1. U.S. Southern Command Joint Surgeon/Combatant Command Surgeon Panel
UNCLASSIFIED
Items to convey
50 yr Anniversary
Motto:
Partnership for the Americas
U.S. Southern Command
Joint Surgeon/Combatant Command
Surgeon Panel
3 December 2015
THE OVERALL CLASSIFICATION OF THIS BRIEFING IS: UNCLASSIFIED
This is an informational briefing and the content is continuously changing. The charts are designed for discussion at time of presentation, not as stand-alone representation of official USSOUTHCOM policies or positions.
UNCLASSIFIED

2. Force Health Protection
SC SG Organization
Surgeon
Col Cachuela
Deputy
Mr. Diaz
The lines in the org chart connect/align in presentation mode
Plans
Operations
Force Health Protection
JIATF-S SG/
Clinical Ops
LTC Harvey
Lt Col Valles
MAJ Hankins
LTC Coote

3. Items to Convey
USSOUTHCOM is a joint military command supporting U.S. National Security Interest throughout the West Hemisphere beside our international and domestic partners.
Vision and Mission
Vision: USSOUTHCOM is a Joint Military Command supporting U.S. National Security Objectives throughout the Western Hemisphere in cooperation with domestic and international partners, in order to foster security, ensure stability, and promote prosperity throughout Central and South America, Caribbean and global community.
Pics:
First: Marines joint training
Second: TX Nat. Guard training Guatemala IABU TF
Third: U.S. Honduras Airborne Op
Fourth: Joint Planning
Commander’s Vision: We are a Joint Military Command Supporting U.S. National Security interests within the Western Hemisphere partnering with domestic and international partners which includes government, military, and Nongovernmental Organizations, to foster security, stability, and prosperity.
The Commander’s vision recognizes the important role security plays in ensuring prosperity and stability for millions in the region. We support the President’s vision of a peaceful, secure, and prosperous hemisphere.
Commander’s Mission: Although there is extremely low probability of inter-state conflict in this hemisphere, as a Combatant Command, U.S. Southern Command must remain prepared to conduct full-spectrum military operations to defend the United States and to project U.S. military capability if necessary.
We realize we cannot impose security, stability, and prosperity on our own; we must achieve it through, by, and with our partners throughout the Americas and the Caribbean.
SOUTHCOM is also responsible for providing contingency planning, operations, security cooperation activities as well as force protection for U.S. Military resources at these locations, and for ensuring the defense of the Panama Canal.
NOTE: defined by the National Security Strategy, Unified Command Plan, and United States Code or law which prescribes our force structure and specific missions we perform. (Source) Title 10, Chapter 6, Section
Mission: USSOUTHCOM is prepared to conduct joint and combined full-spectrum military operations within the AOR, in order to support U.S. national security objectives and interagency efforts that promote regional security cooperation. 3

4. Dependencies & Areas of Special Sovereignty
Items to Convey
Regional diversity
Importance of region to the US
A Diverse Region
JAMAICA
Central America
Belize
Guatemala
El Salvador
Honduras
Nicaragua
Costa Rica
Panama
South America
Dependencies & Areas of Special Sovereignty
Anguilla: (UK)
Aruba: (Netherlands)
Cayman Islands: (UK)
Curacao: (Netherlands)
Falkland Islands: (UK /*)
French Guiana #
Guadeloupe #
Martinique #
Mayotte #
Montserrat (UK)
Saint Barthelemy (France)
Saint Martin (UK)
Sint Maarten (Netherlands)
Turks & Calcos Islands (UK)
Virgin Islands, British (UK)
* also claimed by Argentina
# departments of France not a dependencies, included on list for convenience of user
Andrean Ridge
Bolivia
Colombia
Ecuador
Peru
Venezuela
Southern Cone
Argentina
Brazil
Chile
Paraguay
Uruguay
Area of Responsibility (AOR)
1/6th of earth’s surface (7.2M mi2 of land)
31 countries
15 Dependencies & Areas of Special Sovereignty
Demographics
476+ million people
170+ million Portuguese speakers
45+ million indigenous peoples
Economics
9 of 19 U.S. FTAs include AOR nations
~ 10% of U.S. trade
~ 30% of U.S. energy imports
> $38 billion in remittances
Cultural Ties
U.S. has the 2nd largest Spanish-speaking population in the world (37 million people)
Estimated U.S. will be 30% Hispanic by 2050
Antigua and Barbuda
Jamaica
St Kitts and Nevis
Barbados
St Lucia
Cuba
St Vincent & the Grenadines
Dominica
Dominican Republic
Suriname
Trinidad & Tabago
Grenada
Guyana
Haiti
Caribbean
General Kelly is 1 of 6 geographic combatant commanders. He has responsibility for all U.S. military activity within the boundary shown on the map in blue colored line. His Area of Responsibility includes Central America, South America, and the Caribbean with the exception of the Bahamas and Puerto Rico. Mexico is NOT in USSOUTHCOM’s Area of Responsibility but there is close coordination between us and U.S. Northern Command due to linkages between Central America, Mexico, and the United States.
Chile
Honduras
Colombia
Nicaragua
Costa Rica
*Panama
Dominican Republic
Peru
El Salvador
Guatemala
Free Trade Agreements
*Awaiting implementation
There are just under a ½ a billion people living in this region. The predominate languages in Central and South America are Spanish and Portuguese, but through the Caribbean English, Creole, and Dutch are also spoken. The indigenous population in Latin America is estimated at around 40 to 50 million people, or 8 percent to 10 percent of the region’s overall population.
The United States’ economy is tightly woven with the countries of the region with 9 of our 19 Free Trade Agreements in place and one more awaiting implementation (Panama). Once implemented, 50% of all FTA will be with regional countries.
These agreements are mutually beneficial to our countries and help to cement economic gains that many countries have experienced in recent years.
Energy imports are significant—nearly 85% of our coal and 18% of our crude and petroleum are drawn from regional countries (Natural gas is <3%).
Remittances from the U.S. are a significant revenue source for many of these countries. Recent data shows that the region receives roughly $38 billion in remittances with between 70% - 80% (or >$28 billion) originating in the United States.
In multiple countries, remittances account for more than 10% of the countries’ GDP (mostly Central America)
Culture traditions originate from both the indigenous population and from the waves of immigrants through the centuries: Spanish, Portuguese, Dutch, British, French, slaves from Africa, and labors from Italy, Germany, the U.S. and Asia. With increased interdependence and immigration, our countries remain connected economically, socially, and culturally.
Latin America, the Caribbean, and the U.S. share common interests and security concerns. 4

5. Our Priorities Promoting regional security cooperation
Items to Convey
Quickly highlight our priorities that enable us to support U.S. and PN National Security Objectives
Our Priorities
Promoting regional security cooperation
Pics :
1st: Camp VI
2d: Army Marksmanship training
3rd: Special Ops prejump
4th: Joint Planning
Top Right:
Bottom Right: Maritime Expeditionary Security Squadron, Panama Canal
Detainee
Operations
Supporting U.S. and Partner Nation National Security Objectives
Countering
Transnational
Organized Crime
Gen. Kelly recognizes the important role security plays in ensuring prosperity and stability for millions in the region. And without cooperation between our domestic and international partners we could not progress towards the Command’s priorities of:
Detainee Operations,
Counter Transnational Organized Crime,
Build Partner Capacity,
Planning for Contingencies.
Build Partner Capacity
Planning for Contingencies
Cooperation with domestic and international partners 4 10

6. SC SG Priorities 1. Protect the health of our force
2. Provide health leadership
3. Plan for contingencies
4. Build partner military’s medical
Internal defense
FHA/DR
PKO
5. MIL CIV: Promote peace, security, and health
6. Epidemic disease prevention, detection, response (mil and civ) 6

7. Force Health Protection: Job 1!
FHP and medical waiver guidance annual updates
Affects all Service Members and DoD civilians in our AOR
Pre-selection guidance--deployers, TDY, TAD, or PCS
Largest “down range” populations
JTF-GTMO in Guantanamo Bay, Cuba
JTF-B in Soto Cano, Honduras
Comalapa, El Salvador; Curacao; SCOs; TDY
Area of responsibility care: TRICARE Latin America and Canada - International SOS (ISOS)
Patient movement: Commercial air ambulance for day to day small numbers
PM planning critical piece of all our contingency planning

8. Theater Campaign Plan Support Commander’s Theater Campaign Plan (TCP)
TCP derived from National Security Strategy, National Military Strategy and Global Employment of the Force (GEF)
TCP broken down into Intermediate Military Objectives (IMOs)
IMOs have effects and priority countries identified
Effects have associated measurement plans: Measures of Effectiveness (MoEs)—”Are we doing the right thing?”
Components develop Component Support Plan (CSP) and SCOs have Country Campaign Plans to support TCP
BOTTOM LINE: Unified effort through organized activities in prioritized countries

9. Medical Strategy Shape health engagements Prioritize Synchronize
Focus health-related activities
Liaison
USG/Int orgs: USAID, OFDA, UNOCHA, PAHO, WHO, CDHAM, DIMO, DMRTI, CDC, GEIS, USUHS, USAPHC, ICRC, NAMRU 6
Provide resource oversight
Manpower
Funding
USAID: US Agency for International Development
OFDA: US Office of Foreign Disaster Assistance
UNOCHA: United Nations Office for the Coordination of Humanitarian Affairs
PAHO: Pan-American Health Organization
WHO: World Health Organization
CDHAM: Center for Disaster and Humanitarian Assistance Medicine
DIMO: Defense Institute for Medical Operations
DMRTI: Defense Medical Readiness Training Institute
AFRIMS: Armed Forces Research Institute of Medical Services
GEIS: Global Emerging Infectious Systems
USUSH: Uniformed Services University of the Health Sciences
USAPHC-P: US Army Public Health Command-Provisional 9

10. This concludes my brief pending your questions.
We are constantly evaluating and assessing our activities and outcomes and providing modifications where needed to attain specified national security objectives in our AOR.
Although our resources may be limited, our commitment to the region endures; The Caribbean, Central and South America regions are vital to the continued and future security of the United States and our Partner Nations.
USSOUTHCOM will continue as the partner of choice, fostering the development and reinforcement of regional relationships to support multilateral cooperation, security, stability, and prosperity in the Americas.
USSOUTHCOM looks forward to fostering and promoting the enormous capabilities within our common home, the Americas.
This concludes my brief pending your questions. 10