>Health hazard education </li></ul><ul><li>Surety programs </li></ul><ul><li>Reproductive hazards </li></ul><ul><li>Bloodborne pathogens </li></ul><ul><li>Hearing conservation </li></ul><ul><li>Vision conservation and readiness </li></ul><ul><li>Workplace epidemiological investigations </li></ul><ul><li>Ergonomics </li></ul><ul><li>Radiation exposure and medical surveillance </li></ul><ul><li>Industrial hygiene </li></ul><ul><li>Personal protective equipment </li></ul><ul><li>Respiratory protection </li></ul><ul><li>Asbestos exposure control and surveillance </li></ul><ul><li>Injury prevention and control </li></ul><ul><li>Occupational illness and injury prevention and mitigation </li></ul><ul><li>(Work-related immunizations </li></ul><ul><li>Record keeping and reporting </li></ul><ul><li>Worksite evaluations </li></ul><ul><li>Other Federal programs </li></ul><ul><li>Evaluation of occupational health programs and services </li></ul>Department of the Army Pamphlet 40-11 Medical Services - Preventive Medicine
    13. 17. Army Occupational Health Capability – Professional Disciplines <ul><li>Occupational Medicine Physicians </li></ul><ul><li>Aviation Medicine </li></ul><ul><li>Occupational Health Nurses </li></ul><ul><li>Mechanical Engineers </li></ul><ul><li>Facilities/Industrial Engineers </li></ul><ul><li>Industrial Hygienists </li></ul><ul><li>Industrial Hygiene Technicians </li></ul><ul><li>Acoustical Engineers </li></ul><ul><li>Entomologists </li></ul><ul><li>Safety Engineers </li></ul><ul><li>Environmental Science and Engineering Officers </li></ul><ul><li>Health Physics Officers </li></ul><ul><li>Audiologists </li></ul><ul><li>Ergonomists </li></ul><ul><li>Medical Laboratory Specialists </li></ul><ul><li>Preventive Medicine Specialists </li></ul><ul><li>Toxicologists </li></ul><ul><li>Medical Technicians </li></ul><ul><li>Health Risk Communicators </li></ul><ul><li>Epidemiologists </li></ul>
    14. 18. War Stories Industrial Hygiene Applications in Deployment Occupational and Environmental Health Surveillance Environmental Health Site Assessments (EHSAs), Soldier Occupational Hazard Assessments Emergency Response UNCLASSIFIED
    15. 19. My Disaster and Emergency Response Experiences <ul><li>1992 – Floods Mid West U.S. </li></ul><ul><li>1994 – Haitian and Cuban Refugees </li></ul><ul><li>1996 – Ethylene Oxide Leak </li></ul><ul><li>2001 – Terrorist Attack Pentagon </li></ul><ul><li>2001 – Anthrax </li></ul><ul><li>2005 – Hurricane Katrina </li></ul><ul><li>2006 – Alaska </li></ul><ul><li>Heaps of Training Courses and Exercises </li></ul>
    16. 20. Mission Statement <ul><li>WHO: USACHPPM SMART-PM </li></ul><ul><li>WHAT: Provide Environmental Health Site Assessment (EHSA) assistance and training to Preventive Medicine Units in Iraq and provide technical assistance to these units in completing EHSAs for their respective deployment sites </li></ul><ul><li>WHEN: January-May 2006 </li></ul><ul><li>WHERE: Iraq – Major Deployment Sites (25) </li></ul>
    17. 21. The Deployment Site Assessment Process <ul><li>Objective - Exposure Pathways </li></ul><ul><li>Pre-deployment activities </li></ul><ul><li>Site Reconnaissance and Interviews </li></ul><ul><li>Conceptual Site Model (CSM) </li></ul><ul><li>Sampling </li></ul><ul><li>Report </li></ul>
    18. 22. Exposure Pathways Water Inhalation Deposition Ingestion Soil Ingestion/ Dermal Absorption Dermal Contact Air Deposition Source Pathway Receptor Deposition
    19. 23. Soldier Occupational Hazard Assessment (SOHA)
    20. 24. Soldier Occupational Hazard Assessment <ul><li>Ergonomics </li></ul><ul><li>Noise </li></ul><ul><li>Heat Stress </li></ul><ul><li>Diesel Exhaust </li></ul><ul><li>Respirable Dust </li></ul><ul><li>Heavy Metals </li></ul><ul><li>Weapons –Combustion </li></ul>Assessing Occupational Exposure
    21. 25. The Stryker Family of Vehicles
    22. 26. The Stryker Family of Vehicles
    23. 27. Stryker Variants <ul><li>Infantry Carrier Vehicle (ICV) </li></ul><ul><li>Mobile Gun System (MGS) </li></ul><ul><li>There are eight configurations of the ICV including; </li></ul><ul><ul><li>Nuclear, Biological, Chemical Reconnaissance Vehicle (NBC RV); </li></ul></ul><ul><ul><li>Anti-Tank Guided Missile (ATGM); </li></ul></ul><ul><ul><li>Medical Evacuation Vehicle (MEV); </li></ul></ul><ul><ul><li>Mortar Carrier (MC); </li></ul></ul><ul><ul><li>Engineer Squad Vehicle (ESV); </li></ul></ul><ul><ul><li>Command Vehicle (CV); </li></ul></ul><ul><ul><li>Fire Support Vehicle (FSV); </li></ul></ul><ul><ul><li>and the Reconnaissance Vehicle (RV). </li></ul></ul>
    24. 30. Stryker Brigade Combat Team
    25. 31. Stryker Brigade Combat Team
    26. 32. Stryker Brigade Combat Team <ul><li>Provide </li></ul><ul><li>Protection </li></ul>
    27. 33. Stryker Brigade Combat Team
    28. 34. Stryker Brigade Combat Team
    29. 35. Health Hazard Assessment Program <ul><li>To identify, assess, and make recommendations to eliminate or control health hazards associated with the life cycle management of weapons, equipment, clothing, training devices, and materiel systems. </li></ul>
    30. 36. IH Sampling Strategy <ul><li>Active and Passive Sampling Devices </li></ul><ul><li>No Disruption To Mission </li></ul><ul><li>Quick – In and Out, </li></ul><ul><li>No Impact on Force Protection Measures </li></ul>
    31. 37. Direct Assessment Use of Passive Monitor ACT Card Passive Monitor Organic Vapor Monitor Passive Monitors sampling for CO and NO 2 OVM sampling for Toluene Benzene and Xylene
    32. 38. Questions?
    33. 39. U.S. Army Perspective Occupational Medicine and Industrial (Occupational) Hygiene Mahalo - Thank You! LTC Dennis Palalay, U.S. Army Medical Department Environmental Science and Engineering Officer 18 th Medical Command, Deployment Support Fort Shafter, Hawaii [email_address]

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