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SEP 18 2009
OPNAV INSTRUCTION 3500.41
3. Situation
a. General
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directs CCDRs to address force health protection (FHP) and
defense support of civil authorities in each geographic
combatant commander's (Gee) area of responsibility (AOR), as
well as support to humanitarian assistance/disaster relief
(HA/OR) operations to prepare and respond to the effects of an
influenza pandemic.
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(4) Reference (h) designated CDRUSNORTHCOM as the lead
CCDR responsible for planning and synchronizing the DoD global
response to an influenza pandemic, in conjunction with CCDRs,
Services, and DoD Agencies.
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DOD Global COlfPLAH to
Pederal Government Response
Synchronize Response to PI NBO Phases
Stages
Phases (Virus Drivan)
(Geography Driven)
IIl'lB1l-PAllDEIlIC PIRIOD
PAllDEIlIC PIRIOD
iteceipt d lllfonYUOlI tbat a !ughly idelprud Ircllol.'l ootllteili .t .l1tiple
letbal pame.ic influeou nnlll i.
J IOCatlOllS OWltSlNll
PI phue. incr~ aDd SIlStilPed
4 spreadi~ globally frc. hUloilll-to-b\Illan
4 Fitst huIaD ease in Itorth .wrka 6 t rAll5llissioo III gtDeul populatioo
'lgniling • breach in lXIltalllllent and
failing interdirtiotl efforts. 5 Spre.d throughout the l1llited Stites
RBCOVERY PIRIOD
D1agram 1
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c. Potential Impact of a PIon the United States Navy
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d. Threat
e. Planning Assumptions
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(3) A vaccine (PI specific strain) will not be available
for distribution for a minimum of 4 to 6 months after the
laboratory confirmation of sustained human-to-human PI
transmission. Foreign manufacturers are not expected to support
U.S. demand. Prioritization will be required.
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(12) DoD reliance on "just-in-time" procurement will
compete adversely with u.s. and foreign civilian businesses for
availability of critical supplies.
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(20) National Guard forces, minus those subject to the
needs of national security (e.g., chemical biological
radiological nuclear and high yield explosives, Consequence
Management Response Force) units called to Title 10 status, will
remain in place to provide support to the governors of the
individual States.
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Medical System (NDMS) due to limited movement and a wide range
of pandemic impact (see annex Of appendix 2 of reference (c) ) .
S. Execution
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support process. The SeeDef DST and appendix 28 of reference
(f) are provided to Navy commanders for situational awareness of
the strategic level decisions that will impact CCDRs during an
influenza pandemic event and require SeeDef briefings by the
Chief of Naval Operations (eNO). As a Title X force provider,
these references will be used to develop CNO level decisions
that affect the Navy's overall mission. It is paramount that
echelon II and III commanders understand the SeeDef DST and can
articulate events at their commands that may impact overall Navy
readiness. Key CNO decisions by phase:
c. Responsibilities
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Cd) Coordinate with CDRUSNORTHCOM to ensure that
guidance and installation plans are developed, updated, and
synchronized with reference (e).
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(e) Provide training and equipping resources for
Navy regions on protective measures against the [threat viral
subtype] strain.
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(1) Identify resource shortfalls as directed to
ensure execution of phases 0 and 1 and to begin preparation for
remaining phases.
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(d) Prioritize mission essential U.S. Forces for
vaccinations.
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(k) Identify resource shortfalls to Office of
Secretary of Defense, as applicable, to ensure execution of
phases 0 and 1 and to begin preparation for remaining phases.
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contact with PI patients, disposable surgical masks for
patients, disposable long-sleeved gowns, and disposable plastic
aprons. See annex Q of reference (f).
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(ail Ensure Service activities are coordinated
through Armed Forces Health Surveillance Center.
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requirements, targeted layered containment, and community
mitigation strategies. Provide guidance to MTFs on modifying
standards of care to respond to possibility that system may be
overwhelmed.
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vti 18 j
(5) NCCs
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of a pandemic. It is imperative that Navy speak with one voice
and ensure the themes and messages from HHS are nested in
subordinate plans. The Office of the Assistant Secretary of
Defense (Health Affairs) is overall responsible for coordinating
the 000 PA response by providing PA's guidance to CCDRs.
Services, and DoD Agencies. Delegation of release authority to
the CCDR, Services, and 000 Agency PA office and, in turn, the
appropriate C2 HQ, is allowed in support of this plan.
Installation level plans should utilize annex F of reference (f)
for specific guidance.
a. Command Relationships
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(3) The Department of the Navy is a supporting
organization, and its PI plans will conform to Gee plans in case
of conflict.
b. Reporting Reguirements
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c. COOP
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,
operations. Traditional COOP planning efforts focuses on a
component's ability to accomplish their MEFs while deferring
remaining functions for up to 30 days.
J. KL III
dmiral. U.S. Navy
Director, Navy Staff
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Distribution:
Electronic only, via Department of the Navy Issuances Web site
http://doni.daps.dla.mil/
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LIST OF ACRONYMS
Acronym Meaning
Enclosure (1)
OPNAVINST 3500.41
2 Enclosure (1)