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Military Doctors Conduct Infectious Diseases Training in Panama

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A team of U.S. military doctors, public health specialists and members of other career fields participated in infectious diseases training here, June 4-8.

The training took place during Exercise New Horizons 2018, which is a joint training exercise where U.S. military members conduct training in civil engineer, medical and support services while benefiting the local community. The training consisted of briefings, lectures and a day of field study.

Publio Gonzalez, a biologist with the Gorgas Institute, holds a bat in Meteti, Panama, June 6, 2018. Gonzalez and U.S. military doctors were participating in an Emerging Infectious Diseases Training Event, in which they received informational lectures from Panamanian infectious disease experts and field studies of possible virus-carrying wildlife and insects. The event took place during Exercise New Horizons 2018, which is a joint training exercise where U.S. military members conduct training in civil engineer, medical, and support services while benefiting the local community. (U.S. Air Force photo by Senior Airman Dustin Mullen)
Publio Gonzalez, a biologist with the Gorgas Institute, holds a bat in Meteti, Panama, June 6, 2018. Gonzalez and U.S. military doctors were participating in infectious diseases training, in which they received informational lectures from Panamanian infectious disease experts and field studies of possible virus-carrying wildlife and insects. The event took place during Exercise New Horizons 2018, which is a joint training exercise where U.S. military members conduct training in civil engineer, medical and support services while benefiting the local community. Air Force photo by Senior Airman Dustin Mullen
Publio Gonzalez, a biologist with the Gorgas Institute, holds a bat in Meteti, Panama, June 6, 2018. Gonzalez and U.S. military doctors were participating in an Emerging Infectious Diseases Training Event, in which they received informational lectures from Panamanian infectious disease experts and field studies of possible virus-carrying wildlife and insects. The event took place during Exercise New Horizons 2018, which is a joint training exercise where U.S. military members conduct training in civil engineer, medical, and support services while benefiting the local community. (U.S. Air Force photo by Senior Airman Dustin Mullen)
New Horizons 2018
Publio Gonzalez, a biologist with the Gorgas Institute, holds a bat in Meteti, Panama, June 6, 2018. Gonzalez and U.S. military doctors were participating in infectious diseases training, in which they received informational lectures from Panamanian infectious disease experts and field studies of possible virus-carrying wildlife and insects. The event took place during Exercise New Horizons 2018, which is a joint training exercise where U.S. military members conduct training in civil engineer, medical and support services while benefiting the local community. Air Force photo by Senior Airman Dustin Mullen
Photo By: Senior Airman Dustin Mullen
VIRIN: 180607-F-OE991-1375

In collaboration with the Gorgas Institute, University of Panama and the Panamanian Ministry of Health, the team studied various diseases, the vectors that carry them and the ways Panama is combating the diseases.

“Infectious diseases are a huge issue for U.S. Southern Command when it thinks about force health protection in this region,” said Air Force Lt. Col. Brian Neese, 346th Expeditionary Medical Operations Squadron commander. “We wanted to look at infectious diseases from the many different disciplines that come into it. Clinical medicine, preventative medicine, public health, laboratory specialties, expeditionary capabilities with aerospace medicine and collaboration with Global Health Specialists from the Navy. We brought all that together in this event.”

Lectures From Disease Experts

Throughout the week, the U.S. military doctors participated in lectures from Panamanian infectious disease experts and field studies of possible virus-carrying wildlife and insects.

Such training opportunities enable military doctors to expand their cross-cultural and global health knowledge.

“I have been really struck by the strategic importance of Panama in the United States’ biosecurity,” said Air Force Lt. Col. (Dr.) Heather Yun, 346 EMDOS infectious disease physician. “There are a lot of biological threats here in Central America or that try to come here from South America through human migration.”

Due to the geographic location of Panama, the importance the country places on controlling diseases greatly benefits the Unites States, as well as other Central American countries.

“Panamanian efforts to halt infectious disease transmission functions as a barrier for transmission of viruses such as yellow fever,” Yun said, noting Panama’s disease control methods. “If we didn’t have that kind of surveillance here, then the U.S. would be at increased risk of encroachment from a lot of vector-borne diseases.”

Air Force Lt. Col. Kelly Gambino-Shirley, 346th Expeditionary Medical Operations Squadron public health officer who is deployed from Wright-Patterson Air Force Base, Ohio, checks the vital signs of a monkey in Meteti, Panama.
Air Force Lt. Col. Kelly Gambino-Shirley, 346th Expeditionary Medical Operations Squadron public health officer who is deployed from Wright-Patterson Air Force Base, Ohio, checks the vital signs of a monkey in Meteti, Panama, June 7, 2018. Air Force photo by Senior Airman Dustin Mullen
Air Force Lt. Col. Kelly Gambino-Shirley, 346th Expeditionary Medical Operations Squadron public health officer who is deployed from Wright-Patterson Air Force Base, Ohio, checks the vital signs of a monkey in Meteti, Panama.
Public Health Officer
Air Force Lt. Col. Kelly Gambino-Shirley, 346th Expeditionary Medical Operations Squadron public health officer who is deployed from Wright-Patterson Air Force Base, Ohio, checks the vital signs of a monkey in Meteti, Panama, June 7, 2018. Air Force photo by Senior Airman Dustin Mullen
Photo By: Senior Airman Dustin Mullen
VIRIN: 180607-F-OE991-1257

The agency leading the disease research efforts is the Gorgas Institute. Founded in 1929, this world-renowned organization’s mission is to promote public health and contribute to research and teaching for the benefit of the population.

“The first thing that strikes me about Panamanians is that they are extremely organized, particularly the Gorgas Institute, which is a jewel,” said Air Force Lt. Col Mark Breidenbaugh, 346 EMDOS entomologist. “They have quality people and are funded at a level where they can do the work they need to do. They are doing cutting-edge molecular biology so they can recognize genetic material in their samples and therefore recognize exactly what kind of virus they are working with.”

Working With Panamanian Doctors

Getting the opportunity to work with Panamanian doctors can better equip U.S. doctors to recognize and react to various tropical diseases.

“Anytime you go overseas to a different culture, different language and a different way of doing things, it only increases readiness,” Yun said. “Because of the assets they have here, there is a lot of direct translatability between what we do in the U.S. We are always looking for ways to collaborate on research projects.”

Beyond just tropical diseases, creating bonds between the different specialties and organizations can aid in future research.

“I am thankful to come down here and do this because I believe in the global health interactions we are doing,” Breidenbaugh said. “In one sense, we are all diplomats. We are representing our country on an individual basis. I have already had requests from Panamanians to put them in touch with certain researchers I know.”

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