Research Needs for the Improvements of Military Deployment Health, A Strategic Plan, Draft, November 1997

Research Needs for the Improvements of Military Deployment Health, A Strategic Plan, Draft, November 1997
Author:
Publisher:
Total Pages: 3
Release: 1998
Genre:
ISBN:

The purpose of the research strategy described in this document is to develop a sharper and more targeted focus on research that will ultimately lead to improvements in the long-term health status of members of the military who are deployed to different parts of the world to carry out the military mission of the United States. The research strategy broadly focuses on four areas: (1) assessments of deployment-related health outcomes; (2) assessments of deployment-related exposures; (3) research on relationships between deployment-related exposures; and (4) research on high priority deployment-related risk factors. The plan describes objectives and strategies for the six goals: (1) the U.S. government will have the capability to systematically collect population-based demographic and health data to enable longitudinal evaluation of the health of all service personnel (Active Duty, Reservist, National Guard) throughout their military career and after leaving military service; (2) the U.S. government will have the capability to collect and assess data associated with anticipated exposures during deployments; (3) the U.S. government will have the capability to monitor deployments for the appearance of novel or unanticipated health threats and to quickly deploy assets to collect and assess data relevant to any newly identified threats; (4) the U.S. government will have the coordinated capability to use exposure and health outcome data to determine whether deployment-related exposures are associated with post-deployment health outcomes; (5) develop balanced research programs targeted improved prevention, intervention, and treatment strategies for priority health risk factors; and (6) establish a wide-range of national and military collaborative research relationships to enhance these efforts.

Army Medicine Strategic Plan (AMSP) Draft, 12 November 1997

Army Medicine Strategic Plan (AMSP) Draft, 12 November 1997
Author:
Publisher:
Total Pages: 4
Release: 1998
Genre:
ISBN:

This plan covers the 1998 timeframe. It addresses five goals: (1) Ensuring readiness - ensuring medical preparedness for military operations to support the future battlefield of Army XXI and Stability and Support Operations; (2) Designing organization - designing the right mix of skills and organize them most efficiently; (3) Managing care - managing the health care of each individual so that the right level of care is provided at the right time and the right place (be it during peacetime, Stability and Support Operations, or on the battlefield) for the desired outcome; (4) Valuing people - valuing people as our most important resource and greatest source of strength; and (5) Leveraging technology - leaveraging technology to keep pace with Army XXXI modernization efforts, improve quality and efficiency, and compensate for shrinking resources.

National Center for Military Deployment Health Research

National Center for Military Deployment Health Research
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 62
Release: 1999-12-16
Genre: Medical
ISBN: 0309066301

Concerns about the health of veterans of recent military conflicts have given rise to broader questions regarding the health consequences of service in any major military engagement. The Veterans Program Enhancement Act of 1998 directed the Secretary of Veterans Affairs to enter into an agreement with the National Academy of Sciences to help develop a plan for establishing' a national center (or centers) for the study of war-related illnesses and postdeployment health issues. In response to this legislation, the Department of Veterans Affairs (VA) asked the Institute of Medicine (IOM) to convene a committee of experts. The charge to the committee was to (1) assist the VA in developing a plan for establishing a national center (or centers) for the study of war-related illnesses and postdeployment health issues, and (2) assess preliminary VA plans and make recommendations regarding such efforts.

Protecting Those Who Serve

Protecting Those Who Serve
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 112
Release: 2000-10-04
Genre: Medical
ISBN: 0309073626

Since the Gulf War ended in 1991, various constituencies, including a significant number of veterans, speculate that unidentified risk factors led to chronic, medically unexplained illnesses, and these constituencies challenge the depth of the military's commitment to protect the health of deployed troops. Despite general concurrence in findings to support these claims, few changes have been made at the field level. The most important recommendations remain unimplemented, despite the compelling rationale for urgent action. Protecting Those Who Serve illuminates these recommendations and government-developed plans that remain inactive due to a lack of authority within the Department of Defense, while describing the dangers that may result from failure to protect our forces in the field.

Strategies to Protect the Health of Deployed U.S. Forces

Strategies to Protect the Health of Deployed U.S. Forces
Author: National Research Council
Publisher: National Academies Press
Total Pages: 130
Release: 2000-03-01
Genre: Medical
ISBN: 0309172543

Deployment of forces in hostile or unfamiliar environments is inherently risky. The changing missions and increasing use of U.S. forces around the globe in operations other than battle call for greater attention to threats of non-battle-related health problemsâ€"including infections, pathogen- and vector-borne diseases, exposure to toxicants, and psychological and physical stressâ€"all of which must be avoided or treated differently from battle casualties. The likelihood of exposure to chemical and biological weapons adds to the array of tactical threats against which protection is required. The health consequences of physical and psychological stress, by themselves or through interaction with other threats, are also increasingly recognized. In addition, the military's responsibility in examining potential health and safety risks to its troops is increasing, and the spectrum of health concerns is broadening, from acute illness and injury due to pathogens and accidents to possible influences of low-level chemical exposures, which can manifest themselves in reproductive health and chronic illnesses years later, perhaps even after cessation of military service. Strategies to Protect the Health of Deployed U.S. Forces develops an analytical framework for assessing risks, which would encompass the risks of adversed health effects from battle injuries, including those from chemical- and biological-warfare agents, and non-battle-related health problems. The presumed spectrum of deployment ranged from peacekeeping to full-scale conflict.

Strategies to Protect the Health of Deployed U.S. Forces

Strategies to Protect the Health of Deployed U.S. Forces
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 297
Release: 1999-02-01
Genre: Medical
ISBN: 0309066379

Nine years after Operations Desert Shield and Desert Storm (the Gulf War) ended in June 1991, uncertainty and questions remain about illnesses reported in a substantial percentage of the 697,000 service members who were deployed. Even though it was a short conflict with very few battle casualties or immediately recognized disease or non-battle injuries, the events of the Gulf War and the experiences of the ensuing years have made clear many potentially instructive aspects of the deployment and its hazards. Since the Gulf War, several other large deployments have also occurred, including deployments to Haiti and Somalia. Major deployments to Bosnia, Southwest Asia, and, most recently, Kosovo are ongoing as this report is written. This report draws on lessons learned from some of these deployments to consider strategies to protect the health of troops in future deployments. In the spring of 1996, Deputy Secretary of Defense John White met with leadership of the National Research Council and the Institute of Medicine to explore the prospect of an independent, proactive effort to learn from lessons of the Gulf War and to develop a strategy to better protect the health of troops in future deployments.

Defense Health Care

Defense Health Care
Author:
Publisher:
Total Pages: 47
Release: 2005
Genre:
ISBN:

Following the 1991 Persian Gulf War, research and investigations into the causes of servicemembers' unexplained illnesses were hampered by inadequate occupational and environmental exposure data. In 1997, the Department of Defense (DOD) developed a military-wide health surveillance framework that includes occupational and environmental health surveillance (OEHS)--the regular collection and reporting of occupational and environmental health hazard data by the military services. GAO is reporting on (1) how the deployed military services have implemented DOD's policies for collecting and reporting OEHS data for Operation Iraqi Freedom (OIF) and (2) the efforts under way to use OEHS reports to address both immediate and long-term health issues of servicemembers deployed in support of OIF. GAO recommends that the Secretary of Defense improve deployment OEHS data collection and reporting and evaluate OEHS risk management activities. GAO also recommends that the Secretaries of Defense and Veterans Affairs (VA) jointly develop a federal research plan to address long-term health effects of OIF deployment. DOD plans to take steps to meet the intent of our first recommendation and partially concurred with the other recommendations. VA concurred with our recommendation for a joint federal research plan.

The 71F Advantage

The 71F Advantage
Author: National Defense University Press
Publisher: NDU Press
Total Pages: 529
Release: 2010-09
Genre: Psychology
ISBN: 1907521658

Includes a foreword by Major General David A. Rubenstein. From the editor: "71F, or "71 Foxtrot," is the AOC (area of concentration) code assigned by the U.S. Army to the specialty of Research Psychology. Qualifying as an Army research psychologist requires, first of all, a Ph.D. from a research (not clinical) intensive graduate psychology program. Due to their advanced education, research psychologists receive a direct commission as Army officers in the Medical Service Corps at the rank of captain. In terms of numbers, the 71F AOC is a small one, with only 25 to 30 officers serving in any given year. However, the 71F impact is much bigger than this small cadre suggests. Army research psychologists apply their extensive training and expertise in the science of psychology and social behavior toward understanding, preserving, and enhancing the health, well being, morale, and performance of Soldiers and military families. As is clear throughout the pages of this book, they do this in many ways and in many areas, but always with a scientific approach. This is the 71F advantage: applying the science of psychology to understand the human dimension, and developing programs, policies, and products to benefit the person in military operations. This book grew out of the April 2008 biennial conference of U.S. Army Research Psychologists, held in Bethesda, Maryland. This meeting was to be my last as Consultant to the Surgeon General for Research Psychology, and I thought it would be a good idea to publish proceedings, which had not been done before. As Consultant, I'd often wished for such a document to help explain to people what it is that Army Research Psychologists "do for a living." In addition to our core group of 71Fs, at the Bethesda 2008 meeting we had several brand-new members, and a number of distinguished retirees, the "grey-beards" of the 71F clan. Together with longtime 71F colleagues Ross Pastel and Mark Vaitkus, I also saw an unusual opportunity to capture some of the history of the Army Research Psychology specialty while providing a representative sample of current 71F research and activities. It seemed to us especially important to do this at a time when the operational demands on the Army and the total force were reaching unprecedented levels, with no sign of easing, and with the Army in turn relying more heavily on research psychology to inform its programs for protecting the health, well being, and performance of Soldiers and their families."

Army Medical Research and Development Infrastructure Planning

Army Medical Research and Development Infrastructure Planning
Author: National Academies of Sciences Engineering and Medicine
Publisher:
Total Pages:
Release: 2021-09-18
Genre:
ISBN: 9780309682503

At the request of the U.S. Army, the Board on Army Research and Development of the National Academies of Sciences, Engineering, and Medicine conducted a 3-day workshop to explore how the Army can improve its strategic medical infrastructure planning with a view to 2035. The workshop, held July 14-16, 2020, brought together experts and key stakeholders from academia, industry, and government. The Army requires fidelity, consistency, and predictability in planning and managing research, development, test, and evaluation resources for medical infrastructure across all appropriation sources to effectively develop, deliver, and respond to military medical capability needs. In response to the Army's requirement, the workshop was designed to address the components of a sustainable, reinforcing enterprise framework (organizational and fiscal). Presentations and discussions examined roles, responsibilities, and coordinating mechanisms among major stakeholders of battlefield medicine; case studies of comparably complex non-government enterprise solutions; and opportunities to link ends, ways, and means for improvements. This publication summarizes the presentations and discussion of the workshop.