MSMR Pub Date : 2024-05-20

John Mark Velasco, Maria Theresa Valderama, Paula Corazon Diones, Susie Leonardia, Simon Alcantara, Khajohn Joonlasak, Piyawan Chinnawirotpisan, Wudtichai Manasatienkij, Chonticha Klungthong, Errol Roy Arellano, Carrol Mae Osia, Joy Magistrado-Payot, Paul Fajardo, Fatima Claire Navarro, Kathryn McGuckin Wuertz, Aaron Farmer

{"title":"Outbreak of influenza and SARS-CoV-2 at the Armed Forces of the Philippines Health Service Education and Training Center, September 25-October 10, 2023.","authors":"John Mark Velasco, Maria Theresa Valderama, Paula Corazon Diones, Susie Leonardia, Simon Alcantara, Khajohn Joonlasak, Piyawan Chinnawirotpisan, Wudtichai Manasatienkij, Chonticha Klungthong, Errol Roy Arellano, Carrol Mae Osia, Joy Magistrado-Payot, Paul Fajardo, Fatima Claire Navarro, Kathryn McGuckin Wuertz, Aaron Farmer","doi":"","DOIUrl":"","url":null,"abstract":"In the last week of September 2023, a surge of influenza-like illness was observed among students of the Armed Forces of the Philippines (AFP) Health Service Education and Training Center, where 48 (27 males and 21 females; age in years: mean 33, range 27-41) of 247 military students at the Center presented with respiratory symptoms. Between September 25 and October 10, 2023, all 48 symptomatic students were evaluated with real-time reverse transcription polymerase chain reaction and sequencing for both influenza and SARS-CoV-2. Thirteen (27%) students were found positive for influenza A/H3 only, 6 (13%) for SARS-CoV-2 only, and 4 (8%) were co-infected with influenza A/H3 and SARS-CoV-2. Seventeen influenza A/ H3N2 viruses belonged to the same clade, 3C.2a1b.2a.2a.3a, and 4 SARSCoV-2 sequences belonged to the JE1.1 lineage, indicating a common source outbreak for both. The influenza A/H3N2 circulating virus belonged to a different clade than the vaccine strain for 2023 (3C.2a1b.2a.2a). Only 4 students had received the influenza vaccine for 2023. In response, the AFP Surgeon General issued a memorandum to all military health institutions on October 19, 2023 that mandated influenza vaccination as a prerequisite for enrollment of students at all education and training centers, along with implementation of non-pharmaceutical interventions and early notification and testing of students exhibiting influenza-like-illness.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 5","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heat exhaustion and heat stroke among active component members of the U.S. Armed Forces, 2019-2023. 2019-2023 年美国武装部队现役成员中的热衰竭和中暑情况。

MSMR Pub Date : 2024-04-20

Alexis L Maule, Kiara D Scatliffe-Carrion, Katherine S Kotas, Jacob D Smith, John F Ambrose

{"title":"Heat exhaustion and heat stroke among active component members of the U.S. Armed Forces, 2019-2023.","authors":"Alexis L Maule, Kiara D Scatliffe-Carrion, Katherine S Kotas, Jacob D Smith, John F Ambrose","doi":"","DOIUrl":"","url":null,"abstract":"The most serious types of heat illnesses, heat exhaustion and heat stroke, are occupational hazards associated with many of the military's training and operational environments. These illnesses can typically be prevented by appropriate situational awareness, risk management strategies, along with effective countermeasures. In 2023, the crude incidence of heat stroke and heat exhaustion were 31.7 and 172.7 cases per 100,000 person-years, respectively. The rates of incident heat stroke declined during the 2019 to 2023 surveillance period, but rates of incident heat exhaustion increased over the same period. In 2023, higher rates of heat stroke were observed among male service members compared to their female counterparts, and female service members experienced higher rates of heat exhaustion compared to male personnel. Heat illness rates were also higher among those younger than age 20, Marine Corps and Army service members, non-Hispanic Black service members, and recruits. Leaders, training cadres, and supporting medical and safety personnel must inform their subordinate and supported service members of heat illness risks, preventive measures, early signs and symptoms of illness, and appropriate interventions.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 4","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exertional hyponatremia among active component members of the U.S. Armed Forces, 2008-2023. 2008-2023 年美国武装部队现役成员中的劳累性低钠血症。

MSMR Pub Date : 2024-04-20

{"title":"Exertional hyponatremia among active component members of the U.S. Armed Forces, 2008-2023.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Exertional hyponatremia, or exercise-associated hyponatremia, occurs within 24 hours after physical activity due to a serum, plasma, or blood sodium concentration (Na+) below the normal reference range of 135 mEq/L. If not detected early and managed properly, hyponatremia can be fatal. From 2008 to 2023, 1,812 cases of exertional hyponatremia were diagnosed among U.S. active component service members (ACSMs), with an overall incidence rate of 8.3 cases per 100,000 person-years (p-yrs). In 2023 there were 153 cases of exertional hyponatremia diagnosed among ACSMs, resulting in a crude incidence rate of 11.7 per 100,000 p-yrs. Female service members, those older than 40, non-Hispanic Black service members, Marine Corps members, recruits, those in combat-specific occupations, and ACSMs stationed in the Northeast U.S. region had higher incidence rates of exertional hyponatremia diagnoses than their respective counterparts. During the surveillance period, annual rates of incident exertional hyponatremia diagnoses peaked in 2010 (12.8 per 100,000 p-yrs) and then decreased to a low of 5.3 cases per 100,000 p-yrs in 2013. Thereafter the incidence rate fluctuated but has increased from 6.2 per 100,000 p-yrs in 2017 to its second-highest level in 2023. Service members and their supervisors should be aware of the dangers of excessive fluid consumption and prescribed limits for consumption during prolonged physical activity including field training exercises, personal fitness training, or recreational activities, particularly in hot, humid weather.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 4","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exertional rhabdomyolysis among active component members of the U.S. Armed Forces, 2019-2023. 2019-2023 年美国武装部队现役成员中的劳累性横纹肌溶解症。

MSMR Pub Date : 2024-04-20

引用次数: 0

Mid-season influenza vaccine effectiveness estimates among DOD populations: a composite of data presented at VRBPAC-the Vaccines and Related Biological Products Advisory Committee-2024 meeting on influenza vaccine strain selection for the 2024-2025 influenza season. 国防部人群季中流感疫苗有效性估计：在 VRBPAC--疫苗及相关生物制品咨询委员会--2024 年关于 2024-2025 年流感季节流感疫苗菌株选择的会议上提交的综合数据。

MSMR Pub Date : 2024-03-20

Angelia A Eick-Cost, Jeffrey W Thervil, Zheng Hu, Laurie S DeMarcus

引用次数: 0

A comparison of the rate of HIV incidence in the active component U.S. military with the U.S. population in 2021. 2021 年美国现役军人与美国人口艾滋病发病率的比较。

MSMR Pub Date : 2024-03-20

James D Mancuso, Sithembile L Mabila

引用次数: 0

HIV pre-exposure prophylaxis (PrEP) prescriptions within the active component of the U.S. military, 2023. 2023 年美军现役人员的艾滋病毒暴露前预防 (PrEP) 处方。

MSMR Pub Date : 2024-03-20

Angelia A Eick-Cost, Sithembile L Mabila, Saixia Ying

引用次数: 0

Tobacco and nicotine use among active component U.S. military service members: a comparison of 2018 estimates from the Health Related Behaviors Survey and the Periodic Health Assessment. 美国现役军人中的烟草和尼古丁使用情况：健康相关行为调查和定期健康评估的 2018 年估计值比较。

MSMR Pub Date : 2024-03-20

James D Mancuso, Anwar E Ahmed, Kristen R Rossi

{"title":"Tobacco and nicotine use among active component U.S. military service members: a comparison of 2018 estimates from the Health Related Behaviors Survey and the Periodic Health Assessment.","authors":"James D Mancuso, Anwar E Ahmed, Kristen R Rossi","doi":"","DOIUrl":"","url":null,"abstract":"This study compared estimates of the prevalence of and risk factors for tobacco and nicotine use obtained from the 2018 Health Related Behaviors Survey (HRBS) and Periodic Health Assessment (PHA) survey. The HRBS and the PHA are important Department of Defense sources of data on health behavior collected from U.S. military service members. While their collection methods differ, some survey questions are similar, which provides an opportunity to compare survey estimates. Active duty service members consistently reported a much lower prevalence of all types of tobacco and nicotine use on the PHA compared to the HRBS: cigarettes (11.1% vs. 18.4%), e-cigarettes (7.3% vs. 16.2%), chewing tobacco (9.7% vs. 13.4%), any tobacco or nicotine use (25.3% vs. 37.8%), and use of 2 or more tobacco or nicotine products (5.8% vs. 17.4%). Associations between tobacco and nicotine use as well as demographic and other behavioral variables were fairly similar, including age, sex, education, race and ethnicity, rank, and alcohol use. The associations with service branch, body mass index, and sleep were inconsistent. This results of this study suggest that the PHA can provide timely information on trends in military tobacco and nicotine use over time, but much higher estimates from the confidential, voluntary HRBS reported in this study suggest that the command-directed PHA may substantially underestimate the prevalence of all types of tobacco and nicotine use.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"2-12"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coverage of HIV pre-exposure prophylaxis (PrEP) within the active duty U.S. military, 2023. 2023 年美国现役军人中艾滋病毒暴露前预防 (PrEP) 的覆盖范围。

MSMR Pub Date : 2024-03-20

James D Mancuso, Anwar E Ahmed

{"title":"Coverage of HIV pre-exposure prophylaxis (PrEP) within the active duty U.S. military, 2023.","authors":"James D Mancuso, Anwar E Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"Estimates of HIV pre-exposure prophylaxis (PrEP) coverage in the U.S. military, defined as the proportion of the persons taking HIV PrEP out of the estimated number of persons who had indications for it, have never been published. The objective of this study was to provide an estimate of HIV PrEP coverage comparable to U.S. civilian estimates. The population with indications for HIV PrEP was obtained from the Department of Defense 2018 Health Related Behaviors Survey, a stratified random sample of members of all military service branches. The military PrEP coverage estimate of 31.6% in 2023 was lower than the national U.S. estimate of 36.0% in 2022. Among the military population of men who have sex with men (MSM), an estimated 24.6% of service members had indications for PrEP, similar to the national estimate of 24.7%. MSM comprised 66% of all military service members with HIV PrEP indications, compared to 40% in the U.S. general population. The U.S. military should continue deliberate, sustained, and effective actions to address sexual health inequities among MSM, aligned and coordinated with societal efforts including improved coverage of HIV PrEP to prevent HIV transmission.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A summary of the U.S. Marine Recruit Assessment Program (RAP) procedures and survey from 2003 to 2021 2003 年至 2021 年美国海军陆战队新兵评估计划 (RAP) 程序和调查摘要

MSMR Pub Date : 2024-02-20

Zeina G Khodr, Jennifer McAnany, Yohannes G Haile, Vanessa G Perez, Patricia Rohrbeck

引用次数: 0

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