1 / 19

DoD Health from the Battlefield

DoD Health from the Battlefield. Michael E. Kilpatrick, M.D. Deputy Director, Deployment Health Support Directorate 26 August 2006. DoD Force Health Protection Providing a Full Continuum of Care. DoD Health Surveillance Continuum Service Member Health Assessments. Retirement/ Separation &

jetta
Download Presentation

DoD Health from the Battlefield

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DoD Health from the Battlefield Michael E. Kilpatrick, M.D. Deputy Director, Deployment Health Support Directorate 26 August 2006

  2. DoD Force Health ProtectionProviding a Full Continuum of Care

  3. DoD Health Surveillance ContinuumService MemberHealth Assessments Retirement/ Separation & Beyond Force Health Protection Transit Operation Deployed Pre-Deployment Re-Deployment In Garrison Annual Preventive Health Assessment or Sep/Retirement Post-Deployment Reassessment Accession Population Health

  4. Length of Deployment Unique Service Members <14 days 7,450 15 - 30 days 27,845 31 days or longer 1,303,915 Total 1,339,210 Total Service Members Ever Deployed, OEF/OIF Source: DMDC CTS Deployment File, as of 30 Jun 06 4

  5. Operational Medicine Big PictureAs of 25 July 2006 • 19,994 servicemembers have been wounded in action • 10,704 wounded in action have returned to duty within 72 hours. 9,290 have not. • 34,395 servicemembers have been medically transported from theater • 59% are evacuated due to disease • 22% are evacuated due to non-battle injury • 19% are evacuated due to battle injury (aka wounded in action • There are 6,648 servicemembers on medical hold • On average 83% are returned to the force • On average 17% are medically separated

  6. Disease Non-Battle Injury Battle Injury Medical Air Transports of Individual Servicemembers 59% 70% 60% 50% 40% Data Source: USTRANSCOM TRAC2ES As of 24 July 2006 30% 22% 19% 20% 10% 0% From 2001-2006, the total MATs of individual servicemembers = 34,395

  7. Disease & Non-Battle Injuries (DNBI)CENTCOM (OEF/OIF) Combined • Overall rate – 4% per week • Injuries, all types 25% • Training/Work 44% • Sports 16% • Heat/Cold 3% • Motor Vehicles 2% • Other 35% • Respiratory 13% • Dermatologic 12% • Gastrointestinal 7% • Mental Health 3% • Combat Stress 2% • All other categories 38% Data Source: Air Force Institute of Operational Health As of 15 Jul 2006

  8. DoD AMPUTEES in OEF and OIF • 712 Total Amputations as of 12 July 2006 • Most Common Causes • IED (42%) • Accident (9%) • Blast (8%) • Rocket propelled grenade (8%) • Gunshot wound (6%) • Outcome/Disposition • As of 19 Apr 06, 195 Servicemembers with limb loss had completed MEB/PEB with 34 (17%) able to continue in military service • 25 of 34 returned to their original career field

  9. Traumatic Brain Injury TBI Injury Mechanism TBI Severity of Injury 11% • Spectrum of TBI range from mild to severe, grand total=1,299 • Most (822 or 64%) are mild • Operational breakout, OIF (96%), OEF (4%) • Data from Defense Veterans Brain Injury Center, as of May 06

  10. Media # of Sites Sampled # of Samples Overall Risk of Possible Health Effects Comments Air 209 2580 Moderate Sand and dust exceed guidelines. Minimal acute health risks; long-term effects not known Water Treated 204 332 Moderate Moderate health risk, but in most cases would require consumption of a water source for prolonged periods of time Water Untreated 98 152 Minimal Minimal health risk because untreated water is most likely not consumed by US Forces Soil 252 853 Minimal Contaminants are unlikely to result in high enough exposures to cause adverse health effects Status of OEF/OIF Deployment Occupational & Environmental Health Monitoring • From Jan 1, 2003 to December 31, 2005: Nearly 4,000 samples (Army – some AF and Navy) analyzed at USACHPPM for > 350,000 parameters > 14,000 samples analyzed in theater

  11. Distribution of Self-reported General Health Status: Pre-Deployment/Post-Deployment/Post-Deployment Re-assessment DMSS Data July 2006

  12. Post-deployment Health Assessment Key Results January 1, 2006 – July 24, 2006 Health(Excellent, Very Good, Good) Referral Indicated for any reason Medical/ DentalProblems Mental Health Concerns Currently on Profile Active Duty (N=89,336) 92% 22% 7% 5% 18% Reserve Components (N=40,830) 91% 42% 11% 7% 26% NOTE: Service members’ responses on DD Forms 2796 submitted since 01 Jan 06, all operations/deployments. Most common reasons for referral: - Dental (annual exam, cleaning, caries) - Musculoskeletal (orthopedics) - Mental health Data Source: Defense Medical Surveillance System, Army Medical Surveillance Activity As of 24 July 2006

  13. Post-deployment Health Re-Assessment Key ResultsSeptember 1, 2005 – July 11, 2006 Health(Excellent, Very Good, Good) Referral Indicated for any reason Environ-mental Concerns Medical/ DentalConcerns Mental Health Concerns Active Duty (N=62,613) 87% 48% 17% 31% 21% Reserve Components (N=12,973) 77% 73% 43% 52% 54% NOTE: Service members’ responses on DD Forms 2900 submitted since 01 Sep 05, all operations/deployments. • Most common concerns reported: • - Sleep / fatigue problems • - Back pain Data Source: Defense Medical Surveillance System, Army Medical Surveillance Activity As of 11 July 2006

  14. Mental Health Goals • Early education, early intervention, access to care Result • More than 35% of our servicemembers are coming into mental health clinics for consultation • Only about a third of those members come away with an actual diagnosed mental health condition.

  15. Criteria for Post Traumatic Stress Disorder • Death/Injury-threatening trauma causing intense fear, hopelessness, horror • Re-Experiencing symptoms • Persistent Avoidance of trauma-associated stimuli • Increased arousal • Symptoms last longer than a month • Functionally impaired

  16. VA Healthcare Utilization2002 - 2QTR 2006 • 555,478 OIF and OEF veterans have left active duty and become eligible for VA health care since FY02 • 43% (239,177) are former Active Duty troops • 57% (316,301) are Reserve and National Guard troops • Among all 555,478 separated OIF/OEF Veterans • 30% (168,421) have sought VA health care since FY02 • 34% (80,968) are former Active Duty troops • 28% (87,453) are Reserve and National Guard troops • 3% (4,925) of 168,421 evaluated OIF/OEF patients have been hospitalized at least once in a VA health care facility

  17. Annual Health AssessmentsPeriodic/Preventive Health Assessment (PHA) • Replaces outmoded every 5-yr physical with tailored annual assessment • Self-report using Health Assessment Review Tool (HART)-R/F/P • Review medical records and DD Form 2766 • Review all IMR requirements, correct gaps • Identify personal health risks (occupational, lifestyle, etc.), educate, and provide a blueprint for improved health (manage &/or prevent)

  18. Resources Military One Source (800) 342-9647 www.militaryonesource.com Military Severely Injured Center (800) 774-1361 severelyinjured@militaryonesource.com Army Wounded Warrior Program (800) 833-6622 www.armyds3.org Marine for Life (866) 645-8762 injuredsupport@M4L.usmc.mil Air Force Palace HART (888) 774-1361 severelyinjured@militaryonesource.com Navy Safe Harbor (888) 774-1361 severelyinjured@militaryonesource.com DHSD Deployment Helpline(800) 497-6261 Deployment Health Clinical Centerhttp://www.pdhealth.mil DeploymentLINKhttp://deploymentlink.osd.mil Deployment Health and Family Readiness Libraryhttp://deploymenthealthlibrary.fhp.osd.mil

  19. Contact Information • DHSD Veterans’ Helpline - (800) 497-6261 • E-mail - special.assistant@deploymenthealth.osd.mil • GulfLINK - http://www.gulflink.osd.mil • DeploymentLINK - http://deploymentlink.osd.mil • Michael.Kilpatrick@deploymenthealth.osd.mil

More Related