The US Department of Veterans Affairs Science and Health Initiative to Combat Infectious and Emerging Life-Threatening Diseases (VA SHIELD): A Biorepository Addressing National Health Threats.

COVID-19 sequence analysis Veterans health biological specimen banks communicable diseases data warehousing government agencies health policy public health surveillance

Journal

Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 14 09 2022
entrez: 5 1 2023
pubmed: 6 1 2023
medline: 6 1 2023
Statut: epublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has demonstrated the need to share data and biospecimens broadly to optimize clinical outcomes for US military Veterans. In response, the Veterans Health Administration established VA SHIELD (Science and Health Initiative to Combat Infectious and Emerging Life-threatening Diseases), a comprehensive biorepository of specimens and clinical data from affected Veterans to advance research and public health surveillance and to improve diagnostic and therapeutic capabilities. VA SHIELD now comprises 12 sites collecting de-identified biospecimens from US Veterans affected by SARS-CoV-2. In addition, 2 biorepository sites, a data processing center, and a coordinating center have been established under the direction of the Veterans Affairs Office of Research and Development. Phase 1 of VA SHIELD comprises 34 157 samples. Of these, 83.8% had positive tests for SARS-CoV-2, with the remainder serving as contemporaneous controls. The samples include nasopharyngeal swabs (57.9%), plasma (27.9%), and sera (12.5%). The associated clinical and demographic information available permits the evaluation of biological data in the context of patient demographics, clinical experience and management, vaccinations, and comorbidities. VA SHIELD is representative of US national diversity with a significant potential to impact national healthcare. VA SHIELD will support future projects designed to better understand SARS-CoV-2 and other emergent healthcare crises. To the extent possible, VA SHIELD will facilitate the discovery of diagnostics and therapeutics intended to diminish COVID-19 morbidity and mortality and to reduce the impact of new emerging threats to the health of US Veterans and populations worldwide.

Sections du résumé

Background UNASSIGNED
The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has demonstrated the need to share data and biospecimens broadly to optimize clinical outcomes for US military Veterans.
Methods UNASSIGNED
In response, the Veterans Health Administration established VA SHIELD (Science and Health Initiative to Combat Infectious and Emerging Life-threatening Diseases), a comprehensive biorepository of specimens and clinical data from affected Veterans to advance research and public health surveillance and to improve diagnostic and therapeutic capabilities.
Results UNASSIGNED
VA SHIELD now comprises 12 sites collecting de-identified biospecimens from US Veterans affected by SARS-CoV-2. In addition, 2 biorepository sites, a data processing center, and a coordinating center have been established under the direction of the Veterans Affairs Office of Research and Development. Phase 1 of VA SHIELD comprises 34 157 samples. Of these, 83.8% had positive tests for SARS-CoV-2, with the remainder serving as contemporaneous controls. The samples include nasopharyngeal swabs (57.9%), plasma (27.9%), and sera (12.5%). The associated clinical and demographic information available permits the evaluation of biological data in the context of patient demographics, clinical experience and management, vaccinations, and comorbidities.
Conclusions UNASSIGNED
VA SHIELD is representative of US national diversity with a significant potential to impact national healthcare. VA SHIELD will support future projects designed to better understand SARS-CoV-2 and other emergent healthcare crises. To the extent possible, VA SHIELD will facilitate the discovery of diagnostics and therapeutics intended to diminish COVID-19 morbidity and mortality and to reduce the impact of new emerging threats to the health of US Veterans and populations worldwide.

Identifiants

pubmed: 36601554
doi: 10.1093/ofid/ofac641
pii: ofac641
pmc: PMC9801224
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ofac641

Subventions

Organisme : BLRD VA
ID : I01 BX005428
Pays : United States

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

Déclaration de conflit d'intérêts

Potential conflicts of interest. The authors have noo reported conflicts of interest.

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Auteurs

John B Harley (JB)

Research Services, US Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

Saiju Pyarajan (S)

Center for Data and Computational Sciences, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA.

Elizabeth S Partan (ES)

Center for Data and Computational Sciences, Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA.

Lauren Epstein (L)

Infectious Diseases, US Department of Veterans Affairs Medical Center, Atlanta, Georgia, USA.

Jason A Wertheim (JA)

Research & Development, Southern Arizona Veterans Affairs Healthcare System, US Department of Veterans Affairs, Tucson, Arizona, USA.

Abhinav Diwan (A)

Cardiology, Veterans Affairs Saint Louis Healthcare System, US Department of Veterans Affairs, Saint Louis, Missouri, USA.

Christopher W Woods (CW)

Medicine, US Department of Veterans Affairs Medical Center, Durham, North Carolina, USA.

Victoria Davey (V)

Office of Research and Development, US Department of Veterans Affairs, Washington, District of Columbia, USA.

Sharlene Blair (S)

Research Services, US Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

Dennis H Clark (DH)

Research Services, US Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

Kenneth M Kaufman (KM)

Research Services, US Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

Shagufta Khan (S)

Research Services, US Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

Iouri Chepelev (I)

Research Services, US Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA.

Alexander Devine (A)

Prometheus Federal Services, Titan Alpha, Washington, District of Columbia, USA.

Perry Cameron (P)

Customer Value Partners, Titan Alpha, Washington, District of Columbia, USA.

Monica F McCann (MF)

Office of Research and Development, Chesapeake Medical Communications, Contractor for the US Department of Veterans Affairs, Washington, District of Columbia, USA.

Mary Cloud B Ammons (MCB)

Research, US Department of Veterans Affairs Medical Center, Boise, Idaho, USA.
Idaho Veterans Research and Education Foundation, Boise, Idaho, USA.

Devin D Bolz (DD)

Research, US Department of Veterans Affairs Medical Center, Boise, Idaho, USA.

Jane K Battles (JK)

Office of Research and Development, US Department of Veterans Affairs, Washington, District of Columbia, USA.

Jeffrey L Curtis (JL)

Medicine Service, Veteran Affairs Ann Arbor Healthcare System, US Department of Veterans Affairs, Ann Arbor, Michigan, USA.

Mark Holodniy (M)

Public Health Surveillance, Veterans Affairs Palo Alto Healthcare System, US Department of Veterans Affairs, Palo Alto, California, USA.

Vincent C Marconi (VC)

Infectious Diseases, US Department of Veterans Affairs Medical Center, Atlanta, Georgia, USA.
Division of Infectious Diseases, Emory School of Medicine and Rollins School of Public Health, Atlanta, Georgia, USA.

Charles D Searles (CD)

Infectious Diseases, US Department of Veterans Affairs Medical Center, Atlanta, Georgia, USA.

David O Beenhouwer (DO)

Medicine, Veterans Affairs Greater Los Angeles Healthcare System, US Department of Veterans Affairs, Los Angeles, California, USA.

Sheldon T Brown (ST)

Infectious Diseases, James J. Peters Veterans Affairs Medical Center, US Department of Veterans Affairs, Bronx, New York, USA.

Jonathan P Moorman (JP)

Infectious Diseases, James H. Quillen Veterans Affairs Medical Center, US Department of Veterans Affairs, Mountain Home, Tennessee, USA.
Center of Excellence in Inflammation, Infectious Diseases, and Immunity, East Tennessee State University, Johnson City, Tennessee, USA.

Zhi Q Yao (ZQ)

Infectious Diseases, James H. Quillen Veterans Affairs Medical Center, US Department of Veterans Affairs, Mountain Home, Tennessee, USA.
Center of Excellence in Inflammation, Infectious Diseases, and Immunity, East Tennessee State University, Johnson City, Tennessee, USA.

Maria C Rodriguez-Barradas (MC)

Infectious Diseases Section, Michael E. DeBakey Veterans Affairs Medical Center, US Department of Veterans Affairs, Houston, Texas, USA.
Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.

Shyam Mohapatra (S)

Medicine, James A. Haley Veterans Hospital, US Department of Veterans Affairs, Tampa, Florida, USA.

Osmara Y Molina De Rodriguez (OY)

Research & Development, Southern Arizona Veterans Affairs Healthcare System, US Department of Veterans Affairs, Tucson, Arizona, USA.

Emerson B Padiernos (EB)

Research, US Department of Veterans Affairs Medical Center, Boise, Idaho, USA.

Eric R McIndoo (ER)

Research, US Department of Veterans Affairs Medical Center, Boise, Idaho, USA.
Idaho Veterans Research and Education Foundation, Boise, Idaho, USA.

Emily Price (E)

Research, US Department of Veterans Affairs Medical Center, Boise, Idaho, USA.
Idaho Veterans Research and Education Foundation, Boise, Idaho, USA.

Hailey M Burgoyne (HM)

Research, US Department of Veterans Affairs Medical Center, Boise, Idaho, USA.
Idaho Veterans Research and Education Foundation, Boise, Idaho, USA.

Ian Robey (I)

Research & Development, Southern Arizona Veterans Affairs Healthcare System, US Department of Veterans Affairs, Tucson, Arizona, USA.

Dawn C Schwenke (DC)

Research & Development, Southern Arizona Veterans Affairs Healthcare System, US Department of Veterans Affairs, Tucson, Arizona, USA.

Carey L Shive (CL)

Medicine, Veterans Affairs Northeast Ohio Healthcare System, US Department of Veterans Affairs, Cleveland, Ohio, USA.

Ronald M Przygodzki (RM)

Office of Research and Development, US Department of Veterans Affairs, Washington, District of Columbia, USA.

Rachel B Ramoni (RB)

Office of Research and Development, US Department of Veterans Affairs, Washington, District of Columbia, USA.

Holly K Krull (HK)

Office of Research and Development, US Department of Veterans Affairs, Washington, District of Columbia, USA.

Robert A Bonomo (RA)

Medicine, Veterans Affairs Northeast Ohio Healthcare System, US Department of Veterans Affairs, Cleveland, Ohio, USA.
Departments of Medicine, Pharmacology, & Molecular Biology and Microbiology, Case Western Reserve University, Cleveland, Ohio, USA.

Classifications MeSH