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Article

Rapid validation of disease outbreak intelligence by small independent verification teams

Pages 527-538 | Published online: 22 Apr 2020
 

ABSTRACT

The requirement for rapid ground-truth verification is a major rate-limiting step in the early warning of global outbreaks of serious infectious disease. Until this problem is solved, the current and future systems for global disease surveillance will not be optimally functional. One solution is to create a well-funded team of military specialists capable of conducting a rapid on-site inspection and verification of any infectious disease outbreak posing a possible threat to international health security. There are multiple scenarios for the deployment of this team, including their entry into conflict areas to garner medical intelligence. This concept is not without precedent.

Disclosure statement

No potential conflict of interest was reported by the author.

Notes

1. Jones, Patel, and Levy, “Global Trends in Emerging Infectious Diseases,” 990; and Smith et al.,”Global Rise in Infectious Disease Outbreaks”, 3.

2. Turmelle and Olival, “Viral Richness in Bats,” 522.

3. Parrish et al., “Cross-Species Virus Transmission,” 457; and 5. Woolhouse, “Human Viruses,” 2864.

4. National Intelligence Estimate (NIE 99-17D).

5. Clapper, “Statement for the Record,” 10.

6. Kang et al.,”Contact Tracing for Imported Case,” 1646.

7. Bell et al., “Overview, Control Strategies, and Lessons Learned”.

8. Hui et al., “Severe Acute Respiratory Syndrome vs. MERS”.

9. Mackenzie J.S., “The Global Outbreak Alert and Response Network”.

10. Dion et al. “Big Data and the Global Public Health Intelligence Network”.

11. Heyman et al., “Global Surveillance, National Surveillance, and SARS”.

12. World Health Organization Revision of the International Health Regulations. 2003.

13. Wilson, “Signal Recognition During the Emergence of Pandemic A/H1N1,” 8”.

14. Zumla et al. “Middle East Respiratory Syndrome”.

15. Funk et al., “A Case Study of Ebola in the Western Area”.

16. Yeung, “Two People Got the Plague in China.”

17. Kim et al., “Middle East Respiratory Syndrome Coronavirus Outbreak”.

18. Hatfill et al., Three Seconds Until Midnight, 321.

19. HHS OIG (OEI). “Pandemic Influenza Preparedness: Medical Surge”, 12; HEHS-00-180 “West Nile Virus Outbreak”; Roth et al., “Concurrent Outbreaks of Dengue.”; and Timeline of the Ebola Outbreak Response in Democratic Republic of the Congo, 2018.

20. Grein et al., “Rumors of Disease in the Global Village,” 97.

21. Myers et. al., “Biodiversity Hotspots for Conservation Priorities,” 853.

22. Brownstein et al., “Digital Disease Detection,” 2153.

23. Hanson et al., “Warfare in Biodiversity Hotspots,” 578.

24. Toph et al., “Global Hotspots and Correlates of Emerging Zoonotic Diseases,” 1124; and Draulens et al., “The Impact of War on Forest Areas in the DRC,” 2.

25. Taylor et al., “Risk Factors for Human Disease Emergence,” 983.

26. Soucheray, “Doctor Infected With Ebola in DRC Conflict Zone,” 1.

27. Dorogi, “Special Forces-Field Epidemiologic Survey Team (Airborne),” 54.

28. Colwell et al., “Histopathology of Liver Diseases,” 300; and Colwell et al., “Big Spleen Syndrome,” 120.

29. Legters et al., “Clinical and Epidemiological Notes on an Outbreak of Plague,” 372.

30. Legters et al., “Epidemiological Notes on an Outbreak of Pneumonia,” 445.

31. Roger et al., “A Prospective Study of Malaria among Indigenous Forces,” 115; and Boone et al., “Report of a Survey for Schistosomiasis in the Mekong Delta,” 316.

32. Foreword; “U.S. Army Medical Research Team Vietnam and Institute Pasteur,”2; and Hembree et al., “Distribution and Prevalence of Bancroftian Filariasis,” 309.

33. IAEA Safeguards Overview: Comprehensive Safeguards Agreements.

34. Eunice et al., “Microarray Assay to Screen for Viral Pathogens, 2536.

35. Clem et al., “Random Multiplex (RT)-PCR with 3ʹ-Locked Random Primers”, 2.

36. WHO Disease outbreak news: Update Ebola Virus Disease”.

37. Christopher and Eitzen, “Air Evac Under Biosafety Containment,” 241.

38. Nicol et al., “Aeromedical Transfer of Patients with Viral Hemorrhagic Fever”.5.

39. Operation united assistance. “The DoD Response to West Africa.”

40. USAID, “West Africa Ebola Outbreak Fact Sheet #3, 2016.

Additional information

Funding

This work was financially supported by the Asymmetrical Biodiversity Studies and Observation Group, NPF.

Notes on contributors

Steven J. Hatfill

Steven J. Hatfill is a specialist physician and virologist with 16 years of medical experience in Africa including Zaire, Rhodesia, South Africa. His Fellowships include the National Institutes of Health, Oxford University, and the NRC where he studied the Marburg and Ebola filoviruses at the United States Army Medical Research Institute for Infectious Diseases (USAMRIID), Fort Detrick. In 2015, he trained and helped establish the Rapid Hemorrhagic Fever Response Teams for the National Disaster Management Unit in Kenya, Africa. In 2018, he was awarded Honorary U.S. Army Parachute Wings with Bronze Star by the U.S. Army 1st Special Warfare Training Group (Airborne). He is an adjunct assistant professor in two departments at the George Washington University Medical Center and School.

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