1. UNCLASSIFIED Caroline Kalinowski, RS/REHS June 2016 Army Environmental Health Sanitation Program Updates & Initiatives The views expressed in this presentation are those of the author(s) and do not necessarily reflect the official policy of the Department of Defense, Department of the Army, U.S. Army Medical Department or the U.S.

2. UNCLASSIFIED Army Public Health Center (Provisional) PURPOSE: To provide information regarding updates and initiatives for the Army Environmental Health Program.  AR 608-10, Child Care Services  TB MED 575, Recreational Water Facilities  TB MED 530, Tri-Service Food Code  APHC Technical Guide 367, Facility Sanitation Surveillance  Skill Sustainment & Certification Briefing Outline 2

3. UNCLASSIFIED Army Public Health Center (Provisional)  Collaboration between Assistant Chief of Staff for Installation Management (ACSIM) and Army Public Health Center.  Target publishing FY 2018  Regulation streamlined to address “Policy”  New DA PAM to address “Operations”  New inspection forms  Environmental Health Sanitation: Combines food sanitation (kitchen) inspection & general sanitation inspection Used for monthly inspections & annual comprehensive Initial release as IMCOM form; intent to publish as DA or DD Form AR 608-10, Child Care Services 3

4. UNCLASSIFIED Army Public Health Center (Provisional)  Updated 4 March 2015  Adopts criteria from CDC, Model Aquatic Health Code  Defense Occupational and Environmental Health Readiness System (DOEHRS), Environmental Health Module  Inspection data entry mandated by OTSG/MEDCOM Policy 14-063  DOEHRS recreational water survey forms— Available as fillable PDF Up to date; approved for use over DA Form 7267-R  Training modules under development for recreational water—  Facility Design Review  Water Quality  Maintenance & Operation –pool operator functions & requirements  Natural Bathing Areas  Preventive Medicine – responsibilities; inspections; sampling & analysis TB MED 575, Recreational Water Facilities 4

5. UNCLASSIFIED Army Public Health Center (Provisional)  Published 30 April 2014; based on 2009 FDA Food Code  Update in progress—  Applies changes from 2013 FDA Food Code  Corrects errors & provides clarification for marking items on the inspection report  New appendix provides Public Health Reasons  Target dates:  Staffing – 4 th quarter FY 16  Release – mid FY 17  Problems with fillable DD Form 2973, Food Operation Inspection Report  Header information (Inspection Type) not transferred to subsequent pages; removed from page 1 if marked on subsequent pages.  Does not allow you to mark more than 1 critical item within the same Item grouping.  Does not allow you to unmark a critical item in the Item grouping once it has been selected.  Does not auto-fill the Inspection Rating to page 3 when marked on page 1. TB MED 530, Tri-Service Food Code 5

6. UNCLASSIFIED Army Public Health Center (Provisional) APHC Technical Guide 367 Facility Sanitation Surveillance  Serves as an interim update to sanitation criteria provided in DA PAM 40-11  Appendix D: troop housing; recreation areas; sports facility/gym/fitness center  Appendix E: barber & beauty shops  Appendix F: mobile home parks  Provides sanitation criteria not previously published—  Child care operations: CDCs, FCC homes, Youth Services  Day spas (specialty skin treatments)  Laundry operations  Detention facilities  Recreational vehicle parks  Body art (tattoos; piercings)  Introduces procedures for conducting facility risk assessments for Beauty Operations and Fitness Operations  Inspection frequencies linked to operational risk estimates  Target release – FY 17 6

7. UNCLASSIFIED Army Public Health Center (Provisional)  Develop an Environmental Health Sanitation certification plan.  Develop public health training modules (distance learning platform).  Food service operations  Recreational waters  Gym/fitness operations  Beauty operation  All other operations requiring sanitation surveillance  Training addresses—  Hazards & controls  Sanitation standards  Inspection protocols  Develop a mechanism to validate inspector competency.  Beyond internal QA/QC actions conducted at the operator level. Skill Sustainment & Certification 7 Planned:

8. UNCLASSIFIED Army Public Health Center (Provisional)Summary 8 QUESTIONS GOAL: To provide information regarding updates and initiatives for the Army Environmental Health Program.  AR 608-10, Child Care Services  TB MED 575, Recreational Water Facilities  TB MED 530, Tri-Service Food Code  APHC Technical Guide 367, Facility Sanitation Surveillance  Skill Sustainment & Certification