1. USPACOM Efforts in the Pacific
Consortium of Universities for Global Health
RDML Brian Pecha
U.S. Pacific Command Surgeon
31 August 2016
Overall classification of this brief is:
UNCLASSIFIED

2. Regional Threats to Health
UNCLASSIFIED
Emerging Infectious Diseases
Antimicrobial Resistance
Counterfeit Pharmaceuticals
Water Quality
Human Trafficking
Animal Trafficking
Non-Communicable Diseases
PACOM
(This slide to show PACOM AOR, but mostly focus on health issues.)
There are many threats to health in the Asia-Pacific region, most are transnational and require collaborative approaches to address. These health security issues impact overall security within the region; working together to address these issues will improve security and stability.
Natural Disasters
Climate Issues
High Population Densities
Territorial Disputes

3. Joint Health Value to PACOM
UNCLASSIFIED//FOUO
Lead Rebalance
Operationalize Theater C2
Drive Activities in TCO
Fight Tonight
Organizational Coherence/Climate
Defend the Homeland
J07 Priorities
COM’s Priorities
J07 Priorities
Defend the Homeland
Support the Warfighter
Joint Health Value to PACOM
Fight Tonight
Lead the Rebalance
Global Health Engagement
Drive the TCO
Operationalize C2
Work with Components
Command Climate
UNCLASSIFIED//FOUO

4. USPACOM Health Lines of Effort
UNCLASSIFIED
USPACOM Health Lines of Effort
Operational Medicine
First Responder Training/Trauma Casualty Care
Medical Support to HA/DR
Naval / Undersea Medicine
Aerospace Medicine
Patient Movement: CASEVAC, MEDEVAC, AIREVAC
Public Health / Force Health Protection
Malaria/Dengue
Emerging Infectious Disease
Biosurveillance/Lab Capacity Building
One Health (Animal, Human, Environmental)
Health System Strengthening
Blood Safety Program
Medical Education Support
Maternal & Child Health
(Different week to speak to the strategic framework / lines of effort)
types of engagements binned into three HLOE with corresponding health functional areas:
Operational Medicine line of effort encompasses our mil-to-mil engagement on military health topics.
Public Health / Force Health Protection may include mil-to-mil as well as mil-civ and whole of government. Addressing these issues in our partner nations will improve US Force Health Protection, as well as that of our partner nations.
Health System Strengthening may be mil-mil or mil-civ, and focuses on building partner nations’ health systems. Direct patient care activities tend to fall in this line of effort 4

5. USPACOM Partners for Health
UNCLASSIFIED
USPACOM Partners for Health
Whole of Government
Regional
Allies & Partners
Australia
Philippines
Thailand
Japan
S. Korea
New Zealand
Indonesia
Laos
Singapore
Cambodia
Vietnam
Malaysia
China
Nepal
India
Bangladesh
Sri Lanka
Maldives
Brunei
Tonga
We work closely with our interagency partners to synch and de-conflict; ideally our whole of government health efforts support each other. Most of our engagements are executed by our service components, represented at bottom. 5

6. USPACOM Health Engagements
UNCLASSIFIED//FOUO
USPACOM Health Engagements
Oct 2013 to Oct 2015
Region
# of Events
Countries
Northeast Asia 26
China, Japan, Mongolia, South Korea, Taiwan
Southeast Asia
119
Brunei, Burma, Cambodia, India, Indonesia, Laos, Malaysia, Philippines, Singapore, Thailand, Vietnam
South Asia 32
Bangladesh, India, Maldives, Nepal, Sri Lanka
Oceania 21
Australia, Fiji, FSM, Kiribati, New Zealand, PNG, RMI, Samoa, Solomon Islands, Tonga
198 in two years
Types of Engagements
Blood Program
Disaster Response Exercise & Exchange
Malaria Reduction
Field Training Exercise
Pacific Angel / Pacific Partnership / Pacific Pathways
Senior Leader Visit
Subject Matter Expert Exchange
First Responder Training
Veterinary
Workshop / Seminar / Meeting
J07 Engagements
Asia Pacific Military Health Exchange (APMHE)
International Committee of Military Medicine (ICMM)
Center for Strategic and International Studies (CSIS)
Uniformed Services University of Health Sciences (USU)
Naval War College
Association of Military Surgeons of the United States (AMSUS)
Regional Malaria Meeting (Cambodia)
Global Fund Malaria Meeting (Vietnam)
Visits to Australia, Burma, Cambodia, China, Indonesia, India, Japan, Laos, Malaysia, Papua New Guinea, Philippines, RMI, South Korea, Singapore, Thailand, Vietnam
Hosted SGs from India, Indonesia, PRC, Singapore, Taiwan, Thailand
198 engagements in two years from OCT *Does not include multilateral events that were attended in other countries
(these numbers under-represent Northeast Asia engagement on a day to day basis between our forces in Japan and Korea and their counterparts)
PHOTO: meeting with Lt Gen Chopra, Director General Armed Forces Medical Services (April 2016).
Multiple levels of engagement opportunities with military and civilians during international or US domestic events.
Key senior leader engagements build relationships and open doors 6

7. Global Health Security Agenda (GHSA)
Presidential-level initiative with primary aim of stopping pandemics before they start
PREVENT DETECT RESPOND
Focus on building capacities of resource- constrained countries through 11 action packages
Uses new tools to enhance the needs for countries to meet International Health Regulation (2005) obligations
Military role can vary in each country lessons leaned from Ebola
-A few words on the larger, strategic effort to tackling the health security threats throughout the world. The IHR of (2005) was signed on my all Member States of the World Health Assembly of the WHO.
-We continue to see where countries are challenged to meet these minimum standards.
-The Global Health Security Agenda is an effort to work with not only WHO but also agriculture and animal health authorities to stop pandemics before they start
-Early detection and rapid response are still important but with a new emphasis on the need to PREPARE at all level across the many systems.
-We are still working very closely with counterparts to determine where the military fits into this construct in each country. Suffice it to say, Ebola taught us that the military plays a critical role in both detection and response and will continue to do so as new threats emerge. 7

8. UNCLASSIFIED
Conclusion
Provide Health Service Support guidance to PACOM in support of the PACOM Commander and mission
Health Engagements have evolved over the last 5 years from largely direct patient care to enhanced focus on building capacity, capability and interoperability
Health TSC Activities directly support the USPACOM Theater Campaign Plan
Health TSC contributes to achievement of National Security End States 8