Brooke Army Medical Center (BAMC) is the flagship of Army Medicine. BAMC is the command, comprised of ten separate organizations, that provides inpatient care, outpatient care, advanced rehabilitative services and troop leadership. At the center of the command is the hospital component, the San Antonio Military Medical Center (SAMMC). SAMMC is a 425-bed, state-of-the-art medical facility, playing a critical role in patient care, as well as taking care of Wounded Warriors in transition from the Global War on Terrorism. The medical center is also the only stateside DOD Level I Trauma Center and receives more than 5,700 emergency room visits each month. Co-located on the BAMC campus is the world renowned Army Institute of Surgical Research (ISR), which operates the only DoD Burn Center.
Surrounding SAMMC are five geographically separate clinics: Fort Sam Houston Family Medicine Service Clinic, McWethy Troop Medical Clinic, Taylor Burk Clinic, Schertz Medical Home and the Corpus Christi Army Depot Occupational Health Clinic. Advanced rehabilitative services are provided at the Center for the Intrepid, a unique facility that is at the cutting edge of Warrior care. Troop leadership is provided by three organizations: the 959th Medical Group, the Warrior Transition Battalion and Troop Command. The San Antonio Military Health System (SAMHS) includes the Air Force 59th Medical Wing. The Wing commands Wilford Hall Ambulatory Surgical Center (WHASC), the DoD’s largest outpatient ambulatory surgery center; 19 primary care clinics; and over 100 specialty services. The North Central Federal Clinic, Randolph Clinic and Reid Clinic comprise the Wing’s outpatient care facilities.
The SAMMC Infectious Disease Service has integrated the Human Immunodeficiency Virus (HIV) Natural History study into the HIV Medical Evaluation Unit for over 25 years. The IDCRP’s growing research network for studying Sexually Transmitted Infections (STI) and Acute Respiratory Infections (ARI) is ongoing at SAMMC, Fort Sam Houston Family Medicine Service Clinic and the McWethy Troop Medical Clinic. The proximity of SAMMC and the ISR provides the key link for collaboration on the Trauma Infectious Disease Outcomes Study (TIDOS). This work has generated multiple laboratory studies in collaboration with the Department of Clinical Investigation. The site features a newly renovated clinic, research laboratories and specimen repository.
The Walter Reed National Military Medical Center (WRNMMC) is a key clinical site for the IDCRP. The Infectious Disease Service Chief, CAPT Timothy Burgess, is actively involved in IDCRP activities domestically and internationally. Dr. Anuradha Ganesan is the IDCRP Research Principal Investigator. Dr. Ganesan is interested in translational research which includes the study of novel therapeutics designed to modulate the chronic immune activation observed in HIV-infected persons and the use of molecular-based diagnostic methods to identify infectious diseases.
There are a total of 16 WRNMMC IDCRP staff members who work collaboratively with active duty personnel to support protocols across IDCRP’s research agenda including trauma related infections, HIV, sexually transmitted infections, and acute respiratory infections.
The skills, talents, and education of the WRNMMC staff are diverse and wide ranging. The WRNMMC team encompasses Research Assistants, Administrative Support Personnel, Clinical Research Coordinators (CRCs), and Registered Nurse (RN) CRCs.
The Naval Medical Center San Diego (NMCSD) is a major military medical treatment facility that provides care to Department of Defense (DoD) beneficiaries and serves as a teaching hospital and research center. The NMCSD supports numerous military populations including the US Navy (USN), Special Forces Units, US Marine Corps (USMC) recruits, USN/USMC flight population, and Pacific Fleet, incorporating US Navy ships and submarines.
IDCRP research is conducted in the Infectious Disease/Travel Clinic at the NMCSD. Study participants are also recruited from local San Diego Branch Medical Clinics and other departments within the NMCSD including the Military Health Center, the Pediatrics Department, and the Emergency Department.
The NMCSD Research group supports multiple studies in several IDCRP research areas including HIV, STI, acute respiratory diseases, and deployment related infections.
The IDCRP group is led by Fellowship Program Director CAPT Mary Bavaro. The research team is comprised of 10 IDCRP staff members, including Research Physician, Robert Deiss, and Site Manager, Alona Diem.
The Landstuhl Regional Medical Center (LRMC) in Germany is the largest American hospital outside of the United States, and the only American tertiary hospital in Europe. LRMC is also the evacuation and treatment center for injured US service members, as well as members of 56 coalition forces serving in Central Command, European Command, and Africa Command.
In its unique role as the sole Level 4 facility in Europe, LRMC has provided care to more than 72,000 wounded warriors since 2001. The Trauma Infectious Disease Outcome Study (TIDOS) completed active enrollment in November 2014 as Operation Enduring Freedom concluded. In February 2015, LRMC began enrollment for the Deployment and Travel-Related Infectious Disease Risk Assessment, Outcomes, and Prevention Strategies among Department of Defense Beneficiaries (TravMil) Study.
LTC Kristen Bauer and Maj Elizabeth Rini serve as the investigators at LRMC and work alongside IDCRP personnel on-site research coordinators Paulette Cooke, RN; Carmen Lopez, RN; and Amber Lane.
The Madigan Army Medical Center (MAMC), in Fort Lewis, Washington, joined the IDCRP network in 2010, in the wake of the H1N1 influenza pandemic. Located on Joint Base Lewis-McChord, MAMC comprises a network of Army medical facilities located in Washington and California that serves more than 120,000 active duty service members, their families, and retirees. From its opening in 1944, as a temporary hospital for the war wounded, Madigan has grown into a tertiary care medical center providing a wide array of medical services such as general medical and surgical care, patient-centered adult and pediatric primary care, 24-hour emergency room care, specialty clinic care, and behavioral health and wellness services. As the US Army’s second largest medical treatment facility, Madigan is one of only three designated Level II trauma centers in Army Medicine and one of four in the state of Washington. Madigan maintains approximately 240 beds for inpatient care and can expand to accommodate more than 300 inpatients. Outpatients account for nearly one million visits annually.
IDCRP research physician, Dr. Mary Fairchok is part of clinical staff at MAMC and is Principal Investigator for Flu Pro III, Severity Symptom Grading Scale for Influenza Infection. Dr. Fairchok has been at MAMC since 1994, as an active duty Army physician until her retirement in 2007. She joined the IDCRP in 2010. She is Board Certified in General Pediatrics and in Pediatric Infectious Disease; her research interests include respiratory viruses, immunizations and staphylococcal disease. She is joined by on-site military and civilian investigative physicians specializing in infectious disease and preventative medicine who are site Lead Investigators on Acute Respiratory Infection Consortium (ARIC), Plasma Treatment, gonococcal multidrug resistance, and Travel Deployment Research (TravMil), and HIV Natural History Study (RV168). IDCRP research at MAMC also aids to support resident education and support of new research at the site, as well as contributes to dissemination of research findings through presentation and manuscript publications. The site is supported by clinical research coordinator team to include site manager, Susan Chambers, RN, CCRC, Cynthia Baker RN CCRC, Shari Aynes RN, CCRC and Debra Angell, CCRP.
The Naval Medical Center Portsmouth (NMCP), Virginia, is the oldest continuously running hospital in the Navy medical system. The NMCP has been actively participating and enrolling subjects in IDCRP protocols since 1998. In July, 2014, LCDR Kristina St. Clair took over leadership of the site. LCDR St. Clair’s research interests include tropical medicine and skin and soft tissue infections. She currently serves as the Site Principal Investigator for the upcoming Submarine Methicillin-resistant Staphylococcus aureus (MRSA) Study. Rounding out the IDCRP leadership at NMCP are Research Physician, Dr. Tahaniyat Lalani and Site Manager, Rezalina Tant. Dr. Lalani joined the IDCRP in 2008, after completing her residency and fellowship at Duke University Medical Center in Durham, North Carolina. Dr. Lalani is part of the clinical staff at NMCP and serves as the Principal Investigator for the Deployment and Travel Related Infectious Disease Risk Assessment, Outcomes, and Prevention Strategies among Department of Defense Beneficiaries (TravMil) Study. Dr. Lalani’s research interests include travel related infectious diseases, bacteremia and endocarditis. Rezalina Tant joined the IDCRP in 2007. She manages a team comprising CRCs, a Laboratory Research Assistant, and Administrative Support staff.
As the lead site for the TravMil Study, the NMCP team presented research results this past year at the American Society of Tropical Medicine and Hygiene Conference, C.A.R.E. Summit, and Infectious Diseases Society of America, as well as publish a manuscript in the Journal of Travel Medicine. The site is currently increasing enrollment among deployed active duty personnel and incorporating clinical trials and effectiveness studies in the TravMil portfolio. The NMCP continues to enroll patients across IDCRP protocols including the ARIC Natural History Study, the Severity Symptom Grading Scale for Influenza Infection (FluPRO) Study, estimating gonococcal multi-drug resistance and risk factors, and the HIV Natural History Study.
Martin Army Community Hospital (BMACH), serving the combat forces at Fort Benning, Georgia, joined the IDCRP network in 2010. It is led by Site Principal Investigator MAJ Brian Lanier. Natasha Law serves as the Clinical Site Manager/Lead CRC. The research team consists of Arile Hadley, Keisha Kirby, Demond Lyles, Oswald McCrory, and Sidney Dowlen. Fort Benning has served as the location for a large scale clinical trial assessing hygiene-based prevention measures for skin and soft tissue infections in military trainees. With the assistance of the Military Infectious Diseases Research Program and USU, other research activities include the study of the epidemiology, immunology, and microbial ecology of skin and soft tissue infections. The site launched the ARIC Natural History among military trainees in February 2015. BMACH provides an excellent platform for further deployment related research efforts.
Womack Army Medical Center - Ft. Bragg proudly serves over 170,000 beneficiaries, the largest regional population in the Army. It provides care to the 82nd Airborne Division, the 18th Airborne Core, Pope Air Field, as well as Special Forces and command elements. Currently, it serves as a key site for surveillance of sexually transmitted infections (STI), communicable disease, and environmental injuries.
Evans Army Community Hospital - Ft. Carson serves a large troop population at Fort Carson, home of the 4th Infantry Division and Special Forces. IDCRP research efforts at this facility currently include sexually transmitted infections surveillance.
Tripler Army Medical Center (TAMC) is the only federal tertiary care hospital in the Pacific Basin. It supports 264,000 local active duty and retired military personnel, their families, and veteran beneficiaries. In addition, the referral population includes 171,000 military personnel, family members, veteran beneficiaries, residents of nine U.S. affiliated jurisdictions (American Samoa, Guam, and former Trust Territories), and forward-deployed forces in more than 40 countries throughout the Pacific.
TAMC has been involved in the HIV Natural History Study since the late 1990’s. The IDCRP Research is supported by Natural History Study Site PI, COL Tomas Ferguson and ID physician LTC Viseth Ngauy. TAMC welcomed a new Clinical Research Coordinator, Mendy Dunn, RN, CCRC to the team this year. She continues to conduct on-site recruiting, enrollment and participant follow-up visits for the Natural History Study in the Medical Specialties clinic at TAMC. In the coming year, the site will expand its research portfolio to include an STI study conducting three anatomic site testing.
Because of its location “at the tip of the spear” in the Pacific region, the TAMC site holds significant potential for conducting other types of deployment-related research including studies of respiratory disease, travel-related illness, and sexually transmitted infections.
The treatment facility at Camp Lemonnier serves as the hub for IDCRP deployment and travel related infections research with deployed service members. The camp, administered by the US Navy, is located in Djibouti and is the only fixed US medical treatment facility in Africa.
IDCRP partners with the UK Role 3 Joint Task Force Hospital, Camp Bastion, Afghanistan and the British Training Unit in Nanyuki, Kenya to conduct research in the deployment and travel related infections research area.
IDCRP is collaborating with the Soto Cano Air Base, Honduras to conduct research in the deployment and travel related infections research area.