HEALTH SERVICE SUPPORT • Heat Stress Concerns • Vector Borne Illnesses - Malaria - JEV - Dengue - Filariasis • Respiratory Diseases - Meningitis - Tuberculosis • Sexually Transmitted Diseases - HIV/AIDS - Gonorrhea/Chlamydia • Food Borne Illnesses - Diarrheal/GI - Hepatitis A Infectious Diseases (Vector-Borne) Risk Assessment Mission Risk Assessment Controls Residual Risk Identification Probability Severity Risk (mitigation) Mission Risk Malaria - PPE, Permethrin Likely- Moderate- Critical High treated uniforms More severe in Frequent High border regions - Chemoprophylaxis - PPE Use, Permethrin JEV Likely- Critical High treated uniforms, Moderate Year round Frequent - Immunization Dengue Fever - PPE Use, Permethrin Year round Likely Marginal Moderate Moderate treated uniforms Daytime Biter Filariasis Year-round - Sand Fly prevention Low- Likely Marginal Moderate Identified as WHO - PPE, Diet, etc Moderate Endemic Zone Physical Environment Risk Assessment Mission Risk Assessment Controls Residual Risk Identification Probability Severity Risk (mitigation) Mission Risk Climate, High - Education temperature of 93 Low- Frequent Marginal - Ensure Hydration Low degrees F. in Moderate Central Thailand - Suitable water supply - Avoidance of Pollution of air, Likely- Marginal- Low- Moderate contaminated areas water and soil Frequent Critical Moderate - Personal hygiene Food and water Frequent - Consume only contamination due to Marginal- Moderate approved food and Low from local sources unknown Critical is unknown reporting water sources - No operation of motor Marginal- vehicles for Motor Vehicle Frequent Moderate Moderate Critical personal/business Accidents - Ensure HN drivers are qualified/safe Hazardous Animal/Contact Disease Risk Assessment Mission Risk Assessment Controls Residual Risk Identification (mitigation) Mission Risk Probability Severity Risk Marginal- - Avoidance & Post Venomous snakes Frequent Moderate Moderate Critical exposure treatment - Avoid animals & Rabies/ animal bites Likely Critical Moderate Post exposure Moderate dogs/cats/monkeys treatment Marginal- Low- - Ensure Anthrax Unlikely Low Critical Moderate immunization - Avoid contact with Low- Leptospirosis Frequent Marginal lakes, streams and Low Moderate irrigated fields Infectious Diseases (STD’s) Risk Assessment Mission Risk Assessment Risk Controls Residual Identification (mitigation) Mission Risk Probability Severity Risk Hepatitis B - Abstinence or practice Unlikely- Marginal- Low- Year Round Moderate safe sex Likely Critical Moderate Countrywide - Immunization Gonorrhea/ Low- - Abstinence or practice Likely Marginal Low Chlamydia Moderate safe sex - Abstinence or practice safe sex - Practice good needlestick HIV/ AIDS Likely- Moderate- Critical protocol in medical Moderate Frequent High settings - Practice universal precautions Chancroid, - Abstinence or practice Low- herpes, syphilis, Likely Marginal Low Moderate safe sex venereal warts Infectious Diseases (Resp, Food, & Water) Risk Assessment Mission Risk Assessment Controls Residual Risk Identification Probability Severity Risk (mitigation) Mission Risk - Education Low- Tuberculosis Likely Marginal - Good ventilation Low-Moderate Moderate - Social Distancing Marginal- - Education H5N1/H1N1 Unlikely Moderate Low-Moderate Critical - Social Distancing - Consume only Hepatitis A, E.Coli, Marginal approved food Salmonella, Likely Moderate Low Brucellosis sources - Immunization - Consume only Giardiasis, Likely Marginal Moderate approved water Low Cryptosporidiosis sources Patient Care Process Host Nation Hospital Procedure URGENT & EMERGENT medical/dental care is covered by TRICARE Routine care is not covered Call ISOS Singapore Alarm Center at either +65-6338-9277 or 001-800- 65-6276 Collect calls are accepted 24/7 ISOS will provide case direction and guarantee of payment Call ISOS before you seek care. If not possible, then go to the hospital but call ISOS before leaving the hospital or you may have to pay personally. Please kindly contact the Alarm Center directly for Medical assistance, kindly Bring ID card and, if possible, copy of orders to show at the hospital as well. Hua Hin / Pran Buri Area Hospitals Area Hospitals HOSPITAL NAME Prajuabkirikhan Hospital • ADDRESS 237 Pitakchaat road, Ampur Meung, Prajuab, Hua Hin, 77000 • POC Duty supervisor or doctor • PHONE NUMBER 66-32-601-060-4 • FAX 66-32-611-079 • DIRECTOR Dr Sanit Archieb-samute MD (Med) • DEPUTY Dr Supannee Pradittawong MD (OBGYN) • CHIEF NURSES Miss Boosabaa Tongdee RN • CAPACITY 257 Beds • LABS • HELO PAD Coordinate with ER • AMBULANCE Area Hospitals HOSPITAL NAME Petcharat General • ADDRESS 99 Moo 6 Bandai-itt Road, Tambon Baanmorh, Ampur Meung, HuaHin, Prajuabkirikhan, Thailand 76000 • POC Call duty supervisor or doctor • PHONE NUMBER 66-32411-690, 417-070- 9 • FAX 66-32-411-689 • DIRECTOR • DEPUTY DIRECTOR • CHIEF NURSE • CAPACITY 150 Beds • LABS Routine lab & X-rays • HELO PAD • AMBULANCE Area Hospitals HOSPITAL NAME Petch-Thonburi (Petchprayaa) General Hospital • ADDRESS 145 Moo 6,Petchkasem Road,Tambon Tohnmoung, Ampur Meung, Petchaburi,HuaHin Prajuab 76000 • POC Contact duty supervisor or doctor • PHONE NUMBER 66-32-415-191-5 ext 1111 or 1113 • FAX 66-32-415-188 • DIRECTOR Dr. Sirichai Wongsobhon MD • DEPUTY Ms Rapeeporn • CHIEF NURSES Ms Somsie Intaraprasit, • CAPACITY 250 Beds • LABS • HELOPAD • AMBULANCE Area Hospitals HOSPITAL NAME Tanarat Military Hospital • ADDRESS 125 Moo 3, Petkasem Road,Tambon Kaonoi, Ampur Praanburi, Prajuab, Thailand 77160 • POC Duty supervisor or doctor • LABS Routine labs and X-rays, Ultrasound, CT • HELO PAD Coordinate with ER, Soccer Field available close by. • AMBULANCE 24 hour stand by Level II HSS Government Hospital; (not Approved by TRICARE SOS) • Emergency Services 24/7; Dial 66-32-662-155, FAX; 66-32-622-155. • Ambulances, 150 bed facility/ 2 ICU beds/ Operating Rooms Range of Medical Services: • Dental, Lab, Blood Bank, Angiography, Orthopedic & General Surgery, ENT, Outpatient Clinic, Pharmacy, Radiology, OBGYN, Cardiology, Urology, Internal Medicine, Ophthalmology, Neurology, Liver & Digest • Center, Women’s Health Center, Physical Therapy & Rehab, Mental • Health, Infectious Disease, (No Skin doctor available), CT Scan, routine labs, Ultra Sound. Rabies Vaccination/Snake Anti-Venin Available. Area Hospitals HOSPITAL NAME BANGKOK HOSPITAL HUA HIN (BHN) • ADDRESS 888 Phetchakakasem Rd. Hua Hin Thailand 77110 • POC Duty supervisor or doctor • HELO PAD Coordinate with ER, Soccer Field available close by • AMBULANCE 24 hour stand by Level III HSS Private Hospital; (Approved by TRICARE SOS) • Emergency Services 24/7; Dial 66-32-616-800, FAX; 66-32-616-801 • Ambulances, 76 bed facility/ ward beds: 50, 2 ICU beds/3 Operating Rooms, 3 ER rooms, 2 Maternity delivery room Range of Medical Services: • Dental, Lab, Blood Bank, Angiography, Orthopedic & General Surgery, ENT, Outpatient Clinic, Pharmacy, Radiology, OBGYN, Cardiology, Urology, Internal Medicine, Ophthalmology, Neurology, Liver & Digest, Renal Dialysis, Orthopedics Surgery Center, Women’s Health Center, Physical Therapy & Rehab, Mental • Health, Infectious Disease, Skin doctor, CT Scan 64 slides interface with PACS system, IVP, Upper GI study (Barium meal with x-ray), X-ray, interface with PACS system, All labs test, Ultra Sound. Rabies Vaccination/Snake Anti-Venin Available. Chiang Mai Area Hospital Chiang Mai Ram Hospital Level III (ISO Chiang Mai) • PRIMARY Private Care Hospital • Emergency Services 24/7 @ 0-5389-5001 • 5 Ambulances • Small Helipad on Roof (unable to land Large Helo’s) • TRICARE/ISOS approved. Will accept Billing • 220 Bed Facility/8 ICU Beds • 2 Operating Rooms Chiang Mai Ram Hospital Full Range of Medical Services: • Internal Medicine, Lab, Blood Banking, Dental, Mental Health • Orthopedic and General Surgery, ENT, Outpatient Clinic, • Pharmacy, Radiology, OBGYN, Cardiology, Internal Medicine • Ophthalmology, Dermatology, Urology, Burn, Cardiac Center • 64 Slice CT Scan and MRI • Rabies Vaccination/Snake Anti-Venin Available • 60 Physicians • Can purchase Class VIII supplies; cash or contract • Regulated medical waste destruction is contracted • Screen for H1N1; confirmation within 48-72 hours Point of Contact: Ms. Pamikhada Philakean, International Customer Relations 0-5392-0300 ext 7435 www.chiangmairam.com Nam Phong Hospital Level II HSS (ISO Nam Phong Airfield Operations/5th ANGLICO) • Public/District Hospital • Emergency Services 24/7; EMS 043-44152 • 12 ER Beds; 4 Ambulances (2 EMS) • Complicated cases referred to Khon Kaen Provincial Hospital (50 km) • 60 Bed Facility/No ICU Beds, No VIP beds • 2 Operating Rooms Nam Phong Hospital Range of Medical Services • Emergency Room (24 hours), Lab, Blood Bank, Orthopedic and General Surgery, Outpatient Clinic, Pharmacy, Radiology (X ray, CT scan, Ultrasound) • 10 Physicians (6 GMOs, 2 surgeons, 1 pediatrician, 1 Family Practice) • 103 nurses, 2 paramedics • Rabies/RIG/Anti-venom (King Cobra, General Anti-venom) Point of Contact Ms J.K. Thitima [email protected] Nam Phong Hospital Udon Thani 65 km Mueang Khon Kaen 50 km Nam Phong Hospital 21 CASEVAC North CJSOTF will position MC- 130’s at Wing 41 at Bumrungrad Chiang Mai and BPT flex Hospital (Bangkok) to Wing 46 at Phitsanoluk ISOS ISOS Wing 46 :20 Phetchabun :60 Airport :20 :20 Pitsanuvej Phetchabun Hospital Hospital (Phitsanulok) :20 :30 Camp Suritsina UW/FID Exercise AO Hospital in ChiangRai Overbrook Hospital www.overbrook-hospital.com Address: 17 Singhaklai Road, Tambon Weing, Ampur Mueang, ChiangRai