# Presentation: 245202

## Using Public Health Missions to Prepare for Disaster Response

- Texas State Guard – Medical Reserve Corps
- LTC Frank Stead

- Public Health Authority
- Defines areas of State that  are medically underserved

- Medically Underserved Locations

## Office of Assistant Secretary of Defense - Reserve AffairsCivilian-Military Innovative Readiness Training Program

- National Defense Authorization Act of 1993
- Civilian Military Projects not otherwise met
- Provides the Services “hands-on” readiness  training
- Provides direct and lasting benefit to communities

## Texas Military ForcesOrganizational Chart

- ADJUTANT
- GENERAL

- TEXAS ARMY
- NATIONAL GUARD

- TEXAS AIR
- NATIONAL GUARD

- TEXAS STATE GUARD

- ------------------------------------------**Texas Military Forces**---------------------------------------

- TEXAS MEDICAL
- RESERVE CORPS

- REGIONAL
- BRIGADES

- Texas Military ForcesOrganizational Chart

## Texas Medical RangersOrganizational Chart

- Texas Medical RangersOrganizational Chart

## Medical GroupOrganizational Chart

## Operation Lone Star

- Joint Military and Civil Humanitarian Mission in its seventh year started in 1999
- Joint Military Task Force
- TXANG and TXSG - MRC
- Department of State Health Services
- Volunteer Organizations

- DSHS Site Locations

## BrownsvilleGallegos ElementaryBrownsville, Texas

## . La Joya— Chapa Elementary School, 3 1/2 Mile North Doffing Road, La Joya, TX 

##  Rio Grand City—Ringgold Middle School,Fort Ringgold Campus, Rio Grande City, TX 

## TY-2005 AT:       Week One 

- TY-2005 AT:       Week One

**Deploy & **
**Arrival of  MB **

**Operational Days - Operation Lone Star**

**Advance **
**Party**

- 1st Day

**RCV UNITS**

** ****In briefs**** **
**& Final ****Set up **

**VIP DAY-RG**

**Univision **
**Telethon**

**Notes:**
Slide 4
HHC  AT period starting Friday 7 Jun.  Short convoy from Temple to NFH.  Move directly to the field as a unit and get established.  On the ground and ready to service our units upon their arrival on Saturday.  HHC leaves a slice in the perimeter to receive a NC 30 platoon which becomes part of the HHC site the next day. 
Co A, B, C AT starts Saturday, 8 Jun.  Convoy from home stations directly to staging areas near NFH to regroup and break into platoon convoys.    Send quartering party on to field sites.    Platoon packages move to field sites where they are received and immediately placed by the quartering party.
Company CPs and platoon establish field sites on Saturday and begin IOM MSE network.  Backbone is up by 1800 hrs, Sunday.  On Monday we fully establish TPN, deploy routers.  ISYSCON on line to “see” all 48Kbps routers and THSDN routers.  SENs deploy to supported sites.
Tuesday 11 Jun - Rail Load Tng SFH.  Company A conducts site defense to standard on both NC sites.  
Wednesday 12 Jun,  Co A jumps an NC31.  
Thursday, 13Jun Co B defends both NC sites to standard and jumps NC32.

## TY-2005 AT: Week Two 

**REDEPLOY**

**Endex**

**Recovery**

**MWR **

**HS**
**RECOVERY**

- EOM

**Operational Days - Operation Lone Star**

**MOSQ trng**
**CDR’s time**

**OLS **
**1/2day**

**AAR **

**Notes:**
Sat, 15 Jun - Co C defends L34 site to standard.  
Sun, 16 Jun - Co C jumps L34.  Co B defends both NC sites to standard.
Mon, 17 Jun - Co A/HHC defend HHC and NC30 site to standard.  Co A defends NC31 site to standard.    AirLoad Tng of selected soldiers.
Tues, 18 Jun HHC and NC30 jump north and re-establish.
Wednesday, 19 Jun - MSE System shutdown.  Units begin 100% accountability and maintenance.
Thurs, 20 Jun -  HHC partial re-deployment begin recovery at HS.  Co A, B, C recovering in field, conducting 100% accountability, maintenance.
Friday 21 Jun -  Remainder of HHC redeploys, completes recovery at HS.  HHC AT ends.  Co A,B,C redeploy to HS and begin recovery.
Saturday 22 Jun - CoA,B,C complete recovery at HS.  At ends.  RECOVERY will not lapse into July.

## Task Organization

## CIVILIAN ORGANZATIONS

- DSHS Region 11 Lead
- Three Counties Health Departments
- 15 Volunteer Organizations

## HSPD – 5 Implementation

## HQ Organization

## Site Organization

## Generic Site Flow

## Morning Line Up

## Registration

- Colonel Joseph Gonzales, TXSG-MRC

## Basic Physical 

- Major Leslie Melton-Kissel RN, TXSG-MRC

## Check for Diabetes

- Dental Assistant Students

## Immunizations

- Sargent David Van Curren, TXARNG

## Counseling

- DSHS Healthy Lifestyle Specialist

## Visit with the Doctor

- Lt. Colonel (Dr.) Samuel Morale, TXSG-MRC

## Visit with the Dentist

- Lt. Colonel (DDS) Robert Galvin, TXARNG

## Pharmacy

- SGT Johnny Mendoza,  TXARNG

## What has been accomplished

- 13,877 Individual Served in 2004-2005
- Services provided were estimated at a value of $1,724,322

## OPERATION LONE STAR Texas State GuardMedical Reserve corps

- 	2004 – 28 participants
- 	     	  126 days served
- 	2005 – 85 Participants
-            	  435 days served

**2006 Daily MRC**
**Site Resources Needed**

- Physicians/PA’s 8		Communications 2
- Nurses  12			Security 5
- Medics 18			Admin/Bilingual 10
- Dentists 2			HQ	13
- Dental Techs 4
- Pharmacy Techs 4		Total 84 positions
**870 services days required**

## 2006

- Medical Reserve Corps