Severe Acute Respiratory Syndrome SARS Communicable Disease Outbreak Management in Deployment Operat

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Severe Acute Respiratory Syndrome
(SARS)Communicable Disease Outbreak Management
in Deployment OperationsBriefing forThe
Honorable David S. C. ChuUndersecretary of
Defense (Personnel Readiness)
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Agenda

• Purpose
• Background
• Outcomes
• Tiered, risk-based framework
• Policy criteria
• Policy recommendations
• Conclusion

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Purpose

• Obtain signature from the USD(PR) on policy
  memorandum, Subject SARS Communicable Disease
  Outbreak Management in Deployment Operations

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Background

• Problem How to develop a proactive strategy to
  manage SARS before it presents in a theater of
  operations.
• Strategy Get the best minds together
• SARS Senior Executive Seminar, 1 May Deputy,
  U.S. Surgeon General Service Department Surgeons
  General Public Health Service Centers for
  Disease Control and Prevention (CDC), Assistant
  Secretary of Defense (ASD) Health Affairs (HA)
  Staff.
• Executive Officers After Actions Report, 2 May.
• Products (In Priority)
• Policy Memorandum specific to SARS
• DoD Directive for SARS-like communicable
  diseases (in-progress)

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OutcomesTiered, Risk Based Framework

• Apply appropriate impact risk reduction measures
  relative to the extent of risk.
• Employ DRAFT NATO Medical CBRN capabilities
• Hazard assessment, early detection, protection,
  medical countermeasures, treatment, and
  competency

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OutcomesPolicy Criteria

• Phased approach time location
• Uniform protection equal risk reduction for all
  populations
• Varying medical echelons of care MEDEVAC by
  exception
• Operational risk management international
  scrutiny of decisions
• Coordination of actions Variable power centers

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OutcomesPolicy Recommendations

• Move laboratory assets into the theater
• MEDEVAC by exception if required, perform
  assessment of SARS exposure
• Ensure Personal Protective Equipment availability
  in accordance with CDC guidelines
• Create a theater risk communication strategy,
  tailored to the tiered framework

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Conclusion

• SARS can adversely impact the deployment mission
  have profound international repercussions
• Adequate DoD SARS management guidance for
  combatant commanders does not exist
• Recommended Actions
• USD(PR) sign SARS policy memorandum
• Endorse action to prepare SARS-like
  communicable disease outbreak management DoD
  Directive