EO 001.03 Identify Applicable Policies, Agreements and Understandings.

EO 001.03

Identify Applicable Policies,

Agreements and Understandings

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REFERENCES

1. CF H Svcs G – Force Health Protection (D FHP)

http://hr.ottawa-hull.mil.ca/health-sante/pd/idx-fhp-psf-eng.asp

2. Medical Intelligence http://hr.ottawa-hull.mil.ca/cfhs/private/op/int/default-eng.asp

3. CFAOshttp://admfincs.mil.ca/admfincs/subjects/cfao/intro_e.asp

4. DAODshttp://admfincs.mil.ca/admfincs/subjects/daod/intro_e.asp

5. QR&Oshttp://admfincs.mil.ca/qr_o/intro_e.asp


http://hr.ottawa-hull.mil.ca/cfhs/private/op/int/default-eng.asp

http://admfincs.mil.ca/admfincs/subjects/cfao/intro_e.asp

http://admfincs.mil.ca/admfincs/subjects/daod/intro_e.asp

http://admfincs.mil.ca/qr_o/intro_e.asp

REFERENCES

6. Health Canadahttp://www.hc-sc.gc.ca/index-eng.php

7. Public Health Agency of Canadahttp://www.phac-aspc.gc.ca/index-eng.php

8. Health Services Support to CF Operations; B-GJ-005-410/FP-000

http://cfd.mil.ca/websites/Resources/dgfda/Pubs/CF%20Joint%20Doctrine%20Publications/CF%20Joint%20Doctrine%20-%20B-GJ-005-410%20FP-000%20-%20Health%20Services%20-%20EN%20(10%20Feb%2007).pdf

9. Canada Labour Code, Part IIhttp://www.hrsdc.gc.ca/eng/labour/health_safety/overview.shtml

http://www.hc-sc.gc.ca/index-eng.php

http://www.phac-aspc.gc.ca/index-eng.php





http://www.hrsdc.gc.ca/eng/labour/health_safety/overview.shtml

REFERENCES

10. D Safe G, General Safety Program

Volume 1; A-GG-040-001/AG-001

http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/pp/index-eng.asp

Volume 2; C-02-040-009/AG-001

http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/gss-nsg/index-eng.asp

11. Construction Engineering Technical Orders (CETO)

http://admie.ottawa-hull.mil.ca/dgme/CETOs/Active_CETOs_e.htm







AGENDA

1. Doctrine

2. Principles of H Svcs Sp

3. General

4. CFHS Mission

5. Functions

6. Organization

7. Force Health Protection (D FHP)

8. Policy Overview

AIM

As a Preventive Medicine Technician, you must be able to research policies, agreements and understandings and apply them throughout

your military career

DOCTRINE

Doctrine provides the fundamental tenets for the employment of military forces

The CF uses

a. CF Doctrine when under CF control;

b. NATO Doctrine when under NATO control; and

c. other doctrine only when specifically approved

DOCTRINE

Plans and operations will be based on approved doctrine

Health services support (HSS) doctrine sets out the principles that guide the employment of the CF Health Services (CF H Svcs) and describes the capabilities and organizations necessary for effective HSS.

PRINCIPLES OF HEALTH SERVICES SUPPORT

CONFORMITY

HSS must conform to the constraints imposed by the physiology and pathology of the sick and injured, and be governed by the highest standards of medical and dental practice and ethics.

HSS planners ensure adequate support at the right time and

the right place.


PROXIMITY

The speed with which treatment is initiated is extremely important in reducing morbidity and mortality. HSS therefore involves appropriate positioning of resources, moving resources as necessary to maintain appropriate proximity to the supported forces, and providing for rapid evacuation of the sick and injured.

The efficient allocation of resources and the judicious location of treatment facilities should optimize access to treatment.


FLEXIBILITY

Detailed and carefully planned HSS helps to ensure minimum reaction time.

Flexibility essential for rapid response should be maintained by committing only the HSS resources that are required for current or imminent tasks.


MOBILITY

Treatment units should retain mobility as long as possible.

Mobility is measured by the extent to which a unit can move its personnel and equipment with organic transportation.


CONTINUITY

Treatment must be continuous and progressive to the level necessary for the definitive treatment of the sick and injured to minimize mortality and morbidity.

The operations of essential treatment facilities should not be terminated until their functions have been assumed by another facility.


CONTROL

Control of HSS resources should be exercised at the highest level possible to ensure that all HSS requirements are considered and that resources are used efficiently.

Effective control of HSS resources depends on the timely exchange of accurate information between commanders and staffs.

Framework for Health Services Support

GENERAL

CF members have their health protected, promoted, and restored in accordance with the principles expressed in the Canada Health Act.

The levels of health care accessibility and quality of health care afforded CF members are to be comparable to those afforded all Canadians


GENERAL

Commander CF Health Services Group

Responsible to the CDS for provision of an all encompassing single line of HSS that equally applies to the CF’s Regular Force and Reserve Force components


GENERAL

1. In-garrison HSS in accordance with the CF Spectrum of Care;

2. Operational HSS to maritime, land, air and special ops;

3. Specialized individual medical training;

4. HS logistics;

5. FHP services;

6. Support to CF environmental medicine;


GENERAL

7. Military Strategic-Level HSS planning & coordination;

8. Medical Intelligence;

9. CF health policies & Programs; and

10. CF H Svcs regulatory affairs.


GENERAL

The mandate of the CFHS is to provide the HSS necessary to sustain a multi-purpose, deployable, combat capable force across the full spectrum of military scenarios.

Professional, effective, responsive, relevant and efficient in-garrison HSS and HSS to deployed operations is provided through a strong framework of professional standards and a single corporate management entity.

CF H SVCS MISSION

The mission of the CF H Svcs Gp is to

Promote Health protection

Deliver quality HSS to the CF

ANYTIME

ANYWHERE

FUNCTIONS

Functions inherent in CF H Svcs Gp mission accomplishment encompass:

developing, implementing, and maintaining HSS accountability frameworks;

developing, implementing, and sustaining programs for the prevention of preventable injuries and illnesses to protect CF members and meet the requirements of CF operations;

developing, implementing, and sustaining HSS structures and capabilities that ensure continuity of care to CF members; and

ensuring the sustainability of the CF H Svcs.

ORGANIZATION

CF H Svcs Gp

1. Commander;

2. National –Level Headquarters;

3. H Svcs Gp’s and Centres;

4. Deployable Health Hazard Assessment Teams (DHHAT);

5. Joint Operations Gp HSS Detachment;

6. 1 Canadian Field Hospital;

7. Environmental Medicine Establishment;

8. CF Health Services Training Centre; and

9. Central Medical Equipment Depot

MEDICAL PROF TECH NETWORK

The CF Medical “Prof Tech Net” is based on the concept of centralized control and decentralized execution

Surg Gen develops the military strategic-level direction

Translated into Policy actions by CF H Svcs Gp HQ

‘Pushed’ to operational and tactical level for implementation

At each level personnel are able to obtain supervision and mentoring from an identified Sr Prof Tech person

FORCE HEALTH PROTECTION

Introduction

Force Protection (FP) involves the protection of personnel, facilities and equipment in all locations

Physical and Operational Security;

Safety; and

Health.


Introduction

Prevention of disease and injuries is the most efficient means of providing commanders with the maximum number of health soldiers.

The health threat accounting for the vast majority of non-effectiveness is comprised of six main categories:

1. Heat Injures 4. Cold Injuries

2. Arthropod Diseases 5. Diarrheal Diseases

3. Trauma Injuries 6. Occupational Injuries


Introduction

Conditions conducive to incidents of preventable injuries and illnesses should be reduced to protect members and to meet the requirements of operations

individual members

CF Chain-of-Command

tactical level

strategic level

specialist elements


General

FHP aims at the efficient mitigation of

preventable injuries and illnesses

to both protect CF members and meet the

requirements of

CF Operations


General

Based on a national-level planning capability, a deployable strategic health threat and risk assessment capability and operational and tactical level prevention and promotion capabilities.

The CF centre of expertise in each of the specialized disciplines (5) of FHP

Staffed with Preventive Medicine Technicians and health promotion-oriented professionals


General

Epidemiology

the conduct of evidence-based studies pertaining to operational, occupational and clinical medicine;

disease and injury surveillance, globally investigations of outbreaks within the CF; and

maintenance of morbidity and mortality databases


General

Communicable Disease Control

infectious disease control;

hygiene and sanitation;

pest control;

travel hazards; and

reportable disease control


General

Occupational & Environmental Health

occupational health hazard exposures

environmental health hazards

toxicology


General

Health Promotion

enhancing wellness;

eliminating high-risk behaviours;

stress management

addiction

lifestyle

injury prevention


General

Operational Medicine

occupational hazards specific or unique to military operations:

Medical Intelligence


Assessments

Epidemiological surveillance and health reporting;

Medical information collection and intelligence;

Preventive Medicine services; and

Health education and promotion for deploying personnel


Pre-Deployment HSS Readiness Assessment

Overall health readiness status of personnel;

Epidemiological surveillance data collection and reporting; and

Selected Preventive Medicine re-enforcement training


Morbidity Surveillance and Casualty Reporting

Disease surveillance function serves as a key indication of force health status and as a key warning system or sentinel to trigger further investigation, preventive countermeasures, or other command action to reduce the adverse impacts of health threat.

Provides an estimate of the impact – manpower and working days losses of disease occurrence



Morbidity surveillance involves the monitoring, collection and evaluation of illness/injury data on all deployed personnel who report for medical treatment, both on an outpatient and inpatient basis;

Runs in conjunction with other national reporting systems, where relevant findings are reported as feedback;

Availability of reliable, quantitative planning and resource allocation data and useful trend analysis by illness and injury category



Through the quantitative identification of causes of morbidity and qualitative measuring of their effect, an evaluation of both occurrences and consequences may be derived

Findings may then be used to support appropriate response actions, both in the short and long term


Preventive Medicine Measures

Essential element of force employment

Implementation during the warning and preparation phases and continues throughout the operation and extends well into the post-operation period

Involves all personnel

personal protective measures

trained accordingly



Disease and non-battle injuries will be ever present risks to personnel;

HSS plans should include provision for Preventive Medicine and the means to effectively implement them;

Operations plan execution requires a close collaboration of Preventive Medicine and all other aspects of FHP programs.



Identifying the risks and threats to the health of all personnel deployed in a specific area of operations from terrain, climate, endemic disease and special environmental and occupational hazards;

Advising on and auditing the quality of food and water;

Auditing and supervising implemented Preventive Medicine measures



Identifying necessary preventive and controlling measures and advising commanders on their implementation

development of immunization policies

appropriate training of personnel

prevention of food borne diseases

prevention of waterborne diseases

prevention of arthropod diseases



Gathering of epidemiological and other technical statistics and information

Advising commanders on the overall health threat and risks and the limitations they may place on operations


Preventive Medicine Requirements

Medical Information and Intelligence

The single most essential requirement of Preventive Medicine is the source of prompt, usable medical information and intelligence

Information and intelligence should be accurate and its source sufficiently dynamic to inform the user quickly of threat changes



Immunizations, Education and Training

Resources will include

provision for immunizations

advice on training

prevention of disease and non-battle injuries

prophylactic medical material

spectrum of mission specific dependent support measures



Laboratory Capabilities

Surveillance and assessment of environmental health risks

sampling and analysis for food and water contamination

air and soil contamination


Spectrum of Preventive Medicine Duties

Preventive Medicine Services

enhance unit effectiveness by

reducing the exposure of personnel to

disease and environmental and

Industrial hazards

Dependant for success upon the awareness and

support of commanders at all levels



Assisting in the control of animal-borne diseases, including technical consultation, entomological surveillance and the reinforcement of unit organic spraying/dusting capabilities

Assisting in the control of water-borne diseases, including water quality, surveillance of water purification facilities and technical consultation in treating water under all operational conditions



Assisting in controlling food-borne diseases, including surveillance of kitchens and dining facilities

Assisting in de-infestation procedures for ships, aircraft, vehicles and back loaded cargo and equipment

Professional supervision of immunization and drug prophylactic activities for the prevention or suppression of communicable diseases



Assisting in controlling excessive occupational exposures to such hazards as ionizing and non-ionizing radiation, toxic gases, noise and environmental and climatic extremes

Assisting in identifying and investigating disease outbreaks and advising on appropriate measures to prevent recurrences

Advising on medical aspects of CBRN



Educating personnel in appropriate hygiene and sanitation practices

Technical consultation concerning the selection and development of bivouac sites, refugee camps and POW holding areas

Technical consultation in renovating or repairing public utilities of towns and villages



Professional and technical advice to commanders at all levels on measures to reduce non-effectiveness from sickness and injury

Surveillance of military environments in general to detect and identify actual or potential health hazards and to formulate suitable means for minimizing their effects


Preventive Medicine Responsibilities

Command Responsibilities

CF H Svcs Responsibilities

Other ResponsibilitiesEngineers

Logistic Services

Unit personnel

FORCE HEALTH PROTECTION MEASURES

Individual FHP Measures

Heat Injuries: consuming sufficient quantities of water at frequent intervals and using work/rest cycles as directed

Cold Injuries: wearing proper clothing, changing socks, using care in handling fuel, avoiding cold metal contact and exercising limbs to keep warm

Pest Control: using insect repellents, taking prophylactic measures and wearing operational clothing properly


Individual FHP Measures

Enteric Disease: using approved disinfectants whenever the potability of water is uncertain, eating only approved foods and burying wastes

Skin Disease: practising good personal hygiene and washing as practicable as possible

Injury: wearing appropriate protective clothing and devices and taking appropriate precautions


Tactical-Level FHP Measures

Tactical- level formations and major units have PMed Tech’s attached

Tactical commanders are responsible for implementing FHP measures

• ensuring command awareness of the health threat and its risks

• incorporating FHP collective protection measures into orders

• ensuring maintenance of immunizations and prophylactic measures

• Inspecting water and food sources


Tactical-Level FHP Measures

• obtaining water from approved sources and monitoring water supplies for potability and adequacy

• burying and burning wastes to prevent insect breeding

• obtaining food from approved sources and protecting it during storage and preparation to prevent contamination

• using approved pesticides and vegetation control to reduce arthropod-borne risk

• providing equipment and supplies necessary for personal hygiene and sanitation

• enforcing control measures to prevent injury from environmental extremes

• monitoring the status of FHP measures


Operational-Level FHP Measures

Operational-level Commanders are responsible for ensuring overall co-ordination of FHP within their command, including the protection of supported dependencies


Military Strategic-Level FHP Measures

Health Surveillance


Research and Development

Policies, Doctrine, Plans, Standards and Procedures

DHHAT

Auditing and reporting on implementation of FHP measures


Pre-Emptive FHP Measures

Pre-Deployment Measures:• Awareness of potential health threats; implement appropriate countermeasures

• Training individuals

• Monitoring immunization status

• Availability of FHP-related supplies

Early Deployment Measures:• Controlling arthropod vectors

• Surveillance of water and food sources

• Overall health protection

Subsequent Measures:Formulation of site specific tasks for early implementation

Policies, Directives and Regulations

Force Health Protection Index



http://hr.ottawa-hull.mil.ca/cfhs/private/op/int/default-eng.asp


Administration

CFAO’s;http://admfincs.mil.ca/admfincs/subjects/cfao/toc_e.asp

DAOD’s;http://admfincs.mil.ca/admfincs/subjects/daod/intro_e.asp

QR&O’shttp://admfincs.mil.ca/qr_o/intro_e.asp


Technical Orders

Construction Engineering Technical Orders (CETO’s)


Canadian Forces Technical Orders

C-87-040-000/MS-001: Respiratory Protection Program

A-AD-121-F01/JX-000: Manual of Abbreviations

A-AD-121-F02/JX-001: Terminology Manual

A-MD-213-001/FP-001: CF Health Manual


Federal Acts and Regulations

Public Health Agency of Canada (PHAC)http://www.phac-aspc.gc.ca/index-eng.php

Health Canadahttp://www.hc-sc.gc.ca/index-eng.php

National Joint Councilhttp://www.njc-cnm.gc.ca/directive/oshd-dsst/index-eng.php

Treasury Board Regulationshttp://www.tbs-sct.gc.ca/hr-rh/osh-sst/index-eng.asp


General Safety

DND General Safety Program; Volumes 1 and 2http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/pp/index-eng.asp

http://www.vcds.forces.gc.ca/dsafeg-dsg/pd/sm-msg/gss-nsg/doc/C-02-040-009-AG-001_e.pdf

Canada Labour Code – Part IIhttp://www.tbs-sct.gc.ca/pubs_pol/hrpubs/tbm_119/clc-cct-eng.asp


Provincial Regulations

Ministry of the Environmenthttp://www.ene.gov.on.ca/environment/en/resources/index.htm

Service Ontario – E-Lawshttp://www.e-laws.gov.on.ca/navigation?file=home&lang=en

Conclusion

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EO 001.03 Identify Applicable Policies, Agreements and Understandings.

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