1. USPACOM S&T Conference March 2013

2. Health Surveillance (c) Copyright 2006-2010 - PDC Public health surveillance is the continuous, systematic collection, analysis and interpretation of health-related data needed for the planning, implementation, and evaluation of public health practice.  Such surveillance can: serve as an early warning system for impending public health emergencies; document the impact of an intervention, or track progress towards specified goals; and monitor and clarify the epidemiology of health problems, to allow priorities to be set and to inform public health policy and strategies. (World Health Organization)

3. Biosurveillance “..the process of active data-gathering with appropriate analysis and interpretation of biosphere data that might relate to disease activity and threats to human or animal health — whether infectious, toxic, metabolic, or otherwise, and regardless of intentional or natural origin — in order to achieve early warning of health threats, early detection of health events, and overall situational awareness of disease activity” (Homeland Security Presidential Directive 21 (HSPD-21), 2007) (c) Copyright 2006-2010 - PDC

4. Natural Disaster Classification (CRED) http://www.cred.be/http://www.emdat.be/

5. HADR Regional Awareness Objectives  Maintain Regional Hazard/Disaster Situational Awareness  Develop/Maintain Operationally Relevant Risk Awareness of Key Regions  Establish Information Sharing Networks “Intra-DoD” Civil-Military International-Regional  Integrate Emerging Information Collection & Sharing Technologies (c) Copyright 2006-2010 - PDC

6. Early Warning and Decision Support Applications: DisasterAWARE  Integrated Multi-hazard Hazard Monitoring  Disaster Early Warning  Automated / Integrated Modeling  Exposure (Risk) Maps & Historical Hazard data  Customized Impact Modeling AND  Intra-Agency Info Sharing User Added Situation Reports Damage Products, …  Remote Access (c) Copyright 2006-2010 - PDC EQ Volcano Hot Spots Rain Tsunami Travel Time Storm, EQ, Volcano Intensity Zones Shake Maps (MMI) Info Sharing iPhone App Situation Reports May 10, 2010

7. (c) Copyright 2006-2010 - PDC Disaster Situational Awareness

8. (c) Copyright 2006-2010 - PDC GDP per capita Average Growth of GDP Economic Strength Political Stability Control of Corruption Voice and Accountability Rule of Law Government Effectiveness Government Strength Telephone Mainlines and Cell Subscribers Road Density Runway Density Infrastructure = RISK Hazard Capacity Vulnerability +- Risk and Vulnerability Assessments Components of Disaster Risk Reduction Travel Cost to ART Clinics:

9. Risk and Historical Hazards

10. Operational Problem o Deliberate/contingency operations require understanding/awareness of risk factors effecting mission planning and operational success o Phase 0-5 knowledge products are required for situational awareness, assessment and decision support Technical Challenge o Disparate data sources- none that tie together human, animal, vector surveillance o Data not represented geospatially o Need for information service identified Biosurveillance Challenge (COCOM)

11. BioServ  The Challenge… Large number of disparate health/epidemiological data sources, but not represented geospatially nor in a common environment to easily build situational awareness by fusing human, animal and vector surveillance with other key data

12. BioServ  The Proposed solution… Develop and apply manual and automated processes to extract selected health/ epidemiological data Publish and incorporate the biosurveillance information services (“BioServ”) into an existing geospatial visualization and decision support application (PDC’s DisasterAWARE) Maintain BioServ data and layers to provide up-to- date health surveillance data. (c) Copyright 2006-2010 - PDC

13. Regional Health Surveillance (c) Copyright 2006-2010 - PDC

14. Guam Memorial Hospital Authority – Emergency Department Total Influenza or Flu-Syndrome Cases

15. BioServ  A collaborative approach… Partnership ○ Pacific Disaster Center ○ US Naval Medical Research Unit-2 (NAMRU-2) ○ US Army Public Health Command (USAPHC) ○ Navy Medical Research Center, Advanced Medical Development (NMRC AMD) (c) Copyright 2006-2010 - PDC

16. The Future …  Emerging Use of Social Media/Networking to Provide Timely Health Information in “Austere” Environments ONR Social Networking Initiatives Increased Use of “Ubiquitous” data collection resources  Increase Information Sharing & Collaboration Through Adoption of Open Standards & Interoperability Mil-Civ Trusted Environment ---Increasing “Social Capital” Open Standards/Interoperability -- ROGUE JCTD Increasing Engagement of Health “Communities of Practice” Growth of New Regional Data/Information Networks  Adoption of “System Agnostic” Knowledge Data/Information Resources

17. (c) Copyright 2006-2009 - PDC Fostering Disaster-Resilient Communities For More Information: http://WWW.PDC.ORG Follow us on: DisasterAWARE Contact Us At: Info@PDC.Org