US Mission Iraq Gets One COVID-19 Case From DOS Chartered Flight Out of Dulles

 

We recently learned that an individual who arrived at US Mission Iraq on a charter flight from Dulles, VA on July 1st has tested positive of COVID-19 and has been in quarantine since arrival.
We understand that the chartered aircraft was a 767 with 2-2-2 seating in business class and 2-3-2 seating in economy. The middle seat in economy was left open but the remaining seats were filled. The flight included over a hundred passengers who were either US direct-hire or contractors supporting Mission Iraq. We understand that some passengers purposefully did not wear their masks correctly during the flight.
Passengers were notified about the case on July 9th when all Mission personnel received an email from the Front Office. Passengers reportedly also received a call from post management to confirm they’d seen the email. The mission notification indicates that post is “in the process of contact tracing” to include at various points since the flight’s departure on June 30th. 
We also learned that post has no idea if the individual was COVID positive at the time of the flight. The CDC is advising people to “stay home for 14 days from the time you returned home from international travel” but what do you do with travel within the United States?
The passengers are subject to a 14-day quarantine upon arrival (apparently now standard procedure). However, there were understandably concerns that MED and post management did not provide details about when the infected person was tested or why there was over a week’s delay in post notification. It is also understood that post has  alerted those who were in close proximity to the infected individual but people have no idea on how wide an area of the plane was notified.    
We were wondering if employees can get a COVID-19 test if they ask for it or if tests are only available to those manifesting COVID-19 symptoms.
We learned today that those on the flight received a reminder today to check in with the MED unit before rejoining the general population on July 14. They were advised to discuss any symptoms they had during quarantine with MED and, “if we [MED Unit] feel it is necessary, we will perform a COVID-19 test”.
Does MED Iraq have the ability to process COVID-19 tests at post; and if not, where are these tests sent and what is the turn around for results? What about other posts without Embassy Baghdad’s resources?
Given that the U.S. is now a hotspot, are State Department employees and contractors tested prior to their departure to Iraq or elsewhere?
We should note that the United States is currently #1 in confirmed COVID-19 cases in the world, and with over 137,000 deaths, it is also #1 in COVID-19 deaths in the world. For detailed situation update worldwide, see the European Centre for Disease Prevention and Control.

State Dept Seeks Potential New Contractors for $234M Medical Service Support Iraq (MSSI) II Contract

Posted: 5:58 pm EDT
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The State Department is seeking information for the availability of a new medical service provider for U.S. Mission Iraq.  There is an incumbent contractor,  CHS Middle East, LLC of Cape Canaveral, Florida. The total estimated contract value for the incumbent contractor is approximately $234M. According to the fedbiz announcement, the health units and diplomatic support hospitals will need to be mission capable by summer 2016. Below is an excerpt from the announcement:

Government is requesting information regarding the availability and feasibility of attracting new medical service providers to support the requirements of the U.S. Mission Iraq as described in this RFI. This notice is issued solely for information and planning purposes and does not constitute a Request for Proposal (RFP) or a commitment on the part of the Government to conduct a solicitation for the below-listed services in the future.
[…]
The DOS has a follow-on requirement for a Contractor to provide medical service support to U.S. Government (USG) personnel, USG third party contractors and authorized foreign nationals in Iraq. These medical services will be provided at USG facilities and include but are not limited to the following: general medical, surgical, orthopedic, gynecologic, dental, behavioral health, public health, urgent and emergency care and mortuary affairs. In order to fulfill these requirements the Contractor is responsible for providing trained and certified health care professionals (e.g., physicians, nurse practitioners, surgeons, emergency medical technicians, etc…) and the administrative services and staff to equip and operate the USG contractor-operated health care facilities in Iraq.

The Contractor is responsible for performing random and non-random drug testing for other third party contractors operating in support of the DOS in Iraq. Additionally, because other third party contractors require Emergency Medical Technicians (EMTs) in country, the Contractor is responsible for the medic validation and verification to ensure the verification of maintenance of credentials for EMTs.

Supported population is between 3500-5800

While the primary place of performance is throughout the country of Iraq, the Contractor may be tasked with providing temporary medical service support to other USG facilities located in the Near East Region (i.e., North Africa and the Middle East).

The BDSC Large Diplomatic Support Hospital not only provides primary care to personnel at BDSC, but also may serve as the secondary and trauma care center for the patient population within U.S. Mission Iraq (4300 – 5800 personnel). These services include evacuation management and mortuary affairs.

The Contractor shall provide on-site primary, urgent and initial emergency care for general medical, surgical, orthopedic, gynecologic, and mental health conditions; triage, stabilize and evacuate patients to the next level of medical care; and keep up to two patients in the Health Unit (HU) for up to 24 hours until stabilized or medically evacuated. Staffing shall be continuous and uninterrupted; coverage for illness and vacations shall be the responsibility of the Contractor.

The Contractor is responsible for providing routine care during regular working hours and on an emergency basis after normal working hours based on Chief of Mission (COM) requirements. Medical Service Support Iraq (MSSI) II; Solicitation SAQMMA-15-SS-MSSI .

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