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DoD Global Influenza Surveillance Program

DoD Global Influenza Surveillance Program. Linda C. Canas Brooks City-Base San Antonio, TX 20 Feb 2003. Population Based Surveillance Naval Health Research Center San Diego, California. Etiology Based Surveillance Brooks City-Base San Antonio, Texas.

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DoD Global Influenza Surveillance Program

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  1. DoD Global Influenza Surveillance Program Linda C. Canas Brooks City-Base San Antonio, TX 20 Feb 2003

  2. Population Based Surveillance Naval Health Research Center San Diego, California Etiology Based Surveillance Brooks City-Base San Antonio, Texas Influenza Surveillance

  3. DoD Global Influenza Surveillance .................IN ACTION Routine & Annual Reports; End of Season business meeting DoD GEIS Funding & Guidance Laboratory Epi Services Branch Info entered into AF database Supplies and Instructions Conventional Laboratory Methods Program Guidance & routine reports Sentinel Sites Collect and ship Samples Notification Vaccine Decisions Selected Samples CDC Flu Isolated

  4. DoD Global Influenza Surveillance .................IN ACTION Routine & Annual Reports; End of Season business meeting DoD GEIS Funding & Guidance Laboratory Epi Services Branch Info entered into AF database Supplies and Instructions ESSENCE Conventional Laboratory Methods Program Guidance & routine reports Sentinel Sites Collect and ship Samples Notification Vaccine Decisions Selected Samples CDC Flu Isolated

  5. KEY: = Sentinel Sites = Hawaiian Sentinel Sites (3 Total) = Clinics & Hospitals Associated with Overseas Research Labs = Participating Overseas Local Labs U.S. Department of Defense 2002-2003 Surveillance Sites

  6. USAF Academy COLORADO Andersen AFB GUAM Andrews AFB WASHINGTON DC Elmendorf AFB ALASKA Tripler AMC HAWAII Hickam AFBHAWAII NH Pearl Harbor HAWAII Incirlik AFB TURKEY Kadena AFB OKINAWA Kunsan AFB KOREA Lakenheath AFB UNITED KINGDOM Madigan AMC WASHINGTON Maxwell AFB ALABAMA McGuire AFB NEW JERSEY Misawa AFB JAPAN NAB Little Creek VIRGINIA Osan AFB KOREA Ramstein AFB GERMANY Sheppard AFB TEXAS Travis AFB CALIFORNIA Yokosuka NH JAPAN Yokota AFB JAPAN Armed Forces Research Institute of Medical Sciences (AFRIMS) NEPAL THAILAND Naval Medical Research Institute Detachment (NAMRID) PERU ECUADOR BOLIVIA ARGENTINA Walter Reed Army Institute of Research (WRAIR) UGANDA SENTINEL SITES

  7. AFIERA | ESOH Service Center 24 Jan 02 Number of newly identified isolates: 30 (influenza A) Locations: Demographics: Andrews AFB, MD (2) NS Pearl Harbor, HI (3) Columbus AFB, MS (1) RAF Lakenheath, U.K. (7) Kadena AB, Japan (2) Randolph AFB, TX (1) Maxwell AFB, AL (1) Robins AFB, GA (1) McGuire AFB/Ft. Dix, NJ (6) Sheppard AFB, TX (3) NAB Little Creek, VA (1) Travis AFB, CA (2) Total Number of Specimens & Percent Positive for Influenza(as of 11 February, 2003) This page accessed 156 times since 16 November 2001. Send mail to Influenza Surveillance with questions pertaining to Influenza Surveillance. AFIERA | ESOH Service Center Send mail to the webmaster with questions or comments about this web site. Last modified: 25 Jan 02

  8. Influenza A&B Isolates by Week~Compared Flu A Flu B

  9. Asia/Pacific: Influenza Isolates * Over 50% of the specimens are not complete for February

  10. The Americas: Influenza Isolates *Over 50% of the specimens are not complete for February

  11. Europe/Middle East: Influenza Isolates *Over 50% of the specimens are not complete for February

  12. 17 A 16 H3N2 2 B Totals 37 A, 14 B 1 B 1 B/HK 4 A 13 H3N2 Totals 27 A 1 A 3 H3N2 8 B 4 B/HK 6 A 3 H1N1 3 B 1 B/HK Totals 10 A, 6 B 1 A Totals 2 A 1 A * 1 H1N1 Totals 4 A 1 B 3 B/HK 10 H3N2 1 A 1 A 2 B 2 B 2 H3N2 * 1 B Totals 1 A 1 B 1 H3N2 2 A 30 B 3 B/HK Totals 3 A 61 B 18 B 9 B/HK 1 H1N1 Totals: 1 A 28 B 2 B/HK Totals 3 B 1 B/HK 1 B/HK 1 H1N1 2 B 4 B Hong Kong Totals 1 A 4 B 1 H3N2 1 B 1 H3N2 DECEMBER 34% (153/446) of samples pos for any respiratory virus 48% (73/153) of all resp viruses were Influenza 45% (33/73) of the flus were subtyped: 1 H1N1, 18 H3N2, 14 B/HK 4 B Totals 5 A 21 B 6 B Totals 5 A 17 B 5 A 11 B OCTOBER 48% (172/360) of samples pos for any respiratory virus 11% (19/172) of all resp viruses were Influenza 11% (2/19) of the flus subtyped (H3N2) NOVEMBER 36% (131/360) of samples pos for any respiratory virus 17% (22/131) of all resp viruses pos for Influenza 73% (16/22) of the flus subtyped: 11 H3N2; 5 B/HK JANUARY 38% (207/549) of samples pos for any respiratory virus* 48% (99/207) of all resp viruses were Influenza 31% (31/99) of the flus were Subtyped: 5 H1N1, 16 H3N2, 10B/HK * Pacific US includes AK and HI data

  13. Percent Positive Isolates by TypeN=641(as of 11 February 2003)

  14. Percent of All Positive IsolatesWITHOUT Adenovirus N = 324(as of 11 February 2003)

  15. Summary 2002-2003 Overall this has been an exceptional year • Great diversity of isolates • H3N2: Asia/Pacific • H1N1: Americas • B/Hong Kong: Everywhere • Molecular Analysis • H3N2 viruses: some show hemagglutinin variation compared to 2001-2002 viruses

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