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Global Health Engagement

The Department of Defense executes Global Health Engagement or "GHE" activities to establish and improve the capabilities of Partner Nations' military or civilian health sectors, or those of the DoD. 

Global Health Engagement Spotlight

DoD's GHE activities advance operational readiness and protect our troops, build interoperability so we can work more effectively with the armed forces of our partner nations, and enhance security cooperation so DoD can establish and maintain strong relationships around the world.  A key enabler to regional stability and security for DoD's combatant commands, GHE reduces risks to U.S. armed forces while fostering mission capability of partner nations' forces so that together, we can continue working effectively to defend global interests. 

Read more about the DoD's policy for Global Health Engagement

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Comfort strengthens partnership following successful medical mission

Article
10/21/2019
Navy Naval Aircrewman (Helicopter) 2nd Class Benjamin Lazarus flies in an MH-60S Seahawk assigned to the “Dragon Whales” of Helicopter Sea Combat Squadron 28, as it transports supplies from the hospital ship USNS Comfort for a temporary medical treatment site in Basseterre, St. Kitts and Nevis. (U.S. Navy photo by Mass Communication Specialist 2nd Class Morgan K. Nall)

More than 800 medical professionals provided care for 3,677 patients

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Comfort strengthens partnership with Grenada

Article
9/27/2019
Surgical staff transports a woman into the post-anesthesia care unit following her surgery aboard the hospital ship USNS Comfort as the ship is anchored off the coast of St. George's, Grenada. Comfort is working with health and government partners in Central America, South America, and the Caribbean to provide care on the ship and at land-based medical sites, helping to relieve pressure on national healthcare systems, including those strained by an increase in cross-border migrants. (U.S. Navy photo by Mass Communication Specialist 2nd Class Morgan K. Nall)

This marks the first visit to Grenada and the seventh to the region since 2007

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U.S. builds bonds in Papua New Guinea

Article
9/17/2019
Navy Lt. Austin Stokes, (right), and Air Force Maj. Nicole Smith (center), both dentists, talk to a patient at the Pacific Angel 19-4 health outreach site in Lae, Papua New Guinea. The health outreach site is comprised of five clinics including primary care, optometry, dental, physical therapy and pharmacy. (U.S. Air Force photo by Staff Sgt. Jerilyn Quintanilla)

This is the second Pacific Angel exercise conducted in Papua New Guinea

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Electronic Surveillance System for the Early Notification of Community-Based Epidemics (ESSENCE)

Fact Sheet
8/21/2019

This fact sheet describes the Electronic Surveillance System for the Early Notification of Community-Based Epidemics, or ESSENCE. ESSENCE is a global and Military Health System (MHS) monitoring capability for early detection of imminent health threats impacting force readiness for active duty service members.

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USNS Comfort completes medical mission in Peru

Article
7/22/2019
The hospital ship USNS Comfort (left) receives a fuel probe from the Peruvian ship B.A.P. Tacna during replenishment-at-sea practice. Comfort is working with health and government partners in Central America, South America, and the Caribbean to provide care on the ship and at land-based medical sites, helping to relieve pressure on national medical systems strained by an increase in Venezuelan migrants. (U.S. Navy photo by Mass Communication Specialist 2nd Class Morgan K. Nall)

This marks USNS Comforts’ seventh deployment to the region since 2007

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Vice President Pence tours USNS Comfort before its Latin America deployment

Article
6/20/2019
Vice President Mike Pence (right) greets Navy Lt. Gwendolyn Mann, and his wife, Karen Pence (center right), greets Navy Petty Officer 1st Class Edna Wallace during a tour of the USNS Comfort in Miami, June 18, 2019. (U.S. Navy photo by Seaman Jordan R. Bair)

The vice president called the deployment a lifesaving mission

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German allies visit JBSA-Fort Sam Houston on 75th anniversary of D-Day

Article
6/14/2019
Maj. Gen. Gesine Kruger, Commander for the German Bundeswehr Medical Academy (pictured center in the Flight Paramedic Training Simulator) and her delegation observed training and toured the Critical Care Flight Paramedic Course at the Health Readiness Center of Excellence. (U.S. Army photo)

The purpose of this visit was to further strengthen the bonds and interoperability programs between our allied countries or partner nations

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AFRICOM holds annual Command Surgeon Conference

Article
6/3/2019
Air Force Maj. Gen. Lee E. Payne. DHA assistant director for combat support, talks to attendees of the 2019 U.S. Africa Command Command Surgeon Synchronization Conference May 28, 2019 in Stuttgart, Germany. Payne discussed upcoming changes to the military health system and what that means for patients and providers. (U.S. Navy photo by Mass Communication Specialist 1st Class Christopher Hurd/Released)

The conference brought together medical professionals from across the command, and interagency and foreign partners, to enable collaboration and discuss areas of concern

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DHA IPM 18-020: Guidance for the Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (f): • Establishes the Military Health System’s (MHS) guidance for the provision of HIV PrEP for persons at high risk of HIV acquisition (ACQ). • Describes the elements and resources required to implement an HIV PrEP program. • Establishes the indications for HIV PrEP, laboratory (lab) testing and monitoring, and prescribing of HIV PrEP. • Provides a link to an HIV PrEP toolkit for providers. • This DHA-IPM is effective immediately; it will be converted to a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

Bringing Comfort 2018

Video
10/17/2018
The USNS Comfort is a state-of-the-art hospital ship, and it’s scheduled to deploy to Central and South America for Continuing Promise 2018.

The USNS Comfort is a state-of-the-art hospital ship, and it’s scheduled to deploy to Central and South America for Continuing Promise 2018.

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2019 to 2021 GEIS Strategy

Report
6/15/2018

This Strategy describes how GEIS will support infectious disease surveillance and outbreak response to enhance FHP decision making in the future operating environment. GEIS will achieve this end state through direct support to the six Geographic Combatant Commands (GCC) and the global DoD laboratory network that operates in all of their areas of operation to provide early detection, prevention and response to infectious disease threats of military relevance.

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2018 Medical Support Operations Conference

Photo
4/11/2018
Acting Assistant Secretary of Defense for Health Affairs Tom McCaffery spoke at the 2018 Medical Support Operations Conference in London, delivering remarks on the defense sector's role in advancing the Global Health Security Agenda. A partnership of more than 60 nations, the Global Health Security Agenda, or GHSA, brings together the unique roles of governments, industry, NGOs, academia, and international institutions to combat infectious disease threats. “We are up against a perilous rise in infectious disease outbreaks threatening the health and safety of our citizens, as well as threatening geopolitical stability,” stated McCaffery, emphasizing that global health security is an essential part of our national security. “The bottom line is that defense and security sectors have a real opportunity to use the GHSA framework to increase collaboration and converge our unique assets across all sectors to detect and defeat disease at the earliest possible moment," McCaffery said.

Acting Assistant Secretary of Defense for Health Affairs Tom McCaffery spoke at the 2018 Medical Support Operations Conference in London, delivering remarks on the defense sector's role in advancing the Global Health Security Agenda. A partnership of more than 60 nations, the Global Health Security Agenda, or GHSA, brings together the unique roles of governments, industry, NGOs, academia, and international institutions to combat infectious disease threats. “We are up against a perilous rise in infectious disease outbreaks threatening the health and safety of our citizens, as well as threatening geopolitical stability,” stated McCaffery, emphasizing that global health security is an essential part of our national security. “The bottom line is that defense and security sectors have a real opportunity to use the GHSA framework to increase collaboration and converge our unique assets across all sectors to detect and defeat disease at the earliest possible moment," McCaffery said.

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Global Health Engagement

2018 Visit to U.S. Africa Command's Command Surgeon

Photo
4/11/2018
Acting Assistant Secretary of Defense for Health Affairs Tom McCaffery visits U.S. Africa Command's Command Surgeon and team to discuss the strategic context of global health in advancing shared security objectives with partner nations across the region.  The Department of Defense recognizes that Global Health Engagement activities play a key role to advance U.S. troop operational readiness, build interoperability, and enhance Security Cooperation.

Acting Assistant Secretary of Defense for Health Affairs Tom McCaffery visits U.S. Africa Command's Command Surgeon and team to discuss the strategic context of global health in advancing shared security objectives with partner nations across the region. The Department of Defense recognizes that Global Health Engagement activities play a key role to advance U.S. troop operational readiness, build interoperability, and enhance Security Cooperation.

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Mercy 2018 Atoll2

Photo
3/21/2018
Sailors transport a mock patient from an MH-60S Sea Hawk helicopter, attached to the “Wildcards” of Helicopter Sea Combat Squadron 23, to the triage center during a mass casualty integrated field exercise aboard the hospital ship USNS Mercy during Pacific Partnership 2018. (U.S. Navy photo by Mass Communication 2nd Class Kelsey L. Adams)

Sailors transport a mock patient from an MH-60S Sea Hawk helicopter, attached to the “Wildcards” of Helicopter Sea Combat Squadron 23, to the triage center during a mass casualty integrated field exercise aboard the hospital ship USNS Mercy during Pacific Partnership 2018. (U.S. Navy photo by Mass Communication 2nd Class Kelsey L. Adams)

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Department of Defense Global, Laboratory-based Influenza Surveillance Program’s Influenza vaccine effectiveness estimates and surveillance trends, 2016 – 2017 Influenza Season

Infographic
2/5/2018
Each year, the Department of Defense (DoD) Global, Laboratory-based Influenza Surveillance Program performs surveillance for influenza among service members of the DoD and their dependent family members. In addition to routine surveillance, vaccine effectiveness (VE) studies are performed and results are shared with the Food and Drug Administration, Centers for Disease Control and Prevention, and the World Health Organization for vaccine evaluation. This report documents the annual surveillance trends for the 2016 – 2017 influenza season and the end-of-season VE results. The analysis was performed by the U.S. Air Force School of Aerospace Medicine Epidemiology Laboratory, and the DoD Influenza Surveillance Program staff at Wright-Patterson Air Force Base, OH. FINDINGS: A total of 5,555 specimens were tested from 84 locations: •	2,486 (44.7%) negative •	1,382 (24.9%) influenza A •	1,093 (19.7%) other respiratory pathogens •	443 (8.0%) influenza B •	151 (2.7%) co-infections The predominant influenza strain was A (H3N2), representing 73.8% of all circulating influenza. Pie chart displays this information. Graph showing the numbers and percentages of respiratory specimens positive for influenza viruses, and numbers of influenza viruses identified, by type, by surveillance week, Department of Defense healthcare beneficiaries, 2016 – 2017 influenza season displays. The vaccine effectiveness (VE) for this season was slightly lower than for the 2015 – 2016 season, which had a 63% (95% confidence interval: 53% - 71%) adjusted VE. The adjusted VE for the 2016 – 2017 season was 48% protective against all types of influenza.  Access the full report in the January 2018 MSMR (Vol. 25, No. 1). Go to: www.Health.mil/MSMR

This infographic documents the annual surveillance trends for the 2016 – 2017 influenza season and the end-of-season vaccine effectiveness.

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