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DOEHS Vector Surveillance 2006 Sand Fly and Mosquito Surveillance in CENTCOM. Richard D. Wells ENTOMOLOGICAL SCIENCES PROGRAM US ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE. Vector Borne Disease Threats. Iraq Leishmaniasis Operational Risk Estimate – Low Sand fly fever
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DOEHS Vector Surveillance 2006 Sand Fly and Mosquito Surveillance in CENTCOM Richard D. Wells ENTOMOLOGICAL SCIENCES PROGRAM US ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE
Vector Borne Disease Threats • Iraq • Leishmaniasis • Operational Risk Estimate – Low • Sand fly fever • Operational Risk Estimate – Low • Afghanistan • Malaria • Operational Risk Estimate – Moderate • Leishmaniasis • Operational Risk Estimate – Low
Leishmaniasis • Cutaneous • Leishmania major • L. tropica • Visceral • L. donovani • L. infantum Sand Flies Phlebotomus papatasi L. major P. sergenti L. tropica P. alexandri L. donovani/infantum
IRAQ Leishmaniasis Distribution Cutaneous and Viseral Risk Areas Forest Scrub/Shrub Grassland Barren Urban Agriculture Agriculture Rice Wetland Herbaceous Wetland Mangrove Water Ice/Snow Land Cover Type Mosul Kirkuk Tikrit Baghdad An Nasiriyah Al Basrah
DOEHS Vector Surveillance • Key Players • PM Units • Walter Reed Army Institute of Research • USACHPPM • USACHPPM North • Deployment Environmental Surveillance Program • Entomological Sciences Program
Sand Fly and Mosquito Surveillance • Supplies and Equipment • 2005 • 35 Kits sent to Iraq and Afghanistan • 4 Sets of Light Traps to Iraq • 2006 • 64 Kits sent to Iraq, Afghanistan and Kuwait • 14 Equipment Sets to Iraq
Summary of Results 2003 - 2005 Summary of Results 2006
Leishmaniasis Risk Estimate 2003-2005 Forest Scrub/Shrub Grassland Barren Urban Agriculture Agriculture Rice Wetland Herbaceous Wetland Mangrove Water Ice/Snow Land Cover Type IRAQ
Forest Scrub/Shrub Grassland Barren Urban Agriculture Agriculture Rice Wetland Herbaceous Wetland Mangrove Water Ice/Snow Land Cover Type IRAQ Sand Fly Surveillance 2006 Locations
Average Number of Sand Fliesper Trap per Night 2003 - 2004 2006
IRAQ Malaria Distribution Mosul Kirkuk Tikrit Baghdad
Malaria MSMR, Vol. 13 No. 1, January 2007
Mosquito and Sand Fly DOEHS Vector Surveillance 2007 USACHPPM SubComands PCR testing capability Europe takes over CENTCOM specimens USACHPPM Support Surveillance Kits Equipment Sets GIS Threat Mapping
Questions? Richard D. Wells ENTOMOLOGICAL SCIENCES PROGRAM US ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE