Award Number: W81XWH TITLE: Global Positioning Systems (GPS) Technology to Study Vector-Pathogen-Host Interactions

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1 Award Number: W81XWH TITLE: Global Positioning Systems (GPS) Technology to Study Vector-Pathogen-Host Interactions PRINCIPAL INVESTIGATOR: Timothy P. Endy MD, MPH CONTRACTING ORGANIZATION: SUNY UPSTATE MEDICAL UNIVERSITY Syracuse, NY REPORT DATE: December 2016 TYPE OF REPORT: Final PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.

2 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports ( ), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE 2. REPORT TYPE December 2016 Final 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Global Positioning Systems (GPS) Technology to Study Vector-Pathogen-Host Interactions 3. DATES COVERED 27 Sept Sept b. GRANT NUMBER W81XWH c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Timothy P. Endy MD, MPH; Stephen J. Thomas MD, LTC, USA Betty Diamond 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER Endyt@upstate.edu; stephen.j.thomas3.mil@mail.mil 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER SUNY UPSTATE MEDICAL UNIVERSITY Syracuse, NY Walter Reed Army Institute of Research Silver Spring, MD 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland SPONSOR/MONITOR S REPORT NUMBER(S) 12. DISTRIBUTION / AVAILABILITY STATEMENT Approved for Public Release; Distribution Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT The objective of this project is to examine the evolutionary consequences of introducing a tetravalent liveattenuated dengue virus vaccine into children in Northern Thailand on naturally occurring endemic wild-type dengue virus. Dengue is the most common arbovirus causing human disease in subtropical and tropical regions of the world and estimated that over 50 million infections occur each year and over 20,000 deaths. In this grant, an interdisciplinary team of university and military investigators have conducted coordinated studies to determine the effect vaccination with a candidate tetravalent vaccine will have on genetic changes on wild-type dengue virus and how these changes will determine risk for severe dengue and serotype-specific dengue virus transmission. Studies are being conducted in Kamphaeng Phet Province, Northern Thailand, to isolate wild-type dengue virus and examine genetic diversity in the population, in hospitalized children with severe dengue illness and cluster investigation of their neighborhoods, and by using sophisticated Global Positioning Systems (GPS) technology of isolated viruses and genetic characterization, spatial and temporal analysis are being performed in detail. This study is a unique opportunity to study the evolutionary consequences of this vaccine on wild-type dengue virus with findings that will have long-term impact on the design of future dengue vaccines and conduct of dengue vaccine efficacy trials. 15. SUBJECT TERMS Global Position Systems, Dengue virus, Dengue vaccine 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT a. REPORT U b. ABSTRACT U c. THIS PAGE U UU 18. NUMBER OF PAGES 27 19a. NAME OF RESPONSIBLE PERSON USAMRMC 19b. TELEPHONE NUMBER (include area code)

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PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland

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