By Maj. William Carraway
Historian, Georgia Army National Guard
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Georgia Army National Guard 1st Lt. Catherine Blakelock of the Savannah-based Headquarters Battery, 1st Battalion, 118th Field Artillery Regiment briefs an infection control team before entering a nursing home in Port Wentworth, Ga. April 10, 2020. Photo by 1st Lt. Joe Reynolds |
The Beginning
In just one month, the Georgia
Department of Defense moved from contingency planning, in preparation for COVID-19 operations, to full engagements in 10 different missions encompassing
locations across the state. On March 10, the Clay National Guard lodging
facilities were cleared and prepared to receive guests from the Grand Princess
Cruise Ship. On that day, the Ga. DoD issued a warning order advising the force
that the Ga. DoD would “begin pandemic response operations in order to protect
the force, assist local and state authorities with the protection of life and
property, and with the preservation of peace, order, and public safety.”
At the time WARNO 1 was issued,
Georgia had reported 18 cases of COVID-19 and no deaths. The next day more than
250 cruise ship passengers arrived at Dobbins Air Reserve Force Base to begin
observation for COVID-19 symptoms. The Clay National Guard Center received its
first passengers the evening of March 13.
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Lieutenant Colonel Pervis Brown, officer in charge of the Ga. DoD's Joint Operations Center and 2nd Lt. Austin Brumby track mission assignments from the Georgia Emergency Management Agency at the Joint Force Headquarters in Marietta, Ga. March 23, 2020. Phot by Maj. William Carraway |
The Response Ramps Up
On March 14, Governor Brian Kemp
authorized the activation of 2,000 Georgia National Guard Soldiers and Airmen.
The next day, the first Soldiers were on mission transporting patients while Georgia
State Defense Force volunteers augmented operations at the headquarters of the
Georgia Emergency Management Agency alongside Georgia’s Citizen Soldiers and
Airmen. At first, the battle rhythm of operations had the familiarity of a
hurricane or severe weather response, but key differences soon became apparent.
The state surgeon of the Ga. DoD was an early key staff augmentee at the State
Operations Center where civilians and service members worked in coordination
with the Department of Public Health.
Medical Support Teams
During the update brief for
commanders and senior staff on March 18, Maj. Gen. Tom Carden, Georgia’s
Adjutant General, tasked the Ga. DoD joint staff with developing a unit-manning
document for a new kind of unit that did not exist anywhere within the force
structure. As described by Carden, teams of medical personnel would be
assembled in order to supplement hospital staff.
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Georgia Air National Guard Airman 1st Class Matthew Brownson, a medical specialist with the 116th Medical Broup Detachment One records patient data at Grady Memorial Hospital, Atlanta on March 26, 2020. Photo by Sgt. Jeron Walker |
“The people who will populate that
unit will be people with medical skill sets who are not first responders, not
working in a hospital,” said Carden, addressing commanders and staff at the
Joint Force Headquarters in Marietta. “We are not waiting for someone to ask
for this information, we need to anticipate the need and be prepared.”
The concept of the joint medical
unit evolved into medical support teams, comprised of Soldiers, Airmen, and Ga
SDF Volunteers who had civilian or military training in the medical field. Less
than two weeks from the first expression of concept, more than 200 personnel
were employed at 19 regional medical centers across the state.
Ventilators
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Aviators of the Marietta-based 78th Aviation Troop Command transported 12 ventilators from Tobyhanna Army Depot April 3, 2020. Photo by Maj. Travis Brown |
By March 23, the Ga. DOD coordinated
the placement of the first medical support team which embedded two days later. Based
on reports fielded from hospitals and input from the state surgeon, Carden
tasked the Ga. DoD to inventory all units for ventilators and prepare to
transfer them to civilian hospitals.
“Knowing (the number of COVID-19
cases) is not what really matters,” said Carden during a planning meeting with
senior leaders. “What really matters is when we hit capacity at hospitals. When
will we run out of ventilators?”
With ventilators identified as
critical equipment, commanders in the Georgia and Army National Guard requested
immediate inventory and calibration. Those in need of calibration were
transported to Tobyhanna Army Depot by aviators of the 78th Aviation
Troop Command. By March 24, the Ga. DoD logistics officer reported the Ga. DoD
could make 41 ventilators available to hospitals.
In his closing comments to
commanders and staff March 24, Carden recognized the herculean efforts of the
Ga. DoD and reminded all in attendance to always plan ahead.
“What we are doing now is different
than anything we have ever done before,” said Carden. No one in this room has
experience with pandemic response. This is where we live our values. Your
entire career has built your ability to respond now. Since the day you put the
uniform on, you have learned to be adaptive and agile. We have got to know not
only what is going on now, we have to think about what is next.”
Infection Control Teams
On March 26, Brigadier General
Randall Simmons, Commander of the Ga. ARNG and Joint Task Force Commander Ga. COVID-19 Response Force, traveled to Albany Ga. to meet with community leaders and
hospital staff. In addition to visiting patient isolation facilities and
speaking with medical support team personnel, Simmons visited a local nursing
home where he learned that multiple residents had tested positive for COVID-19.
Recognizing the potential health crisis, Simmons suggested the Georgia National
Guard could provide assistance to the facility.
Soldiers of the Forsyth-based 2nd
Battalion 121st Infantry Regiment were dispatched to assist at the
Albany nursing home and to supplement patient observation sites in Albany and
Forsyth on March 28. Identifying the vulnerability of nursing homes to COVID-19, Carden tasked commanders and staff with anticipating a mission to assist. Colonel
John Till, safety officer of the Ga. DOD informed senior leaders that his
office had conducted disinfecting operations at Ga. DoD facilities and that the
techniques and protective equipment could be adapted to disinfect critical
facilities in the state.
In the coming days, Carden briefed
members of the Governor’s Task Force on the Coronavirus regarding the risk and
potential for the Ga. DoD to assist. Carden briefed the capability to Governor
Kemp while Till assembled personnel from the 138th Chemical Company
to constitute the first infection control team.
“We are going to generate the
capability and be prepared to provide the service,” said Carden. “The critical discussion
will have to be had between DPH and GEMA to determine how we are to be
employed. Our job is to lean forward as far as we can.”
On the morning of March 31, Brig.
Gen. Simmons directed the 201st Regional Support Group to dispatch
the first ICT to Albany and to take with it personal protective equipment for
nursing home workers. Simmons also directed the joint staff to establish a
planning team for disinfecting operations.
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The first infection control team composed of Soldiers of the 138th Chemical Company and 177th Brigade Engineer Battalion prepare to depart the Clay National Guard Center for Albany, Ga. March 31, 2020. Photo by Maj. William Carraway |
In the coming days, the Ga. DoD
established a list of 383 nursing homes across the state. The first ICT trained
a follow-on team at the Albany nursing home. On April 1, sixty Soldiers of the
Calhoun-based 1st Squadron, 108th Cavalry Regiment had
trained for the disinfecting mission.
30 Days of Operations
On the morning of April 10, nearly
1,000 Soldiers and Airmen comprising 58 ICTs had cleaned nearly 120 facilities
and were continuing to work into the Easter weekend to alleviate human
suffering. More than 200 of Georgia’s Citizen Soldiers and Airmen were working
shoulder to shoulder with medical personnel at 19 hospitals across the state.
Georgia State Defense Force Volunteers provided support to food bank operations
in Valdosta, one of nine foodbanks supported by the Ga. DoD across the state.
Logisticians supported GEMA and DPH warehouse operations and isolation
facilities while more than 70 personnel provided health screenings at hospitals
in Athens, Atlanta, Albany, Macon, and Gainesville, freeing nurses and medical
support personnel to care for patients.
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Georgia Army National Guard Soldiers of the Marietta-based 201st Regional Support Group disinfect a nursing home facility on Easter Sunday March 12, 2020. The team was visited by Maj. Gen. Tom Carden, Georgia's Adjutant General, who presented coins to Spc. Joshua Brown of the Monroe-based 178th Military Police Company and Spc. Kevin Mincey of the Hinesville-based 179th MP Company in recognition of their efforts on behalf of Georgia's Citizens. Photo by 2nd Lt. Elisabeth Tanifum. |
As the Ga. DoD passes 30 days of
Coronavirus response operations, the role these Citizen Soldiers, Airmen and
State Defense Force Volunteers play continues to expand. As Maj. Gen. Tom
Carden has said on numerous occasions, “We will never be late to need.”