Deployment Occupational and Environmental Health Surveillance DOEHS Information Systems'

1
Deployment Occupational and Environmental Health
Surveillance (DOEHS) Information Systems.

• Brad Hutchens, P.E.

2
Comprehensive Military Health Surveillance
Comprehensive Military Health Surveillance
Health Surveillance
Medical Surveillance
Occupational and Environmental Health Surveillance
3
What is OEHS?

• Regular collection of baseline, routine, and
  incident-driven data for analysis, interpretation
  and reporting.
• Sampling and analyzing air, water, and soil for
  chemicals and radiation.
• Sanitation and waste management surveys,
  entomology, environmental health site
  assessments, etc.
• Document exposures to personnel and identify the
  need for specific mitigation measures to reduce
  any associated health risks

4
Comprehensive Health Surveillance
Reportable Diseases
In-Patient Hospitalizations
Ambulatory Data
Pre / Post-Deployment Specimens / Surveys
HIV Tests (DoD Serum Repository)
Immunizations
Pre- Induction
Post- Discharge
Assignments / Deployments
Entomological Exposures
Environmental Exposures
Radiological Exposures
Occupational Exposures
Health Risk Assessments
5
DOEHS Information Systems

• OEHS Data Portal
• DOD portal that allows user to submit, search and
  download OEHS documents. https//doehrswww.apgea.a
  rmy.mil/doehrs-oehs/
• Meets the requirements set out in various DOD
  policy to include DODD 6490.2 Comprehensive
  Health Surveillance
• Defense Occupational and Environmental Health
  Readiness System (DOEHRS) Industrial Hygiene
• Contains both industrial hygiene and
  environmental health capabilities for garrison
  and deployment
• Incorporating OEHS data collection, management
  and assessment in a single DOD system.

6
OEHS Data Portal
https//doehrswww.apgea.army.mil/doehrs-oehs/
7
Submit Documents
8
HOW TO SUBMIT

• UNCLASSIFIED
• Web https//doehrswww.apgea.army.mil/doehrs-oehs/
  
• Email oehs_at_apg.amedd.army.mil
• Fax DSN 312.584.2407 COMM 410.436.2407
• CLASSIFIED
• Email oehs_at_usachppm.army.smil.mil
• Fax DSN 312.584.4244 COMM 410.436.4244
• OR
• Mail Data To

USACHPPM-ESIP ATTN MCHB-TS-RDD 5158 Blackhawk
Road (Bldg E-1675) Aberdeen Proving Ground, MD
21010-5403
9
DOEHRS-Industrial Hygiene
10
Future DOEHRS Capabilities

• Surveys/Surveillance
• Environmental Health Site Assessments
• Entomological
• Operational Noise
• Heat/Cold
• Radiological
• Incidents
• Operational Risk Management

• Sanitation
• Food/Dining Facility
• Public Facilities
• Fitness Centers
• Barber Shops
• Waste Management
• Waste Water
• Solid Waste
• Hazardous Waste
• Hazardous Material

Note List is not inclusive
11
Questions
12
Supporting Policy
13
OEHS Reporting Archiving Policy

• DOD Directive 6490.2, Comprehensive Health
  Surveillance, 21 Oct 2004.
• The Secretary of the Army shall Provide for the
  assembling and archiving of all DoD deployment
  occupational and environmental health
  surveillance data and reports.
• DOD Instruction 6490.3, Implementation and
  Application of Joint Medical Surveillance for
  Deployments, 7 Aug 1997 (Under Revision
  Deployment Health Surveillance and Readiness)
• JCS Memo, MCM-0006-02, Updated Procedures for
  Deployment Health Surveillance and Readiness, 1
  Feb 02
• Under Secretary of Defense for Personnel and
  Readiness USD(PR) Memo, Enhanced
  Post-Deployment Health Assessment, 22 April 2003
• USD(PR) Memo, Improved Occupational and
  Environmental Health Surveillance Reporting and
  Archiving, 29 May 2003
• Joint Staff Reponses to USD(PR) Memo, Improved
  Occupational and Environmental Health
  Surveillance Reporting and Archiving, 30 June
  2003

14
Supporting Policy

• JCS Memo, MCM0026-02, Chemical Warfare Agent
  Exposure Planning Guidance, 29 Apr 02
• Presidential Review Directive 5 to Develop Force
  Health Protection Plan for DOD, 8 Nov 97
• DOD Instruction 6055.1, DOD Safety and
  Occupational Health Program, 19 Aug 98.
• HQDA Policy Letter 1-01-1, 27 Jun 01, Force
  Health Protection Occupational and Environmental
  Health Threats (extended by HQDA Policy Letter
  1-03-1, 28 Jul 03

15
Public Laws Requirements

• Ronald W. Reagan National Defense Authorization
  Act for Fiscal Year 2005
• Section 734 - Medical Care and Tracking and
  Health Surveillance.
• Section 735 - Declassification of Information on
  Exposures to Environmental Hazards
• Section 736 - Report on Training on Environmental
  Hazards
• Section 738 - Full Implementation Of Medical
  Readiness Tracking And Health Surveillance
  Program and Force Health Protection And Readiness
  Program

16
Public Laws Requirement

• Public Law 102-190 Sec 734 (1991)
• Established the requirement for the Persian Gulf
  Registry to be made available for scientific
  study
• Public Law 102-585 Sec 704 (1992-1993)
• Assigned Sec Army Executive Agency.
• Public Law 105-85
• Requirements Lead Agency (LA) created to address
  
• To determine the intensity and duration of
  exposure to the fumes of burning oil well fires
  and the subsequent risk to Gulf War (GW)
  veterans.
• Investigate and document other exposures that
  occurred in the Persian Gulf and to cooperate
  with DOD, VA, and university researchers studying
  Gulf War Veterans illnesses.

17
DOEHRS-IH
18
DOERHS-IH-EH Prototype
19
DOEHRS-IH
20
DOERHS-IH-EH Prototype
21
Entomology Survey
22
DOEHRS-EHTraining Package
23
Environmental Samples

• Air
• Water
• Soil
• Other
• Bulk Liquid
• Bulk Solid
• Wipe

24
Sample Location

• Shows all samples under this location and
  subordinate locations.
• User can drill down to subordinate locations.

25
Sample Location
26
Sample Type / Sampling Method

• Top level list shows all Sample Types and
  Sampling Methods to allow correlation by Date /
  Time (for example Water Collection and Water
  Direct Reading)
• User can drill down by Sample Type and Sampling
  Method.

27
Sampling Type / Sampling Method
28
Add Sample

• Select location (or show current)
• Select sample type (or show current)
• Select sampling method (or show current)
• Select / deselect analytical methods
• In some cases the sampling method and analytical
  method are identical
• For water - direct reading a kit is selected
  instead of an analytical method.

29
Process Sample Results

• Import results from the lab
• Adjust results based on calibration
• Calculate concentrations from mass results

30
Assess Samples

• Select location
• Select sample or sample set (EH and / or IH
  samples)
• Optionally perform modeling to augment the sample
  set
• Apply statistics to obtain one result for each
  hazard
• Compare matrix of hazard results against selected
  series of OELs

31
Water Points

• If a location is currently defined as a Water
  Point then it has an associated Drinking Water
  Sampling Log.
• Water Points are identified in the location tree.

32
Water Points
33
Water Points Location Tree
34
Drinking Water Sampling Log

• The Drinking Water Sampling Log provides a
  shortcut for entering and viewing Direct Reading
  Water samples.
• Direct Reading Water samples are also accessible
  from the general sample list.

35
Drinking Water Sampling Log
36
Drinking Water Sampling Log
37
Sample Search

• User can directly search for samples by Field
  Sample or Lab Sample .
• Field Sample is assigned automatically to all
  samples by the system.
• One Field Sample may be associated to multiple
  Lab Samples.
• Direct Reading samples will not have a Lab Sample
  .

38
Sample Search
39
Sample Search
40
Sample Log

• The Sample Log allow the user to query samples
  based on ownership and current status.
• One location (and associated samples) may be
  owned by more than one Program Office.

41
Sample Log
42
General Sample Information

• All samples have an associated location and
  responsible IH.
• Lab Samples have Lab Information and Chain of
  Custody Information.
• Note that Direct Reading Water samples can be
  accessed both by the detailed form and by the
  abbreviated form.

43
General Sample Information
44
Location

• Location can be a point location or a polygon
  location.
• Coordinates have a configurable datum.
• Lat / Long can be entered and displayed in
  degrees / minutes / seconds or in decimal
  degrees.
• A polygon location is represented by a series of
  coordinates.

45
Location Point Location
46
Location Polygon Location
47
Comprehensive Health Surveillance
48
What is Comprehensive Military Health
Surveillance?

• Health surveillance conducted throughout Service
  members military careers, across all duty
  locations, and encompassing risk, intervention,
  and outcome data. Such surveillance is essential
  to the evaluation, planning, and implementation
  of public health practice and prevention and must
  be closely integrated with the timely
  dissemination of information to those who can act
  upon it. (DOD Directive 6490.2)

49
What is Health Surveillance?

• The regular or repeated collection, analysis,
  and interpretation of health-related data and the
  dissemination of information to monitor the
  health of a population and to identify potential
  risks to health, thereby enabling timely
  interventions to prevent, treat, or control
  disease and injury. It includes occupational and
  environmental health surveillance (OEHS) and
  medical surveillance. (DOD Directive 6490.2)

50
What is Medical Surveillance?

• The ongoing, systematic collection, analysis,
  and interpretation of data derived from instances
  of medical care or medical evaluation, and the
  reporting of population-based information for
  characterizing and countering threats to a
  populations health, well-being, and
  performance. (DOD Directive 6490.2)

51
What is Occupational and Environmental Health
Surveillance?

• The regular or repeated collection, analysis,
  archiving, interpretation and dissemination of
  environmental health-related data for monitoring
  the health of, or potential health hazard impact
  on, a population and individual personnel, and
  for intervening in a timely manner to prevent,
  treat, or control the occurrence of disease or
  injury when determined necessary. (DOD
  Directive 6490.2)

52
OEHS Data Portal
53
Request Account or Login
54
Account Request Form