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. 1999 Mar-Apr;5(2):241–246. doi: 10.3201/eid0502.990208

Air evacuation under high-level biosafety containment: the aeromedical isolation team.

G W Christopher 1, E M Eitzen Jr 1
PMCID: PMC2640682  PMID: 10221876

Abstract

Military contingency operations in tropical environments and potential use of biological weapons by adversaries may place troops at risk for potentially lethal contagious infections (e.g., viral hemorrhagic fevers, plague, and zoonotic poxvirus infections). Diagnosis and treatment of such infections would be expedited by evacuating a limited number of patients to a facility with containment laboratories. To safely evacuate such patients by military aircraft and minimize the risk for transmission to air crews, caregivers, and civilians, the U.S. Army Medical Research Institute of Infectious Diseases maintains an aeromedical isolation team. This rapid response team, which has worldwide airlift capability designed to evacuate and manage patients under high-level containment, also offers a portable containment laboratory, limited environmental decontamination, and specialized consultative expertise. This article also examines technical aspects of the team's equipment, training, capabilities, and deployments.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barry M., Russi M., Armstrong L., Geller D., Tesh R., Dembry L., Gonzalez J. P., Khan A. S., Peters C. J. Brief report: treatment of a laboratory-acquired Sabiá virus infection. N Engl J Med. 1995 Aug 3;333(5):294–296. doi: 10.1056/NEJM199508033330505. [DOI] [PubMed] [Google Scholar]
  2. Centers for Disease Control (CDC) Ebola virus infection in imported primates--Virginia, 1989. MMWR Morb Mortal Wkly Rep. 1989 Dec 8;38(48):831-2, 837-8. [PubMed] [Google Scholar]
  3. Centers for Disease Control (CDC) Update: filovirus infections among persons with occupational exposure to nonhuman primates. MMWR Morb Mortal Wkly Rep. 1990 Apr 27;39(16):266–273. [PubMed] [Google Scholar]
  4. Centers for Disease Control and Prevention (CDC) Update: management of patients with suspected viral hemorrhagic fever--United States. MMWR Morb Mortal Wkly Rep. 1995 Jun 30;44(25):475–479. [PubMed] [Google Scholar]
  5. Clayton A. J. Containment aircraft transit isolator. Aviat Space Environ Med. 1979 Oct;50(10):1067–1072. [PubMed] [Google Scholar]
  6. Fisher-Hoch S. P., Price M. E., Craven R. B., Price F. M., Forthall D. N., Sasso D. R., Scott S. M., McCormick J. B. Safe intensive-care management of a severe case of Lassa fever with simple barrier nursing techniques. Lancet. 1985 Nov 30;2(8466):1227–1229. doi: 10.1016/s0140-6736(85)90752-4. [DOI] [PubMed] [Google Scholar]
  7. Hutchinson J. G., Gray J., Flewett T. H., Emond R. T., Evans B., Trexler P. C. The safety of the Trexler isolator as judged by some physical and biological criteria: a report of experimental work at two centres. J Hyg (Lond) 1978 Oct;81(2):311–319. doi: 10.1017/s0022172400025158. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Johnson A., Jr Treatise on aeromedical evacuation: I. Administration and some medical considerations. Aviat Space Environ Med. 1977 Jun;48(6):546–549. [PubMed] [Google Scholar]
  9. Trexler P. C. An isolator system for the maintenance of aseptic environments. Lancet. 1973 Jan 13;1(7794):91–93. doi: 10.1016/s0140-6736(73)90481-9. [DOI] [PubMed] [Google Scholar]
  10. Wilson K. E., Driscoll D. M. Mobile high-containment isolation: a unique patient care modality. Am J Infect Control. 1987 Jun;15(3):120–124. doi: 10.1016/0196-6553(87)90165-9. [DOI] [PubMed] [Google Scholar]

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