> https://file.wikileaks.org/file/us-rand-pandemic-flu-study-2008.pdf
Harnessing Medical Surveillance Assets to Improve Force Health Protection
The Role of the DoD Serum Repository and the Defense Medical Surveillance System
> This product is part of the RAND Corporation restricted draft series. Restricted drafts present preliminary RAND research findings. Restricted drafts have not been formally reviewed, edited, or cleared for public release. Views or conclusions expressed in the drafts are tentative. A draft may not be cited, quoted, reproduced or transmitted without the permission of the originating RAND unit. RAND's publications
do not necessarily reflect the opinions of its research clients and sponsors.
is a registered trademark.
>Avian and Pandemic Influenza.
Prolonged cough in service members deployed to Afghanistan. In early 2007, anecdotal reports from U.S. health care providers in Afghanistan surfaced that a large number of U.S. service members were experiencing prolonged episodes of cough. A study was initiated using pre and post deployment serum specimens to determine the seroconversion due to common respiratory pathogens during deployment to Afghanistan. Specifically, seroprevalence of IgG and IgA antibody to Chlamydia pneumoniae, Mycoplasma pneumoniae, Bordetella pertussis, and Para-Influenza virus (PIV), the seroprevalence of IgG and IgM antibody to Adenovirus and Respiratory Syncytial Virus (RSV), and the seroprevalence of hemagglutination inhibition antibody to Influenza among U.S. military service members before and after deployment is being determined.
The results will serve to inform military vaccination and force health protection policy and should serve as a basis to set priorities among DoD respiratory pathogen research in the future.
Naval Health Research Center (NHRC)
The Naval Health Research Center is the research hub for the U.S. Navy and Marine Corps. NHRC is made up of the following six departments: Medical Modeling, Simulation & Mission Support; Warfighter Performance; Behavioral Sciences and Epidemiology; Deployment Health Research; HIV/AIDS Programs; and Respiratory Diseases Research (RDR). NHRC is one of three designated deployment health centers – the center for deployment health research (ASD(HA), September 30, 1999).
NHRC serves as the Navy node for GEIS and conducts active surveillance of febrile respiratory illness (FRI) in recruit training centers DoD-wide, on board ships, and in local border areas (San Diego – Mexican border). Additionally, as part of the Febrile Respiratory Illness surveillance program, NHRC collects and tests throat swabs for adenovirus and influenza virus, employing molecular techniques for pathogen isolation, characterization and preservation. NHRC archives throat swab specimens and isolates from this surveillance program in frozen storage at -80°C.
>The Naval Respiratory Disease Laboratory, part of the DoD Center for Deployment Health Research at NHRC, has culture and molecular testing capabilities for approximately 21 bacterial, viral and other respiratory pathogens including Streptococcus pneumoniae, Streptococcus pyogenes, influenza, adenovirus, and coronavirus. This laboratory also conducts serologic testing and is currently running serology for adenovirus, chlamydia and M. pneumoniae.