Review of the DoD-GEIS Influenza Programs: Strengthening Global Surveillance and Response

FIGURE 5-1 DoD’s regional presence in influenza surveillance (Africa), 2007.

SOURCE: DoD-GEIS, 2007b.

3 expanded a number of its activities, such as conducting training on influenza diagnosis, helping to build national influenza laboratory capacity in Egypt and the region (including Afghanistan, Jordan, Libya, and Ghana), and assisting with the WHO global influenza surveillance program through bilateral and trilateral influenza surveillance projects (see Figure 5-1). Limited migratory bird surveillance is also being conducted using DoD-GEIS funds. This surveillance has become more robust with the addition of avian influenza/pandemic influenza (AI/PI) funding from DoD-GEIS.

A site visit team of the Institute of Medicine (IOM) Committee for the Assessment of DoD-GEIS Influenza Surveillance and Response Programs visited NAMRU-3 from March 4-9, 2007.¹ A list of the people with whom the site visit team met and the itinerary that was followed can be found at the end of this chapter.

¹	Prior to the committee’s visit to NAMRU-3, the laboratory staff provided the committee with detailed background information on NAMRU-3 and the pandemic/avian influenza activities it was supporting. These materials are available from the IOM in the Public Access File.

Table of Contents

Front Matter R1-R22

Summary 1-20

1 Introduction 21-32

2 DoD-GEIS Headquarters AI/PI Management and Support Activities 33-54

3 Naval Medical Research Unit 2 Indonesia Avian and Pandemic Influenza Activities 55-80

4 Armed Forces Research Institute of Medical Sciences Thailand Avian and Pandemic Influenza Activities 81-96

5 Naval Medical Research Unit 3 Egypt Avian and Pandemic Influenza Activities 97-122

6 U.S. Army Medical Research Unit Kenya Avian and Pandemic Influenza Activities 123-146

7 Naval Medical Research Center Detachment Peru Avian and Pandemic Influenza Activities 147-166

8 Naval Health Research Center San Diego Avian and Pandemic Influenza Activities 167-182

9 Air Force Institute for Operational Health San Antonio Avian and Pandemic Influenza Activities 183-202

10 Overarching Conclusions and Recommendations 203-224

Appendix: Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO, 11 July 2007 225-226