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    Published on 03-03-2010 08:00 PM
    Categories:
    1. Deployments

    by Christine Nathe, RDH, MScnathe@salud.unm.edu

    The spotlight this month focuses on LCDR Nicole Glines, who had the tremendous opportunity to serve on the USNS Comfort, the ship highlighted in last month's column. “Strength in diversity,” the U.S. Public Health Service (USPHS) motto, held true for Nicole, as she was one of 16 dental hygienists in the USPHS Commissioned Corps who had the opportunity to serve aboard the USNS Comfort, a Navy hospital ship, during its four–month deployment to Latin America and the Caribbean. The deployment was labeled “Partnership for the Americas: USNS Comfort offers Humanitarian Assistance to countries in South and Central America.” I had the opportunity to ask Nicole a few questions.

    Why did you decide to go into dental hygiene?

    I was a nontraditional student, having just completed my military obligation in the Navy, when I started the dental hygiene program at the University of South Dakota in Vermillion. At that time I held a certification as a medical laboratory technician, and although I enjoyed the scientific aspect and pathology of the lab, I wanted my future to include patient interaction. Dental hygiene satisfied both those interests.

    How did you get into dental public health?

    When I graduated from dental hygiene, I chose to work in private practice and was recruited to take an active part in the South Dakota Dental Hygienists' Association. This was an eye opening opportunity for me as it allowed me to further my views on the roles of a dental hygienist, and exposed me to other professional issues associated with our profession. During this time I was mentored in many diverse aspects, including legislative activity and community outreach. I attended an ADHA annual session where the U.S. Public Health Service Commissioned Corps had an exhibit and recruitment booth. I contacted a USD alumnus who served as a community and clinical dental hygienist with Indian Health Services. My professional course changed directions when I submitted my application to be commissioned as an officer in the U.S. Public Health Service. Education always opens doors for opportunities, and it's no different in public health. There are programs that currently recognize all levels of dental hygiene degrees within the Commissioned Corps for job placement. One thing is certain — once an officer is in the field, he or she will benefit from gaining further education.







    What is your current position?

    I serve as a community and clinical dental hygienist with Indian Health Services stationed with the Oglala Sioux Tribe in Pine Ridge, S.D. My position is both challenging and rewarding as I work with special populations such as diabetics and prenatal moms, and in the community with Head Start, Child Care, and WIC (Women, Infants, and Children) to name a few. Much of my time is spent in schools managing school sealant programs and fluoride mouth rinse. I'm involved in other activities, such as serving as a trainer and consultant for tobacco cessation activities in dental offices throughout South Dakota, as well as professional group activities within the Commissioned Corps.

    Can you discuss any particularly interesting experiences you have had in your dental public health positions?

    The most interesting part of my job is working with collaborative partners in projects with a common goal and the learning that comes from this. For instance, the population I serve experiences a very high rate of early childhood caries. It is imperative to form partnerships with groups that have access to children and families to address the issue from a prevention standpoint as opposed to treatment. Because of this, I've had the opportunity to participate in research projects led by academia from major universities, marketing and communication experts, and those at the grassroots level, that have helped develop culturally appropriate educational resources and served as the driving force in creating change.

    What type of advice would you give to a practicing hygienist thinking of doing something different?

    Public health affects your community, and it provides ample opportunities that are not always openly discussed. Volunteering for projects or civic group activities leads to networking resources. These can expand into diverse opportunities that may or may not have an oral component, but can still benefit from a dental hygienist's involvement.




    If a career in public health is in your future, I would recommend looking at the different directions of public health such as research, epidemiology, health promotion and disease prevention, or clinical services. Education and practical experiences beyond a traditional dental hygiene degree are both beneficial and highly recommended when making the transition. The challenges and experiences are unlimited when you enter a public health profession.


    About the Author



    Christine Nathe, RDH, MS, is a professor and graduate program director at the University of New Mexico, Division of Dental Hygiene, in Albuquerque, N.M. She is also the author of “Dental Public Health” (www.prenhall.com/nathe), which is in its second edition with Prentice Hall. She can be reached at cnathe@salud.unm.edu or (505) 272–8147.








    Source: Reposted from www.dentistryiq.com



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    Categories:
    1. Deployments

    01/27/2010

    As CDC continues its public health mission in Haiti, we take a look at its role, the priorities of the mission, and the public health dangers. Here is an interview with CDC's incident manager for Haiti, Scott Dowell, M.P.H., M.D. (CAPT, USPHS), medical officer with the Global Disease Detection and Emergency Response Branch, Office of Global Health.

    What is CDC's role in the Haiti relief effort?

    CDC in Atlanta is gearing up to become a fairly large part of the Haiti relief effort in the upcoming weeks and months. CDC's public health role was small and back-seat in the initial three or four days of search and recovery after the earthquake, but has become much more prominent as attention turned toward potential public health disasters that are looming in the weeks and months ahead. Our role is to help prevent tropical diseases, airborne and waterborne, from spreading through the population.

    The key point is that this earthquake struck what was the most precarious public health system in the entire hemisphere. So even before the earthquake hit, Haiti had the lowest rate of immunization of infants, had the highest rate of mortality during childbirth, and had other serious public health problems. When you add the earthquake disaster to that, you have the potential for outbreaks of disease and other public health problems in the coming weeks. So one of the first priorities that we're focusing on is public health information because it's the quality of that information that's going to guide the response and sort of avert these more predictable mortality risks.

    What are the public health dangers that you foresee developing in Haiti in the coming weeks and months?

    Scott Dowell, M.P.H., M.D.
    (Capt., USPHS)
    CDC's Incident Manager for Haiti

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    There's a long list of potential problems, and the public health information, along with surveillance that we will be conducting, will help us identify the priorities more precisely as they unfold. Part of what we're putting in place is a rapid assessment of the current situation and a surveillance system that will identify problems as they arise. But we can predict from past disasters the ones that are of greatest concern. Problems that result from the lack of clean water are the first ones. Outbreaks of diarrheal disease have struck populations in this kind of circumstance in the past and could be disastrous. After water, we'll focus on food. We knew that malnutrition was already a severe problem in Haiti, and people are going to need to have adequate supplies of safe food.

    In the first days after the earthquake there are continued concerns about trauma and injuries. As time unfolds and that concern will decrease, there will be outbreaks of infectious disease. Measles is one of the classic ones that infect populations like the one in Port-au-Prince. Fortunately, measles has been all but eradicated as an endemic problem in the western hemisphere. But there are periodic re-importations and the fact that Haiti's measles vaccination coverage was so low to start with — about 50 percent — puts them at risk for even more importations of disease like that, in addition to the normal vaccine-preventable diseases that are already there. Part of what we're putting in place is a rapid assessment of the current situation and a surveillance system that will identify problems as they arise.

    How many CDC people are working on Haiti now?

    CDC now has 17 full-time US citizens on the ground in Haiti (as of Monday, January 24), plus 35 local CDC staff. Supporting them are 235 CDC staff members at the Centers' headquarters in Atlanta, two liaison officers in Washington, and one in Miami. That number will increase and fluctuate as CDC becomes more involved in addressing the long-term public health challenges facing Haiti. Most CDC staff members are assigned to work with the Centers' partner organizations — the UN organizations, the U.S. military organizations, the U.S. aid organizations, and the Haiti Ministry of Health. The exact numbers that CDC will eventually deploy to Haiti will depend on what these organizations identify as their public health needs, but I anticipate two or three dozen CDC staff in Haiti in the coming months.

    Will CDC be establishing camps for the displaced Haitians?

    Tent cities already have been established in informal ways across the city of Port-au-Prince, and part of the job in the coming days is going to be to move the people in these camps into more formally organized settlements. Various international organizations probably will take charge of those settlements on a temporary basis.

    Who's the overall international coordinator of the Haiti disaster relief response?

    Ultimately, the international response is coordinated by the United Nations, which has delegated the Pan American Health Organization (PAHO) as the public health lead, with the US response coordinated by US Agency for International Development (USAID).

    How does CDC become involved in such operations?

    PAHO, USAID and other coordinating agencies ask for CDC experts in a variety of areas — epidemiologists, environmental health specialists, technical advisors, veterinarians, sanitarians, nurses and information specialists — to handle information flow.

    Is Atlanta particularly well-positioned to become a staging point for long-term assistance to Haiti?

    We are at an advantage because Atlanta is a transportation hub. For example, the large group that the US government HHS sent down at the very beginning was staged out of Atlanta. So people can gather here or get down there very quickly. Through all these partnerships, CDC is well positioned to respond with agility to these kinds of crises. CDC does this a lot. We have a plane available to us that can get our people and supplies in and out very quickly. And we're able to be quick in responding when people ask us for help.

    What do you see as the top priority in the next seven or eight days?




    CDC has two immediate tasks that I will be concerned with:
    • Making sure we have the kind of public health system communication in place that will guide the response and avert the mortality that we've been concerned about, and
    • The long-term reconstruction of a public health system for Haiti, which wasn't that strong to begin with, and was essentially destroyed by the earthquake.
    Reposted from CDC Connects
    by Published on 01-29-2010 01:31 AM
    Categories:
    1. Deployments



    CDR Audain, 43, a Clarksburg resident born to Haitian immigrants, is serving as a translator and medical assistant with the US Public Health Service at Terminal ...

    Link to the story...
    Published on 01-11-2010 09:28 PM
    Categories:
    1. General Interest




    ABC News By KATIE BOSLAND and LEE FERRAN The new US surgeon general, Dr. Regina Benjamin, speaks out for the first time about her appointment as the nation's top ...

    Video

    Link to the story...
    by Published on 01-05-2010 09:40 PM
    Categories:
    1. Pay and Benefits

    The few areas of the country that get cost of living adjustments are seeing a drop in 2010 compared to 2009. Check the attached files or from http://www.defensetravel.dod.mil/perdiem/cc_city.html.

    New York, Staten Island, and Detroit are set to increase but most other location adjustments will drop.

    The Defense Finance and Accounting Service has posted the official 2010 military pay tables on its website:

    http://www.dfas.mil/militarypay/militarypaytables/2010MilitaryPayTable34.pdf

    The BAS for 2010 remains unchanged at $223.04. The BAH rates for 2010 are posted at this website:

    http://www.defensetravel.dod.mil/perdiem/bah.html


    Categories:
    1. Pay and Benefits


    Stay informed with free Military.com newsletters. These newsletters offer a wealth of important, free information.
    Published on 01-02-2010 09:54 PM
    Categories:
    1. Pay and Benefits


    Information on the Post 9/11 GI Bill courtesy of the IAVA - Iraq and Afghanistan Veterans of America (IAVA) is the nation's first and largest nonpartisan, nonprofit organization dedicated to veterans of the wars in Iraq and Afghanistan and their families.

    Welcome to PHSChat Videos. If you would like to contribute a video, notify the Admin where your video is located or can be downloaded.



    by Published on 01-02-2010 12:32 PM
    Categories:
    1. Deployments
    2. Readiness

    A resource for the history of militarization of the Corps can be found here at the Office of the Public Health Historian website. Sadly, this office is no longer staffed and the website hasn't been updated in a few years.

    There is some confusion among officers regarding the law. The Commissioned Corps is authorized under U.S. Code Title 42 The Public Health and Welfare, Chapter 6A, Subchapter I, Part A, § 204.

    The regulations authorized by Title 42 to administrate the Corps are found in 42 Code of Federal Regulations Title 21. Find the regulations at the GPO Access site by searching for "42CFR21"

    Officers of the USPHS are subject to militarization under Title 42 USC, Chapter 6A, Subchapter I, Part A, § 217 Use of Service in time of war or emergency:
    "In time of war, or of emergency proclaimed by the President, he may utilize the Service to such extent and in such manner as shall in his judgment promote the public interest. In time of war, or of emergency involving the national defense proclaimed by the President, he may by Executive order declare the commissioned corps of the Service to be a military service. Upon such declaration, and during the period of such war or such emergency or such part thereof as the President shall prescribe, the commissioned corps

    (a) shall constitute a branch of the land and naval forces of the United States,
    (b) shall, to the extent prescribed by regulations of the President, be subject to the Uniform Code of Military Justice [10 U.S.C. 801 et seq.], and
    (c) shall continue to operate as part of the Service except to the extent that the President may direct as Commander in Chief."
    USPHS officers are subject to the Uniform Code of Military Justice under Title 10 when assigned to and serving with the armed forces: TITLE 10 > Subtitle A > PART II > CHAPTER 47 > SUBCHAPTER I > § 802

    The term "Armed Forces" is defined as the Army, Navy, Air Force, Marine Corps, and Coast Guard: TITLE 10 > Subtitle A > PART I > CHAPTER 1 > § 101