9th Area Medical Laboratory AML

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9th Area Medical Laboratory (AML) Capability
Brief SAFMLS 2007
COL David Craft, PhD D(ABMM) Commander, 9th AML
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Mission
On order, deploy worldwide in tailored teams to
conduct health threat detection, confirmation
medical surveillance for biological, chemical,
radiological (CBRNE) occupational /
environmental health endemic diseases and
consequence management to protect and sustain
the health of the force across the full spectrum
of military operations.
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AML Organization
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AML Technical Expertise Scientists, Clinicians,
Certified Techs DEPTH

• ASSIGNED
• Microbiologist (71A)
• Biochemist (71B)
• Environmental Science Officer (72D)
• Med Lab Tech/NCO (12-91K)
• PvntMed Spec/NCO
• (3-91S)
• Food Inspection NCO (91R)
• Health Physics Spec/NCO (3-91SN4)

• PROFIS (13)
• PrevMed Phys (60C)
• Infectious Disease Physician (61G)
• Vet Pathologist (64D)
• Vet Microbiologist (64E)
• Microbiologist (71A)
• Biochemist (3-71B)
• Nuclear Med Science Officer (2-72A)
• Entomologist (72B)
• Sanitary Engineer (72E)
• BioMed Info Mgmt (70D)

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AML Support Staff

• Commander
• Executive Officer (71E)
• S-1 Personnel Admin Specialist (42A)
• S-3 Med Ops/Intel Officer (70H)
• S-4 Med Log NCO (91J)

• Sergeant Major (91K)
• Wheeled Vehicle Mechanic
• (63B)
• Cook (92G)

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• Tailored Teams
• AML PAX 30 (43 w/ PROFIS)
• 25,000 cu ft / 10 vehicles
• AML(-) Expeditionary Force PAX 13
• 6 pallets / 4 vehicles
• Section (heavy either C,B,R/N) PAX 5-8
• 2 pallets / 3 vehicles
• Dragon (HMMWV) PAX 2

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Detection on Integrated Battlefield
Joint Biological Point Detection System
M93A1 FOX Reconnaissance System Nuclear and
Chemical detection and Biological sampling
Biological Integrated Detection System
(BIDS) Semi-automated biological
detection/identification
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Analytical Capabilities

• CBRN - Nuclear, Biological, and Chemical Agents
• Field confirmation
• Environmental and Occupational Health
• Confirmatory and definitive
• Medical Surveillance (DNBI, outbreak
  investigations, health risk assessment, etc
  PROFIS physicians)
• Zoonotic and Animal Disease (rabies detection and
  vector borne diseases PROFIS scientists and
  clinicians)

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Reach Back Capabilities Collaboration
AML
USAMRIID
CHPPM
20th SUPCOM
Interagency
WRAIR
USAMRICD
AFMIC
AFRRI
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BW / Endemic Disease Section
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Provide confirmatory analysis of BW agents in
environmental and clinical samples using multiple
techniques, provide diagnostic capability to
identify outbreaks of regionally specific Endemic
diseases, and serve as a resource of information
for theater medical personnel.
Mission
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BW / Endemic Disease Staff
Scientist
Technician
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BW / Endemic Disease PROFIS
Clinician / Scientist
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BW / Endemic Disease Capabilities

• DNA Detection (PCR)
• R.A.P.I.D.S. device
• PROTEIN Detection (ECL)
• M1M device
• Culture (growth)

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BW Testing Strategy multiple algorithms
Presumptive Positive Sample, and then
Culture
DNA Detection
Protein Detection
Report Results
Agent of Interest
Multiple Markers For Agent of Interest
Report ()
Remaining agents
Remaining agents
Report ()
Report results
Report results
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Analytical Equipment
RAPIDS

• BW / Endemic Disease Section

M1M
Microscan
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BW / Endemic Disease Capabilities
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BW / Endemic Disease Equipment
Cryostat/Microtome
Immuno Histo Chem Staining
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Collaborative Reachback Initiatives
USAMRIID DSD/FIBWA BW/Endemic Disease Vet
Path Endemic Disease Micro Endemic
Disease WRAMC Microbiology Laboratory
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NBC Section / CW TIC TIM (Chem Threat
Analysis)
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Mission Conduct theater level analytical
chemistry support by providing confirmation level
analysis for the identification of chemical
warfare agents and toxic industrial compounds in
air, water, soil or other matrices serve as a
resource of information for theater medical
personnel.
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Chemical Threat Analysis Staff
Scientist
Technician
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Chemical Threat Analysis PROFIS
Scientist
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• Chemical Threat Analysis Capabilities
• Monitor and test soil, water air for screening
• confirmation and identification of unknown
  chemical
• contaminants (TIC/TIM) using analytical
  chemistry
• equipment.
• Test for extremely low level (ppb-ppm) presence
• of chemical warfare agents. G agents (nerve),
• V agents (nerve) and HD (blister) are the
  focus.
• Analyze patients blood for exposure to nerve
• agent by testing for cholinesterase inhibition.

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Analytical Equipment

• CW/TIC/TIM NBC

Agilent GC/MS
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Collaborative Reachback Initiatives
USAMRICD GC/MS Operation CHPPM Radiation
Threat Characterization Equipment
Familiarization Private Agilent /
MIDI Companies CDS Analytical EAI
Corporation
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RAD / Occupational / Environmental Health Threat
Assessment Section
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Mission
Provide theater level occupational and
environmental health threat assessments, by
conducting air, water, soil, entomological,
epidemiological and radiological surveillance and
laboratory analyses while serving as a resource
of information for theater medical personnel.
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RAD/Occupational/Environmental Health Staff
Scientist
Technician
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RAD / Occupational / Environmental Health PROFIS
Scientist
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Rad / Occ / Env Health Threat Assessment
Capabilities

• Environmental Baseline Surveys
• Radiological Surveillance
• Ambient Air Monitoring
• Composite and Grab Soil Sampling
• Drinking / Source Water Surveillance
• Entomological Surveillance
• Occupational/Industrial Hygiene Services
  (TIC/TIM)
• Food/Water Vulnerability Assessments

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Analytical Equipment

• Rad/Env/Occ TIC/TIM

HAPSITE GC/MS
Hazmat ID
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Analytical Equipment
AN PDR-77

• Radiological /Env/Occ Health

Identifinder
Staplex
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• Collaborative Reachback Initiatives
• Center for Health Promotion Preventive Medicine
• Occ/Environmental Surveillance Training
• Ambient Air Monitoring
• Pest Surveillance
• Specimen Preparation
• Radiation Survey

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• Tailored Teams
• 1. AML PAX 30 (43 w/ PROFIS)
• 25,000 cu ft / 10 vehicles
• 2. AML(-) Expeditionary Force PAX 13
• 6 pallets / 4 vehicles
• 3. Tailored Section (heavy either C,B,R/N) PAX
  5-8
• 2 pallets / 3 vehicles
• 4. Dragon (HMMWV) PAX 2

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1. Area Medical Laboratory with all capabilities
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1. Area Medical Laboratory with all capabilities
Detection Equipment in Hardened Shelters (ISO)
Chemical
Biological
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1. Area Medical Laboratory with all capabilities
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2. Expeditionary Lab
13 Personnel (5 Officers, 8 Enlisted) Equipment
tailored to mission
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3. Tailored Team (BW) Equipment
5 - 8 Personnel
M1M Device (Protein) 96 Samples /
plate Analysis completed in 1hr Reagents from
JPEO-CBD (CRP)
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3. Tailored Team (BW) Equipment
5 - 8 Personnel
R.A.P.I.D.s Device Real-Time DNA (PCR)
analysis 32 Samples capacity Analysis complete
in 45min Reagents from JPEO-CBD (CRP),
USAMRIID, NMRC and WRAIR
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4. Dragon Mobile Laboratory
2 - 3 Personnel
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4. Dragon Mobile Laboratory
2 - 3 Personnel
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4. Dragon Mobile Laboratory
2 - 3 Personnel
Preliminary Detection
Processing Extraction B W C W RAD
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QUESTIONS?