Thursday, July 13, 2017

Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States for Thursday, 13 July 2017 "Clinical Assessment Program Review of the Oscar G. Johnson VA Medical Center, Iron Mountain, Michigan"

Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States for Thursday, 13 July 2017 "Clinical Assessment Program Review of the Oscar G. Johnson VA Medical Center, Iron Mountain, Michigan"
Veterans Affairs Office of Inspector General (OIG) · 801 I St North West
Washington, D.C. 20536, United States
800-827-1000
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Military Health System in Washington, D.C., United States for Thursday, 13 Jul 2017 "Summer sun safety"
Health.mil

summer safety 2017

Summer sun safety

We all love being in the sun. But being in the sum means it's time to revisit smart practices to protect you, your family and especially your children from exposure to the sun and its ultraviolet rays. (U.S. Army photo by Ronald Wolf)

It's the middle of summer now. That means it's time to revisit smart practices to protect you, your family, and especially your children from exposure to the sun and its ultraviolet – or UV – rays. This is important, as a sunburn can increase your risk – and your children's risk – for skin cancer later in life.

Although anyone of any skin color has some risk for skin cancer, some individuals are at much higher risk. If you have a lighter natural skin color, a family history of skin cancer, or a personal history of skin cancer, you are in this category. The same is true if your skin burns, freckles, or turns red easily in the sun.

The culprit in skin cancer is UV rays. When UV rays reach the skin's inner layer, the skins response to UV rays is to produce more melanin, the pigment that colors the skin. Melanin moves toward the outer layers of the skin, giving you a tan.

A tan, however, according to the Centers for Disease Control and Prevention, is not the glow of good health but a response to skin injury.

So, you're thinking, I need to keep my family indoors, but how can I grill on the barbeque indoors?

You can't, but here are some precautions and good practices to consider.

Wear broad spectrum sunscreen (UVA and UVB) or protective clothing and better yet wear both.

Put on broad spectrum sunscreen with at least SPF 15; a rating higher than SPF 15 is better (SPF stands for Sun Protective Factor). SPF ratings can go up to 100 and the higher the number the better you are protected. Exposed skin needs more sunscreen than skin under a shirt. Sunscreen works best when combined with other options – such as clothing – to prevent UV damage. Read and follow the directions on the sunscreen product.

If possible, wear long-sleeved shirts and long pants. Some clothing has ratings or information on its UV protective factors. Clothes made from tightly woven fabric offer the best protection.

If long sleeves and pants are not practical, say you're at the beach, wear a T-shirt or a beach cover-up. A typical T-shirt has an SPF rating lower than 15, so use other types of protection as well.

Do you wear a hat? Wearing a hat with a brim that shades your face, ears, and the back of your neck is a good precaution.

If you wear a baseball cap, protect your ears and the back of your neck by wearing clothing that covers those areas or using the broad spectrum sunscreen (SPF 15 or higher).

Soldiers are issued protective eyewear for a reason. You need protective eyewear, too. Sunglasses protect your eyes from UV rays and reduce the risk of cataracts. Make sure sunglasses block both UVA and UVB rays. Wrap-around sunglasses work best because they block UV rays from the side.

Take advantage of shade if you can. Set up the barbeque grill and lawn chairs under a tree or canopy.

What about your children?

The rules that apply to you also apply to them. But there's a catch. They are young and just starting their lifetime of exposure to UV rays.

Children need the same sunscreen protection and protective clothing as you do – it's never too early to start getting in the habit of wearing clothing that provides protection from the sun.

And children like to look cool; so get them sunglasses. Make sure they also have UVA and UVB ratings to protect their eyes.

Hopefully, you already have good sun protection practices. Remember, if you sunburn easily and don't get much of a tan, extra precaution is needed.



Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

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Guard and Reserve Support Network in Washington, D.C., United States for Thursday, 13 United States "Guard and Reserve Support Network Newsletter - Q3 - 2017"
We're proud to bring you the Guard and Reserve Support Network (GRSN) Newsletter, comprised of news and information from Employer Support of
guard and reserve support network
WWW.GUARDRESERVES.COM  |  SUBSCRIBE  |  JULY 2017 - 3rd QUARTER
The Guard and Reserve Support Network is a Department of Defense partnership of programs supporting the needs of the National Guard and Reserve community. GRSN is comprised of:
Retirement


Planning for Blended Retirement? Plan to Use This Tool

The coming implementation of the Blended Retirement System offers Service members a choice about how they structure their retirement savings accounts, but that flexibility can also lead to confusion and uncertainty. Service members who reach 20 years of active service will continue to receive a military pension. Since only a small percentage of Service members who enter the military retire in the military, the BRS enables those who don’t expect to serve a full 20 years to leave the military with an established retirement account. But there’s no way around it: if you’re opt-in eligible, some numbers must be crunched to find the right solution ...

Planning for Blended Retirement? Plan to use this tool

The coming implementation of the Blended Retirement System (BRS) offers Service members a choice about how they structure their retirement savings accounts, but that flexibility can also lead to confusion and uncertainty. Service members who reach 20 years of active service will continue to receive a military pension. Since only a small percentage of Service members who enter the military retire in the military, the BRS enables those who don’t expect to serve a full 20 years to leave the military with an established retirement account. But there’s no way around it: if you’re opt-in eligible, some numbers must be crunched to find the right solution.
DoD had this in mind in developing the Blended Retirement System (BRS) comparison calculator. The calculator, along with the mandatory BRS Opt-In Course, is available to help nearly 1.7 million opt-in eligible Service members and their families make informed decisions on whether or not to elect the new retirement system. The new system takes effect Jan. 1. 2018.
“We have designed an all-in-one calculator that is intuitive to use and takes into account the unique financial situations of our active duty, National Guard and Reserve Service members,” said Tony Kurta, performing the duties of undersecretary of defense for personnel and readiness. “The calculator will provide Service members the ability to compare estimated benefits between their current retirement plan and BRS prior to making this important decision.”
The tool is flexible. You can adjust 12 inputs to reflect your personal situation and planning assumptions to see how changes to your career and savings will impact retirement benefits over the long-term. With a simple click, you can change any of the inputs and re-run the calculations as many times as you need. In other words, it’s designed to personalize your choices and situation.
To get the most benefit, DoD encourages you to use the calculator in conjunction with the mandatory BRS Opt-In Course, which launched Jan. 31. The opt-in course is focused on comparing the current legacy military retirement system (often referred to as the high-3 system) and the new Blended Retirement System, along with elements of financial management and retirement planning.
So, before you check out of the military, check out these resources. You’ve worked hard for your retirement. Now make retirement work for you.

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Debra Kay Mooney

Choctaw Heritage, Guard Life

In 2004, during a particularly tense period of Operation Iraqi Freedom II, an extraordinary event occurred at Al-Taqaddum Air Base near Fallujah, Iraq: a traditional Native American powwow. How and why such a ceremony took place in the middle of a combat zone is largely owing to the determination of one woman: Debra Kay Mooney, a member of the Choctaw Nation and Oklahoma National Guardsman ...

Choctaw Heritage, Guard Life

Debra Kay Mooney, a recently retired Sgt. 1st class with the Oklahoma National Guard and a member of the Choctaw Nation, reflects on her 23-year career—how the Guard and her heritage have shaped her life in ways she couldn’t have imagined.
In 2004, during a particularly tense period of Operation Iraqi Freedom II, an extraordinary event occurred at Al-Taqaddum Air Base near Fallujah, Iraq: a traditional Native American powwow. How and why such a ceremony took place in the middle of a combat zone is largely owing to the determination of one woman: Debra Kay Mooney, a member of the Choctaw Nation and Oklahoma National Guardsman.
Al-Taqaddum Air Base lies about a dozen miles west of Fallujah, where in early 2004, four private security employees were slain, their bodies hung from a bridge over the Euphrates River. In November of that year, U.S., British, and Iraqi soldiers began a major offensive to take back Fallujah from Iraqi insurgents. The urban warfare that ensued, known as the Second Battle of Fallujah, would be the deadliest of the Iraq war.
It is amid this turmoil that Mooney and a group of collaborators staged the powwow, a ceremony involving dancing, singing, games, and other cultural practices. “It seemed like a crazy idea,” said Mooney. But, if they could pull it off, it might improve the ebbing morale among the soldiers, and encourage more cohesiveness in the unit.
A tradition comes alive
It would take a lot of thinking, doing, and cooperating during stolen moments of time to make it work.  The committees came first, to organize how they’d create the drums, crafts, stick ball game, and other physical components. “We made all of the ceremonial items from discarded materials,” said Mooney. “Anything unusable to the Army was fair game. We made the drumfrom a discarded barrel, cut down, then stretched over with canvas and fashioned with a wooden base.”
While the decision to recreate the essential components of a powwow was the most fun, Mooney said identifying any practice or actions that might offend one tribe or another was the most crucial. Her unit had members from several different tribes, each with its own cultural practicesThere could be no unified ceremony without these agreements.
Despite a spirit of cooperation, the powwow almost failed. Mooney and her team were given three weeks to prepare but only on their own scant downtime. If all the pieces weren’t in place by then her superiors would call it off.
While on mission, Mooney was a combat engineer with the 45th Infantry Brigade Combat Team, working as a carpenter and mason building structures within the air base, as well as providing maintenance and security. She and the others in her unit moved around a lot, making the planning for the event even more tricky.
“We didn’t have a whole lot of downtime,” she said. “One part of our team would do our mission, another member would work on the powwow. Each one of us had to be dedicated in order for this to be successful.”
Shortly before the deadline, it somehow came together.
On the day of the ceremony, Mooney said she was amazed at the transformation that took place in the faces of the participants. “I saw soldiers turn into civilians with the beat of a drum. They were hooting and hollering and just enjoying the moment. The combat hardness in their faces was gone. It really did my heart good to see that.”
Mooney said it also brought the whole unit closer together through their determination to make it happen, and the education it provided. Non-Native Americans learned about the etiquette of the powwow, how to dance in the circle, and were exposed to the different traditions of the various tribes in their unit.
“I look back now and see the powwow as a symbol of the inclusiveness of the Guard,” she said. “We were different but united. I think that’s relevant for the Guard today. There’s always a way to unite behind similarities and not focus on differences. I was very blessed to be involved.”
The powwow took place in September 2004, a few weeks before the fierce campaign to retake Fallujah began.
Several items from the powwow, including the dress she wore (see images) and the drum they built, are now part of the collection at the National Museum of the American Indian in Washington, D.C.
“When I was a soldier …”
 Mooney starts a lot of her stories this way. Since her retirement in 2015, she views much of life through the prism of her 23 years in the Oklahoma Army National Guard and her Choctaw Tribal heritage.
From an early age, Mooney knew she wanted to serve. She tried to join the Marines right after high school but a heart surgery when she was 14 prevented her from passing the medical exam. So, she went to college, and after graduating, she signed up for the National Guard.
During her time in the Guard, she deployed twice during Operation Iraqi Freedom, once in 2004 and again in 2008. During the last five years of her career she trained Guardsmen for combat in a pre-mobilization training program. She communicated with units on the ground overseas and ran exercises simulating combat environments. “It was hard but satisfying work knowing I was helping to physically and mentally prepare troops for the rigors of combat,” she said.With the benefit of some hindsight, Mooney said joining the Guard was absolutely the right move for her, but it wasn’t without personal challenge.
Her first experience during annual training was not a good one. She felt isolated and was often left to herself when others buddied up. Fortunately, she had good advisors who recognized she presented two obstacles for folks who might hold prejudices—“I’m a woman and recognizable as a Native American.” They told her she just needed to get involved, and they introduced her to the Guard’s equal opportunity program,  which she would remain involved in for the rest of her career. If a problem such as sexual harassment came up in her unit, she would address it using her EO title instead of her rank. “It had a weighty effect,” she said.
Still, Mooney has actively cultivated a thick skin throughout her life and career, based on her mother’s adamant advice: “She taught me never to use the term ‘discriminated against.’ I never allowed myself to think that way. I believe we’re products of the communities we grow up in. I’m from Oklahoma. We have a lot of Native Americans. I wasn’t treated differently there. So I wasn’t going to allow anyone to make me feel differently anywhere else.”
Seeking and finding support
 As a member of the Choctaw Nation, Mooney said she is thankful to be part of a tribe with a deep history of military service. The Choctaw are the original “Code Talkers.” Before Navajo tribe members made this method of secret communication famous in WWII, 19 members of the Choctaw Nation in WWI helped transmit tactical messages back and forth in a language the enemy couldn’t decipher. They are credited with helping the American Expeditionary Forces win several key battles in the Meuse-Argonne Offensive in France, during the final large German push of the war.
Today, many members of the Choctaw Nation serve in the National Guard and on active duty. The tribe supports their well-being in numerous ways. Mooney has benefited from that support on a number of occasions—she struggles with PTSD, anxiety, and physical ailments from incidents while on duty. At one point, she was unable to get medical care through the VA because she had just come off orders when she was injured, and the tribe stepped up to help, at nearly no cost to her.
From providing parking spaces for vets at tribal facilities, to the big Veterans Day event they hold each year at Tvshka Homma, OK, the Choctaw Capitol, the Choctaw Nation routinely sends a strong message that they support their vets.
“Whatever they are aware of to do, they will do,” she said. “I have not seen them back away from any obstacle that a veteran has.”
Like other deployed tribe members, she also received care packages from the nation while she was overseas. And when she returned home from Iraq in 2005, a tribe representative knocked on her door to provide her with information about support they offered and to make a personal connection with her.
Activities like these led the Choctaw Nation of Oklahoma to be named a recipient of the prestigious Secretary of Defense Employer Support Freedom Award in 2008. Among the reasons cited: the nation’s compliance with USERRA, despite being exempt as a sovereign nation; its commitment to providing full pay and benefits for its Guard and Reserve members while performing their military service; its Veterans Advocacy program; its support for deployed Service members and their families; and numerous other forms of support.
In addition to tribal support, Mooney said she was among the early waves of returning Service members introduced to a reintegration event developed for the Reserve Component. When Mooney came home in 2008 from her final deployment to Iraq, she was told she needed to travel to Norman, OK for an event organized by the newly formed Yellow Ribbon Reintegration program sponsored by the DoD. At first, she and her peers were not enthused to go, having just returned from deployment. At the event, Mooney recalled learning about financial resources, skills for coping with PTSD, how to obtain legal assistance, and help with family issues. All well and good, but it didn’t sink in for her at the time.
It was in the months after that she began to realize its value. Not only did she take advantage of financial resources she received at the event, it also helped her not to feel isolated:
“It opened up communication between help and the one that needed help. It gave more options. The fact that you go again and again, it gave you a base. It helped me feel connected,” she said.
Her experience with YRRP was just one among many during her career in the Guard that speaks to its spirit of inclusiveness and camaraderie, a spirit that is bolstered by the support of her Choctaw Nation, and symbolized by her own organization of the powwow in 2004.
Making legacies
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Today, Mooney is often called upon to consult and reflect on her military service and Native American heritage. She serves on the advisory committee for the National Native American Veterans Memorial, to be built on the grounds of the National Museum of the American Indian in Washington, D.C. She also recently took part in a reflection on Native Americans’ role in WWI during a WWI Centennial event in Kansas City recognizing the U.S. entry into the war.
“I’m humbled to play this role, and I’m proud of my Choctaw heritage,” she said. “It’s my spiritual and family touchstone. I’m equally proud of my National Guard service, where I found my true strength and courage. Along with my faith in the Lord, those are the things that have shaped me—my service and my heritage.”
There was a time when saying ‘I’m in the National Guard’ was met with judgment.  “We used to be seen as weekend warriors with no real purpose,” said Mooney. “All that changed after 9/11. We’re proud of who we are and how we’ve served this country.”
“We still give all,” she said.

Craig R. McKinley

First Guard Four-Star Takes ESGR Helm

What are your retirement plans? Buy an RV and explore America? Take up painting or woodworking? Relax with the remote?
Or, maybe you want to lead a national DoD program devoted to strengthening relationships between Guard and Reserve members and their employers. That’s what retired Air Force Gen. Craig R. McKinley is doing with his retirement, having taken the helm as ESGR’s new National Chair June 1 ...

First Guard Four-Star Takes ESGR Helm

What are your retirement plans? Buy an RV and explore America? Take up painting or woodworking? Relax with the remote?
Or, maybe you want to lead a national DoD program devoted to strengthening relationships between Guard and Reserve members and their employers. That’s what retired Air Force Gen.  Craig R. McKinley is doing with his retirement, having taken the helm as ESGR’s new National Chair June 1.
The experience McKinley brings with him to ESGR is nearly unmatched in both breadth and distinction. With a resume that boasts accomplishments on par with the top military officers in the nation, McKinley brings to ESGR insights from a 38-year career, much of it spent in high-level leadership positions.
In addition to leadership, McKinley also brings an almost career-long focus on the Reserve Component. “It is an honor to continue to serve our National Guard and Reserve community,” said McKinley of his appointment. “The work ESGR does is invaluable to Reserve Component members and the employers who support them throughout their military commitments.”
A long and illustrious career
McKinley notched a couple of key firsts during his career. Among them, he became the first four-star general in the National Guard and the first Chief of the National Guard Bureau to serve as a member of the Joint Chiefs of Staff, after Congress approved a seat on the council for the National Guard. He led the National Guard Bureau from 2008 until his retirement in 2012.
As a member of the Joint Chiefs, he was a military adviser to the President, the Secretary of Defense, and the National Security Council, as well as the DoD’s official channel of communication to the Governors and to State Adjutants General on all matters pertaining to the National Guard.
Most recently, McKinley served as president of the Air Force Association until 2015, when he moved to the nonprofit sector to become the president of the National Defense Industrial Association. From there he stepped into the ESGR National Chair position.
With this appointment by Secretary of Defense James Mattis, McKinley embraces another personal first–being in a volunteer position and overseeing more than 4,000 volunteers spanning all 50 states, the District of Columbia, Guam, Puerto Rico, and the Virgin Islands. It will require a different kind of command structure to work with a predominantly volunteer base, but one that he is well suited for, having been in both military and non-military leadership roles.
“My vision for the future is for every single employer to support and value their military service member employees,” said McKinley. “I also want every one of those employers to know how important and valued they are. Our citizen warriors would not be able to focus on their mission of protecting our country if they had to worry about having meaningful civilian employment back at home. The amazing men and women who volunteer for ESGR are going to help our country achieve that vision!”
A pilot first
McKinley knew from a young age he wanted to be an Air Force pilot. He grew up in Jacksonville, Fla., and went to high school in Minnesota. He earned his private pilot’s license at the age of 15, before he even had a license to drive.
McKinley continued his path to the Air Force by joining the Junior Reserve Officer Training Corps program. From there, an ROTC scholarship led him to Southern Methodist University in Dallas, Texax, where he graduated with distinction from the ROTC program and earned a degree in Business Administration.
In 1974, he received his commission, beginning his long career as a pilot and a leader. As a young officer, he served in numerous assignments in flying and operations, as well as command positions at group, wing, sector, and field operating agency levels.
During his career as a command pilot, he logged more than 4,000 flying hours, primarily in the T-38, F-106, F-16, and F-15.
MAJOR AWARDS AND DECORATIONS
  • Defense Distinguished Service Medal with oak leaf cluster
  • Homeland Security Distinguished Service Medal
  • Defense Superior Service Medal
    Legion of Merit
  • Meritorious Service Medal with two oak leaf clusters
  • Air Force Commendation Medal with two oak leaf clusters
  • Air Force Achievement Medal with two oak leaf clusters
  • Air Force Outstanding Unit Award
  • Combat Readiness Medal with four oak leaf clusters
  • National Defense Service Medal with bronze star
  • Global War on Terrorism Service Medal
    Humanitarian Service Medal
  • Air Force Longevity Service Award with silver oak leaf cluster
  • Armed Forces Reserve Medal with silver hourglass
In 1980, McKinley transitioned from Active Duty Air Force to the Florida Air National Guard, where he spent much of his time with the 125th Fighter Wing based in his hometown in Jacksonville, Fla. In the 90s and 2000s, he began to take on more national leadership positions, culminating in his directorship of the Air National Guard (2006-2008) and in his leadership of the National Guard Bureau (2008-2012).
Along the way, McKinley also received a Master’s degree in Management and Economics at Webster College, St. Louis, Missouri, in 1979, and a degree in National Security Management at the National War College, National Defense University, in 1995.
Among his many awards and accolades, McKinley has received the Defense Distinguished Service Medal and Homeland Security Distinguished Service Medal (see sidebar for complete list).
Please join ESGR and the Guard & Reserve Network in welcoming Craig McKinley as the new ESGR National Chair.

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Freedom Award Recipients

2017 SecDef Employer Support Freedom Award Recipients Announced

Fifteen employers have been named recipients of the 2017 Secretary of Defense Employer Support Freedom Award. The award is the highest honor given to employers for support of National Guard and Reserve employees.
Selected from 3,064 nominations received from Reserve Component troops across the country, these recipients have gone above and beyond federal requirements in support of their military employees.  The 2017 Freedom Award recipients will be honored at a Pentagon ceremony August 25 ...

Congratulations 2017 Freedom Award recipients!
#SecDefFreedomAwardLearn More
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Congrats to the 15 #SecDefFreedomAward recipients for 2017!
About the Freedom Award
The Secretary of Defense Employer Support Freedom Award is the highest recognition given by the U.S. Government to employers for their support of their employees who serve in the Guard and Reserve.
Nominations must come from a Guard or Reserve member who is employed by the organization they are nominating, or from a family member.
The award was created to publicly recognize employers who provide exceptional support to their Guard and Reserve employees. It is the highest in a series of employer recognition awards given by the Department of Defense.
Almost one-half of the U.S. military is comprised of the Guard and Reserve. The Department of Defense shares these citizen warriors with their civilian employers, many of whom provide significant support to their employees who serve in the Guard and Reserve. This award recognizes employers who provide the most outstanding support for their Guard and Reserve employees and is presented annually by the Secretary of Defense.
History of the Freedom Award
The Secretary of Defense Employer Support Freedom Award was instituted in 1996 under the auspices of Employer Support of the Guard and Reserve (ESGR). ESGR is a Department of Defense office established in 1972 whose mission is to gain and maintain employer support for Guard and Reserve service by advocating relevant initiatives, recognizing outstanding support, increasing awareness of applicable laws and resolving conflict between employers and service members.
Secretary of Defense William Perry authorized the first award in 1996 and presented it to Schneider National, McDonnell Douglas, United Parcel Service Central Florida District, Tektronix, Inc. and National Life of Vermont. In the years since, a total of 220 employers have received this prestigious award. Today, up to 15 awards are presented each year to employers in three categories, large business, small business and the public sector.
The nomination process is open to all Guard and Reserve personnel or a family member acting on their behalf and applications are submitted online to ESGR. A national selection board comprised of senior Defense officials and business leaders select the award recipients.

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U.S. Department of Defense, Guard & Reserve Support Network
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U.S. Department of Veterans Affairs in Washington, D.C., United States for Wednesday, 12 July 2017 "U.S. Department of Veterans Affairs CMV - News Update"
Center for Minority Veterans Banner
Minority Veterans is sharing recent news stories that may be of interest to minority Veterans, service members, and their supporters on a weekly basis.


Today’s #VeteranOfTheDay is Navy Veteran Frank Ibanez Aceves.  Enlisting in the Navy in 1966, Frank made it his goal to become an electrician and move up the ranks as quickly as possible. [From VAntage Point]
We honor your service, Frank!
US Department of Veterans Affairs
810 Vermont Avenue, North West

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Military Health System in Washington, D.C., United States for Wednesday, 12 July 2017 "Sweltering ‘dog days’ of summer are no walk in the park for household pets"
Health.mil

Pets-summertime

Sweltering ‘dog days’ of summer are no walk in the park for household pets

Dogs like Jade, shown relaxing in the shade in Emerald Isle, North Carolina, are more vulnerable than cats to heat hazards because they usually spend more time outside with their owners.

Ranger is a young, active, healthy retriever. But he was out of sorts after spending a bright day playing fetch with his Frisbee-throwing owners. They noticed he was panting heavily and uncontrollably, and his saliva was thicker than usual.

Ranger’s next outing was to the veterinarian, where he was diagnosed with heat stress. He needed intravenous fluids and was hospitalized overnight. He recovered, and his owners learned an important lesson: The sweltering “dog days” of summer can harm household pets.

Both dogs and cats face the same summertime risks, veterinarians say. But dogs are more vulnerable than cats because they usually spend more time engaging in outdoor activities with their owners.

Heat-related injuries like Ranger’s are probably the biggest summertime concern, said Dr. Kristina McElroy, a veterinary public health officer and the Defense Health Agency’s Defense Support of Civil Authorities coordinator for veterinary services. She works with other federal agencies on disaster planning, preparedness, and response involving animal health, agriculture, and food protection.

McElroy said daily walks help dogs acclimate as temperatures rise. But on a hot day, “even just 30 minutes of strenuous activity at a dog park could stress some pets.”

“A general rule is, if it’s too hot for you then it’s even hotter for your dog,” said Army Col. Jennifer Chapman, a veterinarian and chief of plans and operations in the DHA’s Veterinary Service Branch.

Chapman and McElroy recommend limiting the amount of time pets spend in the sun during hot and humid stretches. When they do venture out, make sure there’s a shady spot where they can rest, and ensure there’s plenty of cool, clean water for them to drink.

Also, keep in mind that hot sidewalks and streets can burn paws. Walk dogs in the cooler morning and evening hours, McElroy said, and if that’s not possible, “try paw protectors, or walking in the grass instead.”

Dogs with light skin or fur also can get sunburned. Chapman advises sunblock made specifically for animals because sunblock for people may contain zinc oxide and other ingredients that are toxic to pets. Pay attention to sparsely haired areas such as the nose, tips of ears, and the belly for pets that enjoy stretching out in the sun on their backs.

Heat can be deadly when pets are trapped in vehicles. Chapman notes that even in mild weather, temperatures inside cars can rise dangerously high in a matter of minutes. For example, on a comfortable 80-degree day, the inside of a vehicle can reach 100 degrees in about 10 minutes. “It’s not enough to crack the windows, even if you’re going to be gone for only a few minutes,” Chapman said. “Never, ever leave a pet inside a car.”

Other outdoor hazards for pets include stinging and crawling insects such as wasps, mosquitoes, and fleas; and arachnids such as ticks and spiders. Just like people, pets can have an allergic reaction to stinging insects, McElroy said. Signs include swelling in the face and difficulty breathing. If you notice any of these, take your pet to the veterinarian as soon as possible.

Mosquitoes and ticks carry diseases that are harmful to pets as well as to humans. “Let’s say you take your dog for a walk in the woods,” McElroy said. “If your pet isn’t protected, a tick can crawl onto it and use it as a bus, of sorts, until it can get to you. So year-round protection for pets helps their owners as well.”

For more information, download a copy of a brochure published by the Army Public Health Center Animal Health published a useful brochure on hot weather pet safety.

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Who’s Reliable? Advancement toward High Reliability in Healthcare Awards Accepting Nominations

2016 recipients of the Advancement toward High Reliability in Healthcare award winners in the improved access discipline pose at the AMSUS Federal Health 2016 in Washington, D.C. (MHS photo)


Navy Vice Admiral Raquel C. Bono, director of the Defense Health Agency (DHA), is requesting nominations for the 2017 Advancement Toward High Reliability in Healthcare Awards Program. Military treatment facilities are encouraged to participate and submit their award package by 4:00 p.m. EDT on August 1.

“Serving our patients is at the heart of everything we do, and that means enhanced access to high-quality care,” said Bono.

The awards program encourages four important institutional goals: raise awareness, reward successful efforts, inspire organizations, and share successes. These awards recognize those who have shown initiative and commitment to the development of systems and processes that improve safety and quality and promote an environment of continuous learning and sharing.

Awards will be presented in the following disciplines:
Patient Engagement
Health Care Quality and Safety
Improved Access

“Across the MHS [Military Health System], teams of dedicated providers are innovating to improve safety, increase access and put patients first,” said Bono. “By recognizing those teams, we will not only reward achievement, but we’ll share best practices across the MHS to strengthen our patient-centered enterprise."

As the MHS continues its efforts to improve reliability and patient safety, teams in military treatment facilities are leading initiatives to support this mission. Today, across the MHS, there are a number of activities already in motion to help the MHS advance toward high reliability and ensure that the MHS partners with patients every step of the way.

“Our success in military medicine is built upon leaders at every level who look to improve on the system they inherited, said Bono. “This is an opportunity to make a long-lasting impact on health care delivery for our service members and their families.”

For more information about the Advancement toward High Reliability in Healthcare Awards, please visit the Awards Program web page. Questions about the award program, categories or submission process, should be directed to this email inbox.

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2016 Improved Patient Access Award
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