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By Institute of Medicine, Board on Global Health, Committee for the Assessment of DoD-GEIS Influenza Surveillance and Response Programs

The influenza pandemics of 1918, 1957, and 1968 supply a caution to the area concerning the capability hazards of the influenza virus. In 2006, after a sequence of circumstances and clusters of the hugely pathogenic H5N1 avian virus made transparent the specter of a potential pandemic, the U.S. Congress allotted $39 million to the dep. of safeguard worldwide rising Infections Surveillance and reaction approach (DoD-GEIS) to extend and enhance its around the world influenza surveillance community via improvements to its family and abroad laboratories' capabilities.

An Institute of medication (IOM) committee used to be as a result shaped to guage the effectiveness of those laboratory-based courses on the subject of the supplemental investment, and the document that follows information the committee's findings. The committee that ready this record, the Committee for the evaluate of DoD-GEIS Influenza Surveillance and reaction courses, used to be convened on the request of DoD-GEIS administration to guage the execution of the economic 12 months 2006 supplemental investment for avian influenza/ pandemic influenza (AI/PI) surveillance and reaction. The committee was once tasked with comparing the DoD-GEIS AI/PI surveillance application for the value of every funded project's contribution to a accomplished AI/PI surveillance application; the adequacy of this system in view of the evolving epidemiologic elements; responsiveness to the motive of Congress as expressed in Sec. 748, H.R.1815, Pandemic Avian Flu Preparedness; consistency with the DoD and nationwide plans; and coordination of efforts with CDC, WHO, and native governments.
Review of the DoD-GEIS Influenza courses: Strengthening international Surveillance and Response stories the improvement of conclusions and suggestions with long term, program-level relevance in addition to conclusions and proposals concerning the development of particular DoD-GEIS tasks.

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Extra resources for Review of the DoD-GEIS Influenza Programs: Strengthening Global Surveillance and Response

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Candidate strains isolatedFigure by the1-1 military or obtained through its overseas contacts greatly accelerated production and provision of vaccines in both pandemics. S. citizens from such threats (NSTC, 1996). To address that issue, NSTC-7 expanded the mission of the DoD to include support of global surveillance, training, research, and response to emerging infectious disease threats. The DoD was to “strengthen its global disease reduction efforts through centralized coordination; improved preventive health programs and epidemiologic capabilities; and enhanced involvement with military treatment facilities and overseas laboratories” (NSTC, 1996).

Military has played an important international role in influenza virus surveillance and vaccine development (Woodward, 1994). S. S. military to establish a commission on influenza and place highest priority on rapid development of an effective influenza vaccine. The first successful large-scale influenza vaccine field trials anywhere in the world were completed by the commission in 1943 (Francis, 1954). In 1954 the Department of Defense issued an influenza immunization policy that mandated quick pandemic risk assessment along with the formulation and provision of vaccines in order to protect military person- 24 REVIEW OF THE DOD-GEIS INFLUENZA PROGRAMS FIGURE 1-1 Nations with confirmed cases H5N1 avian influenza.

33 34 REVIEW OF THE DOD-GEIS INFLUENZA PROGRAMS by the assistant secretary of defense for health affairs to take the lead on the following activities laid out in Sec. R. S. S. Army Surgeon General designated DoD-GEIS as the oversight agency for the 2006 congressional AI/PI supplemental funding and as the responsible agency for “monitoring and reporting execution and outcomes . . to improve pandemic and avian influenza surveillance for DoD” (Kiley, 2006). In the fall of 2005, DoD-GEIS headquarters began to assess the gaps in DoD influenza surveillance and response activities in anticipation of the expansion of its influenza surveillance capability.

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