Three nurses and a physician’s assistant have resigned from an Oklahoma Department of Veterans Affairs facility after maggots were discovered in a veteran’s wound.
The center in Talihina, Oklahoma, has reportedly had staffing issues.
According to a report by the Tulsa World, the veteran, Owen Reese Peterson, 73, who served during the Vietnam War, arrived at the center with an infection prior to his Oct. 3 death.
Oklahoma Secretary of Veterans Affairs Myles Deering, a retired major general in the Oklahoma National Guard, claimed that Peterson “did not succumb as a result of the parasites” but instead died from sepsis.
According to WebMD.com, sepsis is a “serious medical condition” that is triggered when chemicals released to fight an infection in the body instead cause inflammation. It can lead to organ failure and death. As many as half of those with severe cases of sepsis end up dead.
“During the 21 days I was there, … I pleaded with the medical staff, the senior medical staff, to increase his meds so his bandages could be changed,” Raymie Parker, Peterson’s son, told the Tulsa World. Parker claimed that his requests were “met with a stonewall” by senior medical personnel and administrators.
“The Oklahoma Department of Veterans Affairs is required to maintain certain staffing levels and currently is unable to meet them,” Oklahoma State Sen. Frank Simpson, Senate Committee on Military and Veterans Affairs chairman, said. “At Talihina, they had to reduce the population of veterans there due to the inability to staff the facility.”
The four personnel resigned prior to the commencement of termination proceedings. In 2012, the Oklahoma Department of Veterans Affairs was rocked when two veterans — 86-year-old Louis Arterberry and 85-year-old Jay Minter — died in the Claremore Veterans Center. Minter died after he was scalded in a whirlpool, and Arterberry died of a stroke.
A physician’s assistant was indicted on two counts of second-degree murder and two counts of caretaker neglect. He ultimately served a 90-day jail sentence.
Mike Griffin, the undersecretary of defense for research and engineering, made some worrying admissions about China’s growing military capabilities, and the US’ decline in technological advances.
“Our adversaries have taken advantage of what I have referred to as a holiday for the United States,” Griffin said April 18, 2018, referring to the West’s victory over its communist rivals in the Cold War. The Pentagon official was speaking at a hearing for the Senate Armed Services Subcommittee on Emerging Threats and Capabilities.
“China has understood fully how to be a superpower,” Griffin said. “We gave them the playbook and they are executing.”
One problem discussed was anti-access/area denial through the use of hypersonic weapons— missiles or glide vehicles that fly at mach 5 or above, making them so fast that they can bypass almost all current missile defense systems.
“China has fielded or can field … hypersonic delivery systems for conventional prompt strike than can reach out thousands of kilometers from the Chinese shore, and hold our carrier battle groups or our forward deployed forces … at risk,” he said.
He also added that the US does not have a weapon that can similarly threaten the Chinese, and that the US has no defenses against China’s hypersonic missiles.
(U.S. Air Force graphic)
“We, today, do not have systems which can hold them at risk in a corresponding manner, and we don’t have defenses against those systems,” Griffin said, adding that “should they choose to deploy them we would be, today, at a disadvantage.
The statements echo similar warnings that Griffin told the House Armed Services Committee a day before. In that hearing, Griffin said that hypersonic weapons were “the most significant advance” made by the US’ adversaries.
“We will, with today’s defensive systems, not see these things coming,” he said April 17, 2018.
China has already made huge gains over the US when it comes to hypersonic glide vehicles. Russian President Vladimir Putin has also said that Russia successfully tested an “invincible” hypersonic cruise missile.
Months after Putin’s announcement, the US Air Force awarded Lockheed Martin with a $1 billion contract to create what is calls “hypersonic conventional strike weapon.”
Boeing made a hypersonic vehicle similar to a cruise missile called the X-51 Waverider which first flew in 2010. The device flew mach 5.1 for 6 minutes during one test.
This article originally appeared on Business Insider. Follow @BusinessInsider on Twitter.
Russia has offered to keep pro-Iranian forces in Syria about 100 kilometers from the border with Israel as part of an agreement with the United States and Israel to help guarantee Israel’s security, media are reporting.
A Russian delegation headed by Foreign Minister Sergei Lavrov made the suggestion while meeting with Israeli Prime Minister Benjamin Netanyahu on July 23, 2018, Israeli television and western media reported, citing Israeli officials.
As he has in the past, Netanyahu demanded during the meeting that all Iranian fighters and their allies be removed from Syrian soil in the long term, media said. He also insisted that Iran should remove all long-range missiles and its air-defense system from the country, media said.
But Israeli media did not characterize Netanyahu’s response as a rejection of the Russian plan to keep Iranian military advisers and pro-Iranian fighters, including Lebanon’s Hizballah militia, at a substantial distance from Israel as Syrian troops reassert control in the border region.
Israeli Prime Minister Benjamin Netanyahu
However, Reuters cited an Israeli official as saying that, while Russia was “committed” to its offer, Netanyahu rejected it and told Lavrov: “We will not allow the Iranians to establish themselves even 100 kilometers from the border” because Iran has long-range missiles that can reach Israel from Syria.
Reuters said Israel previously rejected a Russian proposal to keep Iranian forces about 80 kilometers from the frontier.
Russian officials did not immediately comment on Netanyahu’s meeting with Lavrov and the chief of the general staff of the Russian armed forces, General Valery Gerasimov.
Before the meeting, Netanyahu thanked Russian President Vladimir Putin and U.S. President Donald Trump for their agreement at their summit in Helsinki in July 2018 to work together to safeguard the security of Israel.
“I appreciated the words that were spoken by President Putin together with President Trump regarding the security of Israel during the recent summit,” Netanyahu said.
But with regard to Iran, an avowed enemy of the Jewish state, Netanyahu said: “Israel will continue to act against any attempt by Iran and its proxies to entrench militarily in Syria.”
Netanyahu said the Russia delegation came to Israel on short notice at Putin’s request to discuss the situation in Syria, where the Syrian Army has been rapidly reasserting control over rebel-held areas of the southwest near Israel’s border under surrender agreements brokered by Russia.
Russian President Vladimir Putin and United States President Donald Trump
As a condition of accepting the return of the Syrian Army to the border region, Netanyahu said Israel was demanding strict adherence to a 1974 disengagement deal that created a buffer zone patrolled by UN forces between Syria and Israel.
Syria and Israel fought two wars over their shared border, in 1967 and 1973, leading to Israel’s seizure of the Golan Heights in what was Syria’s Quneitra province. The Israeli occupation has never been recognized internationally.
While Israel and the United States have been pressuring Russia to limit Iranian influence in Syria, Moscow contends that it has little influence on the tight relationship between Syria and Iran, and it would be unrealistic to expect Iran to fully withdraw from the country.
Russia and Iran have backed Syrian President Bashar al-Assad’s government throughout the war, which started with a crackdown on protests in 2011 and is estimated to have killed more than 400,000 people and displaced 11 million others.
Russia stepped up its military support in 2015, starting a campaign of air strikes and boosting its presence on the ground in a move that helped turn the tide of the conflict in Assad’s favor.
Iranian leaders have dismissed U.S. and Israeli calls to leave country, saying that will happen only when Assad asks Iran to go.
US leaders are now asking Pakistan to increase its counterterrorism activity and further collaborate with the Dept. of Defense when it comes to attacking Jihadists in their country and advance prospects for increased peace and stability in Afghanistan.
Secretary of State Michael Pompeo and US Chairman of the Joint Chiefs of Staff Gen. Joseph Dunford recently met with Pakistani Chief of Army Staff Gen. Qamar Bajwa in Islamabad to discuss heightened cooperation between their two countries.
“Secretary Pompeo emphasized the important role Pakistan could play in bringing about a negotiated peace in Afghanistan, and conveyed the need for Pakistan to take sustained and decisive measures against terrorists and militants threatening regional peace,” State Dept. Spokeswoman Heather Nauert said in a written statement.
The meeting takes place within a broader context of ambiguity characterizing US-Pakistani relations, a connection which encompasses both tensions and successful military-to-military counter-jihadist cooperation.
Within Pakistan, there appears to be two interwoven, yet distinct trajectories; US officials and Pakistani security experts say that the Pakistani military has had substantial success attacking jihadists within their borders. At the same time, many US officials continue to raise some measure of question regarding the level of Pakistani resolve when it comes to counter-jihadist initiatives. Further, some are also raising questions about the actual depth of Pakistan’s alliance with the United States, particularly given the country’s interest in addressing the India-Pakistan conflicts regarding the contested Kashmir region.
Pompeo and Dunford, being aware of President Trump’s stated concern that Pakistan might harbor jihadists, both cited increased military-to-military relationships as central to future progress in the region.
“On the surface, they say they want to cooperate…. So what we are looking for is the actions to back that up ,” Chairman of the Joint Chiefs of Staft Gen. Joe Dunford, according to a Pentagon report.
U.S. Secretary of State Michael R. Pompeo meets with Pakistan Foreign Minister Shah Mehmood Qureshi at the Foreign Ministry in Islamabad, Pakistan on Sept. 5, 2018.
Former Secretary of State spokesman Jamie Rubin is among those raising concerns about the actual extent of Pakistan’s allegiance to the US-backed counterterrorism operations. In particular, he has posed the question as to whether the newly arriving Pakistani administration, led by recently elected Prime Minister Imran Khan, will pursue pro-American policies.
Multiple counterterrorism and security experts familiar with operations in the region have said that part of the ambiguity or apparent contradictory sensibilities within Pakistan emerges, in large measure, from Pakistani entities operating separately from a military-led government infrastructure.
Rubin made the argument that instances wherein Pakistani entities appear to be sustaining some degree of alliance with Afghan and Pakistani jihadists are due to the country’s highly-prioritized anti-India stance.
Specifically, Pakistani jihadists are, according to many expert estimates, believed to be involved in various counter-Indian initiatives. Also, Rubin maintained that some portion of Pakistanis seek to maintain an ability to have safe harbor in Afghanistan in the event that their country is overrun by Indian forces.
Citing the currently incoming new Pakistani administration, Rubin raised the question as to whether there were enough “pro-Americans” within Pakistani government. He wondered whether there was instability and tension separating Pakistani military leadership and other political ambitions held by some in the country.
Pakistani security officials involved in maintaining counterterrorism support and security within the country say an overwhelming majority of Pakistanis, including government officials, are what he called “moderates.”
“The rhetoric in Pakistan is moderate and not one of an extremist Pakistan. That is in everyone’s interests,” said Ikram Sehgal, Chairman of an international security firm called the Pathfinder Group.
At the same time, Sehgal also cited the importance of Pakistan’s relationship with Iran and other regional neighbors, adding “our best stance is to be neutral and not take sides.”
Meanwhile, US military officials emphasize that the current Trump administration is deeply invested in improving US-Pakistani military and diplomatic cooperation with a particular dual-pronged approach of both seeking peace in Afghanistan and stepping up Pakistani military counterinsurgency attacks against jihadists.
U.S. Secretary of State Michael R. Pompeo arrives in Islamabad, Pakistan on Sept. 5, 2018.
Also, operating beneath the shadow of a widely-discussed war in Afghanistan, the Pakistani military has quietly been aggressively attacking jihadi terrorists, Taliban forces and other enemies in the mountainous tri-border region spanning Afghanistan, Iran and Pakistan, according to Sehgal.
Pakistani military missions, which have for quite some time been existing below the radar of greater international consciousness and focus, have by no means been uncomplicated. Many successes have been met with challenges and an ebb-and-flow often associated with complex counterinsurgency operations against a mix of enemy forces.
Nonetheless, despite the overwhelmingly circulated narrative that jihadist enemies continue to find safe-harbor in Pakistan, jihadi insurgent forces have consistently been attacked and removed from the area by the Pakistani military, Sehgal said.
Operating with weapons, intelligence assistance, and training support from the US military, Pakistani military activity has lowered the number of jihadi fighters in the country from more than 100,000 years ago to roughly 2,000 today.
Along with many Pakistani experts and observers of the tri-border region, Sehgal does acknowledge that the situation in Pakistan is not without some ambiguities and complexities. However, despite an at times fragmented approach and periodic hesitations, Pakistani forces have steadily made substantial progress over the course of the last decade, he claimed.
Pakistani military operations have included raids, door-to-door searches of tribal areas and large-force attacks on jihadi facilities such as underground bunkers and command and control facilities; the attacks have massively reduced the amount of enemy jihadi fighters in the region, Sehgal said.
Sehgal added that, not long ago, Pakistani military forces attacked and destroyed a jihadist facility in the tribal areas previously known to harbor large amounts of insurgents.
“Pakistanis have been carrying out ops on their side of the border. We have not had an easy time as successful as we’ve been. We successfully carried out military operations against jihadi military facilities,” he said. “We have not had a single failure when we attack them directly.”
Also, the Pakistanis are currently fencing the tri-border area to stop the flow of enemy fighters coming in from Afghanistan. Sehgal said the fence will be finished several months from now.
Featured image: Pakistani Chief of Army Staff Gen. Qamar Bajwa.
This article originally appeared on Warrior Maven. Follow @warriormaven1 on Twitter.
US F-22 Raptor stealth fighter jets just completed their first “combat surge” in operations over Syria, and in doing so it backed down almost 600 enemy aircraft in the crowded skies there that see Syria, Iranian, and Russian combat aircraft on a regular basis, the Pentagon said.
F-22s, which combine both stealth and top-of-the-line dogfighting abilities, functioned as both fighter jets and bombers while defending US forces and assisting offensive missions against heavily armed foes.
F-22 pilots from the 94th Fighter Wing completed 590 individual flights totaling 4,600 flight hours with 4,250 pounds of ordnance dropped in their deployment to the region in the “first-ever F-22 Raptor combat surge,” the Pentagon said.
The Pentagon said the F-22 “deterred” 587 enemy aircraft in the process, suggesting the jet commands some respect against older Russian-made models often in operation by Russian and Syrian forces. This surge saw F-22 operations maximized over a three-day period.
Unlike any other battle space today, US forces on the ground in Syria have come under threat from enemy airpower.
A U.S. Air Force F-22 Raptor fighter aircraft.
(U.S. Air Force photo by Staff Sgt. Christopher Hubenthal)
F-22s on this deployment escorted US Navy F/A-18s as part of their mission. In June 2017, Lt. Cmdr. Mike “MOB” Tremel, an Navy F/A-18E Super Hornet pilot scored the US’s first air-to-air kill in years after downing a Syrian Su-22 that threatened US forces in the country.
The stealth fighter pilots defended US forces against enemy bomber aircraft and also backed up US, UK, and French forces when they struck Syrian President Bashar Assad’s regime in the country’s west in response to chemical weapons attacks.
The F-22s flew “deep into Syrian territory, facing both enemy fighters and surface-to-air missile systems,” the Pentagon said.
The word “cancer” has a way of stopping patients in their tracks.
Early detection is key to beating breast cancer, catching it when it is treatable.
Navy Medicine is leading the way when it comes to early detection of breast cancer with the use of a sophisticated combination of 3D mammography and 3D biopsy system.
According to Naval Medical Center Camp Lejeune’s Chief of Radiology, CDR Matthew Rose, the 3D biopsy system, “is the first of its kind in the Navy.”
The new biopsy system is in use at NMCCL and provides the capability to biopsy lesions not seen on ultrasound or 2D imaging.
Lead mammography technologist Christine Davidson explained the biopsy system allows tissue sampling in a more patient-sensitive manner by utilizing a memory-foam table top.
“Having a 3D biopsy system allows us the capability to perform biopsies of lesions that were only seen on 3D in the least invasive way possible,” said Davidson. “Without this capability, a patient may have to go through a more invasive procedure to determine the pathology of the lesion.”
Utilization of both 2D and 3D imaging are crucial to “early detection of breast cancer, when it is treatable,” said Rose.
The use of these technologies is more than just beneficial in detecting cancer early.
“It (3D imaging) has the potential to reduce emotional harm by having few call backs for addition imaging,” said Rose. “Patients get very worried that the test is positive if we call them back for more images. The systems takes multiple images of the breast and formats them to be viewed as a stack of images.”
Naval Medical Center Camp Lejeune mammography technologists pose in one of the mammography imaging rooms at the medical center.
Both mammography units passed multiple American College of Radiology and Food and Drug Administration accreditations in September 2018 just in time for Breast Cancer Awareness month.
“The most important part of Breast cancer awareness month truly is the awareness part,” said NMCCL Executive Officer Capt. Shelley Perkins. “Every woman should talk to her doctor about the risk of breast cancer and have a discussion about how best to screen for cancer and the timing of imaging, such as mammograms. Mammograms saves lives with early detection.
The units are certified for the next three years according to ACR.
These accreditations are no surprise due to a major process improvement project the mammography unit underwent three years ago.
A massive process improvement project, which was recognized as one of the most successful in Navy Medicine East, created an effective system that streamlined scheduling for both screening and diagnostic mammography, Rose explained.
Still, many beneficiaries choose to be seen outside of NMCCL for their breast health needs.
Due to the nomadic lifestyle many of our beneficiaries have, maintaining a regular schedule of breast health screenings can be difficult outside of a military treatment facility.
“We maintain excellence and standard of care and the patient’s images can be easily sent to any DoD (Department of Defense) facility so their mammograms can follow them with every PCS (permanent change of station) or move to a DoD facility,” said Rose. “[Being seen at NMCCL] improves the ability to share prior exams with other DoD facilities, which can make a difference in earlier detection of breast cancer.”
In recognition of breast cancer awareness month, patients will have an opportunity to take advantage of the advanced breast imaging services at NMCCL, Oct. 15 through Oct. 19, 2018.
The event will allow patients, who are asymptomatic (have had no previous signs of breast cancer), to come into the mammography clinic and be screened without an appointment.
Walk-ins will be taken 0800 to 1100, and 1300 to 1500 on those days.
“NMCCL has state-of-the-art diagnostic equipment, a dedicated team of imagers who have years of experience and highly trained, board-certified radiologists who can find tiny changes in a mammogram, years before they would ever be felt on an exam,” said Perkins. “If you do have a breast concern or have a change in your exam, talk with your primary care provider. Women save their own lives every day by speaking up!”
Across southern Ukraine, US special operations forces trained with Ukrainian special operators and conventional US and Ukrainian naval forces during Sea Breeze 2017, July 10-21.
An annual fixture in the Black Sea region since 1997, Sea Breeze is a US and Ukrainian co-hosted multinational maritime exercise.
This year, Ukraine invited US special operations forces to participate, and US Special Operations Command Europe’s Naval Special Warfare Command operators were eager to sign up for the mission.
This is the first time that special operations forces have operated at Sea Breeze, said US Navy Capt. Michael Villegas, the exercise’s director. “[Their] capabilities are extremely valued by the Ukrainians and extremely valuable to the US.”
Naval Special Warfare Command operators were completely integrated into the various air, land, and sea missions that required their unique warfighting skill set. Exercise Sea Breeze is a perfect fit for special operations forces to train and exercise their capabilities, the exercise’s lead special operations forces planner said. “With the support of the [Air Force’s] 352nd Special Operations Wing, we saw a prime opportunity to support [special operations] mission-essential training with our Ukrainian allies,” he said.
He added that naval special warfare units bring a host of unique capabilities into the exercise scenario, such as rigid-hull inflatable boats; visit, board, search, and seizure expertise; and the strongest direct action capabilities available. However, Villegas noted, capability is only one piece of the puzzle when training alongside a partner nation with shared objectives to assure, deter, and defend in an increasingly complex environment.
“In the spirit of Sea Breeze, we come not to impose what we know or how we operate,” he said. “Here, we come to exchange ideas, train towards interoperability and learn to operate side by side should a conflict arise that would require that.”
Achieving interoperability with partner nations and interservice partners is a common objective at exercises like Sea Breeze. But here, the US special operations forces capitalized on it. “Interoperability is our ability to conduct combined planning, problem solving, and mission execution efficiently to achieve a mutually-defined end state,” Villegas said.
Achieving this end state, he added, hinged on US-Ukrainian integration at the tactical level within the special operations platoons, and at the special operations maritime task group level.
“We have combined with our Ukrainian colleagues to integrate their experience and capabilities within our key positions,” he said. “Starting in the command team and further within our operations, communications, logistics, and intelligence departments, we were fully partnered.”
Down at the platoon level, operators fast-roped from hovering US Air Force CV-22 Osprey aircraft assigned to US Special Operations Command Europe, conducted personnel recovery training and boarded vessels at sea.
“Whether it was on the range, in the field, or on the water, these men were a pleasure to work with,” said a US special operations forces platoon commander. “The Ukrainians’ attitudes made this exercise a great opportunity to exchange training and create a strong relationship.”
As with any exercise of this size and scope, there were challenges to overcome to make the exercise a success while identifying tactical and technical gaps in partner capabilities. “The first major obstacle we had, but were prepared for, was the language barrier,” the platoon commander said. “Another was that our mission sets differed slightly from our counterparts’.” To remedy this, he said, he found ways to incorporate the skill sets of each unit in ways to accomplish the mission while building relationships to forge a stronger partnership. As the operators returned from a long day, mutual trust emerged through combined hard work, long hours, and mutual respect for each unit’s professionalism.
“You always want to work with a partner force who is motivated, wants to train, and wants to get better, and the Ukrainian [special operations forces] are all of these,” the platoon commander said.
On the pier here, overlooking the Black Sea, Villegas expressed the Navy’s gratitude to Ukraine for inviting US special operations forces to participate in this year’s exercise.
“[Special operations] participation at Sea Breeze is so important for Ukraine and the US Navy and all the other units participating,” he said. “Our hosts have been incredibly friendly, committed, and dedicated. Their hard work has ensured Sea Breeze 17 was a success, and we are truly very thankful for that.”
One of “Murphy’s Laws of Combat” is that “The best tank killer is another tank. Therefore tanks are always fighting each other … and have no time to help the infantry.”
One of the reasons this rings true is because the rounds used by tanks to kill tanks are so darn effective.
The round that became known as the “Silver Bullet” from American tanks is the M829A1 for the M256 main gun on the M1A1/M1A2 Abrams main battle tanks used by the Army and Marine Corps (plus the Saudis, Egyptians, Moroccans, Australians, Kuwaitis, and Iraqis). This round uses a hardened dart dubbed a “sabot” to punch through an enemy tank.
And the M829A1 did a lot of that in Desert Storm.
The M829A1 is an armor-piercing fin-stabilized discarding sabot – APFSDS – round. The long-rod penetrator is usually no more than 1.25 inches wide and is held in a “shoe” that enables it to be fired in a gun whose bore is a little under five inches long. When the round is fired and exits the barrel, the shoe flies off, and the round is on its way.
The long-rod penetrator then flies downrange towards the target. Once it hits, the round just punches through the armor. The result is the enemy tank tends to blow up in what tankers call a “Jack in the box.”
How well does it work? Well, in Tom Clancy’s “Armored Cav,” the stories abound. One “silver bullet” killed two T-72s with one shot. Another, fired from an Abrams tank that was stuck in the mud, penetrated a sand berm before it blew up a T-72.
That was the M829A1. Since 1991, the United States has switched to the M829A2, which made improvements to the depleted uranium penetrator. Globalsecurity.org notes that the M829A2 round was late replaced by the M829A4, which has even further improvements to the penetrator and adds changes to the sabot.
Check out the video below to see what the sabot does so lethally well.
In case you guys didn’t catch it, the promotion list for October 1 is out. Chances are, whether you’re still in or not, you found out about it through everyone who did get picked up posting their promotion on Facebook – like I did.
There’s nothing wrong with that. My hats off to everyone who made it. Maybe I’m just salty because I got out of the Army five years ago and I’m seeing folks I served with get E-7. I mean, a lot has happened since the last time I got roaring drunk in Germany with them or did stupid sh*t together to pass the time in Afghanistan, but they still made it?
Just imagine where I could have been if I stayed in. My money is on alcoholic S6 NCOIC on his third divorce with a general hatred for everyone and everything. That seems about right.
In all seriousness, congratulations everyone who made the list – make Uncle Sam proud he gave you those stripes. Anyways, here are some memes.
(Meme via Weapons of Meme Destruction)
(Meme via The Salty Soldier
(Meme via Army as F*ck)
(Meme via Valhalla Wear)
(Meme via Call for Fire)
It’s funny because the regions are actually based off of actual locations and most soldiers never picked up on that.
Atropia is Azerbaijan, Limaria is Armenia, Gorgas is Georgia, Ariana is Iran, and Donovia is Russia… Just by the way.
(Editor’s Note – The following is an updated repost of a story on the USAF School of Aerospace Medicine Epidemiology Reference Laboratory at Wright Patterson Air Force Base in Dayton, Ohio, which was originally published on March 27, 2018. It contains new information on the lab’s mission during the COVID-19 pandemic.)
The United States Air Force School of Aerospace Medicine’s epidemiology laboratory is the Air Force’s sole clinical reference laboratory, and as such, is testing and processing samples of COVID-19 sent from military treatment facilities around the world.
The lab was authorized by the Defense Health Agency to test samples from Department of Defense beneficiaries for COVID-19 in early March, and received its test kit from the Centers of Disease Control and Prevention shortly after.
“The USAFSAM Epi Lab is currently working long hours, testing and processing samples of COVID-19 that are coming in from MTFs globally,” said Col. Theresa Goodman, USAFSAM commander. “If you ask anyone on this team how they’re doing, they’ll tell you they’re fine–that they’re just doing their jobs. But I couldn’t be more proud of them right now — their selfless and tireless dedication to this mission. COVID-19 testing is our primary mission right now and the members of the Epi Lab are my front line to this fight.”
USAFSAM’s epidemiology laboratory, nested in the Air Force Research Laboratory’s 711th Human Performance Wing, has a long history of testing and identifying various infectious respiratory diseases, including those that occur on a regular basis like influenza, and the ones similar to COVID-19 that become a public health issue, spreading globally. Because of this, the team works closely with the CDC and other agencies.
Col. Theresa Goodman
“We have been in operation for approximately 30 years, and therefore involved with many other infectious disease outbreaks, for example SARS,” said Col. Dana Dane, USAFSAM Public Health Department chair.
This laboratory is only authorized to test samples coming in from DoD beneficiaries, but those outside this demographic have the support of their state public health departments for testing purposes. USAFSAM is working closely with public health professionals across the DoD, as well as with the CDC as the situation evolves. Per CDC guidelines, reference laboratories are no longer required to submit samples to the CDC for further testing and final confirmation. If the tests do show as positive, the USAFSAM Epi Lab marks the sample “confirmed positive.”
USAFSAM’s laboratory is not participating in vaccine development. It also is not the type of laboratory where people go to get blood drawn, nasal swabs, etc., like a CompuNet or clinic at a doctor’s office or in a hospital. USAFSAM’s clinical reference lab is set up to receive these samples from military treatment facilities. They run the tests on those samples and log the data.
“We’re all sensitive to those around the world who are grieving losses due to this awful virus as well as to others who are just downright scared. Our hearts go out to you,” said Goodman. “But just know that our epidemiology laboratory here in USAFSAM is waiting at the door 24/7 for any and all samples that come in from our DoD family.
Goodman also stated that the team is lockstep with public health personnel around the world as well as with our partners at the CDC.
“We truly are all in this together,” she said. “Fighting this virus will take all of us doing our part–from those staying at home washing their hands a little more often and checking on neighbors to USAFSAM’s public health team testing samples and getting the data where it needs to go.”
THE DISEASE DETECTIVES (ORIGINAL POST – MARCH 27, 2018 )
After slowly using a blade to cut through thick tape, a technician in a protective gown and glasses opens the flaps of a cardboard box revealing a polystyrene container. As her gloved hands cautiously remove the lid, a wisp of vapor rolls slowly over the edge of the box, clinging to its surface as it descends onto the tabletop.
The technician gingerly reaches through the fog and removes a plastic bag filled with clear vials from the container. This process is repeated over a hundred times each morning as carts filled with boxes of clinical patient specimens arrive at the U.S. Air Force School of Aerospace Medicine’s Epidemiology Laboratory Service at the 711th Human Performance Wing at Wright Patterson Air Force Base, Ohio.
Created in 1990, the Epi Lab, as it is referred to at USAFSAM, focuses on clinical diagnostic, public health testing and force health screening, performing 5,000 to 8,000 tests six days a week (or about 2.1 million tests a year) for clinics and hospitals treating active duty service members, reservists and National Guard members and their dependents and beneficiaries.
The data collected from these tests not only enables the analysis of disease within the joint force, but is shared with civilian public health agencies contributing to the tracking of diseases, such as influenza and sexually transmitted diseases (STDs), as well as supporting disease prevention efforts, such as the formulation of vaccines.
While the lab receives most of its medical samples from Air Force bases around the world, it also tests specimens sent by Navy and Army hospitals and clinics, totaling more than 200 military medical facilities around the globe.
The Epi Lab’s workload is a result of its efficiency and economics, according to Elizabeth Macias, Ph.D., a clinical microbiologist, and director of the Epi Lab.
Elizabeth Macias, Ph.D., is a clinical microbiologist, and director of the Epidemiology Laboratory Service, also known as the Epi Lab, at the 711th Human Performance Wing’s United States Air Force School of Aerospace Medicine and Public Health at Wright Patterson AFB, Ohio. The lab, which receives between 5,000 and 8,000 samples, six days a week, for analysis, routinely reports results to Department of Defense hospitals and clinics around the world within 48 hours of a sample being shipped to the lab.
“A lot of the testing is very specialized, and in some cases can be very expensive. Many of our Air Force clinics and laboratories are small and don’t have the personnel to do that kind of thing or the funding to get all the specialized instruments that we have,” Macias said. “Our personnel are comprised of military, government civilians and contractor civilians, so we have the expertise and the personnel to handle the workload.”
Nearly 30 people work throughout the morning, removing samples packed in dry ice from their boxes, ensuring the patient information on the specimen tubes and paperwork match the orders on the computer system and then re-labeling them for the lab’s computer system before sending the samples to the appropriate testing departments.
“The laboratory consists of three branches; Customer Support, Immunodiagnostics and Microbiology. Immunodiagnostics and Microbiology perform testing, such as immune status and screening for STDs, like Human Immunodeficiency Virus (HIV), gonorrhea, syphilis and hepatitis and some other serology assays,” said Tech. Sgt. Maryann Caso, noncommissioned officer in charge of the immunodiagnostic section of the Epi Lab.
Just over a year ago, the Epi Lab adopted fourth-generation HIV testing, which enables the lab to detect an HIV infection two weeks sooner after a patient is exposed. This newer technology allows patients to receive treatment and counseling sooner.
There is a constant flow of samples requiring STD screening and immune status testing, as these are gathered as part of the in-processing screening for each new service member. The tests help screen for potentially infectious diseases as well as establish a baseline of antibody types and levels for each new recruit to precisely target which vaccines they need.
“For example, all the new recruits are tested for measles, mumps, and rubella. So if they have antibodies to those diseases then they’re not vaccinated again. This saves the Department of Defense because they don’t waste manpower and money to vaccinate somebody that is already protected against those diseases,” Macias said.
The lab has become more efficient and safer for laboratory technicians after the installation of an automated testing system last year.
Laboratory technicians unpack and log in blood serum, fecal, urine or respiratory samples which arrive from U.S. Air Force hospitals and clinics around the world, as well as some other Department of Defense facilities Jan. 30, 2018. The Epidemiology Laboratory Service, also known as the Epi Lab, at the 711th Human Performance Wing’s United States Air Force School of Aerospace Medicine and Public Health at Wright Patterson AFB, Ohio, receives 100-150 boxes a day, six days a week. The lab, which tests between 5,000 and 8,000 samples daily, is a Department of Defense reference laboratory offering clinical diagnostic, public health, and force health screening and testing.
“The samples come in now and are put on an automated line. It will actually uncap the sample, spin it down, aliquot it (divide the sample into smaller portions for multiple tests) and sort it to whatever section and analyzer it needs for a particular test,” Caso said.
“Before, our techs had to manually uncap the tubes, aliquot the samples and sort them. When you have thousands of samples that you have to uncap and then recap by hand, you get repetitive-motion injuries to the wrist – such as carpal tunnel. The whole idea is to have automated processes and to eliminate or mitigate pre-analytical errors, such as specimen contamination.”
Once tested, the results are automatically returned to the submitting hospital or clinic via computer, unless the system notifies a technician to intervene and manually certify the test result.
“Specimens are collected at hospitals and clinics around the world and sent to us,” Macias said. “We receive the boxes within 24 hours and most of the results are completed within 24 hours… So, generally, we get those results back to the submitting clinic within 48 hours from when they are shipped to us, so the docs can then treat their patients appropriately and with a good turnaround time.”
In addition to the immunology testing that is performed in the lab, the Microbiology branch performs testing on bacterial cultures, examines fecal samples for parasites that cause intestinal disease, and performs influenza testing.
The Air Force began an influenza surveillance program in 1976 to collect data about disease and its spread in response to an outbreak of what was called “Bootcamp Flu.” In the close quarters of basic training, the virus spread through many barracks, according to Donald Minnich, technical supervisor for the Virology and manual testing section at the Epi Lab.
Donald Minnich, technical supervisor for the manual testing section, oversees the influenza surveillance program at the Epidemiology Laboratory Service, also known as the Epi Lab, at the 711th Human Performance Wing’s United States Air Force School of Aerospace Medicine and Public Health at Wright Patterson AFB, Ohio.The lab identifies and sequences the genome of influenza samples received from U.S. Air Force hospitals and clinics around the world, as well as other Department of Defense facilities. The data collected on active flu strains contributes about 25 percent of the total data used by the Centers for Disease Control and Prevention to formulate its yearly influenza vaccine.
To combat illness, recruits needed to be regularly monitored, giving birth to Operation Gargle, in which recruits gargled with a solution and spit it back into a specimen cup which was then tested for influenza and other respiratory pathogens.
The Air Force program is now part of the Defense Health Agency’s Global, Laboratory-Based Respiratory Pathogen program which grows, sequences and collects data on influenza, parainfluenza, adenovirus and the Respiratory Syncytial Virus, or RSV.
The flu surveillance program at the Epi Lab has approximately 95 submitting laboratories scattered across the continental United States and the globe, from deployed areas to Europe, Japan and Guam.
In a typical flu season, the surveillance program receives between 5,000 and 6,000 specimens. This year, the Epi Lab has received 5,000 specimens in just the first few months of the flu season, according to Minnich.
Russia’s latest space launch failures have prompted authorities to take a closer look into the nation’s struggling space industry, the Kremlin said Dec. 28.
A Russian weather satellite and nearly 20 micro-satellites from other nations were lost following a failed launch from Russia’s new cosmodrome in the Far East on Nov. 28. And in another blow to the Russian space industry, communications with a Russian-built communications satellite for Angola, the African nation’s first space vehicle, were lost following its launch on Dec. 26.
Asked about the failures, President Vladimir Putin’s spokesman, Dmitry Peskov, said Dec. 28 that authorities warrant a thorough analysis of the situation in the space industry.
Amid the failures, Russian officials have engaged in a round of finger-pointing.
Deputy Prime Minister Dmitry Rogozin, who oversees Russia’s military industrial complex and space industries, said in a television interview that the Nov. 28 launch from the new Vostochny launch pad in Russia’s Far East failed because the rocket had been programmed to blastoff from the Russia-leased Baikonur launch pad in Kazakhstan instead of Vostochny. He accused the Russian space agency Roscosmos of “systemic management mistakes.”
Roscosmos fired back, dismissing Rogozin’s claim of the flawed programming. It did acknowledge some shortcomings that led to the launch failure and said a number of officials were reprimanded.
Rogozin quickly riposted on Facebook, charging that Roscosmos was “trying to prove that failures occur not because of mistakes in management but just due to some ‘circumstances.'”
The cause of the failure of the Angolan satellite hasn’t been determined yet. Communications with the satellite, which was built by the Russian RKK Energia company, a leading spacecraft manufacturer, were lost after it entered a designated orbit.
Russia has continued to rely on Soviet-designed booster rockets to launching commercial satellites, as well as crews and cargo to the International Space Station. A trio of astronauts from Russia, Japan and the United States arrived at the space outpost last week following their launch from Baikonur.
While Russian rockets have established a stellar reputation for their reliability, a string of failed launches in recent years has called into question Russia’s ability to maintain the same high standards for manufacturing space equipment.
Glitches found in Russia’s Proton and Soyuz rockets in 2016 were traced to manufacturing flaws at the plant in Voronezh. Roscosmos sent more than 70 rocket engines back to production lines to replace faulty components, a move that resulted in a yearlong break in Proton launches.
The suspension badly dented the nation’s niche in the global market for commercial satellite launches. Last year, Russia for the first time fell behind both the U.S. and China in the number of launches.
While Russia plans to continue to use Baikonur for most of its space launches, it has poured billions of dollars in to build the new Vostochny launch pad. A launch pad for Soyuz finally opened in 2016, but another one for the heavier Angara rockets is only set to be completed in late 2021 and its future remains unclear, drawing questions about the feasibility of the expensive project.
Work at Vostochny also has been dogged by scandals involving protests by unpaid workers and the arrests of construction officials accused of embezzlement.
NASA and the Department of Energy’s National Nuclear Security Administration have successfully demonstrated a new nuclear reactor power system that could enable long-duration crewed missions to the Moon, Mars and destinations beyond.
NASA announced the results of the demonstration, called the Kilopower Reactor Using Stirling Technology experiment, during a news conference May 2, 2018, at its Glenn Research Center in Cleveland. The Kilopower experimentwas conducted at the NNSA’s Nevada National Security Site from November 2017 through March 2018.
“Safe, efficient and plentiful energy will be the key to future robotic and human exploration,” said Jim Reuter, NASA’s acting associate administrator for the Space Technology Mission Directorate (STMD) in Washington. “I expect the Kilopower project to be an essential part of lunar and Mars power architectures as they evolve.”
Kilopower is a small, lightweight fission power system capable of providing up to 10 kilowatts of electrical power – enough to run several average households – continuously for at least 10 years. Four Kilopower units would provide enough power to establish an outpost.
(Los Alamos National Laboratory photo)
According to Marc Gibson, lead Kilopower engineer at Glenn, the pioneering power system is ideal for the Moon, where power generation from sunlight is difficult because lunar nights are equivalent to 14 days on Earth.
“Kilopower gives us the ability to do much higher power missions, and to explore the shadowed craters of the Moon,” said Gibson. “When we start sending astronauts for long stays on the Moon and to other planets, that’s going to require a new class of power that we’ve never needed before.”
The prototype power system uses a solid, cast uranium-235 reactor core, about the size of a paper towel roll. Passive sodium heat pipes transfer reactor heat to high-efficiency Stirling engines, which convert the heat to electricity.
According to David Poston, the chief reactor designer at NNSA’s Los Alamos National Laboratory, the purpose of the recent experiment in Nevada was two-fold: to demonstrate that the system can create electricity with fission power, and to show the system is stable and safe no matter what environment it encounters.
“We threw everything we could at this reactor, in terms of nominal and off-normal operating scenarios and KRUSTY passed with flying colors,” said Poston.
The Kilopower team conducted the experiment in four phases. The first two phases, conducted without power, confirmed that each component of the system behaved as expected. During the third phase, the team increased power to heat the core incrementally before moving on to the final phase. The experiment culminated with a 28-hour, full-power test that simulated a mission, including reactor startup, ramp to full power, steady operation and shutdown.
(Los Alamos National Laboratory photo)
Throughout the experiment, the team simulated power reduction, failed engines and failed heat pipes, showing that the system could continue to operate and successfully handle multiple failures.
“We put the system through its paces,” said Gibson. “We understand the reactor very well, and this test proved that the system works the way we designed it to work. No matter what environment we expose it to, the reactor performs very well.”
The Kilopower project is developing mission concepts and performing additional risk reduction activities to prepare for a possible future flight demonstration. The project will remain a part of the STMD’s Game Changing Development program with the goal of transitioning to the Technology Demonstration Mission program in Fiscal Year 2020.
Such a demonstration could pave the way for future Kilopower systems that power human outposts on the Moon and Mars, including missions that rely on In-situ Resource Utilization to produce local propellants and other materials.
The Kilopower project is led by Glenn, in partnership with NASA’s Marshall Space Flight Center in Huntsville, Alabama,and NNSA, including its Los Alamos National Laboratory, Nevada National Security Site and Y-12 National Security Complex.
For more information about the Kilopower project, including images and video, visit: