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)
1 / 5 Show Caption + Hide Caption – 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) (Photo Credit: U.S. Army) VIEW ORIGINAL
200420-N-LH674-1033 APRA, Guam (April 20, 2020) U.S. Navy Hospital Corpsman Hayden Runyon, assigned to 3rd Medical Battalion, 3rd Marine Logistics Group, takes a sample of a Sailor embarked aboard the aircraft carrier USS Theodore Roosevelt (CVN 71) to be tested for COVID-19 April 20, 2020. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist Seaman Kaylianna Genier)
2 / 5 Show Caption + Hide Caption – 200420-N-LH674-1033 APRA, Guam (April 20, 2020) U.S. Navy Hospital Corpsman Hayden Runyon, assigned to 3rd Medical Battalion, 3rd Marine Logistics Group, takes a sample of a Sailor embarked aboard the aircraft carrier USS Theodore Roosevelt (CVN 71) to be tested for COVID-19 April 20, 2020. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist Seaman Kaylianna Genier) (Photo Credit: Seaman Apprentice Kaylianna Genier) VIEW ORIGINAL
200419-N-FZ335-1025 APRA, Guam (April 19, 2020) U.S. Navy Aviation Structural Mechanic Airman Preston Rosiere, from Wichita, Kan., sanitizes a hand rail aboard the aircraft carrier USS Theodore Roosevelt (CVN 71) April 19, 2020. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 3rd Class Wade Costin)
3 / 5 Show Caption + Hide Caption – 200419-N-FZ335-1025 APRA, Guam (April 19, 2020) U.S. Navy Aviation Structural Mechanic Airman Preston Rosiere, from Wichita, Kan., sanitizes a hand rail aboard the aircraft carrier USS Theodore Roosevelt (CVN 71) April 19, 2020. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 3rd Class Wade Costin) (Photo Credit: Petty Officer 3rd Class Wade Costin) VIEW ORIGINAL
200422-N-CH038-1064 APRA, Guam (April 22, 2020) U.S. Navy Hospitalman Christian Akins, from Atlanta, assigned to Naval Hospital Guam, takes a nasal sample from a U.S. Sailor assigned to the aircraft carrier USS Theodore Roosevelt (CVN 71) as part of a public health outbreak investigation April 22, 2020. This specific outbreak investigation is expected to provide a better-informed understanding of this outbreak and guide decision making for the crew. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 1st Class Chris Liaghat)
4 / 5 Show Caption + Hide Caption – 200422-N-CH038-1064 APRA, Guam (April 22, 2020) U.S. Navy Hospitalman Christian Akins, from Atlanta, assigned to Naval Hospital Guam, takes a nasal sample from a U.S. Sailor assigned to the aircraft carrier USS Theodore Roosevelt (CVN 71) as part of a public health outbreak investigation April 22, 2020. This specific outbreak investigation is expected to provide a better-informed understanding of this outbreak and guide decision making for the crew. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 1st Class Chris Liaghat) (Photo Credit: Petty Officer 1st Class Christopher Liaghat) VIEW ORIGINAL
200410-N-CH038-1120 APRA, Guam (April 10, 2020) U.S. Sailors assigned to the aircraft carrier USS Theodore Roosevelt (CVN 71) depart the ship to move to off-ship berthing April 10, 2020. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 1st Class Chris Liaghat)
5 / 5 Show Caption + Hide Caption – 200410-N-CH038-1120 APRA, Guam (April 10, 2020) U.S. Sailors assigned to the aircraft carrier USS Theodore Roosevelt (CVN 71) depart the ship to move to off-ship berthing April 10, 2020. Upon arriving in Guam March 27, Theodore Roosevelt established an Emergency Command Center, initiated a roving and deep cleaning team, and continually educated the crew on social distancing and proper protective procedures and behaviors, to assist the crew in mitigating and controlling the spread of COVID. Theodore Roosevelt is in Guam for a scheduled port visit for resupply and crew rest during their scheduled deployment to the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 1st Class Chris Liaghat) (Photo Credit: Petty Officer 1st Class Christopher Liaghat) VIEW ORIGINAL

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.