Great Plains Regional Medical Command West Nile Virus Tracking System
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Transcript of Great Plains Regional Medical Command West Nile Virus Tracking System
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
CHPPM-N
DOD-GEIS
CDC
MTF
2001-2002 Mosquito Reporting
CHPPM-N
STATE AGENCY
CDC
MTF
DOD-GEIS
2003 Mosquito Reporting
CHPPM-N
CHPPM MAIN
STATE AGENCIES
MTF
CHPPM-S CHPPM-W
CDC
DOD-GEIS
Bird Surveillance• United States
Geological Survey National Wildlife Health Center
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!
Questions