9 th Area Medical Laboratory (AML) Capability Brief SAFMLS 2007

1. 9th Area Medical Laboratory (AML) Capability Brief SAFMLS 2007 COL David Craft, PhD D(ABMM) Commander, 9th AML

2. Mission On order, deploy worldwide in tailored teams to conduct health threat detection, confirmation & medical surveillance for biological, chemical, radiological(CBRNE) occupational / environmental health & endemic diseases and consequence management to protect and sustain the health of the force across the full spectrum of military operations.

3. FORSCOM 44th MEDCOM AML HEADQUARTERS NBC CW / TIC / TIM OCC/ENV HLTH(RAD) ENDEMIC DISEASE (BW) • ALO: 1 • Total: 19 Officers; 24 Enlisted; 43 Aggr. • Full Time: 6 Officers; 24 Enlisted; 30 Aggr. AML Organization

4. AML Technical Expertise Scientists, Clinicians, Certified Techs …DEPTH ASSIGNED • Microbiologist (71A) • Biochemist (71B) • Environmental Science Officer (72D) • Med Lab Tech/NCO (12-91K) • PvntMed Spec/NCO (3-91S) • Food Inspection NCO (91R) • Health Physics Spec/NCO (3-91SN4) PROFIS (13) • PrevMed Phys (60C) • Infectious Disease Physician (61G) • Vet Pathologist (64D) • Vet Microbiologist (64E) • Microbiologist (71A) • Biochemist (3-71B) • Nuclear Med Science Officer (2-72A) • Entomologist (72B) • Sanitary Engineer (72E) • BioMed Info Mgmt (70D)

5. AML Support Staff Commander Executive Officer (71E) S-1 Personnel Admin Specialist (42A) S-3 Med Ops/Intel Officer (70H) S-4 Med Log NCO (91J) • Sergeant Major (91K) • Wheeled Vehicle Mechanic (63B) • Cook (92G)

6. Tailored Teams • AML – PAX 30 (43 w/ PROFIS) 25,000 cu ft / 10 vehicles • AML(-) Expeditionary Force – PAX 13 6 pallets / 4 vehicles • Section (heavy either C,B,R/N) – PAX 5-8 2 pallets / 3 vehicles • Dragon (HMMWV) – PAX 2

7. Detection on Integrated Battlefield Joint Biological Point Detection System M93A1 FOX Reconnaissance System Nuclear and Chemical detection and Biological sampling Biological Integrated Detection System (BIDS) Semi-automated biological detection/identification

8. Analytical Capabilities • CBRN - Nuclear, Biological, and Chemical Agents • Field confirmation • Environmental and Occupational Health • Confirmatory and definitive • Medical Surveillance (DNBI, outbreak investigations, health risk assessment, etc; PROFIS physicians) • Zoonotic and Animal Disease (rabies detection and vector borne diseases; PROFIS scientists and clinicians)

9. Reach BackCapabilities & Collaboration AML USAMRIID CHPPM 20th SUPCOM Interagency WRAIR USAMRICD AFMIC AFRRI

10. BW / Endemic Disease Section

11. Mission Provideconfirmatoryanalysis of BW agents in environmental and clinical samples using multiple techniques, provide diagnostic capability to identify outbreaksof regionally specific Endemic diseases, and serve as a resource of information for theater medical personnel.

12. BW / Endemic Disease Staff Scientist: Technician:

13. BW / Endemic Disease PROFIS Clinician / Scientist:

14. BW / Endemic Disease Capabilities • DNA Detection (PCR) • R.A.P.I.D.S. device • PROTEIN Detection (ECL) • M1M device • Culture (growth)

15. BW Testing Strategy – multiple algorithms Presumptive Positive Sample, and then… Culture DNA Detection Protein Detection Report Results Agent of Interest Multiple Markers For Agent of Interest Report (+) Remaining agents Report (+) Remaining agents Report results Report results

16. Analytical Equipment RAPIDS BW / Endemic Disease Section M1M Microscan

17. BW / Endemic Disease Capabilities

18. BW / Endemic Disease Equipment Cryostat/Microtome Immuno Histo Chem Staining

19. Collaborative & Reachback Initiatives USAMRIID DSD/FIBWA – BW/Endemic Disease Vet Path – Endemic Disease Micro – Endemic Disease WRAMC Microbiology Laboratory

20. NBC Section / CW – TIC – TIM (Chem Threat Analysis)

21. Mission Conduct theater level analytical chemistry support by providing confirmation level analysis for the identification of chemical warfare agents and toxic industrial compounds in air, water, soil or other matrices; serve as a resource of information for theater medical personnel.

22. Chemical Threat Analysis Staff Scientist: Technician:

23. Chemical Threat Analysis PROFIS Scientist:

24. Chemical Threat Analysis Capabilities • Monitor and test soil, water & air for screening • confirmation and identification of unknown chemical • contaminants (TIC/TIM) using analytical chemistry • equipment. • Test for extremely low level (ppb-ppm) presence • of chemical warfare agents. G agents (nerve), • V agents (nerve) and HD (blister) are the focus. • Analyze patient’s blood for exposure to nerve • agent by testing for cholinesterase inhibition.

25. Analytical Equipment CW/TIC/TIM NBC Agilent GC/MS

26. Collaborative & Reachback Initiatives USAMRICD GC/MS Operation CHPPM Radiation Threat Characterization Equipment Familiarization Private Agilent / MIDI Companies CDS Analytical EAI Corporation

27. RAD / Occupational / Environmental Health Threat Assessment Section

28. Mission Provide theater level occupational and environmental health threat assessments, by conducting air, water, soil, entomological,epidemiological and radiological surveillance and laboratory analyses while serving as a resource of information for theater medical personnel.

29. RAD/Occupational/Environmental Health Staff Scientist: Technician:

30. RAD / Occupational / Environmental Health PROFIS Scientist:

31. Rad / Occ / Env Health Threat Assessment Capabilities • Environmental Baseline Surveys • Radiological Surveillance • Ambient Air Monitoring • Composite and Grab Soil Sampling • Drinking / Source Water Surveillance • Entomological Surveillance • Occupational/Industrial Hygiene Services (TIC/TIM) • Food/Water Vulnerability Assessments

32. Analytical Equipment Rad/Env/Occ TIC/TIM HAPSITE GC/MS Hazmat ID

33. Analytical Equipment AN PDR-77 Radiological /Env/Occ Health Identifinder Staplex

34. Collaborative & Reachback Initiatives • Center for Health Promotion & Preventive Medicine • Occ/Environmental Surveillance Training • Ambient Air Monitoring • Pest Surveillance • Specimen Preparation • Radiation Survey

35. Tailored Teams • 1. AML – PAX 30 (43 w/ PROFIS) 25,000 cu ft / 10 vehicles • 2. AML(-) Expeditionary Force – PAX 13 6 pallets / 4 vehicles • 3. Tailored Section(heavy either C,B,R/N) – PAX 5-8 2 pallets / 3 vehicles • 4. Dragon (HMMWV) – PAX 2

36. 1. Area Medical Laboratory with all capabilities

37. 1. Area Medical Laboratory with all capabilities Detection Equipment in Hardened Shelters (ISO) Chemical Biological

38. 1. Area Medical Laboratory with all capabilities

39. 2. Expeditionary Lab LabOfficer 71E O-5 Inf Dis Phys 61G O-4 Headquarters ESO – 72D O-3 Prev Med NCO 68S20 Hlth Phys NCO 68S20N4 Biochemist 71B O-4 Med Lab NCO 68K30 Med Lab SPC 68K20 Med Lab SPC 68K20 Microbiologist 71A O-4 Med Lab NCO 68K30 Med Lab NCO 68K20 Med Lab SPC 68K10 Rad/Occ/Env Health CBRN Endemic Disease 13 Personnel (5 Officers, 8 Enlisted) Equipment tailored to mission

40. 3. Tailored Team (BW) Equipment 5 - 8 Personnel M1M Device (Protein) 96 Samples / plate Analysis completed in ~1hr Reagents from JPEO-CBD (CRP)

41. 3. Tailored Team (BW) Equipment 5 - 8 Personnel R.A.P.I.D.s Device Real-Time DNA (PCR) analysis 32 Samples capacity Analysis complete in ~45min Reagents from JPEO-CBD (CRP), USAMRIID, NMRC and WRAIR

42. 4. Dragon Mobile Laboratory 2 - 3 Personnel

43. 4. Dragon Mobile Laboratory 2 - 3 Personnel

44. 4. Dragon Mobile Laboratory 2 - 3 Personnel Preliminary Detection Processing Extraction B W C W RAD

45. QUESTIONS?