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U.S. Coast Guard

U.S. Coast Guard. Institute of Medicine Operational and Occupational Medicine Brief 5 March 2013. CAPT Jeff Salvon-Harman MD, USCG/USPHS. An Average Coast Guard Day…. Save 13 lives Assist 98 people in distress Conduct 64 Search and Rescue Cases Interdict and rescue 10 illegal migrants

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U.S. Coast Guard

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  1. U.S. Coast Guard Institute of Medicine Operational and Occupational Medicine Brief 5 March 2013 CAPT Jeff Salvon-Harman MD, USCG/USPHS

  2. An Average Coast Guard Day… • Save 13 lives • Assist 98 people in distress • Conduct 64 Search and Rescue Cases • Interdict and rescue 10 illegal migrants • Board 193 ships and boats • Launch 164 aircraft missions, logging 317 hours • Respond to 12 oil/chemical/HAZMAT spills • Seize over 1,000 lbs of illegal drugs valued at $12.9M • Escort over 20 larger passenger vessels, military outload vessels and High Interest Vessels • Service 135 aids-to-navigation and correct 21 aids-to-navigation discrepancies • Complete 31 Port State Control safety and environmental exams on foreign vessels

  3. Team Coast Guard 43,507 Active Duty 7,768 Reservists 7,758 Civilians 36,692 Auxilarists Honor, Respect, Devotion to Duty

  4. Uniformed Services Army Navy Marines Air Force Armed Forces Uniformed Services Military Coast Guard PHS Commissioned Corps NOAA Commissioned Corps

  5. USCG Authorities at a Glance • Coast Guard roles: Maritime Safety, Security, and Stewardship. • Title 10 USCG is an Armed Force. Aligns under the Navy in time of war or when directed by the President. • Title 14 Coast Guard authorities, including law enforcement. Statutory Missions

  6. Health Services System

  7. Healthcare Personnel • Physicians: 60 (PHS) • Dentists: 60 (PHS) • PAs/NPs: 40 (31 CG/9 PHS) • Pharmacists: 16 (PHS) • Environmental Health Officers: 18 (PHS) • Physical Therapists: 3 (PHS) • Clinic Administrators: 43 (CG) • Health Services Technicians (HS): 738 • Includes dental/pharmacy/x-ray techs

  8. Healthcare Services Delivered • Medical • Preventive: Annual Screening, Deployment related, Occupational, Flight/Dive • Responsive: Injury, Illness, Wounded, Case Mgmt, Referral • Dental • Preventive: Annual Screening, Hygiene q6mo • Responsive: Restorative, Referral • Pharmacy • RP locations only, remote support • Optometry • Contracted on-site when possible • Corrective spectacles ordering via NOSTRA • Physical Therapy • Limited locations, demand based • New initiatives to shift from Responsive to Preventive

  9. Safety & Environmental Health Office • Policy driven from HQ • Field implementation of safety program is done by HSWL Service Center • District Safety and Environmental Health Officer • 18 Offices associated with CG Districts. Leveraging Coast Guard and Public Health Service Officers to meet mission goals. Support all missions of US Coast Guard

  10. Occupational Health Responsibilities • Occupational Health, Environmental Health, Safety and Industrial Hygiene (Typical Personnel : EH/IH; HSC; MSTC) • Moving towards a quantitative/ risk based safety program to better allocate diminishing resources • Implementation of risk management tools for operators based on iterative processes.

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