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Travis AFB bolsters USAF aeromedical evacuation capabilities amid COVID-19

Transport Isolation System capsules are positioned on respective cargo K loaders in a hangar April 28, 2020, at Travis Air Force Base, California. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

Transport Isolation System capsules are positioned on respective cargo K loaders in a hangar April 28, 2020, at Travis Air Force Base, California. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Capt. Freddy Roman-Otero, 43rd Aeromedical Evacuation Squadron flight nurse, checks his equipment as part of a pre-flight procedure April 27, 2020, at Travis Air Force Base, California. Roman-Otero is one of two 43rd AES representatives called to perform training on the Transport Isolation System capsule. This training coincided with the 21st Airlift Squadron’s transfer of four TIS capsules from Joint Base Charleston, South Carolina, to Travis AFB in an effort to bolster the U.S. Air Force’s AE capabilities. . (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Capt. Freddy Roman-Otero, 43rd Aeromedical Evacuation Squadron flight nurse, checks his equipment as part of a pre-flight procedure April 27, 2020, at Travis Air Force Base, California. Roman-Otero is one of two 43rd AES representatives called to perform training on the Transport Isolation System capsule. This training coincided with the 21st Airlift Squadron’s transfer of four TIS capsules from Joint Base Charleston, South Carolina, to Travis AFB in an effort to bolster the U.S. Air Force’s AE capabilities. . (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Capt. Steven Woods, 43rd Aeromedical Evacuation Squadron Detachment 1 flight nurse, participates in a pre-flight meeting with other 43rd AES members aboard a C-17 Globemaster III April 27, 2020, at Travis Air Force Base, California. The 43rd AES Detachment 1 is scheduled to activate as a full squadron in June and integrate into Travis’ 60th Operations Group by the end of the year. (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Capt. Steven Woods, 43rd Aeromedical Evacuation Squadron Detachment 1 flight nurse, participates in a pre-flight meeting with other 43rd AES members aboard a C-17 Globemaster III April 27, 2020, at Travis Air Force Base, California. The 43rd AES Detachment 1 is scheduled to activate as a full squadron in June and integrate into Travis’ 60th Operations Group by the end of the year. (U.S. Air Force photo by Senior Airman Christian Conrad)

Two Transport Isolation System capsules are placed in the cargo bay of a C-17 Globemaster III April 28, 2020, at Travis Air Force Base, California. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

Two Transport Isolation System capsules are placed in the cargo bay of a C-17 Globemaster III April 28, 2020, at Travis Air Force Base, California. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Staff Sgt. Maranda Trujillo, 21st Airlift Squadron instructor loadmaster, boards a C-17 Globemaster III April 27, 2020, at Travis Air Force Base, California. Trujillo was among the 21st AS aircrew tasked with transporting four Transport Isolation System capsules from Joint Base Charleston, South Carolina, to Travis AFB. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Staff Sgt. Maranda Trujillo, 21st Airlift Squadron instructor loadmaster, boards a C-17 Globemaster III April 27, 2020, at Travis Air Force Base, California. Trujillo was among the 21st AS aircrew tasked with transporting four Transport Isolation System capsules from Joint Base Charleston, South Carolina, to Travis AFB. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

A C-17 Globemaster III is parked on the Travis flight line April 27, 2020, at Travis Air Force Base, California. As of now, only the C-17, C-130H Hercules and C-130J Super Hercules are capable of carrying Transport Isolation System capsules. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

A C-17 Globemaster III is parked on the Travis flight line April 27, 2020, at Travis Air Force Base, California. As of now, only the C-17, C-130H Hercules and C-130J Super Hercules are capable of carrying Transport Isolation System capsules. TIS capsules, which were initially engineered in response to the Ebola virus in 2014, allow the transport of individuals with highly contagious diseases without infecting any other passengers or aircrew on the aircraft. (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Chief Master Sgt. Jennifer Moses, 775th Expeditionary Aeromedical Evacuation Flight, COVID West AE Task Force member, examines two Transport Isolation System capsules April 28, 2020, at Travis Air Force Base, California. The task force’s aim is to research and implement best practices to help combat and prevent the spread of COVID-19. (U.S. Air Force photo by Senior Airman Christian Conrad)

U.S. Air Force Chief Master Sgt. Jennifer Moses, 775th Expeditionary Aeromedical Evacuation Flight, COVID West AE Task Force member, examines two Transport Isolation System capsules April 28, 2020, at Travis Air Force Base, California. The task force’s aim is to research and implement best practices to help combat and prevent the spread of COVID-19. (U.S. Air Force photo by Senior Airman Christian Conrad)

TRAVIS AIR FORCE BASE, Calif. – Travis Air Force Base is now one of three staging areas for the U.S. Air Force’s specialized aeromedical evacuation missions relating to the ongoing COVID-19 global pandemic.

Air Mobility Command, headquartered at Scott Air Force Base, Illinois, selected Travis AFB, Joint Base Charleston, South Carolina, and Ramstein Air Base, Germany, as staging grounds for its AE missions involving Transportation Isolation System use.

The TIS is an infectious disease containment unit, each designed to transport two to four infected patients aboard an aircraft. The Department of Defense developed TIS units during the Ebola outbreak of 2014 to enable in-flight medical care for patients while mitigating the risk of exposure to aircrew, medical attendants and the aircraft. However, the system wasn’t officially used by the DoD for the first time until the new coronavirus pandemic, when AMC transported three COVID-19 positive, U.S. government contractors from Afghanistan to Ramstein on April 10, so they could receive care at a U.S. military hospital in Germany.

“With TIS being fairly new and relatively untested, a lot of importance is going to be in building foundational knowledge, especially in how squadrons and protocols work together,” said Capt. Dan Cotton, a C-17 Globemaster III pilot with the 21st Airlift Squadron here.

That know-how for cohesion is key because it takes an entire package of assets to support a TIS mission. A standard TIS Force Package consists of one C-17, two TIS modules loaded in the aircraft, a front end aircrew and medical support team in the back which includes aeromedical evacuation, critical care transport team, an infectious disease team (with a doctor and a technician) and TIS operators. These packages are often comprised of a combination of Airmen and aircraft from various units.

Currently, only the C-130H Hercules, the C-130J Super Hercules and the C-17 aircraft are able to carry the TIS capsules, making Travis AFB, with its fleet of 13 C-17s and location on the West Coast, a crucial player in the Air Force’s efforts to repatriate servicemembers and civilians who have been forced to remain in foreign countries as a result of the COVID-19 virus.

“Having the TIS here makes me think of all the people stuck overseas away from their families,” Cotton said. “Being able to help them when they’re needing it most is what we do. That’s why we’re here. It makes climbing into the C-17 and helping out with the AE mission feel really impactful.”

As global COVID-19 cases surpass three million, the implementation of TIS, especially in respect to maintaining both the health of the Air Force’s personnel and its current mobility capabilities, has proven to be successful in preventing the spread of the virus, said Capt. Freddy Roman-Otero, 43rd Aeromedical Evacuation Squadron Detachment 1 flight nurse at Travis AFB.

“We’re always ready,” he said. “(TIS) has really expanded our capabilities to the point where we’re able to continue the AE mission without any major interruptions by COVID-19. Despite the technology being made for Ebola, we’ve adapted it to suit today’s needs.”

From the 21st AS and 43rd AES here at Travis AFB to the Ramstein AB and Joint Base Charleston counterparts, cooperation is vital to mission success across the multitude of organizations supporting TIS operations.

“The 21st AS is happy to help in any way we can, and it just so happens that we’re one of the only ones who can. So we can expect to be working a lot more with the 43rd AES in the future,” Cotton said.

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