1. I n t e g r i t y - S e r v i c e - E x c e l l e n c e Thirteenth Air Force Col Craig Castillo 13 AF/SGK 16 Mar 11 PACAF Medical Engagement Efforts THIS BRIEFING IS UNCLASSIFIED

2. Projecting Peace, Power and Presence Flight Plan Personnel/assigned countries Ideality vs Reality Engagement Activities Challenges

3. Projecting Peace, Power and Presence East Timor Lt Gen Kresge 13AF/CC Col O’Brien 13AF/SG Col Craig Castillo 13AF/SGK (2012) Aerospace Medicine Occupational Medicine Japanese Maj Nerriza Brooks (2013) Medical Management Ambulatory Care Tagalog Maj Douglas Riley (2013) Public Health Veterinary Medicine Lt Col Peerach Ewings (2012) Aerospace Medicine Internal Medicine Thai MSgt Enrique Ferreira (2012) Emergency Medical Response Aeromedical Evacuation Spanish / Portuguese (Bra) TSgt Carlos Limo (2011) Medical Administration Resource Management Spanish / Portuguese (Bra) Lt Col John Waite (2011) (13 AF/SGX) Bioenvironmental Engineer Maj Brad Cogswell (2012) (13AF/SGX3) Medical Service Corp Thai / Portuguese (Eur) Maj Erickson (arr Jul 2011) Family Practice Australia Oceania New Zealand 13 AF/SGK INTERNATIONAL HEALTH SPECIALISTS DIVISION Laos Myanmar Thailand Vietnam Bangladesh India Bhutan Sri Lanka Nepal Brunei Malaysia Papua New Guinea Indonesia Philippines Singapore China South Korea Cambodia Japan Mongolia Taiwan Russia

4. Projecting Peace, Power and Presence IDEALITY PACAF/13 AF CSP National Security Strategy USPACOM TCP National Defense Strategy 13 AF International Health Specialists Medical Operations

5. Projecting Peace, Power and Presence REALITY Support Missions/Exercises Ambassador/Country Team Requests Flag Officer Good Ideas Funding Sources (“following the crumbs”) Host Nation’s Position (Ex. China) Within this – we try to make it support our CSP and PACOM’s TCP.

6. Projecting Peace, Power and Presence ACTIVITIES PACIFIC ANGEL MISSIONS (Health Services Outreach/Med SMEEs/Encaps) 4/year HA/DR - USAF aircraft to conduct HA mission (exercise DR) Med SMEE Example in SL: Public Health Outreach Mental Health for Community Workers Pediatric Emergencies for Primary Care Providers FY 10 – Philippines, Vietnam, Bangladesh, Sri Lanka FY 11 – Timor Leste, Indonesia, Mongolia, Cambodia FY 12 – Philippines, Laos, Vietnam, Nepal

7. Projecting Peace, Power and Presence ACTIVITIES EXERCISE SUPPORT COPE TIGER COPE INDIA BALIKATAN Etc. With Medical Personnel and/or SMEEs

8. Projecting Peace, Power and Presence ACTIVITIES HARRT – PACAF DR capability of located in Guam. Base Support, Command (C2), and Medical Component – Requires 2 C-17. Ready (palletized in warehouse) to go within 24 hours. Deployed for Padang earthquake in 2009.

9. Projecting Peace, Power and Presence ACTIVITIES USAID funded Infection Control in Military Hospitals Workshops in 5 countries (Nepal, Bangladesh, Cambodia, Vietnam, China – unlikely to happen)

10. Projecting Peace, Power and Presence ACTIVITIES Asia Pacific Military Nursing Symposium Annual event (approx 200 nurses) 2007 – Hawaii (3 countries) 2008 – Korea (7) 2009 – Vietnam (14) 2010 – Philippines (13) 2011 - Thailand

11. Projecting Peace, Power and Presence ACTIVITIES Laos Disease Surveillance Capacity Building GEIS Funded Working to enhance military medical surveillance capability in line with the National Plan of Laos Training – English, IT, Lab Techniques Establishing EWARN system with the Lao Military Hospitals Enhancing the Military Disease Prevention Lab

12. Projecting Peace, Power and Presence CHALLENGES LANGUAGE – translation and interpreters COMMUNICATION – especially with some partner nations that respond better to face to face (email marginal) MEASURES OF EFFECTIVENESS

13. Projecting Peace, Power and Presence QUESTIONS?

14. Projecting Peace, Power and Presence CONTACTS Col Craig Castillo, 13 AF/SGK, DSN 312-448-3408, craig.castillo@hickam.af.mil craig.castillo@hickam.af.mil LtCol Peerach Ewings, 13 AF/SGK, DSN 312-448-3476, peerach.ewings@hickam.af.mil peerach.ewings@hickam.af.mil Maj Douglas Riley, 13 AF/SGK, DSN 312-448-3466, douglas.riley@hickam.af.mil douglas.riley@hickam.af.mil Maj Nerriza Brooks, 13 AF/SGK, DSN 312-449-0492, nerriza.brooks@hickam.af.mil nerriza.brooks@hickam.af.mil