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5 GEIS at Naval Medical Research Unit 3, Egypt
Pages 83-98

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From page 83... ... military medical research facility operating overseas and one of the largest medical research laboratories in the North Africa-Middle East region. The laboratory traces its origins back to 1942, when American scientists and technicians began working with Egyptian physicians at the Abassia Fever Hospital, Cairo, Egypt, under the auspices of the U.S. Read the entire page →
From page 84... ... Conclusions The value of NAMRU-3 laboratory capacities is widely acknowledged by all public health partners, such as the MOHP. NAMRU-3 facilities play an essential role in supporting operational research in infectious diseases and infectious disease surveillance in Egypt and in the region. Read the entire page →
From page 85... ... GEIS at NAMRU-3 would benefit from a full-time, on-site coordinator possessing, at a minimum, applied epidemiology and public health experience. Although a high level of commitment to GEIS was observed and GEIS has been given strong support from the CDC assignee who directs the Disease Surveillance Program, the organizational structure of the RSD does not formally put the Disease Surveillance Program in a position to coordinate surveillance activities and data or to foster collaboration between projects and among programs. Read the entire page →
From page 86... ... Although retention of military personnel is probably not a concern unique to NAMRU-3, the potential for military staff turnover to disrupt the GEIS mission poses a very real concern. TECHNOLOGY AND INFORMATION MANAGEMENT A tour of the NAMRU-3 facility in Cairo revealed considerable technical capacity, including access to the Internet (to be further improved) Read the entire page →
From page 87... ... Enhanced Surveillancefor Priority Infectious Diseases in Egypt NAMRU-3 has developed protocols funded by GEIS to incorporate the pillars noted above. In particular, NAMRU-3 is developing a capacity for surveillance for a number of clinical syndromes including acute undifferentiated febrile illnesses, meningitis-encephalitis, viral hemorrhagic fevers, influenza, and dysentery. Read the entire page →
From page 88... ... The Enteric Diseases Research Program and the Disease Surveillance Program are collaborating on a project to implement surveillance for dysentery and severe diarrhea in selected populations. NAMRU-3 has also developed considerable capacity to conduct population-based surveillance (e.g., children with diarrhea in the Abu Homos field site and patients with acute fever of unknown origin in Upper Egypt) Read the entire page →
From page 89... ... These resources allow NAMRU-3 to better assess and respond to infectious disease threats within the region in partnership with WHO and with relevant countries and relevant institutions. Establishing GEIS within the research framework of NAMRU-3 (funded by the Military Infectious Disease Research Program [MIDRP] Read the entire page →
From page 90... ... Projects provide essential data regarding long-term trends in the antibiotic resistance of enteric pathogens and the incidence of diseases caused by arboviruses. Studies of military populations, together with information obtained from in-country and regional surveillance activities, work to provide a comprehensive picture of the potential infectious disease threats facing U.S. Read the entire page →
From page 91... ... Importantly, this was the first report of Rift Valley fever outside Africa. NAMRU-3's unique capacity to rapidly investigate and respond to emerging infections in the region was clearly demonstrated, despite the tense political situation (related to the October attack on the USS Cole at Aden, Yemen) Read the entire page →
From page 92... ... In all visits to MOHP facilities, concern was expressed about the need for and the sustainability of a strong surveillance effort for infectious diseases and the need for the Egyptian MOHP to accept responsibility for maintaining and expanding the current surveillance activities. NAMRU-3 staff also mentioned that input from experts (a review team or similar source) Read the entire page →
From page 93... ... Army Medical Research Institute of Infectious Diseases and other military laboratories operating overseas, are also essential partners with NAMRU-3. However, it was not completely clear to the IOM subcommittee how communication and coordination with the GEIS Central Hub and other GEIS sites is realized. Read the entire page →
From page 94... ... � The current annual approval process does not allow optimal time for NAMRU-3 project planning or maturation. Furthermore, it is important that the GEIS Central Hub review and approval process for GEIS projects provides NAMRU-3 with follow-up guidance regarding project progress in a consistent and timely manner (see also Chapter 7~. Read the entire page →
From page 95... ... � The subcommittee recognizes that the GEIS pillar disease areas are important ones and that defining these targets helps to provide some standardization of GEIS activities across sites, but the pillar structure should be flexible enough to permit, on a case-by-case basis, local infectious diseases that are of global concern (e.g., tuberculosis) to be addressed as high priorities through GEIS. Read the entire page →
From page 96... ... Nasser, director, FETP Egypt ITINERARY October 8 0900-0930 Command brief 0930-1000 GEIS project overview 1000-1100 Disease surveillance program brief and tour 1100-1130 Enteric disease research program brief and tour 1130-1300 Lunch 1300-1400 Virology research program brief and tour 1400-1430 Vector biology research program brief and tour Read the entire page →
From page 97... ... Gensheimer and J Hospedales 0730 Depart hotel for Alexandria 0930-1030 Mahalla El-Kobra Fever Hospital 1200-1500 Abu Homos Clinic brief and site visit G Read the entire page →
From page 98... ... sponsored a Military Public Health Laboratory Symposium and Workshop, the proceedings of which were published in a supplement to the journal Military Medicine truly 2000 issue) Read the entire page →

From page 83...

... military medical research facility operating overseas and one of the largest medical research laboratories in the North Africa-Middle East region. The laboratory traces its origins back to 1942, when American scientists and technicians began working with Egyptian physicians at the Abassia Fever Hospital, Cairo, Egypt, under the auspices of the U.S.

5 GEIS at Naval Medical Research Unit 3, Egypt Pages 83-98

5 GEIS at Naval Medical Research Unit 3, Egypt
Pages 83-98