Standard 072613

Vol. 30, No. 15 July 26, 2013

Find Garrison on Facebook, Twitter and Flickr!www.facebook.com/DetrickUSAGwww.twitter.com/DetrickUSAGwww.flickr.com/DetrickUSAG

Find MRMC on Facebook, Twitter and Flickr too!www.facebook.com/USAMRMCwww.twitter.com/USAMRMC

www.flickr.com/people/usamrmc

Social Media What’s Inside

Find a Career at theCareer Fair, page 3

Summer is Still in Session,page 6

On Guard AgainstBrain Injury, page 9

Military medical clinicians and scien-tists, including researchers from the U.S.Army Medical Research and Materiel Com-mand, will present their latest research re-sults during the 2013Military Health SystemResearch Symposium Aug. 12-15 at the Har-bor Beach Marriott in Fort Lauderdale, Fla.

MHSRS 2013’s theme will focus on re-search in support of the deployed medicalmission. The event will include presenta-tions from experts on a variety of topics,including:

- Traumatic Brain Injury diagnosis andtreatment

- Mental health care, including diagnosisand treatment of Post-Traumatic Stress Dis-order and suicide prevention

- Hemorrhage control- Advancements in treating traumatic

wounds, including rehabilitationandprosthetics- Infection control, including multi-drug

resistant infections- Emerging opportunities in Regenera-

tive Medicine“This is a collaborative environment

where some of the best minds come togeth-

er for intense discussion. The goal is to helpidentify strategies and set future milestonesfor DoD’s deployment related medical re-search programs,” said USAMRMC’s Com-bat Casualty Care Research Program Direc-tor Col. Dallas Hack, who has led the tri-ser-vice planning for this year’s conference.

To view the full agenda and register, visithttps://www.mhsrs.org.

MHSRS is the DoD’s premier scientificmeeting addressing the unique medicalneeds of the warfighter. This conferencecombines the former Advanced Technol-ogy Applications for Combat Casualty CareConference, the Air Force Medical ServiceMedical Research Symposium and the NavyMedicine Research Conference. Attendeesinclude military medical care providerswith deployment experience, DoD scien-tists, academia, and industry in the areas ofCombat Casualty Care, Military OperationalMedicine, Clinical and Rehabilitative Medi-cine, Military Infectious Disease, and Medi-cal Training & Health Information SciencesResearch Programs.

DoD Holds Tri-Service MilitaryHealth System ResearchSymposium, Aug. 12-15

Attendees of the 2012 MHSRS Conference participate in one of many sessionsoffered at the conference. Last year was the first time the event was combinedas a joint services conference dedicated to improving the health, treatment, andcare of all deployed military servicemembers. Photo by Melissa Miller

Take Your Child To Work Day

Children and adults watch ice cream being made with a few sweet ingre-dients and liquid nitrogen, one of the many HUB activities at the Take YourChild to Work Day event on July 17. Photo by Jenni Benson

A Take Your Child To Work Day 2013 participant works on her creation dur-ing the USAMMDA You Can Build It activity. This activity educates partici-pants about the USAMMDA Prototype Lab and allows them to build a medi-cal materiel prototype of their own. Photo by Richard Frederickson

2 Fort Detrick StandardJuly 26, 2013 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

Command StaffMaj. Gen. Joseph Caravalho Jr.

Commanding general, U.S. Army Medical

Research and Materiel Command

and Fort Detrick

Col. Steven P. MiddlecampU.S. Army Garrison commander

Editorial StaffUSAG PAO Staff

The STANDARD is an authorized unofficial newspaper,published every two weeks under the provisions of AR360-1 for the military and civilians at Fort Detrick. Circula-tion is 7,000. The STANDARD is a commercial enterprisenewspaper printed by Comprint Military Publications, 9030Comprint Court, Gaithersburg, Md., 20877, a private firm,in no way connected with the United States Government orDepartment of Defense. The contents of the STANDARD donot necessarily reflect the official views or endorsement ofthe U.S. Government, the Department of Defense or the U.S.Army. The appearance of advertising in this publication, in-cluding inserts and supplements, do not constitute endorse-

ment of DoD. Everything advertised in this publication shallbe made available for purchase, use or patronage withoutregard to race, color, religion, sex, national origin, age,marital status, physical handicap, political affiliation, or anyother nonmerit characteristic of the purchaser, user or patron.Editorial content is prepared and edited by the Fort DetrickPublic Affairs Office, 810 Schreider Street, Fort Detrick, Md.21702-5000. Editorial Offices are in Bldg. 810, Suite 004,telephone 301-619-2018; e-mail: [email protected].

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Commentary:

Having been on active duty for 34 years, I have in-stitutional knowledge of, and great personal experi-ence in, this grand profession we call the United StatesArmy. Having been the Fort Detrick Installation Com-mander for six months now, I also feel an increasingcomfort in the various activities here on post.

By all measures, we are a very small post. I’ve runaround post airfields that were larger than Fort Det-rick! With the “smallness,” however, comes the ben-efits of proximity, familiarity and “camaraderie-ship.”On the other hand, without a large housing presence(barracks and separate family quarters), we run therisk of being a “commuter post.”

So the first thing I’d ask each and every one of themilitary beneficiaries--military and civilian, alike--isto take advantage of the wide array of Garrison-host-ed functions to gather outside of work. I think you’llfind it well worth your time to socialize with Fort De-trick staff and Family.

Some recent personal examples include a com-munity pancake breakfast a few weeks ago, hostedby Col. and Mrs. Steve Middlecamp. Laura Middle-camp did a wonderful job of getting everyone in ourneighborhood out on a Saturday morning to meetover a relaxing meal. Steve was responsible for theheavy lifting, and he excelled in his supporting role.Another fine example was our recent Soldier Show,held in mid-June. Those singers and dancers--all fel-low Soldiers--certainly made me very proud of ourinstitution. There were many folks in attendance, butthe gym was not overflowing. If you missed attend-

ing this year’s event, please do your best to make thenext one. There have also been a number of ArmyBand and Old Guard performances in the local Fred-erick community, all of which have been spectacu-lar. These are wonderful opportunities for those ofus still serving to show up in uniform. We must giveour civilian partners the chance to meet and talk toSoldiers, Sailors, Airmen, Marines and Coast Guards-men. Many of them want to thank the military, andwe should give them the opportunity to do so.

Secondly, I’m finding I can do much better atunderstanding the challenges and issues facing ourforce. Over the past several years as a commandinggeneral, I’ve made it a point to meet with many peo-ple to discuss issues facing them in their work, homeand life areas. Within the past couple of years, I’vestarted meeting with cohorts of female Officers, Non-commissioned Officers and Soldiers. With this group,in particular, I’ve learned quite a bit, and we’ve beenable to make positive changes because of feedbackthat I’ve received.

So there you have it. Let’s make this communityeven better. Let’s make this Army even better. Let’smake your work and home and living situation evenbetter. Don’t isolate yourself from others. Engage oth-ers around you. Participate. It’s all about dignity andrespect, isn’t it?

When we cross paths, stop me to say hello. I lookforward to seeing you around post or around thecommunity. Army Strong!

Thoughts from Leadership

Maj. Gen. (Dr.) Joseph Caravalho, Jr.Commanding General, U.S. Army Medical Researchand Materiel Command and Fort Detricka

July 2013

(31) Annual Fort Detrick Career Fair (10 a.m.-3 p.m.)(CAC, Building 1529)

(31) Military Appreciation Night with the Frederick Keys (6:45 p.m.)(Harry

Grove Stadium)

August 2013

(06) National Night Out (5:05- 10 p.m.)(Housing)

(06) Student Poster Day (9:30 a.m. - 1 p.m.) (NCI Building 549)

(29) Women’s Equality Day Observance (11:30 a.m.-1 p.m.)(CAC, Building 1529)

Upcoming Events

3Fort Detrick StandardJuly 26, 2013Sustaining a community of excellence through restoration, environmental stewardship and workforce development

BY DAPHNIE FREEMANACS, EMPLOYMENT READINESS

PROGRAM MANAGER

When we have a job, and we are gratefulto be working, our lives move in differentdirections as opposed to someone whodoesn’t have a job. When you are out ofwork, sometimes things just don’t seemto happen as well as we expect. At ArmyCommunity Service, Employment Readi-ness Program, we strive to support youand your employment goals to the best ofour ability. We can’t take away the frus-tration and stress of not having a job, butwe can show you all the things you can do

to ease your job search and career plan-ning opportunities.

Our annual Career Fair on July 31 willhave over 30 vendors/employers seekingto hire for their company. Are you ready foron-the-spot interviews? Come dressed toimpress. We held a Dress for Success busi-ness suit exchange earlier this month, andthe remaining suits are available for pur-chase at the Fort Detrick Thrift Shop. Properattire is vital for the interview, and for yourfirst impression to the recruiter seeking tohire. It all comes down to howwell preparedyou are to obtain the job you want.

Call our office at 301-619-2208 or 301-619-6636 for more information.

Find a Career atthe Career Fair!

Shaleena Thomasson (left) and Daphnie Freeman from ACS show the way to TheAnnual Fort Detrick Career Fair that will take place on Wednesday, July 31 from 10 a.m.- 3 p.m. at the Community Activities Center, Building 1529. Photo by Jenni Benson

BY NICK MINECCIUSAG PUBLIC AFFAIRS

U.S. Army Garrison Fort Detrick will cel-ebrate the 30th Annual National Night Outon Aug. 6 from 5:05 p.m. to 10 p.m. at theBalfour Beatty Community NeighborhoodCommunity Center, 6000 Ditto Avenue.

To commemorate NNO, Fort Detrickwill have interactive law enforcement andfire safety displays, games, inflatable playareas, food and drink. Sparky the Fire Dogand McGruff the Crime Dog will also be onhand to meet the public until dusk. As thesun goes down, there will be a “Movie Un-der the Stars” courtesy of Family and Mo-rale, Welfare, and Recreation.

According to Det. Richard Sherbert ofthe Fort Detrick Police Department, “This isa good opportunity for the public and [FortDetrick] law enforcement to get to meet andtalk to one another in a non enforcementsituation. Residents of Fort Detrick have agood chance to get to know your police.”

Sherbert said NNO is also an opportuni-ty for adults and children to see the tools ofthe law enforcement trade, and learn moreabout the capabilities of their local police.

“There will be a law enforcement dis-play, that is our [Special Response Team]truck, and we show the public our gear.Duty permitting, the K9 unit will be there,too,” he said.

National Night Out began in 1984 pro-moting community involvement in crimeprevention activities, building police-com-munity partnerships, fostering neighbor-hood camaraderie and sending a messageto criminals that neighborhoods are orga-nized and fighting back. NNO is sponsored

by the National Association of TownWatch.During the inaugural NNO, 2.5 million

Americans took part across 400 communi-ties in 23 states. Last year, more than 37mil-lion people from over 15,000 communitiesin all 50 states, U.S. territories, Canadiancities and military bases worldwide.

“It’s a wonderful opportunity for com-munities nationwide to promote police-community partnerships, crime preven-tion, and neighborhood camaraderie. Whilethe one night is certainly not an answer tocrime, drugs and violence, National NightOut represents the kind of spirit, energyand determination to help make neighbor-hoods a safer place year round. The nightcelebrates safety and crime prevention suc-cesses and works to expand and strengthenprograms for the next 364 days,” Matt Pe-skin, NATW’s Executive Director, said ontheir website.

Fort Detrick CelebratesNational Night Out Aug. 6

BY JEFFREY SOARESUSAMRMC PUBLIC AFFAIRS

In an age of ultra high-tech devices thatare worthy of screen time in a big budgetHollywood action movie, one might besurprised to discover that a very “unglam-orous” and simplistic medical device is be-ing developed by the Combat Casualty CareResearch Program of the U.S. Army MedicalResearch and Materiel Command, Fort De-trick, Md., that may soon save lives on thebattlefield and beyond.

“Hemorrhage is the leading cause ofdeath on the battlefield, and one of our mostchallenging forms of hemorrhage has beenjunctional [the junction of the legs or armswith the torso] hemorrhage, or hemorrhagefrom deep wounds on which it is impossibleto put a deep tourniquet,” said Dr. AnthonyPusateri, portfolio manager of the Depart-ment of Defense Hemorrhage and Resusci-tation Research and Development Program,managed by the CCCRP.

Cue XSTAT - the new device so practical,one will wonder how the medical field hasnot thought of it until now. Simply put, thedevice looks like a large plastic syringe filledwith many small, pellet-shaped sponges

that enlarge to fill up a wound area quicklyto prevent blood loss.

“This XSTAT device allows the haemo-static material to be put [injected] into thewound tract, and then it expands from theinside out, putting pressure on the bleeding

to stop it,” said Pusateri. “It is a capabilitythat has never existed before, and can beused in the field setting by medics, possiblyeven with buddy aid [first aid administeredby battlefield ‘battle buddies’].”

As the portfolio manager, Pusateri must

orchestrate matters among the various ser-vices and the company in charge of produc-tion, RevMedx, that are collaborating for thesuccessful development and release of thisnew medical device. However, as he states,Pusateri came into the project during its lat-er development, at the time the Army tookover management of the program.

“This project started with the UnitedStates Special Operations Command, whowas working with HemCon Medical Tech-nologies, Inc. to conduct the initial work,”he said. “The research looked promis-ing enough that the Army chose to fund itthrough its completion.”

While the current version of the device isuseful for large wounds, Pusateri said thatthe next iteration will be one suited for nar-rower wound tracts. Due to the location ofthe target wounds, the original concept wasfor a common-size wound tract. As develop-ment progressed, the researchers found thatin some cases, the wound tract is smaller,and it would not take much modificationto create a smaller device to place into thewound. Pusateri said that the applicator willbe narrower, although the sponge-like prod-

Saving Lives by Saving Blood

The XSTAT device injects pellet-shaped sponges that enlarge to fill up a woundarea quickly to prevent blood loss. Courtesy photo

See BLOOD, continued on page 4


BY FORT DETRICK INDUSTRIALHYGIENE AND ENVIRONMENTAL

HEALTH OFFICE AND THEINSTALLATION SAFETYMANAGEMENT OFFICE

Fort Detrick Industrial Hygiene/ Envi-ronmental Health staff are continuing to en-sure commanders, unit leaders, and trainingnon-commissioned officers have all the in-formation they need to reduce or eliminatethe risk of heat injury to soldiers participat-ing in outdoor activities.

Heat stress index information is avail-able at http://www.detrick.army.mil/ih/ehhot.cfm from late spring through earlyautumn via a Wet Bulb Globe Temperature,or WBGT, device located adjacent to the In-dustrial Hygiene/ Environmental Health of-fice. The WBGT device provides a compos-ite Heat Stress Index based on temperature,humidity, direct sunlight, and wind.

Also contributing to this effort is a teamfrom the Network Enterprise Center whodeveloped and now maintains a computerprogram which captures the WBGT data,calculates the results according to the Ar-my’s Heat Stress guidance, and delivers thiscritical information to soldiers via the Inter-

net. The Heat Category, shown by numberand flag color, is determined using Armyguidance, which is based on the impact ofWBGT results on healthy, acclimated, uni-formed soldiers performing outdoor workor training.

In addition to the Heat Stress Index,visitors to the Environmental Health - HotWeather Internet site (http://www.detrick.army.mil/ih/ehHot02.cfm) will find use-ful facts, tips and other information aboutrecognizing and avoiding heat injuries.Heat injury prevention products from theArmy Public Health Command (formerlyU.S. Army Center for Public Health and Pre-ventive Medicine) are available at http://usaphcapps.amedd.army.mil/HIOShop-pingCart/searchResults.aspx?hotlist=8 byfollowing the links.

Soldiers, family members, civilians, visi-tors, and any other personnel at Fort Det-rick who believe they, or another individual,is a victim of heat-related illness or injury,should immediately report to the BarquistArmy Health Care Facility or nearest medi-cal facility, or call 911 for rapid treatmentof the potentially serious or life-threaten-ing consequences of over-exposure to hotweather conditions.

Local guidance relating to hot weath-er activities can be found in Fort DetrickPolicy Letter 10-12. Individual questionsor concerns relating to military training inhot weather conditions should be directedto the unit training officer/NCOIC. Mili-

tary training officers/NCOICs can contactIndustrial Hygiene/ Environmental Healthstaff at (301) 619 7471 for additional infor-mation as needed. A “train-the-trainer” heatinjury prevention PowerPoint presentationis available upon request.

Fort Detrick Industrial Hygiene/Environmental Health OfficeProvides Soldiers Information toMinimize Heat Injury

Q: Why are local heat index reportsmore extreme than Fort Detrick’s?

A: Most local and national heat in-dex reports are based on a calculationof temperature and humidity in shady,light wind conditions. While these re-ports provide a general idea of how hotit feels, they do not include variables likeheat caused by direct or reflected sun-light, and cooling effects of the wind.

Fort Detrick’s Heat Stress Index,which does include these variables, isderived from the Wet Bulb Globe Tem-perature (WBGT) method.

The Army’s Heat Category and Work/Rest Table, which is based on WBGTmeasurements, provides training NCO’sand unit leaders with information re-lating to heat conditions that healthy,

acclimated military personnel will beexposed to while working outside, per-forming physical training or marching,participating in field exercises, or whileinvolved in other outdoor activities.

Personnel should not strictly followany heat index since individuals who arevery young, very old, are on medication,and/or are not acclimated to the heatmay be more susceptible to heat injury- even in moderate heat - than healthyadults who spend time working or play-ing outdoors. Individuals who keep aneye on the temperature and humid-ity and remember their own capabilitiesand/or limitations and use appropriatepersonal protective measures will signif-icantly decrease their chances of becom-ing a heat victim.

BY ELLEN CROWNUSAMRMC DEPUTY PUBLIC AFFAIRS OFFICER

U.S. Army Medical Research Instituteof Infectious Diseases (USAMRIID) willchange command July 30, as staff memberssay goodbye to Col. Bernard L. DeKoningwho retires after 28 years of service to theU.S. Army.

USAMRIID is a key asset for militaryhealth and national safety. Its mission fo-cuses on protecting service members frombiological threats and being prepared toinvestigate disease outbreaks or threats.Research conducted at USAMRIID leads tomedical solutions-vaccines, drugs, diagnos-tics, and information-that benefit bothmili-tary personnel and civilians.

DeKoning has led USAMRIID since Sep-tember 2011. “Never in my wildest dreamsdid I think I’d command such an interna-tionally recognized organization,” saidDeKoning, two years ago when he assumedcommand of USAMRIID. Now, as he de-parts, his accomplishments are recalled byleadership, as he was known well for hisstrategic vision and passion for USAMRI-ID’s mission. Under DeKoning’s leadership,USAMRIID leveraged collaborations withindustry partners and other federal agen-cies including the Department of Healthand Human Services and the Departmentof Homeland Security to develop medicalcountermeasures. USAMRIID also forgednew international relationships and partici-

pated in training exercises, helping to bringawareness to its public health resources.

DeKoning also played a key role in thecontinued development of the new USAM-RIID building, which will house the larg-est concentration of Biosafety Level 3 andBSL 4 laboratory space in the Departmentof Defense. DeKoning is a board-certifiedfamily physician and has continued to seepatients throughout is 28-year career. Hewill relinquish command to Col. Erin P. Ed-gar, who most recently served as the Com-mand Surgeon, Headquarters, United StatesCentral Command at MacDill Air Force Basein Tampa, Fla.

USAMRIID Commander Retires

Effective July 18.The number two ride-on stop has moved from Stephen Sitter/503 Load-

ing Loop to Commissary Way. New signage will be in place between Mid-late July 2013.

Rider requests for arrivals earlier than 6:53 a.m. are approved but will notgo into effect until October 20, 2013. Requests for arrivals after 9:14 a.m. arepossible but will not go into effect until October 20, 2013.

Forest Glen Ride-On Stop Changes

uct inside will be the same size.When asked about the timeframe for U.S.

Food and Drug Administration approval,Pusateri said it should most likely receiveapproval during this summer.

“We have not identified any significantproblems, and we expect it will fill a capabil-ity gap that we’ve had for quite some time,”he said. “Upon FDA approval, the devicewill be commercially available off the shelf.I expect that RevMedx will do an initial pro-duction run.”

Pusateri added that the Directorate ofCombat and Doctrine Development at theU.S. Army Medical Department Centerand School will have to approve the de-vice before it is offered for use throughoutthe military.

Regarding military use, Pusateri said thatunits - primarily special operations forces -will be able to purchase the device for them-selves. Following this, the device will receivea National Stock Number, which will allowany group to purchase the device for use. Healso believes that the

XSTAT device will transcend militarymedical use and find its way into the field ofcivilian medicine for widespread public usein trauma scenarios.

While the XSTAT device is certainly smalland light enough to be carried in militaryaid bags or combat lifesaver bags, Pusaterisaid this does not guarantee its use as stan-dard military medical equipment.

So why wouldn’t the military want tohave this in every warfighter’s bag?

“Well, for one, this doesn’t solve all of our

bleeding problems,” said Pusateri, “but itdoes fill a capability gap for use on a woundarea where you could not place a bandageor tourniquet.”

“It’s primarily intended for deep woundswith heavy bleeding inside, with no way ofputting direct pressure on the wound, andno way to wrap a tourniquet around it. Ba-sically, it’s designed for use in the axillaryand inguinal regions, or the junction of thelegs and arms with the torso - too high fora tourniquet and too deep for a dressing.”

Despite its specificity - or perhaps be-cause of it - the XSTAT device seems to be anecessary part of the future of both militaryand civilian medicine, and it is a perfect il-lustration of creating a medical item to sat-isfy a critical need in the field.

“This is a good example of very innova-tive and thorough work done by USSOCOMto get this started, working with the initiallead company [that later transitioned toRevMedx],” said Pusateri, “but it is also anexample of excellent cooperation and com-munication in a joint environment, betweenUSSOCOM and the U.S. Army.”

“This could certainly be a significantadvance in our ability to control hemor-rhage, both on and off the battlefield,”said Pusateri.

While the XSTAT device is currently onthe forefront of the CCCRP’s work, Pusaterisaid that his group continues to work ondeveloping blood-related items to helpsave lives. On the horizon, the CCCRP isresearching dry plasma products to helprestore/replenish blood loss quickly andhelp make the body more resistant to thedetrimental effects of severe bleeding.

BLOOD, continued from page 3

10310021036216


Roger Mason Jr.Basketball Camp

NBA Guard, Roger Mason Jr., joined campers for a week of Basketball Campat Fort Detrick CYSS. Kids were taught the skills of the game and to workhard. Photo by Lanessa Hill


BY ARMY SUBSTANCE ABUSEPROGRAM (ASAP)

FORT DETRICK AND FOREST GLEN ANNEX

Learn responsible ways to celebrate La-bor Day with Special Guest Speaker JulieBrown, Safety Education Section, NaturalResource Police, and receive an ASAP DAPEcredit, IAW AR 600-85. “Summer Underthe Influence” will be presented August 19with two sessions available: 10-11 a.m., andnoon - 1 p.m.at the Community SupportCenter, Building 1520 Freedman Drive, sec-ond floor, classroom 7. Space in the CSC islimited, and seating for each course is firstcome, first served.

To maintain a safe and sober summer,read these myths, facts, and tips for agreat party!Myths and Facts about Alcohol and

ImpairmentMyth: Coffee can sober up someone who

has had too much to drink.Fact:Only time sobers. It takes about one

hour to metabolize each standard drink.Myth: Hard liquor is more intoxicating

than beer and wine.Fact: A 12-ounce beer, a 5-ounce glass

of wine, and 1-1.5 ounces of spirits containthe same amount of alcohol and the sameintoxication potential.

Myth: Someone who has had too muchto drink will look intoxicated.

Fact: Someone’s physical appearancecan be misleading. One drink can impairsomeone’s ability to drive. Judgment isthe first thing affected when someone hasbeen drinking, and important motor skillsare next.What You Can Do to Stop Impair-

ment Problems- If one of your guests has had too much

to drink, pull them aside and politely, butfirmly, tell them that they cannot drivehome because you care. Offer to let yourguest spend the night, call a cab, or ask an-other sober guest to drive them home.

- Provide activities for your guests, suchas “Washers” or “Corn Hole.”

- Offer high protein food.- Don’t let guests mix their own drinks.

Choose a reliable bartender to help youkeep track of the size and number of drinksyour guests consume.

- Provide “Mocktails,” alcohol-free cock-tails, for designated drivers.

Thank your designated driver with aMocktail. Try these easy recipes at your nextparty!Virgin Pina Colada- 1 cup ice- 1 1/4 cups pineapple juice- 1/2 cup milk- 1/2 cup heavy cream- 2 tablespoons white sugarIn an electric blender, blend ice, pine-

apple juice, milk, cream, and sugar. Blenduntil smooth.Tornado Twist- 12 fluid ounces cranberry-raspberry

juice- 1 (12 fluid ounces) can or bottle lemon-

lime flavored carbonated beverageIn a pitcher, mix cranberry-raspberry

juice with lemon-lime soda. Pour over iceand serve.

Brought to you by the Army SubstanceAbuse Program (ASAP), Fort Detrick andForest Glen Annex, Maryland.

Summer is Still in Session!As we make plans for our last summer partiesand outdoor activities, remember to plan fordesignated drivers and alcohol-free guests!

Julie Brown, from the Education Section of the Natural Resource Police, and Dal-las Jones, USAMMA, demonstrate the importance of sobriety during summeractivities. Photo Courtesy of USAG VI

BY 53RD SIGNAL BATTALIONPUBLIC AFFAIRS

Alpha and Bravo Company Soldiers fromthe 53rd Signal Battalion participated in aChemical Biological Radiological NuclearExercise at the Frederick County Police De-partment, Charles V. Main Training Facilityin Frederick, Md., June 26-28.

The exercise tested the Soldiers CBRNequipment familiarity.

The exercise was conducted in supportof the Department of Defense’s CBRN Re-sponse Enterprise, which is comprised ofboth a state/National Guard contingentand a federal military contingent that pro-vide lifesaving capabilities in the event of aCBRN event in the United States.

The federal CBRN response forces joinstate/regional forces, National Guards-men in support of this effort. Those forcesinclude:

- The Defense CBRN Response Force -comprised of 5,200 primarily active-dutypersonnel providing search and extrac-tion, decontamination, medical treatment,and ground and air medical and casualtyevacuation.

- Two Command/Control CBRN ResponseElements - each comprised of 1,500 Reserveand National Guardsmen providing the C2core and DCRF structure with a small techni-cal support (search and extraction, mass de-contamination andmedical triage) capability.

Thenation’s largest CBRNexercise, VibrantResponse, is executed annually and is beingheld July 31 -August 19. VibrantResponse testskey leaders, staffs, and units on key aspectsof civil support missions and fully trains taskforces in a high-tempo, simulated environ-ment to confirm operational capability.

For the 53rd Signal Battalion’s exercise,Staff Sgt. John Mitchell and Sgt. Corey Mc-Cormick provided training on proper pro-cedures used in a CBRN attack scenario,decontamination, vapor testing, and equip-ment training.

CBRN: A Priority for the53rd Signal Battalion

and the Nation

The Gas Chamber at the Charles V.Main Training Facility in Frederick, Md.was used by the Soldiers of the Alphaand Bravo Company from the 53rdSignal Battalion. The Battalion helda Chemical Biological RadiologicalNuclear training exercise at the facilityin June. Photo by 53rd Signal Battalion PAO

Soldiers from the Alpha and Bravo Company from the 53rd Signal Battalion par-ticipate in a CBRN training exercise to the test their operational readiness andcapabilities. Exercises included proper procedures during a CBRN attack, decon-tamination, vapor testing, and equipment training.Photos by 53rd Signal Battalion PAO



BY THE CDMRP PHS OFFICERS

Although a U.S. Army post,Fort Detrick is no stranger to AirForce, Marines and Navy person-nel but one service you may notrecognize is the U.S. Public HealthService. Officers in the PHS are as-signed throughout Fort Detrick atthe Frederick National Laboratoryfor Cancer Research, the BarquistArmy Health Clinic, the NationalCenter for Medical Intelligence,and the Congressionally DirectedMedical Research Programs, justto name a few locations.

Overseen by the U.S. SurgeonGeneral, the PHS is a cadre ofmore than 6,500 public healthprofessionals. These officers fillessential public health leadershipand clinical service roles withinthe Nation’s Federal GovernmentDepartments and agencies. Suchagencies within the Departmentof Health and Human Servicesinclude the National Institutes ofHealth, the Centers for DiseaseControl and Prevention, the IndianHealth Service, and the U.S. Foodand Drug Administration, amongother organizations. Officers arealso assigned outside of HHS inagencies such as the Environ-mental Protection Agency, WhiteHouse National Security Staff, andthe Department of Homeland Se-curity. Unlike the other services,which have dental, medical, andnurse corps, for example, the PHSis so small that it is divided into 12categories of physicians, dentists,

behavioral health, clinical and re-habilitation therapists, dietitians,engineers, environmental health,health services, nurses, pharma-cists, scientists, and veterinarians.

For more than 200 years, thePHS has been our Nation’s front-line protecting against the spreadof disease from sailors returningfrom foreign ports, maintainingthe health of immigrants enteringthe country, and supporting com-munities affected by natural andmanmade disasters. The Corps’ re-sponse to the health threats posedby Hurricane Katrina, the earth-quake in Haiti, the Deepwater Ho-rizon oil spill, Hurricane Sandy,and the bombings in Boston, un-derscores the value to our Nationof having a multidisciplinary andquickly mobilized cadre of medi-cal professionals. Corps officersare involved in disease control andprevention, biomedical research,regulation of food and drugs,mental health and drug abuse, andhealth care delivery.

According the CommissionedCorps Management System, thereare 282 officers assigned to theDepartment of Defense on variousinstallations and agencies.

Many of these officers fall undera memorandum of agreement thatestablished the initiative knownas the DoD-PHS Partners in Men-tal Health: Supporting our ServiceMembers and their Families. ThePHS mental health providers aredetailed to military treatment fa-cilities to treat service members

who are returning from overseasdeployment, as well as retirees andfamily members.

At Fort Detrick, there are fourPHS officers assigned to the CD-MRP. Capt. Leigh Sawyer is a vet-erinarian, Capt. Angela Martinelliand Cmdr. Alexis Mosquera arenurses, and Cmdr. Mark Claytonis a scientist. Their primary duty atCDMRP is to serve as Science Of-ficers bymanaging grant portfoliosfor a variety of research programs.Using their scientific training andexpertise, they work with principleresearch investigators and variousU.S. Army Medical Research andMateriel Command agencies tofacilitate processes integral to thesuccessful execution of researchawards. From providing techni-cal review assistance to the U.S.Army Medical Research Acquisi-tion Activity during pre-awardnegotiations to reviewing annualtechnical progress reports, Sci-ence Officers play an integral partin helping to assist funded investi-gators with meeting their intendedresearch goals.

Both Sawyer and Mosqueraare new to the CDMRP, but eachcomes with vast experience fromwithin and outside HHS. Prior tojoining the CDMRP, she served asthe BioWatch Public Health andPreparedness Director, in the Of-fice of Health Affairs, DHS. Saw-yer is serving in the Multiple Scle-rosis Research Program and holdsa varied portfolio of researchprojects that are relevant to the

prevention, etiology, pathogen-esis, assessment, and treatmentof Multiple Sclerosis.

Before joining CDMRP, Mos-quera was an epidemiologist atthe FDA. At the CDMRP, she isserving in the Peer-ReviewedMedical Research Program.This program supports researchacross the full range of scienceand medicine, with an underlyinggoal of enhancing the health andwell-being of uniformed servicepersonnel, their families, and theveteran population. Mosquera hasparticipated in numerous nation-al and international deployments

with the PHS as well as with othernon-governmental organizations.

Martinelli’s portfolio includesstudies in the Defense MedicalResearch and Development, Psy-chological Health/Traumatic BrainInjury and Lung Cancer programs.Examples of studies within herportfolio include the Detection ofEarly Lung Cancer among MilitaryPersonnel, Transitioning the De-fense Automated NeurobehavioralAssessment to Operational Use,and A Medical Center Network forOptimized Lung Cancer Biospeci-

The Few, the Proud, the U.S. Public Health Service: “Protect,Promote, and Advance theHealth and Safety of Our Nation”

Public Health Service Officers serving the office of the Congres-sionally Directed Medical Research Programs at Fort Detrickinclude (left to right): Cmdr. Alexis Mosquera, Capt. Angela Marti-nelli, Capt. Leigh Sawyer, and Cmdr. Mark Clayton.

Photo by CDMRP public affairs

See HEALTH, continued on page 10

Symbols are important for visual recognition. These were evenmore important in the time before modern communication, suchas today’s social media. It was common to decorate local suffrageheadquarters in yellow and gold between 1910 and 1920, which co-incided with a major push for securing the right to vote for women.The “Golden Lane” demonstration, staged by the National AmericanWoman Suffrage Association during the 1916 Democratic Conven-tion in St. Louis, is a prime example of the use of symbolic color todraw attention to the fight for Women’s Equality. Gold, “God’s ownprimal color, purity and light,” was associated with the Women’sSuffrage movement

in America as early as 1887. Purple, white and green, which rep-resented loyalty, purity and hope, respectively, were adapted byHarriot Stanton Blatch and others who took part in the radical suf-frage movement in England.

Come and join us in “Celebrating Women’s Right to Vote” onAugust 29 from 11:30 a.m. to 1 p.m. at the Fort Detrick CommunityActivities Center to learn more!

The Colors of Suffrage

Photo courtesy of Division of Political History, Smithsonian’sNational Museum of American History

Thank you for a successful Dress for Success Event.I’m glad to say that the “Dress for Success: Suits of Giving” was a success. Every client left with

at least 1, if not more, well fitted suit/dress for their interviews. We had 35 attendees: spouses,family members, retirees, transitioning active duty, and local sponsors.

All remaining suits are available for purchase at the Fort Detrick Thrift Shop.Keep in mind that you can always find good deals at other local thrift stores as well. There is

a Goodwill store on Willowdale Drive off of Route 40, one in Buckeyestown, and the Hagerstownstore has 1/2 off deals for selected colors/days. Also, downtown off of Market Street is the SelectSeconds Hospital Thrift Store, which has a lot of great clothes. I shop at these places often!

Thanks to: The Callos Companies and Frederick Radiology for sponsoring our catering; A TastyNosh for the delicious appetizers and great service; Balfour Beatty Communities for providingspace to host the event and drinks; Horizon Goodwill Industries, Select Seconds Hospital ThriftShop, Daughters of the American Revolution, Fort Detrick Thrift Shop, City of Refuge ChristianChurch of Western Maryland, Blue Sky Farm, and the Callos Companies for providing businessattire; Frederick County Workforce Services for spreading the word, helping with staffing and allof their hard work in assisting our transitioning and retired veterans with employment; RandyMiller, Move on Today 2, and Cathi Fleming, Horizon Goodwill Industries, for providing greatpresentations on Dressing for the Interview. And lastly, thanks to the staff of the Sustaining BaseNetwork Assurance Branch, U.S. Army Research Laboratory who donated gift certificates forthree brand new Jos.A. Bank suits as door prizes, and a spa gift card for the ladies from an anony-mous sponsor.

In June, we had 6 active duty family members who became gainfully employed. These oppor-tunities were in retail, healthcare and here at Fort Detrick.

CONGRATULATIONS everyone!

Shaleena ThomassonEmployment Readiness SpecialistArmy Community Service

Letter to the Editor

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BY BOB REINERTUSAG-NATICK PAO

They tend to be older, more experi-enced, and more likely to have families, butdeployed members of the National Guardshare something in common with theiractive-duty brothers and sisters -- the likeli-hood of suffering from traumatic brain in-juries.

Like other U.S. service members, Guardmembers take the Automated Neuropsy-chological Assessment Metrics, or ANAM,test before deployments.

“It provides a baseline of sorts,” saidDr. Kristin Heaton, a neuropsychologist atthe U.S. Army Research Institute of Envi-ronmental Medicine at the Natick SoldierSystem Center. “Then if there’s an incidentin theater -- an injury or a blast exposureor something like that -- we can look forchanges in these scores as markers of pos-sible injury.”

What’s missing is a reference data setspecific to the National Guard so that itsmembers may be compared to their peers.Heaton and other USARIEM researchersaim to correct that by collecting data froma total of 3,000 Guard members from eightstates, three different age groups, malesand females, in combat support and com-bat arms units.

What’s missing is a reference data setspecific to the National Guard so that itsmembers may be compared to their peers.Heaton and other USARIEM researchersaim to correct that by collecting data froma total of 3,000 Guard members from eightstates, three different age groups, males

and females, in combat support and combatarms units.

“We’ve been in active data collectionnow for a while,” said Heaton, adding thatthe process will be complete in December.“We’re aiming for a diverse geographic rep-resentation. Having ameaningful, represen-tative data set like this could be really help-ful for interpreting scores, both before andafter injuries.”

Why is it important to differentiate theNational Guard from other service groupswhen it comes to traumatic brain injury,known as TBI?

“In many respects, they represent a dif-ferent demographic of Soldier,” Heatonsaid. “For example, they tend to be older,have families and children, and have dualcareers. There is some evidence in the litera-ture that they may respond to deployments,both during and after, somewhat differentlythan their active-duty counterparts, all ofwhich may impact not just the Soldier, buthis or her family, as well.”

Heaton said that in the past, most TBIresearch had been on active-duty servicemembers. The National Guard recently hasbecome more of a focus.

“Being able to better understand [Na-tional Guard service members’] uniquesituation and how deployments have affect-ed them, both in the positive and perhapsnot-so-positive ways, is an important areaof research that really hasn’t been well de-veloped,” Heaton explained.

Heaton said she hopes to publish a studycontaining the results soon after data col-lection ends. Her team will also provide theresulting data to the National Guard Bureauand the participating states directly.

“They’ve been extremely supportive,and I think they definitely understand therelevance of what we’re doing and why,”Heaton said. “We really do want to be ableto get data into their hands that they can useand that would be meaningful and relevantto them, as quickly as we can.”

Just what the data will show, Heatoncan’t accurately predict.

“They’re going to perform probably verysimilar to the rest of the population,” Hea-ton said. “But we do feel, given that they area unique cohort within the military, the ref-erence data would reflect their unique de-mographics.”

Heaton pointed out that National Guardleadership has great interest in the healthand welfare of their personnel.

“They’re very focused on their Soldiers,not just when they have them on drill week-ends, but also when they go back home andreturn to their civilian jobs and re-integrate totheir home life situations,” Heaton explained.“They’re extremely interested and eager toknowmore and to have information that theycan then use to help their Soldiers. They havebeen quite welcoming of this work.”

This is the latest in an impressive num-ber of TBI studies done by Heaton and otherUSARIEM researchers.

“Much of our work to date has been fo-cused on developing and validating mea-sures of cognitive performance as ways ofassessing traumatic brain injury -- concus-sion, in particular,” said Heaton, who addedthat the goal is “to provide more efficient,more effective and relatively fieldable tools

for use by leadership, by medical command,to screen for concussion.”

According to Heaton, TBI research is farahead of where it stood several years ago. Shesaid shewants to see thatmomentumcontinue.

“Traumatic brain injuries don’t go awayjust because the war ends,” Heaton said.“The effects of these injuries are going to re-main with the Soldiers who have sustainedthem, and a good number of head injuriesand concussions occur during training andduring off-duty activities. So this is going tobe an enduring problem.”

On Guard Against Traumatic Brain Injuries

Dr. Kristin Heaton, a neuropsychologistat the U.S. Army Research Institute ofEnvironmental Medicine, is workingwith other USARIEM researchers tocollect data from 3,000 National GuardSoldiers from eight states to provide atraumatic brain injury baseline.

USAG-Natick PAO

T660030

Rockville


BY LANESSA HILLUSAG PAO

Trapping mosquitoes will soon be the fo-cus for some researchers at the Forest GlenAnnex. Researchers from the Walter ReedArmy Institute of Research, Vector Con-trol Department will be placing multiplemosquito traps around the installation todetermine species and count the numberscollected.

The U.S. Army already uses these ap-proved traps, which will be lit during theevenings and hung from trees. According toGeorge Peck, Entomology Branch at WRAIR,some traps will have an approved attractantadded while others will not.

The study will allow Peck and others tocompare the numbers collected by trapswith attractants and without. Testing willoccur July through October 2013, week-nights and once to twice weekly.

The Entomology Branch is in the De-partment of Vector Control. This branchdevelops and tests vector control productsto include vector (mosquitoes) traps, vectorrepellents, vector attractants, and other vec-tor control methods.

Attractant or No Attractant?That is the Question

for Researchers atForest Glen Annex

From July to October, employees maynotice these mosquito traps around theForest Glen Annex. They are being hungfrom trees as part of a research effort atWalter Reed Army Institute of Research.

Courtesy Photo

menBanking. Inaddition, she is the programmanager for the Defense Heath AffairsClinical Research Initiative, IntramuralInvestigator-Initiated Research Program.Martinelli continues to practice at theWal-ter Reed National Military Medical Centerand with Operating Smile International.

Clayton, a PHS scientist, currentlyserves as the Deputy Director for GrantsManagement at the CDMRP. As DDGM,Clayton provides management oversightof over 3000 active awards, acts as theCDMRP’s liaison to other organizationswithin the USAMRMC, and maintains agrant portfolio of over $47 million. He isalso a member of the PHS Rapid Deploy-ment Force Team #2, serving within theAdmin/Finance section and was deployedduring Hurricane Sandy. Prior to joining

the CDMRP, he was detailed to the IndoorEnvironments Division within the Envi-ronmental Protection Agency as a chem-ist. Clayton served 11 years in the Armyas an Environmental Science Officer, hasheld academic positions, and has workedat General Electric Appliances as an ana-lytical chemist.

These officers have been warmly wel-comed and quickly integrated into the DoDteam. Col. Jeffrey Leggit, CDMRP director,recently described the CDMRPPHS officers.

“The PHS Officers detailed to the CD-MRP are some of themost professional andcompetent individuals I have ever had thepleasure to work with,” said Leggit. “Theyhave become invaluable members of theteam, and embody the ArmyMedicinemot-to, ‘Serving to Heal - Honored to Serve.’”

For more information on USPHS, visithttp://www.usphs.gov/, and for the CD-MRP, visit http://cdmrp.army.mil/.

HEALTH, continued from page 8


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