Air Force Laboratory BioDefense Biological Warfare Agent Detection Update

1
Air Force Laboratory BioDefense Biological
Warfare Agent Detection Update
Major Dave Hagerty AFMSA / SGXH March 2009
2
Overview

• AF JBAIDS Employment
• Modernization Initiatives
• Training Update
• Sustainment Plans
• AF M1M Employment
• Training Update
• Sustainment Plans
• AF Home Station Medical Response Lab Team
  (HSMR-LT)
• Readiness Status Visibility
• Installation Protection Program
• Addition of HSMR-LT Capability

3
PCR DETECTION CAPABILITY
JBAIDS
4
AF Fielded JBAIDS

• Current
• 52 Operational in support of HSMR
• 9 HSMR Operational Readiness Floats (ORF)
• Request ORF through MEFPAK, HQ ACC / SGXM
• acc.sgxm_at_langley.af.mil DSN 574-1346
• 2 Operational on deployable BAT UTC
• Balad, and Bagram
• Future
• AFMSA / SGXH Support of Joint Installation
  Protection Program
• FY10 - Increasing number of bases with HSMR-LT
  capability

5
JBAIDS Modernization
Platinum Path
Platinum Path Extraction Kit
Whole Blood (DNA) Air in PBS (DNA RNA) Water Milk Salad Ground Beef Tuna Salad Gastric Lavage Lymph Node Aspirates (DNA) Nasal Swabs (DNA) Surface Swabs (DNA RNA) Culture (DNA RNA) Powder (DNA RNA) Stool (DNA) Soil (DNA) Whole Blood (RNA) Nasal Swabs (RNA) Sputum (DNA RNA)

• Platinum Path Extraction Kit

Current Current Current Current
Q-Flow DNA Kit Q-Flow RNA Kit Swipe Kit Scoop Kit Vibe Kit
Whole Blood (DNA) Air in PBS (DNA RNA) Water Milk Salad Ground Beef Tuna Salad Gastric Lavage Lymph Node Aspirates (DNA) Nasal Swabs (DNA) Surface Swabs (DNA RNA) Culture (DNA RNA) Powder (DNA RNA) Stool (DNA) Soil (DNA) Whole Blood (RNA) Nasal Swabs (RNA) Sputum (DNA RNA)
6
JBAIDS Modernization

• FDA cleared JBAIDS assay kits
• Anthrax (Nov 2005)
• Tularemia (Dec 2007)
• Plague (Dec 2007)
• Brucellosis (study started Oct 2007)
• Q-Fever (approved IRB protocol in use in theater)
• Avian Influenza (FluA/H5) GEIS funded
• AF employment
• FDA cleared JBAIDS kits ONLY on deployable FFBAT
  UTC
• HSMR-LT will not use FDA cleared kits

7
JBAIDS ModernizationElectronic Catalog (ECAT)

• Assays and extraction kits sustainment
• Near Term Order from Idaho Technology
• Impact cards and purchase orders
• Long Term requisition via ECAT
• Contracting actions taking place
• ECAT implementation early FY10

8
JBAIDS ModernizationJBAIDS CBT

• CBT Phase I Modules
• QFlow extraction kit
• Extraction Control
• Inhibition Control
• Software Wizard
• Quizzes
• Kx link on lab readiness junction
• Training Videos
• DVD available at SAFMLS

9
JBAIDS Training

• FY09 training slots
• HSMR-LT line funded slots 45 slots
• 44 of 45 slots apportioned
• 26 trained as of today
• Air Staff pays for class - 7,800
• TDY costs are paid locally with HSMR line funds
  (PE 28036F)
• HSMR-LT Chief notify local SGX of trainees
• Local SGX works with RMO to load HSMR funds into
  DTS

10
JBAIDS Training

• Biological Augmentation Team (FFBAT)
• FFBAT DHP funded slots 12 slots
• 10 of 12 slots requested
• 1st FFBAT trainee scheduled for April
• Air Staff pays for class - 7,800
• TDY costs are paid locally with DHP dollars
• Air Staff MIPRs funds to MAJCOM
• Funds are identified for particular base /
  trainee
• DHP funds loaded into DTS

11
JBAIDS Sustainment

• AFMLO has set up a decentralized blanket purchase
  agreement
• Notifications have gone out to 24 of 52 bases
• Local medical logistics will order JBAIDS
  supplies
• Delivery approximately 30 days after completed
  order
• Gap at some bases with expired reagents
• Guidelines have gone out to MAJCOM Lab
  Consultants
• Continue PT and real-world samples
• Real-world samples also sent to LRN / DoD lab
• Way ahead Decentralize JBAIDS ordering through
  ECAT

12
IMMUNOASSAY DETECTION CAPABILITY M1M
13
AF Fielded M1Ms

• Current
• 45 Fielded in support of HSMR
• Request ORF through service contract
• Camber Corporation
• 4 Operational in CENTCOM
• Balad (2), and Bagram (2)
• Future
• M1M replacement by 2013
• CBMS / Joint Project Management Office

14
M1M Training

• Training conducted by USAFSAM / PHT
• In conjunction with JBAIDS training
• Zero TDY cost
• Current and Future Issues
• Training refresher needed
• M1M system reagents
• BRAC

15
M1M Sustainment

• Additional buy for assays and controls
  in-progress
• AFSPC stand-up
• Replenish AF HSMR-LT needed supplies
• Future
• Five-year sustainment contract awarded to Roche
  Diagnostics
• Roche will produce assays / controls and reagents
• Supplies available to customers early FY10
• Announced 23 Feb 2009
• M1M replacement by 2013
• CBMS / Joint Project Management Office

16
HOME STATION MEDICAL RESPOSNE LAB TEAM (HSMR-LT)
17
Medical Readiness Decision Support System (MRDSS)

• JBAIDS Training documentation in MRDSS
• JBAIDS training uploaded in MRDSS for active duty
• FY09 trainees should have UTM document training
• Information to be used to award training slots
  FY10
• Proficiency testing / competency assessment
• FFBAT and HSMR-LT required once per year
• M1M training documentation in MRDSS
• Has not been completed to-date
• PT / competency assessment documentation on-hold
• HSMR-LT (886I) allowance standard readiness
  status
• Bundling critical items

18
Installation Protection Program

• AF / A7 has purchased Dry Filter Units (DFUs)
• Expected to be delivered to all AF bases in CY09
• AF wants DFUs samples to be tested with PCR
• HHAs have demonstrated false negatives with DFUs
• Tier II bases DFUs operational 24/7 around
  critical missions
• Andrews, Barksdale, and Robins
• Peterson
• Ramstein
• Tier I-plus

19
Installation Protection ProgramTier I Bases

• Tier I Bases
• Draft CONOPS has been written by AF / A7
• DFUs deployment credible threat to base
• CE collects filters and delivers to HSMR-LT for
  testing
• Issues
• How will the Wing commander use the DFUs
• IPP will be briefing each base
• Effects on labs daily mission
• Testing panel currently top 4
• IPP purchasing additional JBAIDS supplies for 18
  bases
• Estimated delivery date July 09

20
HSMR-LT Capability Adding Capability to AF Bases

• Additional HSMR-LT capability being targeted for
  FY10
• Support of Installation Protection Program
  strategy
• Provide CBR detection capability
• Issues
• Training Minimum three lab personnel JBAIDS
  trained
• Facility Standard minimum requirements in draft
• Draft to be reviewed and approved by AF LBDSC
• GMRS presentation planned Orlando (May 09)

21
HSMR-LT Equipment
ACC Bases JBAIDS M1M
Barksdale Proposed FY10 X
Beale Proposed FY10 X
Davis-Monthan v v
Dyess v v
Ellsworth Proposed FY10 X
Holloman v v
Langley v v
Minot v v
Moody Proposed FY10 X
Mountain Home v v
Nellis v v
Offut v v
Seymour Johnson v v
Shaw v v
Whiteman v v
22
HSMR-LT Equipment
AETC Bases JBAIDS M1M
Altus ? X
Columbus ? X
Goodfellow ? X
Keesler v v
Lackland v v
Laughlin ? X
Luke Proposed FY10 X
Maxwell v v
Randolph Proposed FY10 X
Sheppard v v
Tyndall v v
Vance ? X
AFDW Bases JBAIDS M1M
Andrews v v
Bolling ? X
23
HSMR-LT Equipment
AFMC Bases JBAIDS M1M
Brooks City-Base X X
Edwards ? X
Eglin v v
Hanscom ? X
Hill Proposed FY10 X
Robins v v
Tinker v v
Wright Patterson v v
AFSPC Bases JBAIDS M1M
F.E. Warren v v
Los Angeles Proposed FY10 X
Malmstrom v v
Patrick v v
Peterson v v
Vandenberg v v
24
HSMR-LT Equipment
AMC JBAIDS M1M
Charleston Proposed FY10 X
Fairchild v v
Little Rock Proposed FY10 X
MacDill v v
Pope X X
Scott v v
Travis v v
USAFA JBAIDS M1M
USAF Academy v v
25
HSMR-LT Equipment
PACAF JBAIDS M1M
Andersen v v
Eielson v v
Elmendorf v v
Hickam v v
Kadena v X
Kunsan v v
Misawa v v
Osan v v
Yokota v v
26
HSMR-LT Equipment
USAFE Bases JBAIDS M1M
Aviano v v
Bitburg Annex v v
Incirlik v v
Lajes v v
Lakenheath v v
Ramstein v v
27
QUESTIONS
Contact Info Maj David Hagerty AFMSA /
SGXH 202-404-2944 DSN 754 david.hagerty_at_pentagon.
af.mil