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