Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System A Program Review (2001) / Chapter Skim
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1 Introduction
1 Introduction
Pages 19-28
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From page 19... ...
released three reports collectively urging improvements in the public health infrastructure in place nationally and internationally to address infectious diseases (IOM, 1987, 1988, 1992~. The 1992 report, Emerging Infections: Microbial Threats to Health in the United States, was particularly instrumental in focusing attention on the threat of infectious disease emergence.
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4-5~: The mission of the DoD will be expanded to include support of global surveillance, training, research, and response to emerging infectious disease threats. DoD will strengthen its global disease reduction efforts through: centralized coordination, improved preventive health programs and epidemiologic capabilities; and enhanced involvement with military treatment facilities and overseas laboratories.
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From page 21... ...
of the armed forces, although GEIS has no direct command authority over the facilities that implement its activities. GEIS operates predominantly within the five currently operating Army and Navy overseas medical research laboratories and the infrastructure of the military health systems (MHS)
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From page 23... ...
, for reportable illnesses, for changes in antibiotic resistance patterns, and for other evidence of emerging infections. Since the early l900s, the DoD has maintained a network of medical research laboratory facilities overseas to help identify infectious diseases and to evaluate control measures (Gambel and Hibbs, 1996~.
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Integrate public health practices and improve capabilities in clinical medicine, military medicine, laboratory science, epidemiology, public health, and military medical research to facilitate the rapid identification and response to emerging infections Response. Enhance the prompt implementation of all prevention and control strategies for emerging infections to include improving communication of information about emerging agents.
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From page 25... ...
Between tune and October 2000, teams of two to three committee members each visited Naval Medical Research Center Detachment, Peru; Naval Medical Research Unit 2, Indonesia; the Armed Forces Research Institute of Medical Sciences, Thailand; Naval Medical Research Unit 3, Egypt; and the U.S. Army Medical Research Unit, Kenya.
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From page 26... ...
The laboratory plans, presented to the committee in April 2000, detail planned GEIS projects at overseas laboratories for fiscal years 2000 through 2004. These plans are informative, but they do not in and of themselves provide a particularly complete, current, or in-practice picture of GEIS activities at the overseas laboratories.
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From page 27... ...
The scope of the committee's task was later expanded to incorporate evaluation of non-overseas laboratory GEIS elements as well, specifically, GEIS activities addressed within the infrastructure of the MHS and through the GEIS Central Hub. The purpose of this task expansion was, as the committee understood it, to permit a complete review of GEIS.
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From page 28... ...
Chapter 7 of this report presents the committee's descriptions, conclusions, and recommendations regarding GEIS activities carried out within the MHS infrastructure and through the GEIS Central Hub. The committee's evaluations of these activities were conducted differently than the overseas laboratory evaluations, and the format of Chapter 7 reflects this.
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