Review of the DoD-GEIS Influenza Programs Strengthening Global Surveillance and Response (2008) / Chapter Skim
Currently Skimming:
2 DoD-GEIS Headquarters AI/PI Management and Support Activities
2 DoD-GEIS Headquarters AI/PI Management and Support Activities
Pages 33-54
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 33... ...
Committee members visited DoD-GEIS headquarters in April 2007. Prior to this meeting DoD-GEIS headquarters provided the full committee with detailed background information on DoD-GEIS and the pandemic/avian influenza activities being supported by the headquarters.
|
From page 34... ...
The DoD-GEIS director submitted to the DoD-GEIS-supported laboratories and DoD agencies a December 22, 2005, memorandum, "Fiscal Year 2006 Special Supplemental Budget for Pandemic Influenza Preparedness," requesting the partners to submit surveillance proposals to carry out the mandate of the $39.28 million congressional supplemental appropriation that was soon to be distributed (Malone, 2005)
|
From page 35... ...
These additions are currently pending future funding and assessment of need for FY08. DoD-GEIS AI/PI FUNDING Because of the fiscal year 2006 supplemental funding, the AI/PI activities have become the largest component of the DoD-GEIS surveillance and response efforts.
|
From page 36... ...
through the inclusion of influenza funding in the program operation memorandum (POM) for the next two years. It is still unclear if this POM status will be extended beyond 2009.
|
From page 37... ...
and international AI/PI partners, disseminating information and data generated by DoD-GEIS AI/PI activities, and overseeing and providing support to AI/PI projects run by the domestic and overseas laboratories and other DoD facilities. Thus the majority of the DoD-GEIS headquarters AI/PI supplemental funds ($1,634,100)
|
From page 38... ...
SOURCE: DoD-GEIS HQ, 2007b. Figure 2-1 TABLE 2-1 DoD-GEIS Avian Influenza/Pandemic Influenza Supplemental Funding in Fiscal Year 2006 Dollar Amount Dollar Amount Organization Approved Obligated Percent Funded (in thousands)
|
From page 39... ...
In addition, the staffs of the influenza and zoonoses division and the epidemiology and health systems division have had ample opportunity to interact with DoDGEIS-supported laboratories and DoD agencies in addressing program priorities and problems by exchange of information, provision of guidance, and periodic telephone conferences and site visits. The principal activities and functions of the DoD-GEIS headquarters staff in support of AI/PI surveillance and response activities are as follows (DoD-GEIS HQ, 2007a)
|
From page 40... ...
Army SG/MEDCOM Navy SG/NMRC Air Force SG (DoD Influenza Executive Agent) Medical Research Materiel Command Walter Reed Army Center for Health Navy Navy Medical Research Navy Health Air Force Institute for Institute of Research Promotion and Environmental Center (NMRC)
|
From page 41... ...
as well as with the respective services clinical laboratory consultants and major medical centers. DoD-GEIS headquarters staff maintains constant supervision and oversight of AI/PI efforts through review and feedback in monthly reports submitted to the AI/PI EPP program staff, which includes statements of performance and status of funding obligations by each partner.
|
From page 42... ...
Data collection, analysis, and assistance are provided in final write-ups of project results for publication or presentation. Joint meetings to present project updates and to discuss future directions are held periodically, such as the DoD Joint Influenza Surveillance Working Group held annually in May, the Force Health Protection Conference held annually in August, the International Conference on Emerging Infectious Diseases held every other March, and the State of the DoD-GEIS meeting, which was held most recently in December 2005.
|
From page 43... ...
These meetings focus upon the identification and evaluation of potential gaps in surveillance efforts in an effort minimize duplication as well as on the review of spending plans related to pandemic influenza activities. Another purpose of these meetings is to enhance surveillance capabilities and the reporting of timely information through coordination and cooperation between the two organizations.
|
From page 44... ...
. DoD-GEIS has also used the supplemental funding to create and fund a number of coordinating mechanisms and events related to AI/PI, including • development of DoD-GEIS biweekly EpiChiefs and other ad hoc executive summary reports distributed to key DoD military and civilian health officials; • development of training efforts and coordinating AI/PI preparedness workshops in support of five combatant commands in conjunction with the USUHS Center for Disaster and Humanitarian Assistance officials; and • oversight and coordination of the CDC-DoD Working Group on Influenza and Emerging Infectious Diseases, which AI-PI EPP program office staff assumed in October 2006 (DoD-GEIS HQ, 2007a)
|
From page 45... ...
Army Center for Health Promotion and Preventive Medicine-Europe. In an emergency pandemic influenza situation, the communications center will be available for operations 24 hours a day, seven days a week and will coordinate all communications dealing with influenza surveillance and response provided by DoD-GEIS partners (DoD-GEIS HQ, 2007a)
|
From page 46... ...
DOD-GEIS HEADQUARTERS AND OTHER MILITARY HEALTH SYSTEM INFLUENZA SURVEILLANCE AND RESPONSE ACTIVITIES DoD-GEIS Headquarters Influenza Activities In addition to managing projects being carried out by other DoD partners, DoD-GEIS headquarters works directly with the Johns Hopkins University Applied Physics Laboratory (JHU/APL) to manage and execute several influenza-related projects.
|
From page 47... ...
to implement early warning surveillance/response systems targeted for pandemic influenza but applicable to other emerging infections as well. The seven-person team at JHU/APL working on this project draws heavily on collaborations with NAMRU-2 in Jakarta and NMRCD in Lima, both of which have developed electronic syndromic surveillance systems with host-country ministries of health with previous funding from DoD-GEIS and other agencies.
|
From page 48... ...
. DoD-GEIS headquarters expects that this project will provide military medical and operational commanders and policy makers with the first finegrained, military-specific simulation tool for testing pandemic influenza surveillance and response strategies.
|
From page 49... ...
The primary objectives of this center were to be assessing the prevalence of exposure to avian influenza strains among military service members, providing serologic data to support investigations of geographically localized avian and pandemic influenza outbreaks, and investigating the prevalence of a preexisting antibody against human influenza strains that may provide the potential for cross-reactive protection from avian influenza infection among service members in the event of an avian and pandemic influenza outbreak. The supplemental influenza funding was used to support the development of this center.
|
From page 50... ...
Mex., was supported by the supplemental funding for pandemic and avian influenza. The target audience comprised military public health emergency officers and other public health practitioners.
|
From page 51... ...
Thus, in order to most effectively improve DoD-GEIS's influenza activities, there should be strategic planning done at DOD-GEIS headquarters based on lessons learned at the laboratories over the first year of supplemental funding. Recommendation 2-2.
|
From page 52... ...
For example, DoD-GEIS headquarters is planning to add a communications analyst, a junior epidemiologist, and a health education specialist to the staff. These additions are currently pending future funding and assessment of need in fiscal year 2008.
|
From page 53... ...
2005. Fiscal year 2006 special supplemental budget for pandemic influenza preparedness memorandum.
|
From page 54... ...
Jose Sanchez, Leader, Influenza Team, Department of Defense Global Emerging Infections Surveillance and Response System headquarters LTC Kelly Vest, Deputy Influenza and Zoonoses, Department of Defense Global Emerging Infections Surveillance and Response System headquarters Col Mark Rubertone, Chief, Army Medical Surveillance Activity Dr. Angelia Eick, Deputy Scientific Director, Center for Biosurveillance, Army Medical Surveillance Activity
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.