WEBVTT

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Hello everyone and welcome to the daily

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water update for today thursday March

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10th . I am Commander Aaliyah Mchenry ,

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Deputy Chief of Staff of Navy region

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Hawaii I will be filling in over the

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next few days for Captain Gunther . Our

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Chief of Staff . As you're noticing

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more neighborhoods have had their

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health advisories lifted with the water

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being certified as safe by the

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Department of health . Today we are

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joined by Captain Mike Mcguinness who

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is a physician and the fleet surgeon

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for Commander , United States pacific

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Fleet . He will answer some water

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related medical questions and concerns

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that have been shared by our

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communities on facebook and via email

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before talking with Captain Mcguinness

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though let's take a look at our map and

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talk through our updates and

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expectations over the next day or so .

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Okay so we've had nine zones now that

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have been under an amended Department

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of Health advisory . Um No updates to

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that advisory . As of today we have

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seven zones that are under the

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Department of Health review . Our most

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recent zone that was accepted by the

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Department of Health includes C . Two .

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And so in that zone and we're doing a C .

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C . Two here we they were accepted .

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That's Halle Ollie Marine Barracks and

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Hospital Point we still have three

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zones C one , C . Three and D . Three

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that are under I . D . W . S . T .

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Review . And then um you know as folks

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are moving in and you see we're getting

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a lot more green and a lot more things

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that are under D . O . H . Review how

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they receive them is how they're

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reviewing them . And that that time

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frame for the review um is really

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unknown and as you saw somewhere a

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little bit faster last week . And so

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we're hoping that that continues as the

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movements occur . If you have any

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concerns with your water , then please

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use the packet that is emailed to you

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with the rapid response team

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information and please call them with

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any concerns and that's all I have

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about them out today .

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So even as more and more communities

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are having their water certified safe

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by the Department of Health , some of

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you have voiced concerns about whether

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or not the water you consume during

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this crisis has impacted your health .

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Some of you have shared health concerns

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both on facebook and via email and are

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concerned with the long term effects .

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If not short term . We are being joined

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by Captain Mike Mcginnis , the fleet

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surgeon for the U . S . Pacific fleet

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here in Hawaii And he is a physician

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that has been part of our team . And

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this crisis response since the

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beginning we have pulled some of the

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medical related questions that you have

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asked . Um and and and hope to ask

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Captain Mcginnis for some responses to

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those captain . Welcome to our daily

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update . Thank you for joining us .

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Thank you . So could you please just

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tell us a little bit about yourself sir .

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Captain Michael Mcginnis , I'm the US

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pacific fleet surgeon and the senior

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medical advisor to Admiral papa Row and

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the pac fleet staff . In response to

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this public health crisis , I lead the

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Joint Health Services working group ,

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which is the joint medical team from

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our operational medical forces are

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components as well as the senior

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leaders in our military treatment

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facilities And as part of the Joint

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Health Services Working group , we work

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in close coordination with the

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Department of Health and the

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Interagency . Wonderful thank you sir .

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So I'm just gonna ask you kind of

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question and answer . So the first

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question is , what is the Navy doing to

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ensure it understands the long term

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effects of exposure ? You know ? At

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first , I would just want to reiterate

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the commitment that I the team has

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to the health and safety of all the

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beneficiaries , the service members ,

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families and civilians on the Navy

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water distribution system . We're

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taking all of the complaints that have

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manifested seriously and we're fully

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committed to ensuring that our families

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remain safe and using the water in a

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safe way . The long term effects

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is a question that's come up . And the

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question is , how do we ensure over

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time that um we are aware

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of potential health impacts of the

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water . Specifically , the dod is

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established a incident registry

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for to capture all the individuals that

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may have been exposed to this

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contaminated water event . So

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specifically , we're capturing the

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families that live in housing on the

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Navy water distribution system as well

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as the commands and for the active duty

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and D . O . D . Personnel that work on

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uh bases that are supplied by the Navy

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water distribution system . Thank you

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sir . So um next question is then , how

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can affected personnel report their

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health concerns to the Navy ? So if you

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have a health concern , you should

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absolutely make a note of that

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call attention to your primary care

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provider , ideally schedule an

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appointment . You can also communicate

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with your provider through the secure

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messaging app , through the new

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electronic medical record , the MHS

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genesis portal . You also are able to

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call the nurse advice line 24 7 uh and

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insight your concerns to the nurse

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advice line . You know , we are

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monitoring calls that come in as well

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as patient visits to all our military

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treatment facilities because we want to

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be very aware of what our families and

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our beneficiaries are experiencing and

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being sure that we're not missing

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anything . And so the nurse advice line ,

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MHS genesis going in to see a primary

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care provider and then if an emergency

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going to the nearest emergency room .

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Absolutely , what I would highlight is ,

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you know , through the joint health

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services working group , the

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discussions that we have between the

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operational Medical Leadership , the

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military treatment facility leadership

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were closely coordinated and aware so

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that if anyone is seeing something ,

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we're able to quickly communicate that

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across the board as well as inform our

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providers as far as uh this event and

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bring the subject matter experts to

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inform them as they evaluate our

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patients one on one to ensure that

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we're addressing all concerns

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completely . Thank you sir .

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So next question is families are

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reporting long standing illness and

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symptoms concurrent with exposure to

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harmful chemicals . Can you provide any

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comments or elaborate in regard to this ?

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Sure . You know , we are aware of

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families that have cited or attributed

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to long term health complaints to the

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water uh specifically going beyond the

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dates of this specific incident . And

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we're concerned about that . We want

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families that have those types of

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concerns to come in and relay those to

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their primary care provider . We are

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also assessing over time . You know

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what a group of individuals may have

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these concerns to see if there's any

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specific trends that we that may be

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developing . You know , specifically

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though , what we've seen with this

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event is , you know , rapidly at the

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end of november or the beginning of

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december , we had a large group of

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individuals that were clearly impacted

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um from specific areas within the Navy

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water distribution system . You know ,

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the symptoms were pretty specific to a

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petroleum based toxin , drum or the

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collection of symptoms and what we were

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seeing were nausea , vomiting ,

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diarrhea , headache as well as skin

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complaints . As far as skin rash and

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skin itching . So we saw that within

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the first two weeks of this incident

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and a rapid dissipation of events . We

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do see . Uh , families now , but

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primarily it's for a desire to document

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uh their potential exposure as well as

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any resolved health concerns . We are

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not seeing a , you know , ongoing

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active symptoms . However , we are um

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very sensitive to that and want to be

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sure that any that do present , that

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we're looking at that closely to be

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sure that we're not missing anything .

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Okay , sir . So just so I I'm sure that

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I again , as I'm trying to review what

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you said and , and so a lot of it was

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in the initial kind of gastrointestinal

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type stomach problems , skin problems

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that folks had pretty immediately . You

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have not seen that over the course of

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recent days , since our teams have been

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in and flushing and folks have been out

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of their homes . Are there anything

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that , that you are aware of any longer

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term things that complaints that are

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showing up now that aren't related to

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those ? Well , you know , so it's the

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families that are presenting now with

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chronic medical conditions and , you

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know , we're looking to ensure that

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we're aware just across the board , we

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have a joint a discussion about that

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among the senior medical leadership is ,

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you know , very individual . As far as

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the complaints , you know , and they're

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fairly broad , what makes this

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challenging is that we don't have a

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cluster of similar type illnesses or

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diseases that are manifesting that are

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attributed to chronic exposure .

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However , that's where , you know ,

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having this registry is important to be

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sure that we have an ability to closely

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monitor our population over time to be

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sensitive to any potential long term

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health effects . You know , based on

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what we know as far as the duration and

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the intensity of exposure from this

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event . We do not anticipate long term

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health uh , concerns . But you know ,

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we don't , we don't know definitively

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and that's why we want to monitor over

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time . Thank you sir . Okay , so the

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next question families say they are

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concerned about if they are getting

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truthful information from the military

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leaders regarding their health concerns ,

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how do you respond to this ? You know ?

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So I as the pac fleet surgeon and and

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really the entire joint Health Services

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working group , we're fully committed

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to being transparent and open . We want

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our families , our service members ,

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those on the road uh within the D . O .

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D . And and non D . O . D . To be fully

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aware of what we know . Um , and if

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there are medical concerns , we want to

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educate and to share information across

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the board . We're fully committed to

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the health and safety of all those on

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the Navy water distribution system .

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And we do take every concern or

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complaint seriously . And so there's

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significant discussion to ensure that

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we're fully aware of what's happening

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within our groups . Certainly . So I

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know there was a question about bio

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monitoring . Um , it's come up in in in

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questions and comments . Can you tell

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me a little bit about uh whether it

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is required or if folks need any other

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long term medical surveillance . You

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know , you just talked about the

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registry and surveilling folks . But is

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there anything more with this ? Sure .

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You know , and we are aware of a

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desire to to monitor and test And you

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know , first and foremost if you have a

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concern or a complaint come in , we'll

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evaluate you and we will do all the

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indicated medical evaluation starting

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with a great history and physical and

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and taking it from there . Certainly

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our providers will order whatever tests

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are indicated . Bio monitoring is the

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scientific assessment of the

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environment of an ecosystem , including

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components of biodiversity to include

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people over time . And as you bio

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monitor , a population , you may do

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testing such as blood urine saliva

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testing in this incident . And what

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we've experienced together we have

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uh abounded event where and

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unknown pathogen , you know , a known

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petroleum based product . And in this

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specific incident , bio monitoring is

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not indicated . However , that is not

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to preclude on an individual level . Um ,

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any limitations on specific testing but

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in general , broadly bio monitoring is

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not indicated for this event . So

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that's why then the Navy is not across

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the board testing folks for the bio

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monitoring is that That's right . I

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mean , it's from a medical perspective ,

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it's it's not indicated in a in a broad

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population based way . And that's where

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you know , as the patients , those that

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are impacted with complaints need to

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present to our health care teams and

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will make an individual assessment on ,

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you know , what is indicated based on

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the individuals concerned as well as

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past medical history . Thank you sir .

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Um So I think , see I have one more

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question for you , Sarah and I do

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appreciate you being here . What

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assurances do victims have that their

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health will be taken care of , you know ,

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the D . O . D . Then pac fleet , the

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joint the joint health team and all our

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collective leadership are fully

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committed to the safety and well being

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of the D . O . D . Beneficiaries , the

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families , the service members , you

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know , And so we're demonstrating this

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through the development of this uh

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incident registry as well as the

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ongoing coordination and close

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collaboration between the Department of

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Health and the Joint Health Services

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working group . We're fully committed

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again to being open , transparent and

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coordinated to ensure that we're being

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bringing the best that we have within

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the D . O . D . And within a civilian

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healthcare to support our families in

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this response . Thank you , sir . And

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so in closing , if folks

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have questions or concerns , they can

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certainly reach out to medical through

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the various means that you talked about ,

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which is the nurse advice line through

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genesis , through email with their

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provider or going into the clinic or an

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emergency room . If it's an emergency

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situation and that um there's a Dogg

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wide approach to evaluating really the

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impact of of of the water contamination

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on individuals health . Um I do

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appreciate sir , your time and if

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there's anything additional you'd like

15:11.847 --> 15:14.013
to add , then now would be the time to

15:14.013 --> 15:15.791
do so . Well . I appreciate the

15:15.791 --> 15:18.250
opportunity to talk to you and just and

15:18.250 --> 15:21.660
talk to our families and audience out

15:21.660 --> 15:24.860
there . And what I would say is , you

15:24.860 --> 15:28.620
know , we are sensitive aware ,

15:28.630 --> 15:32.100
we're committed and closely coordinated

15:32.100 --> 15:34.650
as a integrated health care system ,

15:35.640 --> 15:37.862
not service specific . You know , we're

15:37.862 --> 15:40.280
a close knit family really within the

15:40.290 --> 15:42.630
communities and that's true within the

15:42.640 --> 15:45.640
medical realm as well . Um you know ,

15:45.640 --> 15:47.820
so we are looking for inputs , closely

15:47.820 --> 15:50.310
monitoring that , what we see in open

15:50.310 --> 15:52.310
source within the media , how we're

15:52.310 --> 15:54.421
getting this also from social media ,

15:54.421 --> 15:56.588
from our public affairs experts giving

15:56.588 --> 15:58.866
us feedback to ensure that uh you know ,

15:58.866 --> 16:00.810
were closely connected and sharing

16:00.810 --> 16:03.010
information . We're looking forward to

16:03.010 --> 16:06.830
specifically as we become uh fully

16:06.840 --> 16:08.820
uh and safely reintegrated ,

16:08.830 --> 16:11.020
reintegrated into our neighborhoods .

16:11.030 --> 16:13.160
Were looking to share to give that

16:13.160 --> 16:15.450
assurance and notify those that have

16:15.450 --> 16:17.390
been actively enrolled within our

16:17.390 --> 16:20.860
registry . We are beyond

16:21.340 --> 16:25.100
80-90% enrolled as far as all of our

16:25.100 --> 16:27.880
families . And we're looking to send

16:27.880 --> 16:30.940
out notifications next week . That's

16:30.940 --> 16:33.080
gonna be one mechanism . Another way

16:33.080 --> 16:35.700
that if you have concerns whether you

16:35.700 --> 16:38.250
have been entered within our registry

16:38.250 --> 16:40.472
program , there's a number that you can

16:40.472 --> 16:42.528
call that's maintained by our public

16:42.528 --> 16:44.639
health subject matter experts and you

16:44.639 --> 16:46.694
can easily refer to that within your

16:46.694 --> 16:49.030
resident reference guide . Okay ?

16:49.040 --> 16:51.262
Perfect . Thank you sir . And thank you

16:51.262 --> 16:54.240
again um for your insights and really

16:54.240 --> 16:56.560
responses to those questions and as

16:56.560 --> 16:58.727
questions come up in the future we may

16:58.727 --> 17:00.893
ask you to come back and we appreciate

17:00.893 --> 17:02.949
your time sir . Happy to be here and

17:02.949 --> 17:05.880
happy to support so to really to recap

17:05.880 --> 17:07.658
again if anyone has any medical

17:07.658 --> 17:10.040
concerns um We went through the ways

17:10.040 --> 17:12.780
that that you would go about um going

17:12.780 --> 17:14.947
through them . We also have our effect

17:14.947 --> 17:17.058
which is an additional support center

17:17.058 --> 17:19.224
location . That is open monday through

17:19.224 --> 17:23.160
friday from 7:30 a.m. To five p.m. Um

17:23.170 --> 17:25.337
And then the D . O . D . Registry that

17:25.337 --> 17:27.503
Captain Mcginnis talked about . Um The

17:27.503 --> 17:29.480
phone number is 1 809

17:29.490 --> 17:32.450
848523 .

17:33.840 --> 17:36.062
So that was your daily water update for

17:36.062 --> 17:37.910
today . We are monitoring your

17:37.910 --> 17:40.920
questions via facebook and you can also

17:40.920 --> 17:43.050
email questions if you have specific

17:43.050 --> 17:46.280
questions you can email them to C N R H

17:46.290 --> 17:49.960
P O at gmail dot com . Don't forget our

17:49.960 --> 17:53.400
water info website at navy dot mil

17:53.410 --> 17:57.250
backslash joint based water or you can

17:57.250 --> 18:00.050
find em wr resources at great life

18:00.050 --> 18:03.710
hawaii dot com backslash backslash . We

18:03.710 --> 18:06.330
got you . We are in this together as

18:06.330 --> 18:08.750
one community and family or Ohana

18:10.140 --> 18:12.460
until tomorrow . Please stay safe .

18:13.240 --> 18:15.407
Look out for yourself and look out for

18:15.407 --> 18:16.770
one another . Thank you