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Sanitätsakademie der BundeswehrSanitätsakademie der Bundeswehr
Mobile Elements for Outbreak Response
Challenges, Solutions and Lessons-learned
Abteilung FMedizinischer ABC-Schutz
Colonel Roman Wölfel, MD PhD DTMH
Bundeswehr Medical Academy
Bundeswehr Institute of Microbiology
Bacteriology & Toxinology
Virology &Intracellular Pathogens
Division for Med. Bio Recon &
Verification
Director
Quality Management
Central Diagnostic Unit
Central Scientific Services
Bact. Disease Research Groups I-III
Biological Toxins Group
Bact. Immunology Research Group
Viral Disease Research Groups I-III
Rickettsia Research Group
Electron Microscopy Group
Biosafety Lab Team
Technical R&D and Dx Systems Group
Forensic Molecular Genomics Group
Admin Support Team
Modular Mission Concept
Personal protective equipment
MedBio sampling
Vector I (rodents)
Vector II (ticks & insects)
Ultra-low-temperature transport
Rapidly deployable BioLab
Inflatable Biolab Tents
Autonomous power supply
• pathogen known/unknown
• available resources on-site
• need for sustainability
• transport resources
• available lead-time
Mission requirements
Mission Tailoring
B
• bio reconnaissance, expert advice• human & veterinary sampling / necropsy• forensic verification & documentation• IATA shipment (1-5 sets)• POC tests (HHTK)
24h
2/1/0//3
CLI EPI PH PAC VET PAT
OF-4 OF-3 OR-7
Med Bio ReconTeam
BioMed Recon TeamEquipment
Bio Med Recon Team - Med Bio Sampling Kit
Bio Med Recon Team - Expert Bio Sampling
Bio Med Recon Team - Mission Tactics
Bio Med Recon Team - Expert Bio Sampling
Bio Med Recon Team - SIBA Missions
12
Bio Med Recon Team - SIBA Missions
13
Average mission duration
90minutes
Bio Med Recon Team - Field Necropsy
14
Container Labs – Not rapidly deployable
Rapidly Deployable Lab Equipment
Rapidly Deployable BioLab
Air Transport
17
CCHF Diagnostik im Kosovo 2007 & 2008
CCHF Diagnostik im Kosovo 2007 & 2008
The European Mobile Lab - EMLab Transfer of military know-how
European Mobile Lab - Bases
Tansania
Nigeria
Europe
WHOGlobal Outbreak Alert &
Response Network
The European Mobile Lab - EMLabThe human factor
The European Mobile Lab - EMLabThe Training
The European Mobile Lab - EMLabThe Training
Ebola OutbreakGuinea – March 2014
26.03.14 27.03.14
28.03.14 28.03.14
20.03.14
18.03.14
23.03.14
The European Mobile Lab - EMLab Ebola Outbreak in Guinea
30th March 2014
Deployment & Relocating of Mobile Lab Units
4 Lab Units deployed5 Relocations
Deployment & Relocating of Mobile Lab Units
4 Lab Units deployed5 Relocations
Challenge: Food Supply
Challenge: Waiting for Samples
Challenge: Death of Patients
Challenge: Mission Debriefing
Challenge: Transportation & Traffic
Challenge: EMLab Teams
… ten 5-day trainings conducted since April 2014
40h EMLab Team Training Curriculum
Introduction in the mobile field-lab concept 1hTechnical instruction on handling of mobile lab equipment 2hGlovebox maintenance 1hSmartCycler maintenance and repair 1hPersonnel protective equipment 2hPower converter operation 1hLab waste management in the field 1hScenario-based lab team training 18hSample reception & documentation 1hDocumentation, statistics and reporting of data 2hqPCR results interpretation & troubleshooting 2hStorage of samples 1hPreparation of samples for IATA shipment 2hSatellite phone communication 1hTeam safety and biosecurity in the field 1hDisinfection regime 3h
EMLab Statistics since March 2014
• 38 lab teams deployed
• served 6 locations in LIB, GIN and SLE
• operational 12h / 7d
• turn-around time less than 6 hours
• down-time 0 days
• tested > 11.000 samples (3.300 positive for Ebola virus)
German Biosecurity Initiative Mali
German Biosecurity Initiative Mali
Training von EMLab Teams, eigener Kräfte & anderer Nationen
BEL MilitärlaborGuinea, Nzere Kore
Mobile Lab Trainings for Partner Institutions
17 Trainings 136 Participants20 Nations5 Days 28 Scenarios
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