The Department of Defense Laboratory Based Global Influenza Surveillance Program

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The Department of Defense Laboratory Based
Global Influenza SurveillanceProgram
Linda C. Canas Brooks City-Base, TX [phone]
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Influenza Surveillance

• Population Based
• Surveillance
• Naval Health Research Center
• San Diego, California

• DoD Global Influenza Surveillance
• AF Institute for
• Operational Health
• Brooks City-Base
• San Antonio, Texas

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Routine Annual Reports End of Season business
meeting
DoD Global Influenza Surveillance
.................IN ACTION
DoD GEIS
Funding Guidance
Laboratory

Epi Services Branch
Info entered into AF database
Supplies and Instructions
Conventional Laboratory Methods
Program Guidance routine reports
Sentinel Sites
Collect and ship Samples
Notification
Vaccine Decisions
Selected Samples
CDC
Flu Isolated
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2003-2004 Influenza Sentinel Sites
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SENTINEL SITES

• Army (1)
• Tripler AMC, HI
• Navy/Coast Guard (6)
• NAB Little Creek, VA
• NH Yokosuka, Japan
• NMC San Diego
• NH Pearl Harbor, HI
• NH Bremerton
• CGS Ketchikan
• Air Force (18)
• Andersen AFB, Guam
• Air Force Academy, CO
• Andrews AFB, MD
• Aviano AB, Italy
• Elmendorf AFB, AK
• Hickam AFB, HI
• Incirlik AB, Turkey
• Kadena AB, Japan
• Kunsan AB, R.O.K.

• RAF Lakenheath, U.K.
• Ramstein AB, Germany
• Sheppard AFB, TX
• Travis AFB, CA
• Yokota AB, Japan
• Deployed
• Al-Udeid AB, Qatar
• Ganci AB, Kyrgyzstan
• Overseas Research Sites
• Armed Forces Research Institute of Medical
  Sciences (AFRIMS), THAILAND, NEPAL, MALDIVES
• Naval Medical Research Institute Detachment
  (NAMRID)
• PERU, ECUADOR, BOLIVIA, ARGENTINA, NICARAGUA
  
• Walter Reed Army Institute of Research (WRAIR),
  UGANDA

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N2946 Pos1310 Flu A941
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Asia/Pacific Isolates
N319 Pos128 Flu A 91
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North America Isolates
N2178 Pos1036 Flu A739
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South America Isolates
N217 Pos61 Flu A26
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Europe Isolates
N174 Pos74 FluA64
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Deployed Qatar and Afghanistan
N58 Pos21 Flu A21
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Percent Positive Isolates by Type
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Percent of Positive Isolates
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(No Transcript)
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Summary 2003-2004

• Overall this has been an exceptional year
• Monotype season more so than past 5 years
• A/H3N2 in most locations
• Few Influenza B and A/H1N1. No H5/H7 at this
  point.
• Molecular Analysis
• H3N2 viruses nearly 100 variant from vaccine
  strain