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Great Plains Regional Medical Command West Nile Virus Tracking System. 1LT Joshua D. Bast Department of Preventive Medicine, Brooke Army Medical Center. Historical Summary. 1999 - First Report of WNV in NYC 2000 - Collaboration with NARMC, NARVC, CHPPM-N, USAMRIID, DOD-GEIS, & CDC
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Great Plains Regional Medical Command West Nile Virus Tracking System 1LT Joshua D. Bast Department of Preventive Medicine, Brooke Army Medical Center
Historical Summary • 1999 - First Report of WNV in NYC • 2000 - Collaboration with NARMC, NARVC, CHPPM-N, USAMRIID, DOD-GEIS, & CDC • 2001 & 2002 - Rapid spread resulted in ill prepared agencies • 2003 - Nearly complete CONUS Spread
2000 Mosquito Reporting MTF CHPPM-N DOD-GEIS CDC
2001-2002 Mosquito Reporting MTF CHPPM-N DOD-GEIS STATE AGENCY CDC
2003 Mosquito Reporting MTF CHPPM-S CHPPM-N CHPPM-W CHPPM MAIN DOD-GEIS STATE AGENCIES CDC
United States Geological Survey National Wildlife Health Center Bird Surveillance
Inherent Reporting Problems • Detection - Human infections generally asymptomatic or nonspecific in nature • Wide variety of Hosts/Vectors • Birds, Mosquitoes, Horses, Humans, and various other mammals • Variety of institutions involved in reporting • Medium in which data is reported
The GPRMC WNV Tracking System • Online Database that consolidates regional data for mosquitoes, birds, horses, sentinel chickens, humans, and others • Developed by GPRMC Information Management and Preventive Medicine
Purpose • To provide timely dissemination of information relating to all positive cases of West Nile Virus within the Great Plains Regional Medical Command • To provide an estimate of installation workload
Lessons Learned • Great program + poor compliance = useless system • Components of a good system • Scalable to changing needs • Multiple platform interface capabilities • Include GIS mapping capabilities • Differentiation between trapping methods
Conclusions • Standardization across all DoD entities • Surveillance and reporting compliance • Communication, Communication, Communication!