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The Armed Forces Research Institute of Medical Sciences (AFRIMS) ( th, สถาบันวิจัยวิทยาศาสตร์การแพทย์ทหาร, link=no) is a
United States Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, cla ...
project that started as a collaboration with the
Government of Thailand The Government of Thailand, or formally the Royal Thai Government ( Abrv: RTG; th, รัฐบาลไทย, , ), is the unitary government of the Kingdom of Thailand. The country emerged as a modern nation state after the foundation of ...
to fight a
cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
outbreak in
Bangkok Bangkok, officially known in Thai language, Thai as Krung Thep Maha Nakhon and colloquially as Krung Thep, is the capital and most populous city of Thailand. The city occupies in the Chao Phraya River delta in central Thailand and has an estima ...
in 1958 and 1959. It subsequently expanded to conduct military medical research, primarily involving
infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
, across much of
Southeast Asia Southeast Asia, also spelled South East Asia and South-East Asia, and also known as Southeastern Asia, South-eastern Asia or SEA, is the geographical United Nations geoscheme for Asia#South-eastern Asia, south-eastern region of Asia, consistin ...
and the
Indian Subcontinent The Indian subcontinent is a list of the physiographic regions of the world, physiographical region in United Nations geoscheme for Asia#Southern Asia, Southern Asia. It is situated on the Indian Plate, projecting southwards into the Indian O ...
.


Mission and history

The mission of the
US Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, cla ...
Medical Component of the Armed Forces Research Institute of the Medical Sciences (USAMC-AFRIMS) is to conduct basic and applied research for development of diagnostic tests, drugs and vaccines for
infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
of military importance. First formed as the
SEATO The Southeast Asia Treaty Organization (SEATO) was an international organization for collective defense in Southeast Asia created by the Southeast Asia Collective Defense Treaty, or Manila Pact, signed in September 1954 in Manila, the Philipp ...
Laboratory following the 1956–1958
cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
pandemic, USAMC-AFRIMS is an agency of the US Embassy Thailand residing at the Royal Thai Army Medical Center in Bangkok. AFRIMS is a special foreign activity of the
Walter Reed Army Institute of Research The Walter Reed Army Institute of Research (WRAIR) is the largest biomedical research facility administered by the U.S. Department of Defense (DoD). The institute is centered at the Forest Glen Annex, in the Forest Glen Park part of the uni ...
(WRAIR) and part of the
United States Army Medical Research and Materiel Command United may refer to: Places * United, Pennsylvania, an unincorporated community * United, West Virginia, an unincorporated community Arts and entertainment Films * ''United'' (2003 film), a Norwegian film * ''United'' (2011 film), a BBC Two f ...
(MRMC). AFRIMS is part of a global network of Department of Defense overseas medical research laboratories in Peru, Kenya, Egypt, and the Republics of Georgia and Singapore. USAMC-AFRIMS has nearly 500 staff members (predominantly Thai and US) and a research budget of approximately US$30–35 million annually.


Research

The major infectious disease threats to soldiers in Southeast Asia include
drug resistant Drug resistance is the reduction in effectiveness of a medication such as an antimicrobial or an antineoplastic in treating a disease or condition. The term is used in the context of resistance that pathogens or cancers have "acquired", that is ...
malaria, diarrhea and dysentery,
dengue fever Dengue fever is a mosquito-borne tropical disease caused by the dengue virus. Symptoms typically begin three to fourteen days after infection. These may include a high fever, headache, vomiting, muscle and joint pains, and a characterist ...
, HIV, hepatitis, and
scrub typhus Scrub typhus or bush typhus is a form of typhus caused by the intracellular parasite '' Orientia tsutsugamushi'', a Gram-negative α-proteobacterium of family Rickettsiaceae first isolated and identified in 1930 in Japan.halofantrine Halofantrine is a drug used to treat malaria. Halofantrine's structure contains a substituted phenanthrene, and is related to the antimalarial drugs quinine and lumefantrine. Marketed as Halfan, halofantrine is never used to prevent malaria and ...
antimalarial drug treatment. Many Southeast Asian maladies are referred to as “orphan diseases” as they are ignored by the pharmaceutical industry. AFRIMS' emphasis on orphan diseases addresses a gap in global health treatments. AFRIMS also conducts surveillance of emerging diseases such as drug resistant P falciparum malaria, diarrhea agents: Campylobacter, Cholera O139, Cyclospora, E coli, Hepatitis E, HIV 1 E clade, drug resistant scrub typhus, dengue hemorrhagic fever, and influenza. AFRIMS has field sites across Thailand, Nepal, Cambodia, and the Republic of the Philippines, with ongoing collaboration in Bhutan, Mongolia, Vietnam, Laos, and Bangladesh. AFRIMS has a modern animal research facility, accredited by the
Association for Assessment and Accreditation of Laboratory Animal Care International The Association for Assessment and Accreditation of Laboratory Animal Care International, or AAALAC, is a private, nonprofit organization that promotes the humane treatment of animals in science through voluntary accreditation and assessment progr ...
(AAALAC).


References


External links

* Military medicine in the United States Military installations of the United States in Thailand Medical research institutes in Thailand Thailand–United States relations {{US-mil-stub