Concern about emerging and reemerging respiratory pathogens prompted the de
velopment of a respiratory disease reference laboratory at the Naval Health
Research Center. Professionals working in this laboratory have instituted
population-based surveillance for pathogens that affect military trainees a
nd responded to threats of increased respiratory disease among high-risk mi
litary groups. Capabilities of this laboratory that are unique within the D
epartment of Defense include adenovirus testing by viral shell culture and
microneutralization serotyping, influenza culture and hemagglutination inhi
bition serotyping, and other special testing for Streptococcus pneumoniae,
Streptococcus pyogenes. Mycoplasma pneumonia, and Chlamydia pneumoniae. Pro
jected capabilities of this laboratory include more advanced testing for th
ese pathogens and testing for other emerging pathogens, including Bordetell
a pertussis, Legionella pneumoniae, and Haemophilus influenzae type B. Such
capabilities make the laboratory a valuable resource for military public h
ealth.