Alexa-RE plays a critical role in guiding environmental and occupational health policies, technology development, and functional/operational expertise to the DoD Defense Health Agency and Health Affairs.

Alexa-RE holds a key functional support position in developing an Individual Longitudinal Exposure Record (ILER) capability that allows for associating environmental exposures with an individual, location and time. There are ongoing challenges with linking exposures to an individual’s health outcome leading to presumptive exposures, inappropriate disability benefits/compensation, limited data for epidemiology/research, and delayed health care. Some key examples of Alexa-RE’s experiences includes support to deployment related exposures such as burn pits, airborne particulate, toxic industrial chemical and materials and water and food contaminants.

Alexa-RE is familiar with current DoD and VA personnel tracking and exposure systems that are critical for an ILER. They include the Defense Occupational Environmental Health Record System (DOHERS), the contingency tracking systems, Military Health System Data Repository, and the Defense Medical Surveillance System. These information systems and the Defense Management Data Center personnel data are critical to further developments of an ILER capability. In addition, Alexa-RE has provided oversight and collaborations with the VA on registries to include Airborne Hazards & Open Burn Pit, Toxic Embedded Fragments, Depleted Uranium, Ionizing Radiation, Agent Orange and Gulf War Registry.

Alexa-RE plays a lead role in ensuring that DoD registry related information and DoD laboratory data is accessible to the Veterans Affairs. Alexa-RE facilities data sharing through collaborations and multidisciplined engagements, and policy review.