Page aangfs newsletter Fall 2000 e from the aangfs president's Desk



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G. E. Harmon, Col, MC, SCANG

State Air Surgeon, SC






Holloman AFB:

In a novel experiment to combine electrical energy savings with AF directed physical fitness training, the Air Force announced the first human-powered “push-you/pull-me” centrifuge.






(Clee Lloyd continued from page 1)
The ANG flight surgeons now have two new opportunities for flying and medical training for the next year. F-15 Top Knife in Klamath Falls, Oregon is up and running and an F-16 Top Knife at San Antonio, Texas is in the advanced planning stages. Many of us in the fighter community no longer have 2-seat aircraft to fly in, and these programs will help to offer flying time, CME and flight surgeon training. These courses are an excellent resource for the ANG flight surgeon, and I encourage all of the medical commanders to take advantage of these programs for enlistment and retention.

The Alliance of ANG Flight Surgeons has been requested to expand our efforts at AMSUS and the Aerospace Medical Association meetings. This can only come about if YOU, the membership, step up and participate in the organization. Assistance is needed in planning the educational meetings and finding speakers to present educational topics. Contact Clee Lloyd



(clloyd@teleport.com) or Kirk Martin (eagledoc@mediaone.net) and help make the meetings in the coming year a success.
A final reminder, Tuesday night, November 7, the Alliance of ANG Flight Surgeons will have its 30th Anniversary Dinner. Attire is Mess Dress or Class A uniform. Busses will pick up at both Balleys and the Hilton at 6:30pm for transport to Nellis AFB for dinner at the Nellis Officers Club. Our speaker is Bill Holloman, LtCol (ret) from the Tuskegee Airmen Group.
Thank you all for a great effort this year and I look forward to seeing you at Las Vegas in November.

Clee Lloyd, LtCol

President

T
Thanks to Camille Pond for substantial publication assistance, WWP, editor.

Major John Kirk, Director of ANG MRTS at Alpena, is looking for any historical documents, photos, information, etc., on Col James Weaver and his era as ANG Air Surgeon. If anyone has the time or items of interest he can be contacted at: mailto:john.kirk@micrtc.ang.af.mil
HE BOY GENERAL:


A Tribute to Jim Whinnery

By Brig. Gen. Dennis Higdon

I believe it was Gen. Don Shepperd who nicknamed Jim Whinnery “The Boy General” on the occasion of his promotion to General Officer. It was a good-natured dig at a man who had earned the respect of our ANG leadership as the Air Surgeon and who was then joining their ranks, but still appearing to be much younger than his chronological age. On Nov 20th Maj. Gen. James E. Whinnery is retiring from the Air National Guard. The time has flown.


Most of you are familiar with Jim Whinnery’s credentials and his many achievements as a physician and scientist. They are noteworthy accomplishments, which will not stop with this retirement. The FAA will be made better by his presence just, as we in Air National Guard Medicine have been. Throughout his career, Gen. Whinnery has willingly taken the stick when the ANG Medical Service needed direction. He has been the champion of “Blue Suit” medicine, always reminding us of the importance of supporting our flying mission. He initiated “Top Knife/Drill/Eye” to remind us of the fun of fighter medicine. Now, as we approach the future, looking at WMD/Homeland Defense, again we see his wisdom in always stressing the value of the state mission as being our unique difference from the Active Duty and AFRC.
He is a son of small town America who still believes in the values he learned back in Texas. He is a modest man of huge achievements. I am certain he is relieved as he approaches his retirement, but I hope he also feels a sense of pride. For my part, I have never had the benefit of a better counselor.
We will take the stick now, Gen. Whinnery. Thanks for the ride!

The ability to effectively use a bio/chem weapon of mass destruction (WMD) has already been real-world demonstrated (ex: Sarin in Tokyo subway system). One of the most difficult WMD attacks to medically respond to would be a bio agent that persists (because it is alive) and propagates (because it is contagious). Smallpox is such an agent and since vaccination programs have ceased, much of our US population is vulnerable.




(Excellent article regarding Guard’s unique role in responding to chemical/biological emergencies, wwp. ed.)
The Air National Guard has an interest in this “State Mission” situation under the initiatives of Homeland Defense. Over the years, city response plans in the U.S. have varied in accuracy, detail, and currency. The Federal Response Plan (FRP) gives guidance regarding these issues. Although every situation is somewhat unique and guidelines change, in general, the following aspects apply in a typical event. Response assets can be broken down into Federal (Fed) and Non-Federal: State and Local (Non-Fed). Regardless of whether the first-responders to an event are Fed or Non-Fed, command/control (CC) flows down from Non-Fed assets designated in local response plans. If Fed assets arrive, they work alongside the Non-Fed CC entity which retains CC authority. Such Fed assets may include the Federal Bureau of Investigation (FBI) and the Federal Emergency Management Agency (FEMA). The FBI will arrive if indicated (ex: if the situation is a possible WMD event) and would be the lead (“ranking”) Fed asset. FEMA will be activated if a "Major Disaster" or "Emergency" is declared by the President in response to a Governor's request to declare it so.

At FEMA’s disposal are a myriad of entities (ex: American Red Cross) and programs (ex: low interest loans). Non-Fed assets (which don't have to wait for a Presidential declaration) that could be among the responders to events include National Guard Medical units and Civil Support Teams (CSTs). The CSTs (composed of both Army and Air Guard members) have been forming and training; they are currently awaiting certification by the legislature and at that time can respond to real-world events. Their capabilities include preliminary identification of agents using a mobile lab with a level three isolation glovebox (a split sample is sent to the CDC for confirmatory testing).



The Texas Guard (Maj Gen James, TAG) with the support of the Air Force Surgeon General (Lt Gen Carlton) has decided to conduct Alamo Alert (A2) in San Antonio this winter. This first A2 looks at the “Public Health Response To Bioterrorism" and will be a (closed attendance) trial of the medical response of primarily Non-Fed assets to a bio-agent during the 1st 2-3 days post-release. The City of San Antonio was felt to be ideal because it has just come out with a comprehensive, new response plan, which could become a model for other cities. Issues to be addressed include how to manage large numbers of bio-contaminated people (option of using the existing “natural disaster” shelters thereby preventing spread to hospital staffs and pre-existing non-bio inpatients), and how to manage the large numbers of the "worried well" and resulting PTSD patients. This first A2 will set the stage for larger (open-registration) follow-on events in the future.
Buck Dodson, ANG/SGPA



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