MSMR Pub Date : 2024-01-20

Nathan C Lorei, Shauna L Stahlman, Gi-Taik Oh, Natalie Y Wells

{"title":"Weight loss medication prescription prevalence in the active component, 2018-2023.","authors":"Nathan C Lorei, Shauna L Stahlman, Gi-Taik Oh, Natalie Y Wells","doi":"","DOIUrl":"","url":null,"abstract":"The U.S. military has witnessed rising obesity among active component service members. The Department of Defense authorized coverage of weight loss medications in 2018, but no study has evaluated prescription prevalence within the active component. This descriptive retrospective cohort study analyzed data from active component U.S. military service members from January 2018 through June 2023. The study used data from the Defense Medical Surveillance System to determine prescription period prevalence of weight loss medication. Data on demographics, body mass index, and history of diabetes were considered. The study revealed a 100-fold increase in the prescription period prevalence of weight loss agents in the active component from their initial authorization date. Demographics associated with higher prescription period prevalence were non-Hispanic Black race and ethnicity, female sex, and older age. Service members in the health care occupations and the Navy had higher prevalence compared to other service branches and occupations. The findings indicate a significant rise in the period prevalence of weight loss prescriptions over time. Further research is recommended to assess the effectiveness, safety, and use in austere military environments.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 1","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742256","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

The four most frequently diagnosed vector-borne diseases among service member and non-service member beneficiaries in the geographic combatant commands, 2010-2022. 2010-2022 年地域作战司令部军人和非军人受益人中最常诊断出的四种病媒传染疾病。

MSMR Pub Date : 2024-01-20

Ralph A Stidham, Ronald Cole, Sithembile L Mabila

{"title":"The four most frequently diagnosed vector-borne diseases among service member and non-service member beneficiaries in the geographic combatant commands, 2010-2022.","authors":"Ralph A Stidham, Ronald Cole, Sithembile L Mabila","doi":"","DOIUrl":"","url":null,"abstract":"Vector-borne diseases (VBDs) may pose an increased risk for U.S. service members during recurring military training exercises, operations, and response missions, in addition to residence in endemic regions within and outside the continental U.S. Prior MSMR reports address VBD surveillance, described by surveillance data for 23 reportable medical events (RMEs), among active duty and reserve component service members. This report covers a 13-year surveillance period, from January 2010 to December 2022, and provides linear trends of selected VBDs among Armed Forces service and non-service member beneficiaries diagnosed at installations within the Northern Command (NORTHCOM), Africa Command (AFRICOM), Central Command (CENTCOM), European Command (EUCOM), Indo-Pacific Command (INDOPACOM), or Southern Command (SOUTHCOM). Trends of only the 4 mostfrequently reported VBDs were evaluated, as Lyme disease, malaria, Rocky Mountain Spotted Fever (RMSF), and dengue fever comprised 90% (n=5,199) of all 23 VBDs (n=5,750) among Military Health System (MHS) beneficiaries documented as RMEs during the surveillance period.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 1","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742255","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

Ivermectin prescription fill rates among U.S. Military members during the coronavirus disease 2019 (COVID-19) pandemic. 2019 年冠状病毒病（COVID-19）大流行期间美国军人的伊维菌素处方配药率。

MSMR Pub Date : 2024-01-20

Shawn S Clausen, Jessica H Murray, Shauna L Stahlman

{"title":"Ivermectin prescription fill rates among U.S. Military members during the coronavirus disease 2019 (COVID-19) pandemic.","authors":"Shawn S Clausen, Jessica H Murray, Shauna L Stahlman","doi":"","DOIUrl":"","url":null,"abstract":"This report describes ivermectin prescription fill rates among U.S. active component service members (ACSM) over time during the early phases of the COVID-19 pandemic. Information about the unsubstantiated benefits of ivermectin for coronavirus 2019 (COVID-19) prevention and treatment was widely available online early in the COVID-19 pandemic. Ivermectin prescription fill rates increased among ACSM during periods of Alpha and Delta coronavirus variant predominance, but not during the predominance of the Omicron variant. At the peak of the fill rate curve, in August 2021, rates were higher among men compared to women, older compared to younger age groups, senior officers compared to junior officers, senior enlisted compared to junior enlisted service members, and those with a bachelor's or advanced degree compared to those without a bachelor's degree. Ivermectin prescriptions were more likely to have been filled at a retail pharmacy than at a military hospital or clinic. During the COVID-19 pandemic fill rates for ivermectin prescriptions among ACSM increased, including those without a qualifying diagnosis. Rates peaked in August 2021 but subsequently declined. The decrease in ivermectin fill rates was coincident with vigorous efforts to correct previous misinformation and implement pre-authorization requirements for prescriptions. Research on the impact of unproven online claims about clinical and public health interventions has potential to curtail future unnecessary and potentially harmful treatments.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 1","pages":"2-8"},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10926958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742254","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 content review of articles published in the Medical Surveillance Monthly Report, 2019-2023. 2019-2023年《医学监督月报》发表文章的内容回顾。

MSMR Pub Date : 2024-01-20

Kristen R Rossi, Robert N Pursley

引用次数: 0

Surveillance snapshot: chikungunya in service members of the U.S. Armed Forces, 2016-2022. 监测快照：2016-2022 年美国武装部队服役人员中的基孔肯雅病。

MSMR Pub Date : 2023-12-20

Shauna L Stahlman, Richard S Langton

引用次数: 0

Surveillance snapshot: mid-year populations by sex, age, and race and ethnicity of active component service members of the U.S. Armed Forces, 2018–2022 监测快照：2018-2022 年美国武装部队现役军人中按性别、年龄、种族和民族分列的年中人口数量

MSMR Pub Date : 2023-12-20

Alexis A McQuistan, Erika Dreyer, Sithembile L Mabila

引用次数: 0

Trends and disparities in systemic lupus erythematosus incidence among U.S. active component service members, 2000-2022. 2000-2022 年美国现役军人中系统性红斑狼疮发病率的趋势和差异。

MSMR Pub Date : 2023-12-20

Prabhavi Denagamage, Sithembile L Mabila, Alexis A McQuistan

引用次数: 0

Weighing the risks to force and mission in a public health crisis: the plight of the U.S. Army in four pandemics. 在公共卫生危机中权衡部队和任务的风险：美军在四次大流行病中的困境。

MSMR Pub Date : 2023-12-20

Sanders Marble

引用次数: 0

Cold Weather Injuries Among the Active and Reserve Components of the U.S. Armed Forces, July 2018-June 2023. 2018 年 7 月至 2023 年 6 月美国武装部队现役和后备役人员的寒冷天气受伤情况。

MSMR Pub Date : 2023-11-20

{"title":"Cold Weather Injuries Among the Active and Reserve Components of the U.S. Armed Forces, July 2018-June 2023.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Cold injuries are a predictable and preventable threat. Continuous surveillance is essential to prevent cold weather injuries and mitigate their adverse impacts on military operations. Military training and combat operations require continued emphasis on effective cold weather injury prevention strategies and adherence to relevant policies and procedures to protect service members against such injuries. For all active component service members (ACSM), the rate of cold weather injuries in 2022-2023 decreased by 15.2% compared to the preceding cold season. The decrease was most pronounced in the Marine Corps, with a 22.0% reduction in the incidence rate of cold injuries. This year's report includes cold injury rates for the Coast Guard. From July 2022 through June 2023, a total of 423 members of the active (n=376) and reserve (n=47) components of the U.S. Armed Forces had at least 1 cold weather injury. The crude overall incidence rate of cold injury among all ACSM during the 2022-2023 cold season was 28.5 per 100,000 person-years (p-yrs), 15.2% lower than the rate observed during the 2021-2022 cold season (33.6 per 100,000 p-yrs). The rates of cold injuries varied among the Armed Forces, with the highest rates per 100,000 p-yrs observed in the Army, at 50.9, followed by the Marine Corps, at 32.2, the Air Force, at 18.9, the Navy, at 8.1, and the Coast Guard, at 5.1. Consistent with previous cold seasons, frostbite (54.0%) remained the most common type of cold injury among ACSM during the 2022-2023 cold season, while the proportions of hypothermia and immersion injuries were 16.5% and 30.3%, respectively. Cold injury rates among ACSM during the 2018 to 2023 cold seasons were generally highest for males, non-Hispanic Blacks, those under 20 years of age, and enlisted members. The number of cold injuries identified in service members deployed outside the U.S during the 2022-2023 cold season (n=10) was comparable to the 2 preceding cold seasons (11 in 2020-2021 and 12 in 2021-2022), with frostbite accounting for half (n=5) of the 2022-2023 cases.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"30 11","pages":"2-11"},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488642","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

Clinically Diagnosed Sunburn Among Active Component Service Members, U.S. Armed Forces, 2014-2022. 2014-2022 年美国武装部队现役军人中临床诊断出的晒伤。

MSMR Pub Date : 2023-11-20

Lynn A Van Airsdale, Shauna Stahlman, Kayli Hiban, Natalie Y Wells

引用次数: 0

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