Operation Continuing Promise Atlantic

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Operation Continuing Promise Atlantic 08USS
KEARSARGE Enhancing Stability through
Partnership
Commodore Frank Ponds Mission Commander
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CONTINUING PROMISE- 08
PHASE II ATLANTIC CENTRAL/SOUTH
AMERICA CARIBBEAN 6 Aug to 2 Dec 08
PHASE I PACIFIC 30 Apr to 26 Jun 08
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KEARSARGE 06 Aug 02 Dec (118) HA Port
70 days HA/DR 19 days
3-16 Oct Dominican Republic
11 25 Aug Nicaragua
8 - 26 Sep Haiti
25 Oct 7 Nov Trinidad Tobago
17-21 Oct Curacao
CANCELLED 16-29 SEP Panama
27 Aug 9 Sep (6 Sep) Colombia
MED - Animals Treated 5,672 ENG - Projects
28 Professional Exchanges 51 COMREL
Events 24 Total Encounters
199,504 MED - Patients Treated 47,940
9 22 Nov Guyana
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COMMAND ELEMENTS
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CONTINUING PROMISE- 08

• COMPHIBRON 8
• Staff Judge Advocate (JAG)
• LINGUIST (USAF)
• AIR COORDINATORS

• USS KEARSARGE
• 1,000 Crew

• PUBLIC AFFAIRS
• MILITARY CIVIL AFFAIRS
• PUBLIC AFFAIRS
• COMBAT CAMERA CREW

• MEDICAL
• FLEET SURGICAL TEAM
• USN
• USA
• USAF
• US PUBLIC HEALTH SERVICE
• CANADA
• BRAZIL
• NETHERLANDS
• FRANCE

• AIR
• HELICOPTERS
• - 2 x USN MH 60s
• - 6 x USMC CH 53s

• NGO
• PROJECT HOPE
• OPERATION SMILE
• INTERNATIONAL AID

• AMPHIB
• LANDING CRAFT
• - 2 x LCM
• - 1 x LCU

• ENG
• AIR FORCE (Prime Beef)
• NMCB (See Bees)

1,500 Team Members - 250 Medical - 60 Engineers
Expeditionary Joint, Combined, Interagency
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Medical /Engineering Capabilities

• MEDICAL CAPACITY
• Doctors, Dentists, Optometrists,
  Ophthalmologists, Veterinarians, Specialists,
  Pharmacists, Dieticians
• General Surgery
• Primary Care
• Specialty Care (Dermatology, Pulmonologist,
  Nephrology)
• Preventive Medicine
• Occupational /Physical Therapy
• Pharmacy
• Veterinary
• Biomedical Repair
• Education and Training
• Urology
• Craniofacial

• ENGINEERING CAPACITY
• Civil, Electrical, Mechanical, Environmental,
  Occupational
• Facility construction/ renovations / improvements
• schools, playgrounds, hospitals, clinics,
  libraries,
• Water / waste / drainage systems installation
• Electrical system upgrades
• Infrastructure repairs / restoration /
  consultations
• Roadway and public conveyance repair and
  restoration
• Community relations projects
• Information Technology and communication system
  installation and training

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Medical Mission Summary
NICARAGUA (11,417)
COLOMBIA (6,452)
TTO (6,233)
DOMREP (16,174)
CURACAO/Optometry (125)
GUYANA (6,675)

• Patients 47,973
• Services 199,504
• Afloat Surgeries 188
• Medications 81,369
• Medical classes 9,008
• Bio-med repairs 180

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Engineering Mission Summary
PROJECTS New Schools 3 Renovated Schools
5 Renovated Clinics 5 Community/Rec Proj
10 Infrastructure Repairs 5
gt28 Projects
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CONTRIBUTIONS
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NGOs

• Project HOPE
• 38 Personnel (4xTeams)
• Ashore and afloat
• Major Surgeries, Primary Care, Specialties,
  Prevmed
• 1.8 million in medicine / supplies (GIFTS- IN-
  KIND)

• Operation Smile
• 30 Personnel
• Craniofacial teams
• Ashore and afloat
• Nicaragua / Colombia

• International Aid
• Biomed Repair

ALL VOLUNTEERS !!!
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Project Handclasp
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Subject Matter Expert Exchange

• 51 Sessions with over 800 HN Personnel (Best
  Practices / Lessons Learned)
• Medical
• Leadership
• Shipboard maritime operations, maintenance,
  technical issues
• Personnel and professional growth
• First Aid
• Small boat and equipment operations
• Damage Control
• Navigation, etc

Community Relations

• 1,302 Volunteer days
• Sporting events
• Culture exchange
• Community beautification projects
• Ceremonial observances
• Project support (non technical)
• Community Center coordination
• Linguist support, etc.

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HOST NATION

• Tremendous support
• Access to medical and logistic facilities
• Coordination with regional NGO, NPO, local
  community leaders, community organizations, local
  media
• Prescreening surgical candidates prior to arrival
• Specialized translation
• Dialects and understanding of medical terminology
• Community identification
• Element of trust
• Reinforces their position and relevance within
  their communities
• Crucial for referrals and follow-up for chronic
  conditions
• Invaluable exchange of ideas and best - practices

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PERCEPTIONS IMPACT AND INFLUENCE
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Partner Nations

• Changes global/local attitudes
• Rewarding and beneficial to regional challenges
• Future of HCA Missions
• full integration /tooth to tail / planning to
  execution
• Increase Partner Nation participation

Tremendous opportunity and experience
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US Medical Teams

• Tremendous utility in the mission
• Provided a new dimension to their community and
  contribution
• Increase participation roles and responsibilities
• Positive impact of regional and global
  perception of U.S.

One of the most rewarding experiences in my
career
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NGO

• Positive for U.S. global image
• Rewarding and gratifying
• Greater role in planning and execution
• We do this all the timewe can help!
• Outreach
• Access

Very positiveshould be fully supported and
enlarged.
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HN / Regional Attitudinal Impact

• There is a ship in Bilwi providing medical aid.
  The US Ship is here to help people and it's
  necessary to sincerely thank them for that.
  President Ortega, NIC
• Cant put a price tag on this mission. Dr .
  Selva, NIC
• "This collaboration with the North American is
  based on the confidence and the brotherhood,
  between two united friendly nations Gen
  Padilla, COL CJCS
• You are doing Gods work in those communities
  (Haiti). This relief effort could not be
  accomplished without your help. Congressman
  Meek, (FL)

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HN / Regional Attitudinal Impact

• This mission could not be possible without you.
  Prime Minister Pierre-Louis, Haiti
• The people here love to see others come in to
  help,and when the locals see us working
  together, it shows a great brotherhood.
  Dr. Lopes, DOMREP
• Hearts are moving mountains we have better
  health and better livesnot just in Guyana but
  globally. Dr. Ramsammy, Minister of
  Health, Guyana
• "Guyana is extremely grateful for the assistance
  that is being given to its people. President
  Jagdeo, Guyana

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WHAT WE LEARNED

• Relationships are critical
• Understand, appreciate and respect the culture
• Identify and align our efforts with their needs
• Perception is reality, manage expectations
• Scope and scale of projects
• HN support, pride of ownership
• Understand the Govt and civic relations
• Flexible to internal and external influences
• Media friendly.transparency

Access and Opportunity!
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Partnership
SIDE BY SIDE, SHOVEL TO SHOVEL
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Partnership / Volunteers
SCALPEL TO SCALPEL
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Haiti HADR
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OPERATION HAITI 08-26 SEP
08SEP08 Arr ive IVO Port-au-Prince
420NM in 19 hours
06SEP08 Depart Santa Marta
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Haiti HADR Operating Areas

• Primary Efforts
• 1,620 1,720MT every 10 days
• 720MT Air
• 900-1,000MT Surface
• Delivery outpaced relief supplies
• Additional Contributions
• Engineering Assessments
• Medical response teams
• medical care /assessments
• lifts of opportunity
• Challenges
• Range of lift
• Remote / isolated areas

Port-de-Paix 87nm from PaP
Gonaives 55nm from PaP
Saint Marc 39nm from PaP
Jeremie 104nm from PaP
Port-au-Prince (PaP) Intl Airport / Pier
Les Cayes 86nm from PaP
Jacmel 22nm from PaP
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What we Discovered

• Lives lost
• Need for the basic necessities of life
• food, water, shelter, clothing and security
• Cattle and crops destroyed
• Internal displacement of personnel / major
  populations isolated
• Homes destroyed..roof top living
• Infrastructure, roadways and bridges damaged /
  destroyed
• Relief not making to isolated / remote areas
• Mobile medical support needed
• Education to address the causes and not just the
  conditions
• Panic and disorder at food distribution points.

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What we Discovered

• Overall Assessment
• Cattle and crops destroyed
• Internal displacement
• Homes destroyed..roof top living
• Lives lost

• Bridge, Roads, Infrastructure
• Critical bridges collapsed or damaged
• Main supply routes destroyed / damaged, routes
  via land nearly impossible
• Populations of major cities isolated
  infrastructure destroyed
• Little to no access to remote sites

• Medical / Supply Relief
• Supplies stores ready to be moved
• Relief and aid not making to those most in need,
  isolated /remote areas
• Not getting out from secondary hubs
• Medical support to address the issues /
  conditions. but education to avoid the causes
• Panic and disorder at food distribution points
• Water delivery and production/purification
  needed.
• Lots of independent relief suppliers not netted
  into the process.

LARGE SCALE DESTRUCTION AND DEVASTATION
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WHAT WAS NEEDED

• Command, Control, Coordinationand order
• Partnershipnot a military takeover
• Lead and follow
• Long range Planning Cycle
• Communication capabilities
• Damage assessment tools
• identify and prioritize level of effort
• Lift (surface / air) (passengers / cargo)
• Long Range, Mobile, All weather, Rapid, Heavy

A LOTIN A HURRY...TO A LOT OF PLACES TO A LOT
PEOPLE!!!!!
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WHAT WE DELIVERED

• Formal / informal working relationships,
• Organizational structure to the Planning Process
• Shared capabilities and contributions
• U.S. EMBASSY
• HN
• PN
• NGO/NPO
• Responsive Air and Surface lift
• Responsive mobile medical capability
• Small scale rapid response to the remote areas

SYMBOL OF COMPASSION AND COMMITMENT!
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Haiti Medical Summary
Medical Assessment Site Assessment / MEDCAP
Site Twenty Assessments 583 Adults treated 314
Children treated 897 total patients
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Haiti Engineer Summary
Aid Delivery Sites Engineering Assessment
Sites ENGCAP 15 Bridge Assessments 450
Miles of Roadway Surveyed Installed 800 ft
water line Validated 47 Projects, 90M
End State Priorities, Justification, Impact,
Options and Cost
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COMMAND /CONTROL/ COMMUNICATIONS
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AIRLIFT TO REMOTE LOCATIONS
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SURFACE LIFT
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LAND LIFT
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COORDINATION
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LEADERSHIP AT ALL LEVELS
Rear Adm. Kernan, U.S. Ambassador Sanderson, and
USAID Rep. Henrietta Fore visit the Haitian White
House.
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LEADERSHIP AT ALL LEVELS
Haitian Prime Minister Michele Pierre-Louis
prepares for a helo flight to view the
devastation.
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COOPERATION TO DELIVER RELIEF
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UNDER VARYING CONDITIONS
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IN REMOTE AREAS
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TO THOSE IN NEED
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DAY AND NIGHT
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HAND-IN-HAND
Rear Admiral Kernan helps shoulder the burden
during relief operations.
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WE ASSESSED
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WE REBUILT
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MADE A DIFFERENCE
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MISSION SUMMARY
A THOUSAND WORDS!
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MEDICAL
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EXPEDITIONARY MEDICINE
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SENSE OF EMERGENCY
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SHARING CARE WITH PARTNERS
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COLLABORATION
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SHARING CARE WITH PARTNERS
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TEACHING / LISTENING
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UNITED FOR A CAUSE
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COMMITMENT AND COMPASSION
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BRINGING SMILES
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ENGINEERING
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DESIGNS FOR THE FUTURE
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PRECISION
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COLLABORATION
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RESTORING MEDICAL CARE ACCESS
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PITCHING IN TO MAKE A DIFFERENCE
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BUILDING A PLACE TO LEARN
AN EMPTY FIELD BECOMES A SCHOOL HOUSE
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TOGETHER
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PARTNERSHIP
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DEVELOPING LASTING BONDS
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ACROSS GENERATIONS
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ACROSS CULTURES
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EXCHANGING IDEAS
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EXCHANGING BEST PRACTICES
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EMPOWERING SOME
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INSPIRING OTHERS
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BONDING
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UNIFICATION
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TEACHING / LEARNING
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DEVELOPING BONDS
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LASTING MEMORIES
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INSPIRATIONAL
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SUCCESS WITH PARTNERSHIP
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LEADERSHIP

• AT ALL LEVELS

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AT THE HIGH
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AT THE HIGHER
U.S. Ambassador to Colombia William Brownfield
speaks to patients.
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HIGHEST LEVELS
Rear Adm. Kernan, U.S. Ambassador Sanderson, and
USAID Rep. Henrietta Fore visit the Haitian White
House.
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Haitian Prime Minister Michele Pierre-Louis
prepares for a helo flight to view the
devastation.
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Ambassador to Dominican Republic Robert Fannin
meets with CP08 leadership.
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EXTERNALLY
Prime Minister of Guyana Samuel Hinds attends a
ceremony with CP08 leadership.
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INTERNALLY
US SOUTHCOM Commander Admiral Stavridis greets
Sailors on the ships return to Miami on the
completion of CP08.
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SPECIAL MOMENTS
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SPIRITUAL BONDS
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FULFILLING A NEED
Patients wait to be seen by medical staff from
the amphibious assault ship USS Kearsarge (LHD
3), during a community relations project in
support of the humanitarian assistance mission
Continuing Promise 2008.
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BEYOND THE MISSION
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URGENT AND EMERGENT CARE
The rescue of a Finnish merchant off the coast of
Guyana.
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AT THE RIGHT PLACE--AT THE RIGHT TIME
Appendicitis MEDEVAC in Guyana.
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SEEING WAS BELIEVING
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HOW!
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USS KEARSARGE
Flexible, Scaleable, Adaptable
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RIGHT CAPABILITIES
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RIGHT CAPABILITIES
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RIGHT CAPABILITIES
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RIGHT CAPABILITIES
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WHY THIS PLATFORM?
Flexible, Scaleable, Adaptable
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Medical Capabilities
5 Operating Rooms
45 Bed Ward
512 Over Flow Beds
Digital X-ray Laboratory Blood Bank
5 Sterilizers Biomedical Repair Pharmacy
14 Bed Intensive Care Unit
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RIGHT CAPABILITIES
LARGE CAPACITYSMALL FOOTPRINT
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Next Generation Capabilities

• Tremendous potential for future operations

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Extra Slides
THEY GATHERED
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WE UNITED
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Keys to Success

• Continued Commitment / Contributions
• Early engagement
• Demonstrate mutual respect, understanding and
  appreciation for unique contributions
• Host nations, Partner Nations, Interagency,
  Non-Government Organizations
• Tap into already existing organizational
  infrastructures (ICRC, PIHO, etc)

Speed of Trust!!!
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