1

The United States Pacific Command

This brief is classified:

UNCLASSIFIED

Deputy Command SurgeonJ07

21 OCT 08

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

2

Outline

• U.S. Pacific Command Overview• Plans/Operations/Exercises• Health Services Logistics Support• Joint Blood Program• Theater Security Cooperation• Why is this important?• Questions

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

3

GEOGRAPHIC COMBATANT COMMANDS (U)

The Asia-Pacific region encompasses 51% of the earth’s surface

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

4

AOR HIGHLIGHTS (U)

• 105M square miles• 60% of World’s Population• 1/3 of U.S. Trade• 6 of the Largest Armed Forces• 5 of 7 U.S. Mutual Defense Treaties• Over 300K U.S. Uniformed and Civilians• 20% of all Active Duty U.S. Forces• 100K Forward Deployed

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

5

OUR FORCES (U)

• U.S. Army Pacific– 60K Soldiers and Civilians– 25th ID, Enhancement Brigades, 8th TSC

• U.S. Pacific Fleet– 130K Sailors and Civilians– 170 ships

• Pacific Air Forces– 40K Airman and Civilians– 380 Aircraft in 9 Wings

• Marine Forces Pacific– 70K Marines and Civilians– 2 Expeditionary Forces

• Approximately 300,000 dependents

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

6

COMMAND STRUCTURE (U)

Pacific Air Forces Pacific Fleet

U.S. Army Pacific Pacific Fleet

Pacific Air Forces

Marine Corps Forces Pacific

U.S. Forces Japan

U.S. Forces Korea

Alaskan Command

Special Operations Command Pacific

Joint Interagency Task Force - West

Joint POW/MIA Accounting Command

Asia Pacific Center for Security Studies

Center of Excellence for Disaster Management and Humanitarian Assistance

U.S. Pacific Command

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

7

AOR MAP (HIGHLIGHTS) (U)

100 Million square miles- 51% of world’s surface

No Affiliation/Other

Muslim

Hindu

Daoist

Buddhist

Christian

50% of World’s Oil Supply

33% of U.S. Foreign Trade

• 60% of World’s

Population• 100+ Ethnic Groups• 100+ Dialects

• 39 Countries• 3 of World’s Most Populous

Countries• 6 of World’s Largest Armed Forces• 5 of 7 U.S. Mutual Defense Treaties

Predominant Religion

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

8

..

Midway Islands

Wake

Republicof Marshall

Islands

Howland

Baker

Commonwealth ofNorthern Marianas

Guam

Federated States of

Micronesia

Republic Of Palau

..

American Samoa

Hawaii

Johnston Atoll

Jarvis Island

Palmyra Atoll

Kingman Reef

3,700 miles

2,300 miles

Un-InhabitedProtectorate

Compact State

State/Territory

Inhabited Protectorate

HOMELAND DEFENSE RESPONSE (U)

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

9

THEATER SECURITY CONCERNS (U)

Taiwan StraitKashmir

Korean Peninsula

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

10

STRATEGIC CHOKEPOINTS (U)

East China Sea

Strait of Malacca

Sunda Strait

Lombok Strait

Over 25% of the world’s trade

Over 25% of the world’s trade

Over 50% of the world’s oil

Over 50% of the world’s oil

Acts of Piracy2004 202

2005 1032006 812007 70

Acts of Piracy2004 202

2005 1032006 812007 70

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

11

TRANSNATIONAL THREATS (U)

Other Transnational

Crime

IllegalNarcotics

Piracy

Information Technology

Crime

IllegalMigration

WeaponsProliferation

Terrorism / Extremism

Multiple factors create instability in the Asia-Pacific region

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

12

MISSION & STRATEGY (U)

Taking Care of Our People

Fighting to Win

Responding to Crises

Advancing Regional Security Cooperation

Deterring Aggression

Promoting Security & Peaceful Development

Strategy

U.S. Pacific Command, in concert with other U.S. government

agencies and regional military partners, promotes security and

peaceful development in the Asia-Pacific region by

• deterring aggression• advancing regional

security cooperation• responding to crisis, and• fighting to win

Mission

Our strategy is derived from our mission

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

13

CURRENT OPERATIONS (U)

• Joint Task Forces and Operations– Operation ENDURING FREEDOM-PHILIPPINES (OEF-P)– Operation DEEP FREEZE (ODF)– Operation BURNT FROST (OBF)– Joint POW/MIA Accounting Command (JPAC)– Theater Patient Movement Requirements Center–Pacific– Homeland Defense and Foreign HA/DR– Standing Joint Force Headquarters (SJFHQ)

• Humanitarian Assistance/Disaster Relief (HA/DR)• Theater Security Cooperation Events

– PACIFIC PARTNERSHIP– PACIFIC ANGEL

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

14

OPERATION ENDURING FREEDOM –PHILIPPINES (OEF-P) (U)

OEF-P

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

15

OPERATION BURNT FROST (U)

BURNT FROST

As of 10 Oct 08

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

16

JOINT POW/MIA ACCOUNTING COMMAND (JPAC) (U)

As of 10 Oct 08

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

17

JOINT TASK FORCES (U)

• Joint Task Force-Homeland Defense (JTF-HD)

– Standing JTF– Ability to task-organize and rapidly expand– Domestic responsibilities for Hawaii, Guam, U.S.

protectorates and compact states• Contingency Support Force 503 (CSF-503)

– Activated upon contingency– Responsible for foreign HA/DR in USPACOM AOR

• Standing Joint Force Headquarters (SJFHQ)

– Designated, trained, core JTF staff– USPACOM enabler for any contingency

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

18

HUMANITARIAN ASSISTANCE DISASTER RELIEF (HA/DR) (U)

Snowstorm

Typhoons / Landslides Wildfires

Earthquake

Political Unrest

Tropical Cyclones

Earthquakes

USPACOM operations epitomize “lobal Response”

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

19

EXERCISES (U)

TERMINAL FURY

TOPOFF

NORTHERN EDGE

BALIKATANCOMMANDO SLING

COBRA GOLDCOPE TIGER

KEY RESOLVEULCHI-FOCUS GUARDIAN

LIGHTNING RESCUE

KEEN EDGEYAMA SAKURA

Exercises posture USPACOM for “Global Readiness”

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

20

PLANS AND OPERATIONS DIVISION (U)

–An integral part of the J3 (Operations) and J5 (Plans) process

–Constant presence on JOC–Adaptive Planning and Execution (APEX)

• Current operations• Future operations• Medical intelligence• Medical logistics • Joint Blood Program

–Exercises

As of 10 Oct 08

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

21

HEALTH SERVICE LOGISTICS SUPPORT (HSLS) (U)

• Maintain liaison with component surgeons and resolve conflicts surfaced by JTF commanders

• Provide detailed guidance, assign tasks and develop a joint concept of operations to maximize HSLS resources

• Monitor JTF medical readiness to include status on patient beds, health service logistics, blood management, and functional staffing

• Coordinate HSLS provided to or received from allies or host nations during multinational operations

• Supervise activities of Area Joint Blood Program Office• Advise on the disposition of captured enemy medical materiel• Provide input to Annex Q, CONPLAN, OPLAN, EXORD, Exercises• Provide Integrated Logistics Support in PEPFAR, TSC, HA/DR

initiatives

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

22

PACIFIC BLOOD PROGRAM ORGANIZATION (U)

KOREA AJBPOUSFK

JAPAN AJBPOUSNH, YOKOSUKA, JA

GUAM AJBPOUSNH, GUAM

OKINAW A AJBPOUSNH, OKINAW A

ALASKA AJBPOELM ENDORF AFB, AK

HAW AII AJBPOTRIPLER AM C, HONOLULU

USPACO M JBPOCam p Sm ith J0717

Hawaii

USPACO MSURGEON

J07

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

23

JOINT BLOOD PROGRAM MISSION (U)

• Provide coordination and management of all blood program matters in the Pacific theater which includes collection, testing, storage, and distribution of blood and blood products to meet peacetime and wartime requirements

• Provide managerial and technical oversight of all DoD military blood activities within the Pacific theater

• Evaluate Expeditionary Blood Transshipment Systems (EBTSs) and Blood Donor Centers for compliance with Armed Services Blood Program (ASBP) policies

• Plan and execute Joint Blood Program exercises• Coordinate and provide guidance to Area Joint Blood Program Officers

(AJBPOs) to ensure that they can meet the mission• Provide technical guidance/assistance ISO Medical Theater Security

Program

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

24

• Objective - Provide Combatant Command and Joint Task Force Surgeons and their staffs actionable knowledge and enhanced medical situational awareness for critical decision making

• Purpose - Develop a Medical focused Tailored Operational View– Decision support – Course of Action analysis– Geographic Information System (GIS)– Asset visibility– Ad Hoc Query– Authoritative reference links– Strategic planning– Contingency Planning

Support Decision Making

Leveraging existing successand emerging capabilities

Empower commanders with Actionable Knowledge

by to

MEDICAL SITUATIONAL AWARENESS IN THE THEATER (MSAT)

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

25

U.S.

INFLUENCE

ACCESS

TRAINING

READINESS

COMPETENT

COALITION

PARTNERS

l Build relationshipsl Drive long-term efforts to educatel Leverage IMET, APCSS, conferences, etc.

l Enable forward deterrence, U.S. readinessl Support access for future contingenciesl Protect Logistics Lines of Communication

l Assist partners to develop real capabilities

l Professional, Accountable, Respected

l Improve combined operations for CT, Transnational Threats, PKO

TSC PILLARS (U)

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

26

• $12M funding (OHDACA, APRI, IMET, and Components)• 120 Medical TSC activities planned for FY08

– Engagement Priorities: HA/DR, AI/PI, HIV/AIDS and Public Health

• 90 proposals engage 16 valued AOR partners

– Engagement Priorities: Cambodia, Laos, Vietnam, Indonesia, Thailand

TSC MEDICAL STRATEGY (U)

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

27

PACIFIC PARTNERSHIP 2008 (U)

ANCILLARYSUPPORT

ANCILLARYSUPPORT

SURGICALSERVICES SURGICALSERVICES

CLINICAL ENGINEERINGCLINICAL ENGINEERING

MEDICAL SERVICESMEDICAL SERVICES

SUBJECT MATTER EXPERT EXCHANGESUBJECT MATTER

EXPERT EXCHANGEPUBLIC HEALTH

SERVICESPUBLIC HEALTH

SERVICES

VETERINARY SERVICES

VETERINARY SERVICES

COMMUNITYRELATIONS

COMMUNITYRELATIONS

USNS MERCY configured for HA/DR

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

28

PACIFIC PARTNERSHIP 2008 Transit Plan (U)PACIFIC PARTNERSHIP 2008 Transit Plan (U)

San Diego DEP - 01 MAY

ARR - 25 SEP

Pearl Harbor Westbound: 8-12 MayEastbound: 15-18 Sep

Singapore01 - 06 Jul

Nha Trang, Vietnam11 Day Mission

18-28 Jun

Dili, Timor-Leste13 Day Mission

11-24 Jul

Darwin, AS26-30 Jul

148 Day Deployment

TSCP/HCA 65 days

Underway 56 days

Port Visits/Other 27 days

Port Moresby, Papua New Guinea13 Day Mission

03-16 Aug

GuamWestbound: 22-24 May Eastbound: 02 - 05 Sep

Manila, Philippines14-16 Jun

Chuuk, Micronesia10 Day Mission

21-31 Aug

Cotabato, Philippines14 Day Mission28 May-11 Jun

Samar, Philippines

13 Jun

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

29

PACIFIC ANGEL 2008 (U)

• 22-30 May 08• Cambodia

– Simultaneous MED/DEN/VETCAP and SMEE operations at 3 sites

• Thailand– Aeromedical Evacuation

SMEE with Royal Thai AF• Total Force operation

– 85 Guard, Reserve, and Active Duty Army and AF

• 6880 Patients treated• 1262 Animals treated• 110 SMEE participants

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

30

DEFENSE HIV/AIDS PREVENTION PROGRAMS (DHAPP) &PRESIDENT’S EMERGENCY PROGRAM FOR AIDS RESEARCH (PEPFAR) (U)

PEPFAR DHAPP

FY08 Funding $7.3M $1.053M

New Program Proposals

Cambodia BangladeshLaos

Established Programs

Indonesia (since 2005)India (since 2003)

Vietnam (since 2003)

Nepal (since 2006)Timor-Leste (since 2005)

Papua New Guinea (since 2005)Thailand (Regional Training Center)

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

31

Why is this important to this audience?

• Unique Command relationship with Army and Navy Medical Treatment Facilities

• Command relationship with Air Force Medical Treatment Facilities and personnel

• Personnel movements within the AOR• Combat multiplier• Winning the hearts and minds

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

32

CONCLUSION (U)

• The Asia-Pacific region is vast and complex• USPACOM operations epitomize global response• USPACOM exercises, training, and engagement embody

global readiness

USPACOM supports the U.S.National Security Strategyby promoting peace andstability in the Asia-Pacificregion

As of 10 Oct 08UNCLASSIFIED

UNCLASSIFIED

33

QUESTIONS (U)