MSMR Pub Date : 2023-09-01

Matthew G Bell, Wenjun Liu, William R Hulsey, Kevin L Schully

{"title":"Low Risk for Ross River Virus Infection in Expeditionary Forces Training in Australia Demonstrated by a Serological Survey of Marine Rotational Force-Darwin, 2012-2018.","authors":"Matthew G Bell, Wenjun Liu, William R Hulsey, Kevin L Schully","doi":"","DOIUrl":"","url":null,"abstract":"On an annual basis, approximately 2,500 U.S. Marines and Sailors deploy to Australia on 6-month training rotations. Active duty personnel are generally immunologically naïve to pathogens endemic to tropical Australia, a vulnerability that could significantly impact medical readiness. To estimate risk, we screened 628 post-deployment serum samples by ELISA for serological evidence of infection with Ross River virus (RRV), a mosquito-borne alphavirus endemic to tropical Australia. Samples that tested above the negative cutoff value were paired with their pre-deployment samples to identify deployment-related seroconversion. These paired samples were further investigated with a live virus neutralization assay to assess specificity. There was a single RRV seroconversion and 49 false-positive results. In the context of these analyses (i.e., limited sample numbers collected between the months of March and October), we assess the RRV risk to MRFD as low and encourage strategies such as avoiding and preventing mosquito bites to mitigate the existing risk over widespread vaccination programs, if an FDA-approved vaccine becomes available. The Panbio RRV ELISA lacks the specificity to draw conclusions based on seropositivity from large-scale surveys of U.S. personnel.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 9","pages":"11-16"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239580","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}

引用次数: 0

Surveillance Snapshot: The Top 10 Incident Cancers Among Active Component Service Members, 2018-2022. 监测快照：2018-2022年活性成分服务会员中十大癌症事件。

MSMR Pub Date : 2023-09-01

Sithembile Mabila, Erika Dreyer

引用次数: 0

Update: Routine Screening for Antibodies to Human Immunodeficiency Virus, U.S. Armed Forces, Active and Reserve Components, January 2018-June 2023. 更新：人类免疫缺陷病毒抗体常规筛查，美国武装部队，现役和预备役部队，2018年1月至2023年6月。

MSMR Pub Date : 2023-09-01

引用次数: 0

Case Report: Complicated Urinary Tract Infection Due to an Extensively Resistant Escherichia coli in a Returning Traveler. 病例报告:因广泛耐药大肠杆菌引起的复杂尿路感染。

MSMR Pub Date : 2023-08-20

Edwin Kamau, Patrick McGann, Francois Lebreton, Brendan Jones, Han Ha Youn, Jason Bennett, Christopher Harens, Viseth Ngauy, Nathanial Copeland

引用次数: 0

Reportable Medical Events, Military Health System Facilities, Week 26, Ending July 1, 2023. 可报告的医疗事件，军事卫生系统设施，第26周，截至2023年7月1日。

MSMR Pub Date : 2023-08-20

引用次数: 0

Surveillance Snapshot: Pseudofolliculitis barbae Cases in Active Component Service Members, 2000-2022. 监测快照:现役军人假性毛囊炎病例，2000-2022。

MSMR Pub Date : 2023-08-20

Thomas Wilkerson, Sithembile Mabila

引用次数: 0

Active Surveillance for Acute Respiratory Disease Detected No Outbreaks at Four U.S. Army Basic Training Installations in 2022. 对急性呼吸道疾病的主动监测在2022年美国陆军四个基本训练设施没有发现疫情。

MSMR Pub Date : 2023-08-20

Katherine Kotas, Alicia Trueblood, Michael Superior, John Ambrose

{"title":"Active Surveillance for Acute Respiratory Disease Detected No Outbreaks at Four U.S. Army Basic Training Installations in 2022.","authors":"Katherine Kotas, Alicia Trueblood, Michael Superior, John Ambrose","doi":"","DOIUrl":"","url":null,"abstract":"Abstract: A total of 254 febrile acute respiratory disease (ARD) cases were identified among Army basic trainees in 2022. No Army basic training installations met the definition for an ARD or Group A Beta-Hemolytic Streptococcus outbreak in 2022. The inclusion of afebrile ARD data in the surveillance program identified an additional 1,696 cases in which a trainee met the criteria for a case of ARD, except for an oral temperature of 100.5°F or higher. While including afebrile cases in the ARD rate calculation did result in an overall increase in weekly ARD rates, no basic training installations met the MEDCOM definition for an ARD outbreak. The continued surveillance and implementation of interventions such as chemoprophylaxis, vaccination, and non-pharmacologic interventions (e.g. hand-washing, head-to-toe sleeping bunk arrangement, etc.) helped identify and potentially prevent ARD outbreaks.What are the new findings?: In 2022, no ARD outbreaks were identified at any U.S. Army basic training installations, according to the U.S. Army's Medical Com-mand (MEDCOM) definition. This marks the third consecutive year without an ARD outbreak at these installations. Vaccination, chemoprophylaxis, and active disease surveillance are cornerstones of the Army's program to protect the health and readiness of basic trainees, utilizing support from the Defense Health Agency's Defense Centers for Public Health.What is the impact on readiness and force health protection?: U.S. Army basic training provides an ideal environment for the development of respiratory disease outbreaks because of sustained high stress combined with close trainee living and training quarters. Disease outbreaks degrade force readiness by increasing training time or potentially reducing numbers of trainees who graduate. The data from 2020 through 2022 demonstrate that no ARD outbreaks occurred in this population.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 8","pages":"2-5"},"PeriodicalIF":0.0,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10213736","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}

引用次数: 0

Update: Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries Among Non-Service Member Beneficiaries of the Military Health System, 2022. 更新:军队卫生系统非服务成员受益人中各种疾病和伤害的绝对和相对发病率负担，2022。

MSMR Pub Date : 2023-07-20

引用次数: 0

Surveillance Snapshot: Illness and Injury Burdens Among Reserve Component Members, U.S. Armed Forces, 2022. 监视快照:美国武装部队预备役成员的疾病和伤害负担，2022年。

MSMR Pub Date : 2023-07-20

引用次数: 0

Update: Morbidity Burdens Attributable to Various Illnesses and Injuries Among Deployed Active and Reserve Component Service Members, U.S. Armed Forces, 2022. 更新:美国武装部队现役和预备役军人中各种疾病和伤害的发病率负担，2022年。

MSMR Pub Date : 2023-07-20

引用次数: 0

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