AF Tent City, Tallil AB, Iraq – June 03

407th /332nd (EMEDS)

PH/Ento tent

Two 12K runwaysTwo 12K runways 24K US & Coalition (~ 1500 AF)24K US & Coalition (~ 1500 AF)

Most with NO PPE….Most with NO PPE…. 1000’s of sand flies tested/wk1000’s of sand flies tested/wk

1-3% sand flies infected 1-3% sand flies infected Historically Agricultural AreaHistorically Agricultural Area

Tallil ABTallil AB

Working with the ADOS…

(BEEs, PHO, Dental, Flt Med)

Liason with CE

Coalition Forces

Other Services

What will you do?What will you do? Commander Driven - Personality & LuckCommander Driven - Personality & Luck Liaison between CE and EMEDSLiaison between CE and EMEDS

Oversee and consult on:Oversee and consult on: Vector & pest control, habitat destruction, contracts, training Vector & pest control, habitat destruction, contracts, training

Obtain equipment, pesticides, personnel, vehiclesObtain equipment, pesticides, personnel, vehicles Convince CE CC’s to let CE PM do jobConvince CE CC’s to let CE PM do job Mass bednet, uniform trt with permethin Mass bednet, uniform trt with permethin

Liaison with other Services and PM Coalition ForcesLiaison with other Services and PM Coalition Forces Established biweekly PM meeting Established biweekly PM meeting

Liaison with CENTAFLiaison with CENTAF Aggressive Education CampaignAggressive Education Campaign

““Right Start” BriefingsRight Start” Briefings Unit Briefs/visits, Local Newspaper, posters, wallet cardsUnit Briefs/visits, Local Newspaper, posters, wallet cards Commander’s/Sr NCO supportCommander’s/Sr NCO support

Surveillance, diagnostics, trainer, identifierSurveillance, diagnostics, trainer, identifier

What to do…What to do… Befriend the flight surgeons, RAMs, other docs, OSI, BMEDS, Loggies, Befriend the flight surgeons, RAMs, other docs, OSI, BMEDS, Loggies,

base supply, SF, CE if possible…base supply, SF, CE if possible… Go with FS during shop visitsGo with FS during shop visits

Get techs and other ADOS personnel involved in what you are doing – buy Get techs and other ADOS personnel involved in what you are doing – buy in…in… Take them out collecting, teach them to ID SFs, etc.Take them out collecting, teach them to ID SFs, etc.

Befriend Coalition forces…Some days are all PRBefriend Coalition forces…Some days are all PR Start a weekly preventive medicine meetingStart a weekly preventive medicine meeting

ADOS, Coalition, Other services, Vets, Contractors, CEADOS, Coalition, Other services, Vets, Contractors, CE New comer briefing…New comer briefing… Hand pick your people if possibleHand pick your people if possible Keep in contact with PHOs and CE at different bases.Keep in contact with PHOs and CE at different bases. Work with Command entos…Work with Command entos…

What not to do…What not to do…

Ease your way in….Ease your way in…. Avoid becoming PHO or other position if Avoid becoming PHO or other position if

possiblepossible Don’t go outside chain of commandDon’t go outside chain of command

Make sure your bosses know if you talking to Make sure your bosses know if you talking to CENTAFCENTAF

CC your bosses – personality drivenCC your bosses – personality driven

Surveillance and Diagnostics Joint Effort – AF arrived with no capabilityJoint Effort – AF arrived with no capability Purpose:Purpose:

Track sand fly populationsTrack sand fly populations Evaluate Control effectiveness Evaluate Control effectiveness ID sand fly & disease “hot spots”ID sand fly & disease “hot spots” Determine Determine LeishmaniaLeishmania infection rates infection rates

Amazed at how effective traps w/ NO CO2 wereAmazed at how effective traps w/ NO CO2 were Commanders interested in results….Commanders interested in results…. Didn’t know when Army was leavingDidn’t know when Army was leaving Col Swaby and Keith and others – deployed Col Swaby and Keith and others – deployed

RAPIDSRAPIDS

What do I bring with me?

-GPS

-Digital Camera

- Bring it with you…

- Leverage resources

- Call/write unit weeks before

- $ not issue, getting it is…

-Loggie and BMEDs guys

Sand Fly/Mosquito Collection Equipment Checklist - Iraq Schmidt Boxes Pins Points/minutins Point MakerPinning blockFine point india ink pensLots of sharpies, all sizes, colorsLabel paperForceps - Fine tipped and Feather-weightClear Nail Polish or “model” glueCa. 1 gallon 100% ETOHCa. 1 gallon 75% ETOHDram specimen vialsID booksRelevant scientific literature – down load all appropriate sand fly, mosq, insect or Mid East from DIPMIACMicroscope slides and cover slipsLarval mounting mediaSlide spinnerWhirl PaksZip lock bags, small and largePush pinsEmergent jars and lidsAspirators (HEPA)Aspirator Vials and lids“Ice cream” cups with screen and dental damFlat tupperware containersEnvelopesData Collection FormsCounter (mechanical, push button)

Field notebook/clip boardGPS (Garmin) with WW software and cablesCompassPlastic eye droppers/pipettesTurkey baisters and Stump suckersDippersEnamel and plastic pansBioquip rearing chambersAedes food (rabbit pellets)Culex food (fish food flakes)CDC traps (JH model 1012/1010 -ordered) Extra bulbs, motors, ropes, trap hangers Extra New style collection cups with small mesh screen 6 V - 10 AH batteries & chargers Alligator clip wires for batteries (32)LED headlamp + batteriesTwine/RopePlastic streamers (assorted colors)Volt Meter and X-tra 9 V batteryFlashlights and X-tra D-Cell batteries AA batteriesCoolersIce packsEppendorf tubes (snap caps)- 1000 + Sample boxesOr CryovialsDigital camera with macro modeSilica Gel packs and Desiccant granulesStereo microscope (60 X min) Goose neck light Eye piece micrometersCarrying case for microscopeHand held “loupe”Flow Kits

Regulators/ Tubing/Orifaces/Xtra parts Gaskets/Teflon TapeTool Kit Cresent wrench and Channel locks Assorted screwdrivers & pliers “Leatherman” Duct tape Misc locks with keysLatex surgical glovesLeather glovesHand-held/collapsible insect netsLabel tape and Tape boardVMD determination gear

-Teflon coated slides- Stage micrometer- Eye piece micrometer- VMD software Lockable transport trucks Each w/Business cards and copy of passportSherman Traps (approx 30)Dissection kitFormalinPotassium or sodium hydroxide for clearing specimensExtension cordsPower strip(s)Magnifying lampUSB memory stick/thumb driveLaptop computer (minimum CD burner, DVD helpful, make sure member has administrative access so PC can be hooked to local server)Roll of duct tapeRW CDs and box of 3.5” diskettes

Questions?