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Defending the Homeland: BAMC infectious disease doc aids Guam's COVID response

Image of soldier standing, surrounded by tropical water Army Maj. (Dr.) Gadiel Alvarado, infectious diseases physician, poses for a photo in Guam with the USS Theodore Roosevelt (CVN 71) in the background April 18, 2020. Alvarado served as the infectious disease expert for the COVID-19 Public Health Task Force from April 12-22. The team, consisting of five Army officers, was there to perform a comprehensive and multidisciplinary review of processes, asses the current situation and help with mitigation plans surrounding the TR COVID-19 outbreak. (courtesy photo)

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An Infectious Diseases physician from Brooke Army Medical Center recently deployed to Guam in support of the USS Theodore Roosevelt COVID-19 response.

Army Maj. (Dr.) Gadiel Alvarado served as the infectious disease expert for the COVID-19 Public Health Task Force from April 12-22. The team, consisting of five Army officers, was there to perform a comprehensive and multidisciplinary review of processes, asses the current situation and help with mitigation plans surrounding the TR COVID-19 outbreak.

The ship arrived in Guam March 27 for a scheduled port visit. Prior to its arrival three Sailors tested positive for COVID-19. The Navy has since undertaken an aggressive mitigation plan of isolating, quarantining, and treating affected Sailors to keep the ship prepared to execute its mission.

“This population of personnel in close quartered and close proximity living on the USS Theodore Roosevelt represented an increased risk population with high likelihood for COVID-19 infection transmission,” explained Alvarado.

The 10-day mission consisted of doing face-to-face interviews, data gathering, on-site evaluations, discussions and recommendations to the Joint Regions Marinas leadership working closely with Rear Adm. John Menoni, Joint Regions Marinas commander and personnel from the USS Theodore Roosevelt, Navy Base Guam, U.S. Naval Hospital Guam to prevent further transmission of the virus.

“The proper public health decision making and management of personnel was critical to preventing death and disease burden from COVID-19 affecting the Sailor population and Guam civilian population,” Alvarado said.

Alvarado, a native of Puerto Rico, who completed his Infectious Diseases fellowship at BAMC, relied on his previous training and lessons learned during BAMC’s initial preparation and response to COVID-19.

“I was heavily involved with the risk identification and testing procedure planning,” he said. “One of my main roles was helping with the tent screening process and I was also on the inpatient call team for COVID patients. I had already gone through the motions at BAMC, because we had community spread here (San Antonio).”

Alvarado credits his training, BAMC leadership and being part of COVID planning efforts early on for his success in this mission.

“It was a very efficient and elaborate operation,” Alvarado said. “We were a very cohesive team. We all had our own specific skills and we were able to get the job done. It was amazing.”

Army Col. Samuel Jang, Guam Public Health team lead, praised Alvarado for his efforts.

“Major Alvarado shared many nuances and in-depth insights into COVID-19 disease epidemiology and disease transmission,” Jang said. “His clinical insights were translated into strategic public health planning and operational decision making. He is a highly competent physician and leader.”

Army Lt. Col. Ronal Cole, public health nurse and task force member, agrees.

“His professionalism is to be commended and emulated,” Cole said. “His ability to function in a diverse team made our long days of interviews, data gathering, evaluations and discussions stress-free. He is to be commended for his contributions in saving the lives of approximately 160,000 civilians and 20,000 military personnel during this time of worldwide distress.”

Although the praise of his fellow Public Health Task Force teammates means a great deal to Alvarado, the support from his wife, Maureen and 8-year-old son Aidan was invaluable.

“My wife was very supportive of this mission, but my son was very sad that I was going,” Alvarado said. “But he looked at me and said ‘daddy I’m very glad they picked you.’ When I asked him why, he said ‘because I know you can help them.’”

Disclaimer: Re-published content may be edited for length and clarity.  Read original post.

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This Practice Management Guide does not supersede DoD Policy. It is based upon the best information available at the time of publication. It is designed to provide information and assist decision making. It is not intended to define a standard of care and should not be construed as one. Neither should it be interpreted as prescribing an exclusive course of management. It was developed by experts in this field. Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of this guideline is responsible for evaluating the appropriateness of applying it in the setting of any particular clinical situation. The Practice Management Guide is not intended to represent TRICARE policy. Further, inclusion of recommendations for specific testing and/or therapeutic interventions within this guide does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor.

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