{"title":"Heat Exhaustion and Heat Stroke Among Active Component Members of the U.S. Armed Forces, 2018-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most serious types of heat illness, heat exhaustion and heat stroke, are occupational hazards of the military's training and operational environments. These conditions can be mitigated with appropriate situational aware-ness and effective countermeasures. In 2022, the crude incidence rates of heat stroke and heat exhaustion among active component service members were 32.1 and 147.7 per 100,000 person-years, respectively. The rates of incident heat stroke and heat exhaustion generally declined during the 2018 to 2022 surveillance period. In 2022, those at highest risk were men, those younger than age 20, Marine Corps and Army members, recruit trainees, and those in combat-specific occupations. Leaders, training cadres, and supporting medical personnel must inform their supervised and supported service members of heat illness risks, preventive measures, early signs and symptoms, and first-responder actions.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 4","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exertional Rhabdomyolysis Among Active Component Members of the U.S. Armed Forces, 2018-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Exertional rhabdomyolysis is a pathologic muscle breakdown associated with strenuous physical activity. A largely preventable condition, it persists as an occupational hazard of military training and operations, especially in high heat environments among individuals exerting themselves to endurance limits. During the 5-year surveillance period, unadjusted incidence rates of exertional rhabdomyolysis among U.S. service members declined by approximately 15%, from 43.1 cases per 100,000 person-years (p-yrs) in 2018 to 36.5 cases per 100,000 p-yrs in 2022. Consistent with prior reports, subgroup- specific rates in 2022 were highest among men, those younger than 20 years, non-Hispanic Black service members, Marine Corps or Army members, and those in combat-specific and \"other\" occupations. Recruit trainees had the highest rates of exertional rhabdomyolysis in 2021 and 2022, with incidence rates 10 times higher than all other service members. Prompt recognition of the symptoms of exertional rhabdomyolysis (muscular pain or swelling, limited range of motion, or the excretion of darkened urine after strenuous physical activity, especially in hot, humid weather) by health care providers is crucial to avoid the most severe consequences of this potentially life-threatening condition.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 4","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malaria among members of the U.S. Armed Forces, 2013-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malaria infection remains a potential health threat to U.S. service members located in or near endemic areas due to duty assignment, participation in contingency operations, or personal travel. In 2022, a total of 30 active and reserve component service members were diagnosed with or reported to have malaria, a 42.9% increase from the 21 cases identified in 2021. Over half of the malaria cases in 2022 were caused by Plasmodium falciparum (53.3%; n=16) and one-sixth (16.7%; n=5) were attributed to P vivax. The remaining 9 cases were associated with other or unspecified types of malaria. Malaria cases were diagnosed or reported from 19 different medical facilities-15 in the U.S. and 1 each from Germany, Africa, South Korea, and Japan. Of the 28 cases with a known location of diagnosis, 9 (32.1%) were reported from or diagnosed outside the U.S.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zika Virus Among Department of Defense Service Members and Beneficiaries, 2013-2022.","authors":"Kati Touchstone, Kenji Matsumoto, Nicholas Seliga","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexually Transmitted Infections Among Active Component Service Members, U.S. Armed Forces, 2014-2022.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report summarizes incidence rates and trends of sexually transmitted infections (STIs) from 2014 to 2022 among active component service members of the U.S. Armed Forces. The data compiled for this report are derived from medical surveillance of chlamydia, gonorrhea, and syphilis as nation-ally notifiable diseases. Case data for 2 additional STIs, human papilloma virus (HPV) and genital herpes simplex virus (HSV), are also presented. Since 2019 case rates for all STIs have declined, excluding syphilis, which declined briefly but rose among male and female service members by approximately 40% between 2020 and 2022. Overall age- and gender-adjusted case rates for chlamydia, gonorrhea, and syphilis remain somewhat higher within the U.S. Armed Forces than among the general U.S. population, which may be due to factors including mandatory screening, more complete reporting, incomplete adjustment for age distribution, and inequitable comparisons between the active duty military and entire U.S. population. While case rates among female service members for chlamydia, gonorrhea, HPV, and HSV are significantly higher, syphilis rates display a male preponderance for all except the youngest age group. Social restrictions during the COVID-19 pandemic may have contributed to declines in true case rates and screening coverage.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"2-9"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Military Health System Exceeded Healthy People 2020 Goal for Rotavirus Vaccination.","authors":"David R Sayers, Sarah M Reynolds","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 3","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Critical Role of Disease and Non-Battle Injuries in Soldiers Isolated on Pacific Islands During the Second World War.","authors":"Dennis G Shanks","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 2","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Satish Pillai, Mandy Chau, Ibrahim Kamara, Dana Thomas, John Iskander
{"title":"Hospitalizations Among Active Duty Members of the U.S. Coast Guard, Fiscal Year 2021.","authors":"Satish Pillai, Mandy Chau, Ibrahim Kamara, Dana Thomas, John Iskander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 2","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changing of the Guard: MSMR's Second Editor-in-Chief Retires.","authors":"Natalie Wells","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 2","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9392337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole M Hsu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells
{"title":"Incidence and Management of Chronic Insomnia, Active Component, U.S. Armed Forces, 2012 to 2021.","authors":"Nicole M Hsu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Department of Veterans Affairs and Department of Defense Clinical Practice Guideline (VA/DOD CPG) provides evidence-based management pathways to mitigate the negative consequences of common sleep disorders among service members (SMs). This retrospective cohort study estimated the incidence of chronic insomnia in active component military members from 2012 through 2021 and the percentage of SMs receiving VA/DOD CPG-recommended insomnia treatments. During this period, 148,441 incident cases of chronic insomnia occurred, with an overall rate of 116.1 per 10,000 person-years (p-yrs). A sub-analysis of SMs with chronic insomnia diagnosed during 2019-2020 found that 53.9% received behavioral therapy and 72.7% received pharmacotherapy. As case ages increased, the proportion who received therapy decreased. Co-existing mental health conditions increased the likelihood of receiving therapy for insomnia cases. Clinician education about the VA/DOD CPG may improve utilization of these evidence-based management pathways for SMs with chronic insomnia.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 1","pages":"2-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9445475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}