HEALTH SERVICE SUPPORT - jusmagthai.com

1 HEALTH SERVICE SUPPORT Heat Stress Concerns Vector Borne Illnesses - Malaria - JEV - Dengue - Filariasis Respiratory Diseases - Meningitis - Tuberculosis Sexually Transmitted Diseases - HIV/AIDS - Gonorrhea/Chlamydia Food Borne Illnesses - Diarrheal/GI - Hepatitis A Infectious Diseases (Vector-Borne) Risk Assessment Risk Identification Mission Risk Assessment Controls (mitigation) Residual Mission Risk Probability Severity Risk Malaria More severe in border regions Likely-Frequent Critical High - PPE, Permethrin treated uniforms - Chemoprophylaxis Moderate-High JEV Year round Likely-Frequent Critical High - PPE Use, Permethrin treated uniforms, - Immunization Moderate Dengue Fever Year round Daytime Biter Likely Marginal Moderate - PPE Use, Permethrin treated uniforms Moderate Filariasis Ye a r-round Identified as WHO Endemic Zone Likely Marginal Moderate - Sand Fly prevention - PPE, Diet, etc Low-Moderate Physical Environment Risk Assessment Risk Identification Mission Risk Assessment Controls (mitigation)

2 Residual Mission Risk Probability Severity Risk Climate, High temperature of 93 degrees F. in Central thailand Frequent Marginal Low-Moderate - Education - Ensure Hydration - Suitable water supply Low Pollution of air, water and soil Likely-Frequent Marginal-Critical Moderate - Avoidance of contaminated areas - Personal hygiene Low-Moderate Food and water contamination from local sources is unknown Frequent due to unknown reporting Marginal-Critical Moderate - Consume only approved food and water sources Low Motor Vehicle Accidents Frequent Marginal-Critical Moderate - No operation of motor vehicles for personal/business - Ensure HN drivers are qualified/safe Moderate Hazardous Animal/Contact Disease Risk Assessment Risk Identification Mission Risk Assessment Controls (mitigation)

3 Residual Mission Risk Probability Severity Risk Venomous snakes Frequent Marginal-Critical Moderate - Avoidance & Post exposure treatment Moderate Rabies/ animal bites dogs/cats/monkeys Likely Critical Moderate - Avoid animals & Post exposure treatment Moderate Anthrax Unlikely Marginal-Critical Low-Moderate - Ensure immunization Low Leptospirosis Frequent Marginal Low-Moderate - Avoid contact with lakes, streams and irrigated fields Low Infectious Diseases (STD s) Risk Assessment Risk Identification Mission Risk Assessment Controls (mitigation) Residual Mission Risk Probability Severity Risk Hepatitis B Year Round Countrywide Unlikely-Likely Marginal-Critical Moderate - Abstinence or practice safe sex - Immunization Low-Moderate Gonorrhea/ Chlamydia Likely Marginal Low-Moderate - Abstinence or practice safe sex Low HIV/ AIDS Likely-Frequent Critical Moderate-High - Abstinence or practice safe sex - Practice good needlestick protocol in medical settings - Practice universal precautions Moderate Chancroid, herpes, syphilis, venereal warts Likely Marginal Low-Moderate - Abstinence or practice safe sex Low Infectious Diseases (Resp, Food, & Water) Risk Assessment Risk Identification Mission Risk Assessment Controls (mitigation)

4 Residual Mission Risk Probability Severity Risk Tuberculosis Likely Marginal Low-Moderate - Education - Good ventilation - Social Distancing Low-Moderate H5N1/H1N1 Unlikely Marginal-Critical Moderate - Education - Social Distancing Low-Moderate Hepatitis A, , Salmonella, Brucellosis Likely Marginal Moderate - Consume only approved food sources - Immunization Low Giardiasis, Cryptosporidiosis Likely Marginal Moderate - Consume only approved water sources Low Patient Care Process Host Nation Hospital Procedure URGENT & EMERGENT medical/dental care is covered by TRICARE Routine care is not covered Call ISOS Singapore Alarm Center at either +65-6338-9277 or 001-800-65-6276 Collect calls are accepted 24/7 ISOS will provide case direction and guarantee of payment Call ISOS before you seek care.

5 If not possible, then go to the hospital but call ISOS before leaving the hospital or you may have to pay personally. Please kindly contact the Alarm Center directly for Medical assistance, kindly Bring ID card and, if possible, copy of orders to show at the hospital as well. Hua Hin / Pran Buri Area Hospitals Area Hospitals HOSPITAL NAME Prajuabkirikhan Hospital ADDRESS 237 Pitakchaat road, Ampur Meung, Prajuab, Hua Hin, 77000 POC Duty supervisor or doctor PHONE NUMBER 66-32-601-060-4 FAX 66-32-611-079 DIRECTOR Dr Sanit Archieb-samute MD (Med) DEPUTY Dr Supannee Pradittawong MD (OBGYN) CHIEF NURSES Miss Boosabaa Tongdee RN CAPACITY 257 Beds LABS HELO PAD Coordinate with ER AMBULANCE Area Hospitals HOSPITAL NAME Petcharat General ADDRESS 99 Moo 6 Bandai-itt Road, Tambon Baanmorh, Ampur Meung, HuaHin, Prajuabkirikhan, thailand 76000 POC Call duty supervisor or doctor PHONE NUMBER 66-32411-690, 417-070- 9 FAX 66-32-411-689 DIRECTOR DEPUTY DIRECTOR CHIEF NURSE CAPACITY 150 Beds LABS Routine lab & X-rays HELO PAD AMBULANCE Area Hospitals HOSPITAL NAME Petch-Thonburi (Petchprayaa)

6 General Hospital ADDRESS 145 Moo 6,Petchkasem Road,Tambon Tohnmoung, Ampur Meung, Petchaburi,HuaHin Prajuab 76000 POC Contact duty supervisor or doctor PHONE NUMBER 66-32-415-191-5 ext 1111 or 1113 FAX 66-32-415-188 DIRECTOR Dr. Sirichai Wongsobhon MD DEPUTY Ms Rapeeporn CHIEF NURSES Ms Somsie Intaraprasit, CAPACITY 250 Beds LABS HELOPAD AMBULANCE Area Hospitals HOSPITAL NAME Tanarat Military Hospital ADDRESS 125 Moo 3, Petkasem Road,Tambon Kaonoi, Ampur Praanburi, Prajuab, thailand 77160 POC Duty supervisor or doctor LABS Routine labs and X-rays, Ultrasound, CT HELO PAD Coordinate with ER, Soccer Field available close by.

7 AMBULANCE 24 hour stand by Level II HSS Government Hospital; (not Approved by TRICARE SOS) Emergency Services 24/7; Dial 66-32-662-155, FAX; 66-32-622-155. Ambulances, 150 bed facility/ 2 ICU beds/ Operating Rooms Range of Medical Services: Dental, Lab, Blood Bank, Angiography, Orthopedic & General Surgery, ENT, Outpatient Clinic, Pharmacy, Radiology, OBGYN, Cardiology, Urology, Internal Medicine, Ophthalmology, Neurology, Liver & Digest Center, Women s HEALTH Center, Physical Therapy & Rehab, Mental HEALTH , Infectious Disease, (No Skin doctor available), CT Scan, routine labs, Ultra Sound. Rabies Vaccination/Snake Anti-Venin Available. Area Hospitals HOSPITAL NAME BANGKOK HOSPITAL HUA HIN (BHN) ADDRESS 888 Phetchakakasem Rd.

8 Hua Hin thailand 77110 POC Duty supervisor or doctor HELO PAD Coordinate with ER, Soccer Field available close by AMBULANCE 24 hour stand by Level III HSS Private Hospital; (Approved by TRICARE SOS) Emergency Services 24/7; Dial 66-32-616-800, FAX; 66-32-616-801 Ambulances, 76 bed facility/ ward beds: 50, 2 ICU beds/3 Operating Rooms, 3 ER rooms, 2 Maternity delivery room Range of Medical Services: Dental, Lab, Blood Bank, Angiography, Orthopedic & General Surgery, ENT, Outpatient Clinic, Pharmacy, Radiology, OBGYN, Cardiology, Urology, Internal Medicine, Ophthalmology, Neurology, Liver & Digest, Renal Dialysis, Orthopedics Surgery Center, Women s HEALTH Center, Physical Therapy & Rehab, Mental HEALTH , Infectious Disease, Skin doctor, CT Scan 64 slides interface with PACS system, IVP, Upper GI study (Barium meal with x-ray), X-ray, interface with PACS system, All labs test, Ultra Sound.

9 Rabies Vaccination/Snake Anti-Venin Available. Chiang Mai Area Hospital Chiang Mai Ram Hospital Level III (ISO Chiang Mai) PRIMARY Private Care Hospital Emergency Services 24/7 @ 0- 5389-5001 5 Ambulances Small Helipad on Roof (unable to land Large Helo s) TRICARE/ISOS approved. Will accept Billing 220 Bed Facility/8 ICU Beds 2 Operating Rooms Full Range of Medical Services: Internal Medicine, Lab, Blood Banking, Dental, Mental HEALTH Orthopedic and General Surgery, ENT, Outpatient Clinic, Pharmacy, Radiology, OBGYN, Cardiology, Internal Medicine Ophthalmology, Dermatology, Urology, Burn, Cardiac Center 64 Slice CT Scan and MRI Rabies Vaccination/Snake Anti-Venin Available 60 Physicians Can purchase Class VIII supplies; cash or contract Regulated medical waste destruction is contracted Screen for H1N1; confirmation within 48-72 hours Point of Contact: Ms.

10 Pamikhada Philakean, International Customer Relations 0- 5392-0300 ext 7435 Chiang Mai Ram Hospital Nam Phong Hospital Level II HSS (ISO Nam Phong Airfield Operations/5th ANGLICO) Public/District Hospital Emergency Services 24/7; EMS 043-44152 12 ER Beds; 4 Ambulances (2 EMS) Complicated cases referred to Khon Kaen Provincial Hospital (50 km) 60 Bed Facility/No ICU Beds, No VIP beds 2 Operating Rooms Range of Medical Services Emergency Room (24 hours), Lab, Blood Bank, Orthopedic and General Surgery, Outpatient Clinic, Pharmacy, Radiology (X ray, CT scan, Ultrasound) 10 Physicians (6 GMOs, 2 surgeons, 1 pediatrician, 1 Family Practice) 103 nurses, 2 paramedics Rabies/RIG/Anti-venom (King Cobra, General Anti-venom)