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Great Plains Regional Medical Command West Nile Virus Tracking System
1LT Joshua D. Bast
Department of Preventive Medicine, Brooke Army Medical Center
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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
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2000 Mosquito Reporting
CHPPM-N
DOD-GEIS
CDC
MTF
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2001-2002 Mosquito Reporting
CHPPM-N
STATE AGENCY
CDC
MTF
DOD-GEIS
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2003 Mosquito Reporting
CHPPM-N
CHPPM MAIN
STATE AGENCIES
MTF
CHPPM-S CHPPM-W
CDC
DOD-GEIS
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Bird Surveillance• United States
Geological Survey National Wildlife Health Center
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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
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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
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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
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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
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Conclusions
• Standardization across all DoD entities
• Surveillance and reporting compliance
• Communication, Communication, Communication!
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Questions