U.S. MARINE CORPS DISEASE CONTAINMENT RESPONSE PLAN FOR PANDEMIC INFLUENZA

MARADMINS : 694/07

UNCLASSIFIED//
R 220546Z NOV 07
FM CMC WASHINGTON DC(UC)
TO AL MARADMIN(UC)
MARADMIN
BT
UNCLAS
MARADMIN 694/07
MSGID/GENADMIN/CMC WASHINGTON DC//
SUBJ/U.S. MARINE CORPS DISEASE CONTAINMENT RESPONSE PLAN FOR PANDEMIC
INFLUENZA//
REF/A/DOC/HSC/01NOV05/NOTAL//
REF/B/DOC/ASD(HA)/25JAN06/NOTAL//
REF/C/DOC/DODD/6200.3/12MAY03//
REF/D/DOC/IMPLEMENTATION
FRAMEWORK/DRAFT/15FEB06/NOTAL//
REF/E/DOC/DHHS/NOV05/NOTAL//
REF/F/DOC/HQMC/MCO/DRAFT/-/NOTAL//
REF/G/DOC/BUMEDINST 6200.17, 17OCT06
REF/H/DOC/DOD ASD(HA) GUIDELINES/MAY 2007/NOTAL//
POC/MICHAEL LAWRENCE/COL/CMC PP&O(PS)/-/TEL:COMM (703) 692-4240/ TEL:DSN
222-4240/EMAIL:MICHAEL.A.LAWRENCE@USMC.MIL//
NARR/REF A IS THE PRESIDENT'S NATIONAL STRATEGY FOR PANDEMIC INFLUENZA. REF
B IS ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS) DEPARTMENT OF DEFENSE
INFLUENZA PANDEMIC PREPARATION AND RESPONSE HEALTH POLICY GUIDANCE. REF C
IS DOD INSTRUCTION, EMERGENCY HEALTH POWERS ON MILITARY INSTALLATIONS. REF
D IS DOD IMPLEMENTATION FRAMEWORK FOR THE NATIONAL STRATEGY FOR PANDEMIC
INFLUENZA. REF E IS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PANDEMIC
INFLUENZA PLAN. REF F IS DRAFT MARINE CORPS ORDER FOR INSTALLATION CBRNE
PROTECTION. REF G IS BUREAU OF NAVY MEDICINE INSTRUCTION ON THE ROLES AND
RESPONSIBILITIES OF THE PUBLIC HEALTH EMERGENCY OFFICIAL (PHEO). REF H IS
OSD (HA) GUIDELINES, PANDEMIC INFLUENZA: CLINICAL GUIDELINES FOR THE
MILITARY HEALTH SYSTEM //
RMKS/1. SITUATION 1.A. PANDEMIC INFLUENZA (PI) IS
A POTENTIAL GLOBAL PANDEMIC CAUSED BY EFFICIENT HUMAN-TO-HUMAN TRANSMISSION
OF STRAINS OF INFLUENZA.
RECENT CASES OF AVIAN INFLUENZA (H5N1) HAVE RAISED CONCERN THAT THIS VIRUS
STRAIN COULD UNDERGO GENETIC RE-ASSORTMENT OR MUTATION RESULTING IN A
PANDEMIC. IN SUCH A SCENARIO, A NOVEL STRAIN OF INFLUENZA COULD SPREAD
RAPIDLY, INFECT U.S. MILITARY AND ASSOCIATED PERSONNEL, AND POSE A SERIOUS
THREAT TO THE OPERATIONAL READINESS OF THE U.S. MARINE CORPS.
1.B. THE MARINE CORPS RESPONSE TO A PANDEMIC WILL FOCUS ON FIVE MAJOR
AREAS: 1) FORCE HEALTH PROTECTION (FHP); 2) READINESS; 3) CONTINUITY OF
OPERATIONS (COOP); 4) DEFENSE SUPPORT TO CIVIL AUTHORITIES (DSCA); AND 5)
SUPPORT TO U.S. GOVERNMENT (USG) EFFORTS (BOTH DOMESTIC AND INTERNATIONAL).
THE FOCUS OF THE U.S. MARINE CORPS DISEASE CONTAINMENT PLAN FOR PI IS FHP,
READINESS, AND COOP.
DSCA AND SUPPORT TO USG EFFORTS WILL BE ADDRESSED SEPARATELY IN GEOGRAPHIC
COMBATANT COMMAND PLANS.
2. MISSION. THE U.S. MARINE CORPS EXECUTES MEASURES TO PREPARE FOR AND
PREVENT OUTBREAKS AND SPREAD OF INFLUENZA ON ITS BASES AND INSTALLATIONS AND
AMONG MARINES AND SAILORS, DESIGNATED GOVERNMENT/ CIVILIAN WORKFORCE
PERSONNEL, AND MILITARY FAMILY MEMBERS TO MITIGATE THE EFFECTS OF A
POTENTIAL PANDEMIC IOT PRESERVE AND MAINTAIN THE OPERATIONAL READINESS OF
THE MARINE CORPS.
THE U.S. MARINE CORPS WILL PREPARE FOR POTENTIAL OUTBREAKS OF PI ON ITS
BASES AND INSTALLATIONS AND WITHIN ITS FORCES THROUGH DECENTRALIZED,
SYNCHRONIZED, INSTALLATION LEVEL DISEASE CONTAINMENT RESPONSE PLANS. IF A
PANDEMIC OCCURS, THE MARINE CORPS MUST EXECUTE MITIGATION STRATEGIES OF
CONTAINMENT, INTERDICTION AND STABLIZATION, AND RECOVER IN ORDER TO MAINTAIN
FORCE READINESS AND FREEDOM OF MOVEMENT.
3. EXECUTION
3.A. COMMANDER'S INTENT
3.A.1. PURPOSE. TO PRESERVE AND MAINTAIN THE OPERATIONAL READINESS AND
FREEDOM OF MOVEMENT OF THE U.S. MARINE CORPS DURING A PANDEMIC.
3.A.2. METHOD
3.A.2.A. PLANNING WILL ADDRESS PROTECTION OF ALL OPERATIONAL FORCES;
SUPPORTING ESTABLISHMENT (SE) FORCES; DESIGNATED GOVERNMENT, CIVILIAN,
CONTRACT WORKFORCE PERSONNEL; AND MILITARY FAMILY MEMBERS.
FOR PURPOSES OF THIS PLAN, SE FORCES ARE CONSIDERED OPERATIONAL FORCES. IF
A NOVEL STRAIN OF INFLUENZA OCCURS ON MARINE CORPS INSTALLATIONS AND
FACILITIES OR WITHIN OPERATIONAL FORCES, EXECUTE PLANS AND PROCEDURES TO
IMPROVE FHP, READINESS, AND COOP.
3.A.2.B. PLANNING WILL ADDRESS PROTECTION OF ALL OPERATIONAL FORCES;
DESIGNATED GOVERNMENT, CIVILIAN, AND CONTRACT WORKFORCE PERSONNEL; AND
MILITARY FAMILY MEMBERS.
3.A.2.C. PLANNING WILL ADDRESS FHP BOTH IN GARRISON AND DURING DEPLOYMENT.
AREAS AFFECTED BY HIGHLY TRANSMISSABLE STRAINS OF INFLUENZA MUST BE
IDENTIFIED IN COORDINATION WITH PUBLIC HEALTH EMERGENCY OFFICERS (PHEO) AND
MEDICAL PLANNERS. DEPLOYMENT AND REDEPLOYMENT STRATEGIES AND PROCEDURES
MUST BE DESIGNED TO MITIGATE THE SPREAD OF INFLUENZA TO UNAFFECTED AREAS.
3.A.3. ENDSTATE. THE U.S. MARINE CORPS IS POSTURED TO MITIGATE, CONTAIN,
INTERDICT, STABILIZE AND RECOVER FROM THE EFFECTS OF HIGHLY TRANSMISSIBLE
AND POTENTIALLY LETHAL INFLUENZA TO MAINTAIN ESSENTIAL CAPABILITIES IN A
PANDEMIC ENVIRONMENT, AND RESTORE NORMAL OPERATIONS AS QUICKLY AS POSSIBLE.
3.B. CONCEPT OF OPERATIONS. THE CONCEPT OF OPERATIONS FOR THIS BIO-HAZARD
PREPAREDNESS AND DISEASE CONTAINMENT RESPONSE PLAN FOR PANDEMIC INFLUENZA
RETAINS THE PHASE STRUCTURE OUTLINED IN USNORTHCOM CONPLAN 3551.07:
PHASE 0    (SHAPE)
PHASE I    (PREVENT)
PHASE II   (CONTAIN)
PHASE III (INTERDICT)
PHASE IV   (STABILIZE)
PHASE V    (RECOVERY)
THE U.S. MARINE CORPS IS CURRENTLY IN PHASE I (PREVENT). USNORTHCOM CONPLAN
3551.07 INCLUDES AN IN-DEPTH DESCRIPTION OF THESE PHASES, AND PROVIDES A
CROSSWALK TABLE THAT ILLUSTRATES THE RELATIONSHIP BETWEEN THE U.S. MARINE
CORPS, U.S. NAVY, WORLD HEALTH ORGANIZATION, AND USG NATIONAL RESPONSE
PHASES AND STAGES. IN ORDER TO CONDUCT REQUIRED DSCA AND INTERAGENCY
COORDINATION, COMMANDERS AND THEIR STAFFS MUST BE FAMILIAR WITH WORLD HEALTH
ORGANIZATION PHASES, IN ADDITION TO THE USNORTHCOM CONPLAN 3551.07 PHASES.
3.C. TASKS. IN SUPPORT OF SERVICE TITLE 10 RESPONSIBILITIES, HQMC WILL
DEFINE AND INFLUENCE STRATEGIC OBJECTIVES ICW DON GUIDANCE.
MARINE FORCES (MARFORS) COMMANDS WILL TRANSLATE STRATEGIC GUIDANCE INTO
OPERATIONAL OBJECTIVES, AND THEIR MARINE CORPS INSTALLATIONS WILL TRANSLATE
OPERATIONAL OBJECTIVES AND GUIDANCE INTO TACTICAL ACTIONS FOR THE
INSTALLATIONS TO EXECUTE IN SUPPORT OF THIS PLAN.
3.C.1. HQMC ASSISTS THE JOINT STAFF AND OFFICE OF THE SECRETARY OF DEFENSE
IN DEFINING AND INFLUENCING NATIONAL STRATEGIC OBJECTIVES FOR (COMBATANT
COMMANDERS (CCDRS). CCDRS DEVELOP THEATER AND FUNCTIONAL STRATEGIC
OBJECTIVES. MARFORS WILL PROVIDE GUIDANCE AND DIRECTION TO ASSIGNED MARINE
EXPEDITIONARY FORCES (MEFS) TO TRANSLATE STRATEGIC OBJECTIVES INTO
OPERATIONAL OBJECTIVES. MEFS TRANSLATE OPERATIONAL OBJECTIVES INTO TACTICAL
ACTIONS FOR MAJOR SUBORDINATE COMMANDS TO EXECUTE CCDRS ASSIGNED TASKS AND,
WHERE POSSIBLE, SUPPORT THIS PLAN.
3.C.2. INSTALLATION AND FACILITY COMMANDERS WILL:
3.C.2.A. DEVELOP DISEASE CONTAINMENT RESPONSE PLANS FOR PANDEMIC INFLUENZA
THAT INCORPORATE THE REQUIREMENTS OF THIS TASKING MESSAGE.
THIS CONCEPT ALSO ALIGNS WITH A DEVELOPING HQMC INITIATIVE TO REQUIRE
INSTALLATION CHEMICAL BIOLOGICAL RADIOLOGICAL NUCLEAR EXPLOSIVE
(CBRNE) PROTECTION PLANS (REF F).
3.C.2.B. DEVELOP AND IMPLEMENT FHP AND MEDICAL READINESS EDUCATION PLANS
THAT TARGET U.S. SERVICE MEMBERS, DEPARTMENT OF DEFENSE (DOD) EMPLOYEES,
CONTRACT EMPLOYEES, AND FAMILY MEMBERS. GUIDANCE FOR MEDICAL READINESS
EDUCATION PLANS CAN BE FOUND AT HTTP:SLASH SLASH
FHP.OSD.MIL/AIWATCHBOARD/SERVICEMEMBERS.JSP.
3.C.2.C. DEVELOP AND PROMULGATE FHP GUIDELINES IAW DOD FORCE HEALTH
PROTECTION AND READINESS PROGRAMS; HTTP:SLASH SLASH
FHP.OSD.MIL/AIWATCHBOARD/DOD LEADERSHIP.JSP.
3.C.2.D. IDENTIFY KEY CRITICAL PERSONNEL WHO WILL REQUIRE VACCINATIONS OR
OTHER PROPHYLAXIS AGAINST PI IN ORDER TO MAINTAIN OPERATIONAL CAPABILITY.
3.C.2.E. DEVELOP AND IMPLEMENT PUBLIC AFFAIRS PLANS FOR ALL PHASES OF A PI
OUTBREAK IAW THE FORCE HEALTH PROTECTION AND READINESS PROGRAMS; HTTP: SLASH
SLASH FHP.OSD.MIL/AIWATCHBOARD/
PREPAREDNESS_AND_COMMUNICATION.JSP#DODCOMMUNICATIONS.
3.C.2.F. ENSURE MASS CASUALTY PLANS INCLUDE PI RESPONSE MEASURES.
3.C.2.G. COORDINATE AND EXERCISE PI RESPONSE PLANS WITH TENANT COMMANDS,
LOCAL, STATE, U.S. TERRITORIES AND U.S. POSSESSIONS, USG (INCLUDING ADJACENT
DOD FORCES AND INSTALLATIONS), HOST NATION, AND/OR COALITION PUBLIC HEALTH
OFFICIALS AT LEAST BIENNIALLY.
USNORTHCOM, THROUGH U.S. MARINE FORCES NORTH, WILL PROVIDE FURTHER
COORDINATING INSTRUCTIONS AND TIMELINES FOR EXERCISE REQUIREMENTS.
3.C.2.H. IDENTIFY AND REPORT TO CMC (PS AND JA) ANY HOST NATION AND STATUS
OF FORCES AGREEMENT LIMITATIONS, CONSTRAINTS, AND OR RESTRAINTS IN FHP AND
PI RESPONSE.
3.C.2.I. DEVELOP PROCEDURES FOR ISOLATION, QUARANTINE, RESTRICTION OF
MOVEMENT, AND COMMUNITY-BASED INTERVENTIONS IAW DISEASE CONTAINMENT
GUIDELINES DELINEATED IN THE CENTER FOR DISEASE CONTROL AND PREVENTION'S
"INTERIM PRE-PANDEMIC PLANNING GUIDANCE: COMMUNITY STRATEGY FOR PANDEMIC
INFLUENZA MITIGATION IN THE UNITED STATES"
WWW.PANDEMICFLU.GOV/PLAN/COMMUNITY/
COMMUNITY_MITIGATION.PDF.
3.C.2.J. IN COORDINATION WITH TENANT COMMANDS, MILITARY TREATMENT FACILITY
(MTF) COMMANDERS AND PUBLIC HEALTH EMERGENCY OFFICERS (PHEO), REPORT
INCREMENTAL COSTS ASSOCIATED WITH PLANNING AND PREPARING FOR FHP AND OTHER
RESPONSE EFFORTS ASSOCIATED WITH PI TO HQMC (PR).
3.C.2.K. DOCUMENT PERTINENT PI PLANNING AND RESPONSE ACTIVITIES FOR MARINE
CORPS CENTER FOR LESSONS LEARNED AND AFTER ACTION REPORTS;
WWW.MCCLL.USMC.MIL/.
3.C.2.L. WHEN DIRECTED, RESTRICT TRAVEL AND PERSONNEL MOVEMENT OF U.S.
FORCES TO AREAS EXPERIENCING HIGHLY CONTAGIOUS INFLUENZA OUTBREAKS. PROVIDE
APPROPRIATE MEDICAL AND NON-MEDICAL PROTECTION CAPABILITIES TO UNITS AND/OR
PERSONNEL REQUIRED TO TRAVEL TO, OR WITHIN, AFFECTED AREAS.
3.C.2.M. WHEN DIRECTED, CANCEL OR POSTPONE ALL NON-CRITICAL OPERATIONS,
EXERCISES, OR ACTIVITIES IN AREAS WITH CONFIRMED AND SUSTAINED,
HUMAN-TO-HUMAN TRANSMISSION OF INFLUENZA WITH PANDEMIC POTENTIAL.
3.C.2.N. DEVELOP MEASURES TO CONTAIN AND TREAT U.S. SERVICE MEMBERS, DOD
EMPLOYEES, CONTRACT EMPLOYEES, AND FAMILY MEMBERS EXPOSED OR POSSIBLY
EXPOSED TO HIGHLY LETHAL STRAINS OF INFLUENZA WITH THE POTENTIAL TO TRIGGER
A PANDEMIC.
3.C.2.O. WITH COGNIZANT MEDICAL AUTHORITIES, COORDINATE COLLECTION AND
TRANSPORT OF SPECIMENS TO DOD LABORATORIES, OR THE CENTER FOR DISEASE
CONTROL LABORATORY RESPONSE NETWORK (CDC LRN), AS APPROPRIATE, FOR ROUTINE
SCREENING AND CONFIRMATORY EVALUATION IAW REF H.
3.C.2.P. ENSURE PI IS INCORPORATED INTO PLANS TO PROVIDE COOP, INCLUDING
CONTINUITY OF ESSENTIAL SERVICES. COOP MISSION AREAS MUST INCLUDE NOT JUST
HEADQUARTERS, BUT ALSO FORCE MANAGEMENT TO MAINTAIN OR ADJUST FORCE
ROTATIONS AND FORWARD PRESENCE BASED ON APPROVED SECDEF PRIORITIES. PI COOP
PREPARATION MUST ANTICIPATE THAT INSTALLATION COOP ACTIVITIES WILL COMPETE
WITH TENANT UNIT CAPABILITIES FOR SEVERLY RESTRICTED PERSONNEL RESOURCES.
3.C.2.Q. COORDINATE WITH MTFS DEVELOPING AND EXECUTING PI RESPONSE PLANS.
3.C.2.R. COORDINATE WITH NAVY REGIONAL MEDICAL COMMAND TO REQUEST PHEO
SUPPORT IAW REF G.
3.D.   COORDINATING INSTRUCTIONS
3.D.1. THE REFERENCES PROVIDE FURTHER GUIDANCE/ASSISTANCE FOR PLANNING AT
ALL LEVELS.
3.D.2. WHEN COMPLETING THE SPECIFIED AND IMPLIED TASKS OF THIS MESSAGE,
REFERENCE EXISTING PLANS AND ORDERS, AS APPLICABLE.
3.D.3. MARINE CORPS INSTALLATION COMMANDS' DRAFT PLANS SHOULD BE COMPLETED
NLT 1 MARCH 08 AND SUBMITTED TO HQMC, PP&O (PSH) VIA THEIR INSTALLATION
CHAIN OF COMMAND FOR REVIEW.
3.D.4. FINAL MARINE CORPS INSTALLATION COMMANDS' PLANS SHOULD BE COMPLETED
NLT 1 JUNE 08 AND SUBMITTED TO HQMC, PP&O (PSH), VIA INSTALLATION CHAIN OF
COMMAND FOR REVIEW.
4. ADMINISTRATION AND LOGISTICS. A MARINE CORPS ORDER OR A SECRETARY OF
THE NAVY INSTRUCTION CONTAINING DETAILED DISEASE CONTAINMENT PLANNING
GUIDANCE AND SPECIFIC PI COUNTERMEASURES IS FORTHCOMING.
5. COMMAND AND CONTROL
5.A. COMMAND RELATIONSHIPS
5.A.1. INSTALLATION COMMANDERS ARE THE SUPPORTED COMMANDERS.
5.A.2. TENENT COMMANDS ARE THE SUPPORTING COMMANDS.
5.B.   POINTS OF CONTACT
5.B.1. POC FOR MEDICAL: CDR E. F. FEEKS, MC, USN, PREVENTIVE MEDICINE
OFFICER, HQMC, 703-614-4477, DSN 224, EDMOND.FEEKS@USMC.MIL.
5.B.2. POCS FOR COOP AND OPERATIONS: TBD.
5.B.3. POC FOR MEDICAL LOGISTICS: TBD.
5.B.4. POC FOR CMC PP&O (PSH): COL MICHAEL A. LAWRENCE, 703-692-4240,
MICHAEL.A.LAWRENCE@USMC.MIL.
6. RELEASE AUTHORIZED BY LTGEN NATONSKI, DEPUTY COMMANDANT FOR PLANS,
POLICIES AND OPERATIONS.//