Influenza and respiratory disease surveillance: the US military's global laboratory-based network.
The US Department of Defense influenza surveillance system now spans nearly 500 sites in 75 countries, including active duty US military and dependent populations as well as host-country civilian and military personnel. This system represents a major part of the US Government's contributions to the World Health Organization's Global Influenza Surveillance Network and addresses Presidential Directive NSTC-7 to expand global surveillance, training, research and response to emerging infectious disease threats. Since 2006, the system has expanded significantly in response to rising pandemic influenza concerns. The expanded system has played a critical role in the detection and monitoring of ongoing H5N1 outbreaks worldwide as well as in the initial detection of, and response to, the current (H1N1) 2009 influenza pandemic. This article describes the system, details its contributions and the critical gaps that it is filling, and discusses future plans.
Jeremy Sueker
J
J
Armed Forces Health Surveillance Center, US Army Public Health Command (Provisional), Silver Spring, MD 20910, USA.
Blazes
David L
DL
Johns
Matthew C
MC
Blair
Patrick J
PJ
Sjoberg
Paul A
PA
Tjaden
Jeffrey A
JA
Montgomery
Joel M
JM
Pavlin
Julie A
JA
Schnabel
David C
DC
Eick
Angelia A
AA
Tobias
Steven
S
Quintana
Miguel
M
Vest
Kelly G
KG
Burke
Ronald L
RL
Lindler
Luther E
LE
Mansfield
Jay L
JL
Erickson
Ralph Loren
RL
Russell
Kevin L
KL
Sanchez
Jose L
JL
D006801:Humans; D007251:Influenza, Human / Q000453:epidemiology*; D008889:Military Personnel; D012141:Respiratory Tract Infections / Q000453:epidemiology*; D018571:Sentinel Surveillance; D014481:United States
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