DDooDD GGlloobbaall EEmmeerrggiinngg IInnffeeccttiioonnss SSuurrvveeiillllaannccee && RReessppoonnssee SSyysstteemm ((DDooDD--GGEEIISS)) GGlloobbaall IInnfflluueennzzaa SSuurrvveeiillllaannccee EEffffoorrttss 88 JJaannuuaarryy 22000077 CCOOLL ((RReett..)) JJoossee LL.. SSaanncchheezz,, MMDD MMPPHH For presentation to: DoD/CDC Working Group Meeting Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 3. DATES COVERED 08 JAN 2007 2. REPORT TYPE 00-00-2007 to 00-00-2007 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER DoD Global Emerging Infections Surveillance & Response System 5b. GRANT NUMBER (DoD-GEIS) Global Influenza Surveillance Efforts 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION Armed Forces Health Surveillance Center,Silver Spring,MD REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF 18. NUMBER 19a. NAME OF ABSTRACT OF PAGES RESPONSIBLE PERSON a. REPORT b. ABSTRACT c. THIS PAGE Same as 42 unclassified unclassified unclassified Report (SAR) Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 Lab-Based Influenza Surveillance • Sentinel Surveillance • Air Force Institute for Operational Health (San Antonio, Texas) • Population-based Surveillance • Navy Health Research Center (San Diego, California) • International Surveillance • NAMRU-2 (Jakarta, Indonesia) • NAMRU-3 (Cairo, Egypt) • NMRCD (Lima, Peru) • AFRIMS (Bangkok, Thailand) • USAMRU-K (Nairobi, Kenya) Influenza Surveillance by DoD ““OOvveerr 226600 ssiitteess iinn 5566 ccoouunnttrriieess”” NORTHCOM Reference Lab/Hub GEIS Central Hub & USAMRIID Civilian Future Present NHRC Military AFIOH Future Present 1 Country Presently 20061201 AArrmmeedd FFoorrcceess RReesseeaarrcchh IInnssttiittuuttee ooff MMeeddiiccaall SScciieenncceess ((AAFFRRIIMMSS)) BBaannggkkookk,, TThhaaiillaanndd PACOM 18th MEDCOM Inset: Hawaii AFRIMS NAMRU-2 U.S. Embassy Civilian Military Reference Lab/Hub Present Future Future Present Present 16 Countries Presently 20061201 AAFFRRIIMMSS HHiigghhlliigghhttss ooff AAII//PPII WWoorrkk iinn FFYY0066//0077 • Sentinel surveillance sites established in Nepal, Thailand and the Philippines and at regional US Embassies • Philippines: New sites in early FY07 • Nepal-based Influenza surveillance network: • Detected H1N1 and H3N2 strain emergence in Jun-Jul 04-05 • Jul-Aug 06 outbreak with 174 cases sampled by WARUN staff • H3N2 subtype similar to vaccine strain for 2006-07 (Wisconsin-like strains) AAFFRRIIMMSS HHiigghhlliigghhttss ooff AAII//PPII WWoorrkk iinn FFYY0066//0077 • US Embassy site reporting from 11 countries in region • Internet-based reporting from Thai civilian hospitals in 18 key provinces and 6 RTA hospitals in border areas of Burma, Laos, Cambodia & Malaysia • Build-up of new BSL-3 laboratory in Bangkok • PCR lab in Burmese border in FY07 • Upgrade of Vet Med BSL-3 facility RRTTAA IInnfflluueennzzaa && UUnniitt--bbaasseedd SSuurrvveeiillllaannccee •Suranare Command •Surasee Command