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Reports by Keyword(s)PUBLIC HEALTH
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Money Talks: Why Nigeria's Petroleum Industry Bill will Fail to End Gas Flaring 02 Nov 2012 24 pages
Authors:  Kenneth T Royar; NAVAL WAR COLLEGE NEWPORT RI JOINT MILITARY OPERATIONS DEPT
The full text of this report is available for sale.Nigeria is ranked second in the world for the amount of natural gas flared as part of the oil drilling process. Not only does flaring have a significant environmental impact on Nigeria and the world, but it also results in US $2.5 billion in lost revenue if the gas could be captured. As of October 2012, Nigeria is debating a new Petroleum Industry Bill (PIB) that, if enacted, would ban ...


Deployment Surveillance Report: Traumatic Brain Injury Identified from Hospitalization and Air Evacuation Records - Army, 2004-2009 17 Oct 2012 84 pages
Authors:  Keith Hauret; Morgan Clennin; Bonnie Taylor; Bruce H Jones; ARMY PUBLIC HEALTH COMMAND ABERDEEN PROVING GROUND MD ARMY INST OF PUBLIC HEALTH
The full text of this report is available for sale.The Army Institute of Public Health conducts injury surveillance for deployed Soldiers to identify and track injury incidence during deployments. For the on-going operations in Iraq (Operation Iraqi Freedom [OIF]) and Afghanistan (Operation Enduring Freedom [OEF]), estimates for the incidence of traumatic brain injury (TBI) have ranged from 10 percent to 40 percent. The purpose of this report is to describe the incidence and causes of TBI that required Army ...


Data Discrepancies Between the Defense Occupational and Environmental Health Readiness System-Hearing Conservation and Defense Occupational and Environmental Health Readiness System-Data Repository Sep 2012 10 pages
Authors:  Elizabeth McKenna; Laurel Lloyd; SCHOOL OF AEROSPACE MEDICINE WRIGHT PATTERSON AFB OH
The full text of this report is available for sale.Permanent threshold shifts (PTS) are one of the key indicators used in hearing conservation to monitor program effectiveness. Across the Department of Defense, individual hearing test records are collected and maintained using the Defense Occupational and Environmental Health Readiness System-Data Repository (DOEHRS-DR). DOEHRS-DR reports are not widely used in the Air Force for program evaluation purposes, due in part to the understanding that not all base level records exported to ...


Understanding and Managing Propagation on Large Networks - Theory, Algorithms, and Models Sep 2012 233 pages
Authors:  B A Prakash; CARNEGIE-MELLON UNIV PITTSBURGH PA DEPT OF COMPUTER SCIENCE
The full text of this report is available for sale.How do contagions spread in population networks? What happens if the networks change with time? Which hospitals should we give vaccines to, for maximum effect? How to detect sources of rumors on Twitter/Facebook? These questions and many others such as which group should we market to, for maximizing product penetration, how quickly news travels in online media and how the relative frequencies of competing tasks evolve are all related to ...


Animal and Rabies Control in Joint Operations Areas (Working Paper) 13 Aug 2012 18 pages
Authors:  Karyn A Havas; Nicole Chevalier; Said gul Safi; Richard Whitten; John Woodford; Edwin Cooper; ARMY PUBLIC HEALTH COMMAND ABERDEEN PROVING GROUND MD
The full text of this report is available for sale.Rabies is a rapidly progressive and fatal encephalitis caused by a lyssavirus in the family Rhabdoviridae. Lyssaviruses are RNA viruses that most commonly exhibit intraspecies transmission; however, the rabies virus commonly spills into other species. The disease is transmitted through introduction of infected saliva into the body via bites, scratches, mucosal exposure, or rarely through inhalation of aerosolized saliva in enclosed spaces (caves with infected bat colonies). Common vectors include ...


Alaska Native Parkinson's Disease Registry Jul 2012 8 pages
Authors:  Caroline M Tanner; PARKINSONS INST SUNNYVALE CA
The full text of this report is available for sale.This registry initiates a program of epidemiological assessments of PS among Alaska Native people to study the natural history and clinical management of PS, and establishes a database of Alaska native people with PS for public health, research and educational purposes. As feasible, the prevalence of PS in Alaska Native people may be estimated as well. This registry not only would facilitate future research into PS etiology, but also guide ...


Environmentally Sustainable Yellow Smoke Formulations for Use in the M194 Hand Held Signal 10 Jun 2012 8 pages
Authors:  Jared D Moretti; Jesse J Sabatini; Anthony P Shaw; Gary Chen; ARMY ARMAMENT RESEARCH DEVELOPMENT AND ENGINEERING CENTER PICATINNY ARSENAL NJ
The full text of this report is available for sale.The burning of aerial pyrotechnic devices poses a public health risk as chemicals may be released into the water supply from solid fallout and surface water runoff. In the case of colored smoke signals, the risk is especially high because many colored smoke formulations contain highly toxic dyes that are not consumed by the key reduction-oxidation reaction. For the M194 yellow smoke hand held signal (HHS), the current in-service formulation ...


Continued Development of the AF/SGR Tricorder Program for Homeland Security, Military, Public Health, and Medical Operations 15 May 2012 64 pages
Authors:  Annette L Valenta; Greer W Stevenson; Andrew D Boyd; RICHARD PRESTON; ILLINOIS UNIV AT CHICAGO
The full text of this report is available for sale.The overall purpose of the Continued development of the AF/SGR Tricorder Program for Homeland Security, Military, Public health, and Medical Operation is to develop a remote sensing device capable of detecting directed energy (DE) threats to medical personnel, combat support personnel, and civilians. Capabilities will include wireless transmission of medically relevant threat information to military agencies and will be stored in databases for analysis and mitigation.


Defense Infrastructure: DOD Can Improve Its Response to Environmental Exposures on Military Installations May 2012 72 pages
Authors:  Brian J Lepore; David C Trimble; Diane Raynes; Mark J Wielgoszynski; Shawn Arbogast; Elizabeth Beardsley; Marissa Dondoe; Laurie Ellington; Dani Greene; Joanne Landesman; GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC
The full text of this report is available for sale.There have been various reported incidents of individuals being potentially exposed to environmental hazards while on military installations. Indeed, some incidents, such as contaminated air due to burn pits in Afghanistan and Iraq and contaminated water at Camp Lejeune, North Carolina, have received considerable attention, and in the case of Camp Lejeune have resulted in claims seeking billions of dollars from the government. Public Law 111-383, Section 314(2011) directed GAO ...


Infectious Disease Border Issues Conference: Meeting Synopsis 03 Apr 2012 27 pages
Authors:  Priya Baliga; Annette Von Thun; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
The full text of this report is available for sale.In June 2011, the United States Central Command (USCENTCOM), with support from the Armed Forces Health Surveillance Center (AFHSC) and the Center for Disaster and Humanitarian Assistance Medicine (CDHAM) sponsored a conference addressing Infectious Disease Border Issues. The conference was hosted by the Royal Medical Service (RMS) in Amman, Jordan. The workshop was designed for mid- to senior level professionals who were actively involved in Jordan s public health and ...


Army Civil Affairs Functional Specialists: On the Verge of Extinction 22 Mar 2012 36 pages
Authors:  Dennis Edwards; PEACEKEEPING AND STABILITY OPERATIONS INST FORT LEAVENWORTH KS
The full text of this report is available for sale.World War II marked the beginning of the greatest use of Civil Affairs (CA) functional specialists in U.S. history. CA personnel utilized civil sector expertise to help rebuild governments in both the European and Pacific theaters. Since its establishment as a U.S. Army Reserve branch in 1955, CA has been conducted by Army Reservists who employ their civilian-acquired skills to provide expertise in civil sector systems and functions such as ...


America's Water Future and Deep Energy 21 Mar 2012 46 pages
Authors:  Bernie R Lindstrom; ARMY WAR COLL CARLISLE BARRACKS PA
The full text of this report is available for sale.Recent technological advances and an increasing demand for energy have led to an international surge of deep shale gas and oil hydraulic fracturing operations. Since 2006 natural gas and oil industries expanded the use of hydraulic fracturing to extract natural gas and oil from deep shale deposits. Increased drilling operations throughout the United States led to a frenzy of discussions, debates, and protests concerning potential impacts to the environment, and ...


Interspecies Interactions and Potential Influenza A Virus Risk in Small Swine Farms in Peru 15 Mar 2012 25 pages
Authors:  Sarah McCune; Carmen S Arriola; Robert H Romero; Viterbo Ayvar; Vitaliano A Cama; Joel M Montgomery; Armando E Gonzales; Angela M Bayer; NAVAL MEDICAL RESEARCH INST DETACHMENT LIMA (PERU)
The full text of this report is available for sale.The recent avian influenza epidemic in Asia and the H1N1 pandemic demonstrated that influenza A viruses pose a threat to global public health. The animal origins of the viruses confirmed the potential for interspecies transmission. Swine are hypothesized to be prime mixing vessels due to the dual receptivity of their trachea to human and avian strains. Additionally, avian and human influenza viruses have previously been isolated in swine. Therefore, understanding ...


Stigma and Barriers to Care Caring for Those Exposed to War, Disaster and Terrorism 06 Mar 2012 130 pages
Authors:  Robert J Ursano; Carol S Fullerton; Mark C Brown; UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD CENTER FOR THE STUDY OF TRAUMATIC STRESS
The full text of this report is available for sale.Preface: This Forum on Health and National Security, directed to addressing stigma and barriers to care, brought together a diverse group of leaders in order to expand our horizons on these issues of important national need in times of war, disaster and terrorism. The individuals represented national leaders, educators, researchers and health care planners across mental health, health care systems, military and disaster care and the specific issues of stigma ...


Health Security Intelligence: Assessing the Nascent Public Health Capability Mar 2012 103 pages
Authors:  Scott Minarcine; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
The full text of this report is available for sale.This thesis explores the current state of public health's (HS) intelligence capability across State, Local, Tribal and Territorial (SLTT) jurisdictions through qualitative analysis of current public health jurisdiction plans for the collection, analysis, product creation, dissemination and programmatic oversight related to public health inputs into the homeland security intelligence apparatus. An assessment was conducted using an online Plan Assessment Tool, or PLAT, that allowed jurisdictional public health leadership to provide ...


The United States Army Medical Department Journal. July-September 2012 Jan 2012 101 pages
Authors:  ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
The full text of this report is available for sale.This issue was sponsored by COL Mustapha Debboun, the senior medical and veterinary entomologist at the AMEDDC&S and Chairman of the AMEDD Journal Editorial Review Board. For the seventh consecutive year he has organized and assembled an outstanding collection of articles featuring topics related to public health, preventive medicine, and force health protection. Time and again throughout military history, the success or failure of battles, campaigns, and even wars has ...


Building Partner Health Capacity with U.S. Military Forces: Enhancing AFSOC Health Engagement Missions Jan 2012
Authors:  David E Thaler; Gary Cecchine; Anny Wong; Timothy Jackson; RAND PROJECT AIR FORCE ARLINGTON VA
The full text of this report is available for sale.In 2009, the U.S. Air Force Special Operations Command (AFSOC) unveiled a new concept for a systematic approach to building health capacity in partner countries of strategic importance to the United States. The central premise of the concept is that rather than using U.S. military medical presence in developing countries to directly treat indigenous communities and supplement or replace inadequate local care, U.S. advisors would engage and train local health ...


Vector Surveillance to Determine Species Composition and Occurrence of Trypanosoma cruzi Infection at Three Military Installations in San Antonio, Texas Jan 2012 11 pages
Authors:  Lee McPhatter; Walter Roachell; Farida Mahmood; Lauren Hoffman; Neal Lockwood; Angel Osuna; Jorge Lopez; Mustapha Debboun; ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
The full text of this report is available for sale.Chagas disease, also known as American trypanosomiasis, is caused by the hemoflagellate protozoan Trypanosoma cruzi which is transmitted by blood-sucking triatomine bugs (Hemiptera: Reduviidae; Triatominae). The disease is endemic to south Texas, but exists almost exclusively as a zoonosis. Chagas disease has proven to be a serious public health threat to military working dogs. In 2007, seroprevalence of Chagas disease in military working dogs in San Antonio, Texas, reached 8%. ...


A Field-expedient Method for Detection of Leptospirosis Causative Agents in Rodents Jan 2012 8 pages
Authors:  James C McAvin; Ampornpan Kengluecha; Ratree Takhampunya; Jason H Richardson; AIR FORCE MEDICAL WING (59TH) WILFORD HALL AMBULATORY SURGICAL CENTER LACKLAND AFB TX CLINICAL RESEARCH DIV
The full text of this report is available for sale.We have developed a thermal-stable, pathogenic Leptospira TaqMan PCR assay intended to support pathogen surveillance in reservoir populations. The assay is packaged specifically for use with a portable, ruggedized real-time PCR thermocycler. Limit of detection was established at ≤100 fg (20 organisms). Sensitivity and specificity were 100% concordant with conventional PCR results using a broad test panel of human pathogenic and nonpathogenic Leptospira, genetic near neighbors, and clinically significant organisms. ...


Summary of the Infectious Diseases and Disaster Response Conference in Abu Dhabi Jan 2012 10 pages
Authors:  Priya Baliga; Brittany J Tang-Sundquist; David R Hajjar; Faith A Cooper; Annette Von Thun; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
The full text of this report is available for sale.Due to the interconnectedness of the world today and the ease with which infectious diseases can spread globally collaboration within and among countries around the world on pandemic planning and response is immensely important. One of the first steps for pandemic planning involves identifying existing gaps in a nation's current plans, and examining previous outbreaks for lessons learned. To identify such gaps, the World Health Organization (WHO) created a framework ...


Insect Repellents and Associated Personal Protection for a Reduction in Human Disease Jan 2012 10 pages
Authors:  M Debboun; D Strickman; ARMY MEDICAL DEPT BOARD FORT SAM HOUSTON TX
The full text of this report is available for sale.Personal protection measures against biting arthropods include topical insect repellents, area repellents, insecticide-treated bednets and treated clothing. The literature on the effectiveness of personal protection products against arthropods is mainly limited to studies of prevention of bites, rather than prevention of disease. Tungiasis was successfully controlled by application of topical repellents and scrub typhus was reduced through the use of treated clothing. Successful reduction of leishmaniasis was achieved through the ...


Report on the Domestic Natural Disaster Health Workforce 30 Nov 2011 204 pages
Authors:  Kenneth Schor; Tim Moriarty; Laurie Chow; Cynthia Hovor; Kandra Strauss-Riggs; NATIONAL CENTER FOR DISASTER MEDICINE AND PUBLIC HEALTH ROCKVILLE MD
The full text of this report is available for sale.The National Center for Disaster Medicine and Public Health (ncdmph.usuhs.edu) prepared this report to describe selected aspects of the health professions workforce who would respond to a catastrophic domestic natural disaster. The report analyzes core Federal departments supporting Emergency Support Function #8 (ESF#8), Public Health and Medical Services, of the National Response Framework; examines three key occupational sub-groups first at the National level then the State (California) and local level ...


Bio-Response Operational Test and Evaluation (BOTE) Project 16 Nov 2011 12 pages
Authors:  Chris Russell; Katrina McConkey; CUBIC CORP SAN DIEGO CA
The full text of this report is available for sale.This presentation covered an overview of the Bio-Response Operational Test and Evaluation (BOTE) project, its objectives, the technical approach, and its impact. Goal: Execute biological incident response roles and responsibilities from public health and law enforcement response through environmental (remediation) response, in an operational setting BOTE project is an interagency effort involving six federal agencies: Environmental Protection Agency (EPA) Department of Homeland Security (DHS) Department of Energy (DOE) Department of ...


Biological Resiliency Programs 01 Nov 2011 8 pages
Authors:  Christopher Russell; John Mower; CUBIC CORP SAN DIEGO CA
The full text of this report is available for sale.This presentation covered an overview of WARRP, its programmatic approach, people, products, performers, and timeline. Collaborative program between DHS and Denver Urban Area Security Initiative (UASI) Goal: Develop solutions to reduce the time and resources required to recover wide urban areas, military installations, and other critical infrastructures following a catastrophic chemical, biological, or radiological (CBR) incident. Stakeholders: Interagency partners, including federal /state / local / tribal governments, military, private industry ...


Bridging the Digital Divide: Developing Mexico's Information and Communication Technology Infrastructure 28 Oct 2011 24 pages
Authors:  Thomas C Baldwin; NAVAL WAR COLL NEWPORT RI JOINT MILITARY OPERATIONS DEPT
The full text of this report is available for sale.Mexico has embarked on an ambitious plan to raise the living standards of all its citizens by improving the education system. A central element to this plan is upgrading the nation's information and communication technology (ICT) infrastructure in order to deliver telecommunication services to the country's most rural areas. By connecting these impoverished regions to more prosperous sectors, Mexico hopes to deliver education, training, healthcare, and social services to the ...


Health Care in Mexico: Is U.S. Partnership/Intervention an Advisable Course of Action? 26 Oct 2011 25 pages
Authors:  Michael E Krieger; NAVAL WAR COLL NEWPORT RI JOINT MILITARY OPERATIONS DEPT
The full text of this report is available for sale.Mexico's leadership finds itself confronted with a variety of thorny governance issues including immigration, drug trafficking, and education. Alongside these seemingly unsolvable problems lies the issue of health care, which is primarily a good news story. The Mexican government has always taken a paternalistic approach to health care to the extent that access to care is a constitutional right. Nationally, Mexico's medical industry has demonstrated the ability to provide a ...


Serum Penicillin G Levels Are Lower Than Expected in Adults within Two Weeks of Administration of 1.2 Million Units Oct 2011 7 pages
Authors:  Michael P Broderick; Christian J Hansen; Kevin L Russell; Edward L Kaplan; Jeffrey L Blumer; Dennis J Faix; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
The full text of this report is available for sale.When introduced in the 1950s, benzathine penicillin G (BPG) was shown to be effective in eradicating group A beta-hemolytic streptococcus (GAS) for at least 3 weeks after administration. Several studies since the 1990s suggest that at 3-4 weeks serum penicillin G levels are less than adequate (below MIC(exp 90) of 0.016 mg/ml). We studied these levels for 4 weeks after the recommended dose of BPG in military recruits, for whom ...


Use of Exogenous Progestins and Risk or In Situ and Invasive Breast Cancer Oct 2011 211 pages
Authors:  Christopher Li; FRED HUTCHINSON CANCER RESEARCH CENTER SEATTLE WA
The full text of this report is available for sale.Given the large number of women exposed to progestins through either contraceptives or menopausal hormone therapies, clarifying the etiologic role of progestin in relation to breast cancer is of public health importance. This study s two projects will further our understanding of the potential risk of breast cancer associated with progestin use. Project 1 involves the enrollment of 225 in situ breast cancer cases 20-44 years of age. Project 2 ...


Development of the University Center for Disaster Preparedness and Emergency Response (UCDPER) 30 Sep 2011 491 pages
Authors:  Clifton R Lacy; Jeffrey D Laskin; Sastry Isukapalli; Nina Fefferman; Tayfur Altiok; Mohsen Jafari; Robert Eisenstein; Rajesh Geria; Rajiv Aria; Perumalsam Balaguru; RUTGERS - THE STATE UNIV NEW BRUNSWICK NJ
The full text of this report is available for sale.The objective of the overall project was to develop a center of excellence in disaster preparedness and emergency response, linking together three major institutions and gaining research, education, and clinical synergies from the collaborations between their subject matter experts. The University Center for Disaster Preparedness and Emergency Response (UCDPER) has been established as a oint initiative of Rutgers, The State University of New Jersey, UMDNJ-Robert Wood Johnson Medical School, and ...


The United States Army Medical Department Journal. July - September 2011 Sep 2011
Authors:  ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
The full text of this report is available for sale.The articles in this issue cover the gamut of force health protection concerns, from extensive research studies and surveillance, to solutions for potential threats. As you read this AMEDD Journal, you will be impressed and educated by the breadth and depth of this vital work and vigilance that are never-ending, mostly behind the scenes. Their success is reflected in an absence of disease and injury, and the improved health of ...


Online Spatial Database of US Army Public Health Command Region-West Mosquito Surveillance Records: 1947-2009 Sep 2011 9 pages
Authors:  Desmond H Foley; Francis A Maloney; Frederick J Harrison; RichArd C Wilkerson; Leopoldo M Rueda; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD
The full text of this report is available for sale.Mosquito surveillance records from the US Anny Public Health Command Region-West (APHCR-W) were georeferenced and made available online via the database mapping application MosquitoMap www.mosquitomap.org). This article briefly reviews the history of the APHCR-W surveillance program and some of the resulting dataset, which numbers over 100,000 records mainly from US Department of Defense (DoD) facilities in the western United States from 1947 to 2009. The value of past and future ...


An Intelligence-Sharing Continuum: Next Generation Requirements for U.S. Counterterrorism Efforts Sep 2011 169 pages
Authors:  David Carabin; NAVAL POSTGRADUATE SCHOOL MONTEREY CA DEPT OF NATIONAL SECURITY AFFAIRS
The full text of this report is available for sale.The September 11, 2001 terrorist attacks were a major catalyst for intelligence reform in the United States. Since this date, most government agencies have strived to evolve and advance in this capacity. One such way has been through the development of multi-agency, multi-disciplinary intelligence centers, such as the National Counterterrorism Center, the Interagency Threat Assessment and Coordination Group, and the 72 state and major urban area fusion centers established throughout ...


Integration of Training Civilian and Military Disaster Responders Sep 2011 75 pages
Authors:  Jr Guerica Leonard H; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
The full text of this report is available for sale.In the years since the September 11 attacks of 2001, and following the Gulf Coast hurricanes and the earthquake in Haiti, research has shown that first responders and medical institutions remain insufficiently prepared to address the increased demands for emergency response during and following major disasters. The threat from terrorism and natural disasters is very real; thus, the medical system will face continual challenges. A brutal recent reminder of this ...


Biosurveillance Technology: Providing Situational Awareness through Increased Information Sharing Sep 2011 141 pages
Authors:  Jasie K Logsdon; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
The full text of this report is available for sale.This need for the public health and medical enterprise to share information, has increased over the last decade, due to events such as the Severe Acute Respiratory Syndrome (SARS) outbreak, natural disasters, such as Hurricane Katrina, the 2009 H1N1 influenza outbreak, and other naturally occurring outbreaks, such as the recent Shiga toxin-producing E. coli O104 (STEC O104:H4) infections occurring in, and associated with, travel to Germany. This thesis explores the ...


International Disease Surveillance Conference - Meeting Synposis Sep 2011 11 pages
Authors:  Priya Baliga; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
The full text of this report is available for sale.In September 2011, the U.S. Pacific Command (USPACOM), the Armed Forces Health Surveillance Center (AFHSC) and the Center for Disaster and Humanitarian Assistance Medicine (CDHAM), in collaboration with the Maldives National Defense Force and the Maldives Ministry of Health hosted a three day International Disease Surveillance Conference in the Maldives. Both military and civilian public health experts from ten nations (Maldives, Bangladesh, Nepal, Indonesia, Laos, Sri Lanka, Thailand, Vietnam, China, ...


Measures of Effective Military Public Health Interventions in Stability Operations 10 JUN 2011 106 pages
Authors:  Jacob W. Aaronson; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS
The full text of this report is available for sale.There is broad consensus that attention to health sector needs plays an important role in addressing the causes of state fragility, whether to avoid conflict, during conflict, or post-conflict. Based on the premise that health-related interventions during stability operations are intended to improve those health sector issues that may affect state fragility, the evidence suggests that efforts to reduce child mortality rates are the most beneficial. While health outcome metrics ...


Influenza Vaccine: Federal Investments in Alternative Technologies and Challenges to Development and Licensure JUN 2011 59 pages
Authors:  GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC
The full text of this report is available for sale.Influenza, in both its seasonal and pandemic forms, is an ongoing public health concern. Seasonal influenza may begin as early as August and generally diminishes by April in the northern hemisphere. It has been associated with 3,000 to nearly 50,000 deaths each year in the United States in recent decades, according to the Department of Health and Human Services's (HHS) Centers for Disease Control and Prevention (CDC). Pandemic influenza, which ...


Maintaining Water Supplies to a Remote Island Population When Source Water Becomes Contaminated May 2011 23 pages
Authors:  Jerry Manint; ARMY PUBLIC HEALTH COMMAND ABERDEEN PROVING GROUND MD
The full text of this report is available for sale.On December 8, 2008, the island of Roi-Namur had high wave activity (onset of dry season). Nearly all of its lenswells were contaminated with salt water. A drinkable chloride concentration is 250 mg/L; ocean water chloride concentration is 35,000 mg/L. The only well not contaminated had a history of Volatile Organic Compound (VOC) contamination. There are roughly 12 days of raw water in storage under normal operation, and roughly 30 ...


Leadership Selection in the Enterprise of Medical Countermeasure Development 15 Apr 2011 22 pages
Authors:  Randall L Rietcheck; DEPARTMENT OF HEALTH AND HUMAN SERVICES WASHINGTON DC
The full text of this report is available for sale.The threat of domestic terrorism from a chemical, biological, radiological, or nuclear attack is a constant risk that must be managed effectively by those entrusted to protect and prepare our nation. Central to our nation's preparedness are the individuals selected to lead the enterprise of medical countermeasure development. Leaders selected to this post must possess the essential background, skills, and experience necessary to achieve success. Equally important, these leaders must ...


The Strategic Implications of China's Expanding Presence in Africa 24 Mar 2011 44 pages
Authors:  Valerie L Hasberry; ARMY WAR COLL CARLISLE BARRACKS PA
The full text of this report is available for sale.During the last two decades, China, under its zou chuqu or going out policy, has rapidly expanded its presence and influence on the African continent. Leveraging a noninterference policy, state-owned and state-controlled enterprises, and a combination of aid, loans, exports, and imports, China continues to secure access to Africa's raw materials, develop new African markets for its exports, cultivate African partners, and increase its influence on the continent. This paper ...


Novel Electrochemical Process for Treatment of Perchlorate in Waste Water 06 Mar 2011 41 pages
Authors:  Yuehe Lin; PACIFIC NORTHWEST NATIONAL LAB RICHLAND WA
The full text of this report is available for sale.The presence of toxic perchlorate in the environment is a growing public health and environmental health concern. Military munitions and the chemical and nuclear industries are major sources contributing to the presence of perchlorate in the natural environment. Perchlorate is very stable in the environment and difficult to remove with conventional techniques. Novel technologies are needed for for removing perchlorate in the environment in a simple, fast, cost-effective, and environmentally ...


A Review of Successful Health Care Coalitions and Partnerships 01 Mar 2011 28 pages
Authors:  Shelley A Rice; DEPARTMENT OF HEALTH AND HUMAN SERVICES WASHINGTON DC
The full text of this report is available for sale.Catastrophic Health Event (CHE) readiness is the ability to increase the preparedness, response capabilities, and capacities of hospitals and other healthcare facilities, trauma care centers, and emergency medical service systems. Our ability to respond to a CHE varies throughout the United States. The Hospital Preparedness Program's (HPP) primary mission is to assist hospitals, public health departments, emergency management and response agencies, and healthcare partnerships at the community and substate levels. ...


Screening and Selection of New Antagonists of the RING-Mediated Hdm2/Hdmx Interaction MAR 2011 126 pages
Authors:  Julio A. Camerero; UNIVERSITY OF SOUTHERN CALIFORNIA LOS ANGELES
The full text of this report is available for sale.During the first period of the grant we have been able: 1) Produce large libraries (106 different cyclotides) of cyclotides in E. coli cells using the loop 2 of the cylotide MCoTI-I (Specific aim #1, Task 2a) 2) We have cloned, expressed and characterized a fluorogenic reporter to screen in-cell cyclotide libraries for inhibitors of the RING-mediated interaction between Mdm2/MdmX (specific aim #1, Task 1a & 1b).


Antimicrobial Susceptibility of Brucella melitensis Isolates in Peru Mar 2011 4 pages
Authors:  Ryan C Maves; Rosa Castillo; Alfredo Guillen; Benjamin Espinosa; Rina Meza; Nereyda Espinoza; Gladys Nunez; Luis Sanchez; Jesus Chacaltana; David Cepeda; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
The full text of this report is available for sale.Brucellosis is an important public health problem in Peru. We evaluated 48 human Brucella melitensis biotype 1 strains from Peru between 2000 and 2006. MICs of isolates to doxycycline, azithromycin, gentamicin, rifampin, cipruftoxacin, and triimethoprim-sulfamethoxazole were determined by the Etest method. All isulates were sensitive to tested drugs during the periuds of testing. Relapses did nut appear to be related tu drug resistance.


Medical Stability Operations: An Emerging Military Health Skill Set 25 Jan 2011 21 pages
Authors:  II Donovan R J; FORCE HEALTH PROTECTION AND READINESS POLICY AND PROGRAMS FALLS CHURCH VA
The full text of this report is available for sale.Objectives: Discuss medical stability operations (MSO) definition and associated concepts; Review foundation doctrine and policy for MSO; Discuss emerging organizations and missions that support MSO; Identify key global challenges that will affect such operations now and in the future and Discuss MSO end states.


Population Health Management: The Missing Element of PCMH 24 Jan 2011 24 pages
Authors:  Kevin A Dorrance; WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA MD
The full text of this report is available for sale.From 2007 to 2008, life expectancy for Americans in general declined by a little more than one month, from 77.9 to 77.8 years. Population Health Management is an integrative set of health delivery programs that proactively monitors and improves the fundamental health of a given population.


Enteric Disease Surveillance Under the AFHSC-GEIS: Current Efforts, Landscape Analysis and Vision Forward Jan 2011 13 pages
Authors:  Nisha N Money; Ryan C Maves; Peter Sebeny; Matthew R Kasper; Mark S Riddle; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
The full text of this report is available for sale.The mission of the Armed Forces Health Surveillance Center, Division of Global Emerging Infections Surveillance and Response System (AFHSC-GEIS) is to support global public health and to counter infectious disease threats to the United States Armed Forces, including newly identified agents or those increasing in incidence. Enteric diseases are a growing threat to U.S. forces, which must be ready to deploy to austere environments where the risk of exposure to ...


Advanced Technologies Addressing Asia-Pacific Infectious Diseases Jan 2011 125 pages
Authors:  Duane Gubler; HAWAII UNIV HONOLULU
The full text of this report is available for sale.The purpose of this program is to develop early warning disease detection systems for emerging zoonotic diseases in the Asia-Pacific, using the latest technology available, including full length sequencing, deep sequencing, and genomic and proteomic microarrays, and to understand how the evolution of dengue viruses influence epidemic potential. Each day, thousands of people throughout Asia present with illnesses that go undiagnosed. Some of these illnesses will be newly recognized diseases ...


The AFHSC-Division of GEIS Operations Predictive Surveillance Program: A Multidisciplinary Approach for the Early Detection and Response to Disease Outbreaks Jan 2011 18 pages
Authors:  Clara J Witt; Allen L Richards; Penny M Masuoka; Desmond H Foley; Anna L Buczak; Lillian A Musila; Jason H Richardson; Michelle G Colacicco-Mayhugh; Leopoldo M Rueda; Terry A Klein; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD
The full text of this report is available for sale.The Armed Forces Health Surveillance Center, Division of Global Emerging Infections Surveillance and Response System Operations (AFHSC-GEIS) initiated a coordinated, multidisciplinary program to link data sets and information derived from eco-climatic remote sensing activities, ecologic niche modeling, arthropod vector, animal diseasehost/ reservoir, and human disease surveillance for febrile illnesses, into a predictive surveillance program that generates advisories and alerts on emerging infectious disease outbreaks. The program's ultimate goal is pro-active ...


ISAF Overview Brief Jan 2011 51 pages
Authors:  INTERNATIONAL SECURITY ASSISTANCE FORCE JOINT COMMAND KABUL (AFGHANISTAN)
The full text of this report is available for sale.


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