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Armed Forces Health Surveillance Center. Vision and Mission. Vision: to provide relevant, timely, actionable , and comprehensive health surveillance information and support to the Armed Forces for military and military-associated populations
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Armed Forces Health Surveillance Center Vision and Mission • Vision: to provide relevant, timely, actionable, and comprehensive health surveillance information and support to the Armed Forces for military and military-associated populations • Mission: to promote, maintain, or enhance the health of military and military-associated populations • Acquire, analyze and interpret, recommend, and disseminate information • Develop, refine and improve standardized surveillance methods • Serve as focal point for sharing health surveillance products, expertise and information • Delineate roles, responsibilities, and mutually supporting relationships among the Armed Forces health surveillance activities UNCLASSIFIED
DIRECTOR Armed Forces Health Surveillance Center Liaisons USPHS DHS WHO Dep Dir, AFHSC/ Director, GEIS AFHSC HQ Support Science Advisor Executive Officer Resource Mgr Chief, Information Officer Chief, Data and Analysis Chief, Communications, Standards, & Training Chief, GEIS Operations AI/PI Surveillance Epidemiology/ Analysis Data Management Surveillance Operations & Communications Surveillance Standards & Training GEIS Core DoD Serum Repository AFHSC Operating Structure UNCLASSIFIED
Division of GEIS Operations(DOD GEIS) • Vision:Successfully develop, implement, support, and evaluate an integrated global emerging infectious disease surveillance and response system that supports the AFHSC and promotes preparedness in US Forces, the Military Health System and the Global Public Health community. • Mission: Contribute to Force Health Protection and Global Public Health by centrally coordinating a global system of partners that conduct emerging infectious disease surveillance and response; training and capacity building; research, innovation and integration; and assessment of value added in a timely, efficient, comprehensive and communicative manner. “Partnering in the Fight against Emerging Infections” UNCLASSIFIED
Force Health Protection RI AR GI STI FVBI Surveillance and Response Training and Capacity Building Research, Innovation and Integration Assessment and Communication of Value Added Strategic Goals and Priority Pillars AFHSC/DOD-GEIS RI = Respiratory Infection GI = Gastrointestinal Infection FVBI = Febrile and Vector-borne Infection AR = Antimicrobial Resistance STI = Sexually Transmitted Infection ARD DRO STI GI UNCLASSIFIED Feb 9 2010
AFHSC Global Network AFIP WRAIR, NMRC Germany Korea Egypt Navy Hub Air Force Hub Thailand Kenya Peru Indonesia DOD’s Unique Assets – Overseas Presence with OCONUS Labs Feb 9 2010 UNCLASSIFIED
Predictive Surveillance Benefit WHO World Health Report 2007 Feb 9 2010 UNCLASSIFIED
Predictive Surveillance Model UNCLASSIFIED
Predictive Surveillance Timeline Convergence of Vector environment /Climate requirements Event Eco/climate event or anomaly Competent vector crosses abundance threshold Human illness Animal/reservoir illness Retrospective data Vector detected Human outbreak and response Threat predicition Risk advisory Action Eco/climate analysis Animal/reservoir case reported Weather/vector surveillance Risk alert Human case reported Weeks/Months Feb 9 2010 UNCLASSIFIED
Continuous Remote SensingEco/Climate Anomalies UNCLASSIFIED A Anyamba, NASA Feb 9 2010
Ground Truthing Unclassified Feb 9 2010 J Small, NASA
Ground Truthing USAMRU-K Mosquito samplings sites T Klein, J Grieco, A Anyamba,K Linthicum UNCLASSIFIED Feb 9 2010
Predictive Surveillance RVF Outbreaks 2006-2008 In press UNCLASSIFIED A Anyamba, NASA Feb 9 2010
Refining the RVF Model Climatic Factors: heavy and widespread rainfall Anyamba et al, PNAS, 106(3)955 (2009). Coastal Flood Plain Aedes species followed by Culex in large number Culex species – Important secondary vector in RVF UNCLASSIFIED
Mosquito Map Taxonomic + Point occurrence + Environmental Mosquito Distribution Models Foley, et al. J Med Ento, 46 (3) 2009 UNCLASSIFIED Feb 9 2010
Animal Reservoir UNCLASSIFIED Feb 9 2010
Human Disease Surveillance Data management Data sources detection reporting Absenteeism OUTBREAK RESPONSE Radiology DiagnosticLabs Poison Control Prescriptions Over theCounterSales Physician OfficeVisits NurseCallCenter S Lewis, JHU/APL UNCLASSIFIED Feb 9 2010
AFHSC Template UNCLASSIFIED
Acknowledgements NASA-GSFC:A Anyamba, J Small, J Pinzon, CJ Tucker, E Pak USDA:K Linthicum WRBU:D Foley, P Rueda, R Wilkerson USUHS:P Masuoka, J Grieco, N Achee USAMRU-K:J Cook, D Schnabel KEMRI:R Sang AFRIMS:J Richardson, J Pavlin 65th Medical Brigade:T Klein JHU/APL:S Lewis, B Feighner, A Buczac UNCLASSIFIED