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https://read.qxmd.com/read/30681882/historical-perspective-leptospirosis-outbreaks-affecting-military-forces
#1
Leslie L Clark
No abstract text is available yet for this article.
January 2019: MSMR
https://read.qxmd.com/read/30681881/acute-flaccid-myelitis-case-report
#2
Megan L Donahue, Shawn S Clausen, Allison Malloy, David H Dennison, Jennifer Falcon
In August 2018, the U.S. Centers for Disease Control and Prevention (CDC) noted an increased number of reports of patients in the U.S. having symptoms clinically compatible with acute flaccid myelitis (AFM). AFM is characterized by rapid onset of flaccid weakness in one or more limbs and distinct abnormalities of the spinal cord gray matter on magnetic resonance imaging (MRI). Clinical and laboratory data suggest that AFM is associated with an antecedent viral infection. AFM may be difficult to differentiate from other causes of paralysis and, given that it is rare, has the potential to be overlooked...
January 2019: MSMR
https://read.qxmd.com/read/30681880/cardiovascular-disease-related-medical-evacuations-active-and-reserve-components-u-s-armed-forces-1-october-2001-31-december-2017
#3
Leslie L Clark, Gi-Taik Oh, Shauna Stahlman
From 1 October 2001 through 31 December 2017, a total of 697 medical evacuations of service members from the U.S. Central Command (CENTCOM) area of responsibility were followed by at least one medical encounter in a fixed medical facility outside the operational theater with a diagnosis of a cardiovascular disease (CVD). The vast majority of those (n=660; 94.7%) evacuated were males. More than a third of CVD-related evacuations (n=278, 39.9%) occurred in service members 45 years of age or older; slightly more than half (n=369; 52...
January 2019: MSMR
https://read.qxmd.com/read/30681879/non-alcoholic-fatty-liver-disease-nafld-active-component-u-s-armed-forces-2000-2017
#4
Valerie F Williams, Stephen B Taubman, Shauna Stahlman
During 2000-2017, a total of 19,069 active component service members received incident diagnoses of non-alcoholic fatty liver disease (NAFLD), for a crude overall incidence rate of 77.7 cases per 100,000 person-years. The overall rate of incident NAFLD diagnoses among males was more than 1.5 times the rate among females. Overall incidence rates of NAFLD diagnoses increased with advancing age and were highest among service members aged 50 years or older. Asian/Pacific Islander and Hispanic service members had the highest overall incidence of NAFLD diagnoses compared to those in other race/ethnicity groups...
January 2019: MSMR
https://read.qxmd.com/read/30620612/incidence-and-prevalence-of-the-metabolic-syndrome-using-icd-9-and-icd-10-diagnostic-codes-active-component-u-s-armed-forces-2002-2017
#5
Valerie F Williams, Gi-Taik Oh, Shauna Stahlman
This report uses ICD-9 and ICD-10 codes (277.7 and E88.81, respectively) for the metabolic syndrome (MetS) to summarize trends in the incidence and prevalence of this condition among active component members of the U.S. Armed Forces between 2002 and 2017. During this period, the crude overall incidence rate of MetS was 7.5 cases per 100,000 person-years (p-yrs). Compared to their respective counterparts, overall incidence rates were highest among Asian/Pacific Islanders, Air Force members, and warrant officers and were lowest among those of other/unknown race/ethnicity, Marine Corps members, and junior enlisted personnel and officers...
December 2018: MSMR
https://read.qxmd.com/read/30620611/adrenal-gland-disorders-active-component-u-s-armed-forces-2002-2017
#6
Valerie F Williams, Gi-Taik Oh, Shauna Stahlman
During 2002-2017, the most common incident adrenal gland disorder among male and female service members was adrenal insufficiency and the least common was adrenomedullary hyperfunction. Adrenal insufficiency was diagnosed among 267 females (crude overall incidence rate: 8.2 cases per 100,000 person-years [p-yrs]) and 729 males (3.9 per 100,000 p-yrs). In both sexes, overall rates of other disorders of adrenal gland and Cushing's syndrome were lower than for adrenal insufficiency but higher than for hyperaldosteronism, adrenogenital disorders, and adrenomedullary hyperfunction...
December 2018: MSMR
https://read.qxmd.com/read/30620610/thyroid-disorders-active-component-u-s-armed-forces-2008-2017
#7
Shauna Stahlman, Gi-Taik Oh
This analysis describes the incidence and prevalence of five thyroid disorders (goiter, thyrotoxicosis, primary/not otherwise specified [NOS] hypothyroidism, thyroiditis, and other disorders of the thyroid) among active component service members between 2008 and 2017. During the 10-year surveillance period, the most common incident thyroid disorder among male and female service members was primary/NOS hypothyroidism and the least common were thyroiditis and other disorders of thyroid. Primary/NOS hypothyroidism was diagnosed among 8,641 females (incidence rate: 43...
December 2018: MSMR
https://read.qxmd.com/read/30475638/brief-report-increased-number-of-possible-rabies-exposures-among-u-s-healthcare-beneficiaries-treated-in-military-clinics-in-southern-germany-in-2016
#8
Luke E Mease, Sahinaz Whitman, Rachel E Lawrence
No abstract text is available yet for this article.
November 2018: MSMR
https://read.qxmd.com/read/30475637/update-cold-weather-injuries-active-and-reserve-components-u-s-armed-forces-july-2013-june-2018
#9
(no author information available yet)
From July 2017 through June 2018, a total of 478 members of the active (n=402) and reserve (n=76) components had at least one medical encounter with a primary diagnosis of cold injury. The crude overall incidence rate of cold injury for all active component service members in 2017-2018 was 19.6% higher than the rate for the 2016-2017 cold season and was the highest rate since the 2013-2014 season. Frostbite was the most common type of cold injury among active component service members in 2017-2018. Among active component members during the 2013-2018 cold seasons, overall rates of cold injuries were generally highest among males, non-Hispanic black service members, the youngest (less than 20 years old), and those who were enlisted...
November 2018: MSMR
https://read.qxmd.com/read/30475636/cluster-of-vivax-malaria-in-u-s-soldiers-training-near-the-demilitarized-zone-republic-of-korea-during-2015
#10
Terry A Klein, Beza Seyoum, Brett M Forshey, Kathryn K Ellis, Hengmo McCall, Kyndra Jackson, Cynthia Tucker, SukHui Yi, MyungSoon Kim, HeungChul Kim
This report describes a cluster of 11 soldiers with vivax malaria among U.S. military personnel who trained at Dagmar North training area, near the demilitarized zone (DMZ), in the Republic of Korea (ROK) in 2015. Two cases were diagnosed in the ROK in 2015, one of whom subsequently experienced a relapse, and nine other cases were diagnosed in 2016, 8-11 months after the soldiers had returned to the U.S. Vivax malaria poses a health threat to U.S. Forces Korea operating near the DMZ in the ROK. Continuing and enhanced focus on force health protection measures in endemic zones is warranted...
November 2018: MSMR
https://read.qxmd.com/read/30475635/editorial-malaria-in-the-korean-peninsula-risk-factors-latent-infections-and-the-possible-role-of-tafenoquine-a-new-antimalarial-weapon
#11
Mark M Fukuda, Mariusz Wojnarski, Nicholas Martin, Victor Zottig, Norman C Waters
No abstract text is available yet for this article.
November 2018: MSMR
https://read.qxmd.com/read/30272991/fireworks-injuries-active-component-u-s-armed-forces-2008-2017
#12
Shauna Stahlman, Stephen B Taubman
Although fireworks shows are considered patriotic and festive, the use of consumer fireworks also can be dangerous. There were 302 records of fireworks injuries during the 10-year surveillance period (2.4 cases per 100,000 person- years [p-yrs]). During 2008-2017, the lowest crude annual incidence of fireworks injury was reported in 2010 (1.5 per 100,000 p-yrs) and the highest was reported in 2017 (3.4 per 100,000 p-yrs). Compared with their respective counterparts, overall incidence of fireworks injury was higher among males, non-Hispanic whites, Army members, those in an enlisted rank, and those in combat-specific occupations...
September 2018: MSMR
https://read.qxmd.com/read/30272990/update-lightning-strike-injuries-active-component-u-s-armed-forces-2008-2017
#13
Valerie F Williams, Alexis A Oetting, Shauna Stahlman
During 2008-2017, a total of 241 service members had incident lightning-related medical encounters with ICD-9 or ICD-10 codes that documented specific lightning-associated injuries or illnesses. The crude overall incidence rate of lightning strike injury during the surveillance period was 1.9 cases per 100,000 person-years. Compared to their respective counterparts, overall rates of lightning strike injury were higher among males, those aged 20-29 years, non-Hispanic whites, Army members, enlisted service members, those in combat-specific occupations, and those stationed in the Southern region of the U...
September 2018: MSMR
https://read.qxmd.com/read/30272989/update-accidental-drownings-and-near-drownings-active-component-u-s-armed-forces-2013-2017
#14
Valerie F Williams, Gi-Taik Oh, Shauna Stahlman
Service members are at risk for unintentional drownings or near drownings during training, occupational activities, and off-duty recreation. During 2013-2017, there were 359 incident accidental drowning episodes (includes drownings and near drownings) for a crude rate of 5.7 cases per 100,000 person-years. Compared with their respective counterparts, the overall incidence rates of drowning episodes were highest among males, those aged 29 years or younger, those who were unmarried, and enlisted service members...
September 2018: MSMR
https://read.qxmd.com/read/30272988/human-papillomavirus-vaccine-initiation-coverage-and-completion-rates-among-u-s-active-component-service-members-2007-2017
#15
Leslie L Clark, Shauna Stahlman, Stephen B Taubman
Human papillomavirus (HPV) vaccines have been available and licensed for use in the U.S. among women since 2006 and among men since 2010. Currently, HPV is not a mandatory vaccine for U.S. military service; however, it is encouraged and offered to service members. Between 2007 and 2017, a total of 111,546 (26.6%) eligible active component service women aged 17-26 years and 121,657 (5.8%) men initiated the HPV vaccine. Of those service members who initiated vaccination and remained in service for at least 6 months, less than half of women (46...
September 2018: MSMR
https://read.qxmd.com/read/30272987/update-routine-screening-for-antibodies-to-human-immunodeficiency-virus-civilian-applicants-for-u-s-military-service-and-u-s-armed-forces-active-and-reserve-components-january-2013-june-2018
#16
(no author information available yet)
This report provides an update through June 2018 of the results of routine screening for antibodies to the human immunodeficiency virus (HIV) among civilian applicants for military service and among members of the active and reserve components of the U.S. Armed Forces. During the surveillance period, full-year seroprevalences among applicants for service peaked in 2015 (0.34 per 1,000 tested) and then decreased during the subsequent 2 years (0.33 and 0.26 per 1,000 tested, respectively). Seroprevalences among Army active component service members, Navy active component members, Navy reservists, Marine Corps reservists, and Air National Guard members also peaked in 2015...
September 2018: MSMR
https://read.qxmd.com/read/30141959/sampling-considerations-for-detecting-genetic-diversity-of-influenza-viruses-in-the-dod-global-respiratory-pathogen-surveillance-program
#17
Anthony C Fries, William Gruner, James Hanson
The Department of Defense (DoD) Global Respiratory Pathogen Surveillance Program annually monitors the genetic diversity of influenza viruses circulating in DoD beneficiary populations. This program relies on a global network of partners across the DoD to submit respiratory specimens throughout the influenza season. In previous seasons, representative specimens for sequencing were chosen because of cost and time restrictions associated with reliance on Sanger-based sequencing technology. The effect of this specimen prioritization for sequencing has not been previously examined in the respiratory surveillance program...
August 2018: MSMR
https://read.qxmd.com/read/30141958/brief-report-leptospirosis-seroconversion-surveillance-among-u-s-army-infantry-forces-assigned-to-south-korea-2011-2014
#18
Hua-Wei Chen, Zhiwen Zhang, Tatyana Belinskaya, Wei-Mei Ching
No abstract text is available yet for this article.
August 2018: MSMR
https://read.qxmd.com/read/30141957/surveillance-for-norovirus-and-enteric-bacterial-pathogens-as-etiologies-of-acute-gastroenteritis-at-u-s-military-recruit-training-centers-2011-2016
#19
Krista M Brooks, Reza Zeighami, Christian J Hansen, Ramona L McCaffrey, Paul C F Graf, Christopher A Myers
An estimated 179 million cases of acute gastroenteritis (AGE) occur each year in the U.S. and AGE is commonly reported within both training and deployed U.S. military populations. Beginning in 2011, the Operational Infectious Diseases laboratory at Naval Health Research Center (NHRC) has undertaken routine surveillance of four U.S. military training facilities to systematically track the prevalence of AGE and to establish its etiologies among U.S. military recruits. Employing both molecular and standard microbiological techniques, NHRC routinely assays for pathogens of direct military relevance, including norovirus genogroups I and II, Salmonella , Shigella , and Campylobacter ...
August 2018: MSMR
https://read.qxmd.com/read/30141956/brief-report-pre-and-post-deployment-prevalence-of-staphylococcus-aureus-colonization-among-u-s-navy-submariners
#20
Eugene V Millar, Kristina J St Clair, Carey D Schlett, Jason W Bennett, Gina R Virgilio, Karl C Kronmann, Tahaniyat Lalani
No abstract text is available yet for this article.
August 2018: MSMR
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