Back to Top Skip to main content

Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2018

A U.S. naval officer listens through his stethoscope to hear his patient’s lungs at Camp Schwab in Okinawa, Japan in 2018. (Photo courtesy of U.S. Marine Corps) photo by Lance Cpl. Cameron Parks) A U.S. naval officer listens through his stethoscope to hear his patient’s lungs at Camp Schwab in Okinawa, Japan in 2018. (U.S. Marine Corps photo by Lance Cpl. Cameron Parks)

Recommended Content:

Medical Surveillance Monthly Report

WHAT ARE THE NEW FINDINGS?    

As in prior years, musculoskeletal disorders, injuries, mental health disorders, and pregnancy-related conditions accounted for relatively large proportions of the morbidity and healthcare burdens among active component service members. Injuries accounted for the largest percentage of medical encounters and individuals affected, and mental health disorders accounted for the largest number of hospital bed days.

WHAT IS THE IMPACT ON READINESS AND FORCE HEALTH PROTECTION?

Injuries, musculoskeletal disorders, and mental health disorders are major detractors from service members’ individual readiness and deployability and can lead to early separation and disability. Reducing their impact on force readiness can be accomplished through enhanced measures to prevent and treat the occurrence of such disorders.

BACKGROUND

Perceptions of the relative importance of various health conditions in military populations often determine the natures, extents, and priorities for resources applied to primary, secondary, and tertiary prevention activities. However, these perceptions are inherently subjective and may not reflect objective measures of the relationship between the conditions and their impact on health, fitness, military operational effectiveness, healthcare costs, and so on.

Several classification systems and morbidity measures have been developed to quantify the “public health burdens” that are attributable to various illnesses and injuries in defined populations and settings.1 Not surprisingly, different classification systems and morbidity measures lead to different rankings of illness- and injury-specific public health burdens.2

For example, in a given population and setting, the illnesses and injuries that account for the most hospitalizations are likely different from those that account for the most outpatient medical encounters. The illnesses and injuries that account for the most medical encounters overall may differ from those that affect the most individuals, have the most debilitating or long-lasting effects, and so on.2 Thus, in a given population and setting, the classification system or measure used to quantify condition-specific morbidity burdens shapes to a large extent the conclusions that may be drawn regarding the relative importance of various conditions and, in turn, the resources that may be indicated to prevent or minimize their impacts.

This annual summary uses a standard disease classification system (modified for use among U.S. military members) and several healthcare burden measures to quantify the impacts of various illnesses and injuries among members of the active component of the U.S. Armed Forces in 2018.

METHODS

The surveillance period was 1 January through 31 December 2018. The surveillance population included all individuals who served in the active component of the U.S. Army, Navy, Air Force, or Marine Corps at any time during the surveillance period. All data used in this analysis were derived from records routinely maintained in the Defense Medical Surveillance System (DMSS). These records document both ambulatory encounters and hospitalizations of active component members of the U.S. Armed Forces in fixed military and civilian (if reimbursed through the Military Health System [MHS]) treatment facilities worldwide.

For this analysis, DMSS data for all inpatient and outpatient medical encounters of all active component members during 2018 were summarized according to the primary (first-listed) diagnosis (if reported with an International Classification of Diseases, 10th Revision, Clinical Modification [ICD-10-CM] code between A00 and T88, an ICD-10 code beginning with Z37, or Department of Defense [DoD] unique personal history codes DOD0101–DOD0105). For summary purposes, all illness- and injury-specific diagnoses (as defined by the ICD-10) were grouped into 142 burden of disease-related conditions and 25 categories based on a modified version of the classification system developed for the Global Burden of Disease (GBD) Study.1 In general, the GBD system groups diagnoses with common pathophysiologic or etiologic bases and/or significant international health policymaking importance. In this analysis, some diagnoses that are grouped into single categories in the GBD system (e.g., mental health disorders) were disaggregated to increase the military relevance of the results. Also, injuries were categorized by affected anatomic site rather than by cause because external causes of injuries are incompletely reported in military outpatient records.

The “morbidity burdens” attributable to various “conditions” were estimated based on the total number of medical encounters attributable to each condition (i.e., total hospitalizations and ambulatory visits for the condition with a limit of 1 encounter per individual per condition per day), numbers of service members affected by each condition (i.e., individuals with at least 1 medical encounter for the condition during the year), and total bed days during hospitalizations for each condition.

The new electronic health record for the MHS, MHS GENESIS, was implemented at several military treatment facilities during 2017. Medical data from sites that are using MHS GENESIS are not available in DMSS. These sites include Naval Hospital Oak Harbor, Naval Hospital Bremerton, Air Force Medical Services Fairchild, and Madigan Army Medical Center. Therefore, medical encounters for individuals seeking care at any of these facilities during 2018 were not included in this analysis.

RESULTS

Morbidity burden, by category

In 2018, more service members (n=522,854) received medical care for injury/poisoning than any other morbidity-related category (Figures 1a, 1b). In addition, injury/poisoning accounted for more medical encounters (n=2,703,799) than any other morbidity category and one-quarter (25.4%) of all medical encounters overall.

Mental health disorders accounted for more hospital bed days (n=163,652) than any other morbidity category and 48.9% of all hospital bed days overall (Figures 1a, 1b). Together, injury/poisoning and mental health disorders accounted for nearly three-fifths (59.9%) of all hospital bed days and more than two-fifths (41.9%) of all medical encounters.

Of note, maternal conditions (including pregnancy complications and delivery) accounted for a relatively large proportion of all hospital bed days (n=52,939; 15.8%) but a much smaller proportion of medical encounters overall (n=174,185; 1.6%) (Figures 1a, 1b). Routine prenatal visits are not included in this summary.

Medical encounters, by condition

In 2018, the 3 burden of disease-related conditions that accounted for the most medical encounters (i.e., other back problems, all other musculoskeletal diseases, and knee injuries) accounted for almost one-quarter (24.5%) of all illness- and injury-related medical encounters overall (Figure 2). Moreover, the 9 conditions that accounted for the most medical encounters were responsible for more than half (53.0%) of all illness- and injury-related medical encounters overall. In general, the conditions that accounted for the most medical encounters were predominantly musculoskeletal disorders (e.g., back problems), anatomic site-defined injuries (e.g., injuries of the knee, arm/shoulder, or foot/ankle), and mental health disorders (e.g., adjustment disorders, anxiety disorders, or mood disorders) (Table, Figure 2).

Individuals affected, by condition

In 2018, more service members received medical care for "all other musculoskeletal diseases" than for any other specific condition (Table). Of the 10 conditions that affected the most service members, 3 were anatomic site-defined injuries (injuries of the knee, foot/ankle, and arm/shoulder), 2 were musculoskeletal diseases (all other musculoskeletal diseases and other back problems), 2 were signs and symptoms (all other signs and symptoms and abdomen and pelvis), 1 was a respiratory infection-related condition (upper respiratory infections), 1 was a sense organ disease (refraction/accommodation), and 1 was a skin disease-related condition (all other skin diseases).

Hospital bed days, by condition

In 2018, mood and substance abuse disorders accounted for more than one-quarter (29.3%) of all hospital bed days. Together, 4 mental health disorders (mood, substance abuse, adjustment, and anxiety) and 2 maternal conditions (pregnancy complications and delivery) accounted for more than half (58.8%) of all hospital bed days (Table, Figure 3). Approximately one-ninth (11.1%) of all hospital bed days were attributable to injuries and poisonings.

Relationships between healthcare burden indicators

There was a strong positive correlation between the number of medical encounters attributable to various conditions and the number of individuals affected by the conditions (r=0.86) (data not shown). For example, the 3 leading causes of medical encounters were among the 5 conditions that affected the most individuals (Table). In contrast, there were weak to moderate positive relationships between the hospital bed days attributable to conditions and either the numbers of individuals affected by (r=0.17) or medical encounters attributable to (r=0.36) the same conditions (data not shown). For example, labor and delivery and substance abuse disorders were among the top-ranking conditions in terms of proportion of total hospital bed days; however, these conditions affected relatively few service members.

EDITORIAL COMMENT

This report reiterates the major findings of prior annual reports on morbidity and healthcare burdens among U.S. military members. In particular, this report documents that a majority of the morbidity and healthcare burdens that affect active component U.S. military members are attributable to just 6.3% of the 142 burden of disease-defining conditions considered in the analysis.

In 2018, as in prior years, musculoskeletal disorders (particularly of the back), injuries (particularly of the knee and arm/shoulder), mental health disorders (particularly adjustment, anxiety, substance abuse, and mood disorders), and pregnancy- and delivery-related conditions accounted for relatively large proportions of the morbidity and healthcare burdens that affected active component service members. Nine burden of disease-related conditions accounted for slightly more than half of all illness- and injury-related medical encounters of active component members and included 2 mental health disorders (adjustment and anxiety disorders), 3 anatomic site-defined injuries (knee, arm/shoulder, and foot/ankle), 2 musculoskeletal conditions (other back problems and all other musculoskeletal diseases), organic sleep disorders, and all other signs and symptoms.

It should be noted that this annual summary for 2018 was based on the use of ICD-10 codes exclusively. This is the third MSMR burden report that did not use ICD-9 codes. Because of some of the differences between the 2 generations of coding (e.g., compared to ICD-9, ICD-10 has more than 4 times as many codes, often allows for much greater specificity of diagnoses, and has added and deleted some specific diagnoses or terminology), direct comparisons of the counts for 2018 with those from years before 2016 should be interpreted with caution. Dramatic changes in counts and rankings for specific categories or conditions may reflect changes in incidence or prevalence, the effects of a different coding system, the adjustment of healthcare providers to the new coding system, or combinations of all 3.

Mental health disorders (including substance abuse disorders), injuries, and musculoskeletal disorders of the back have been leading causes of morbidity and disability among service members throughout military history.3–8 It is well recognized that the prevention, treatment, and rehabilitation of back problems and joint injuries, and the detection, characterization, and management of mental health disorders—including substance abuse and deployment stress-related disorders (e.g., post-traumatic stress disorder)—should be the highest priorities for military medical research, public health, and force health protection programs.

In summary, this analysis, like those of prior years, documents that relatively few illnesses and injuries account for most of the morbidity and healthcare burdens that affect U.S. military members. Illnesses and injuries that disproportionately contribute to morbidity and healthcare burdens should be high-priority targets for prevention research and resources.

REFERENCES

1. Murray CJL, Lopez AD, eds. The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Cambridge, MA: Harvard University Press, 1996:120–122.

2. Brundage JF, Johnson KE, Lange JL, Rubertone MV. Comparing the population health impacts of medical conditions using routinely collected health care utilization data: nature and sources of variability. Mil Med. 2006;171(10):937–942.

3. Jones BH, Perrotta DM, Canham-Chervak ML, Nee MA, Brundage JF. Injuries in the military: a review and commentary focused on prevention. Am J Prev Med. 2000;18(3 suppl):71–84.

4. Ritchie EC, Benedek D, Malone R, Carr-Malone R. Psychiatry and the military: an update. Psychiatr Clin North Am. 2006;29(3):695–707.

5. Stahlman S, Oetting AA. Mental health disorders and mental health problems, active component, U.S. Armed Forces, 2007–2016. MSMR. 2018;25(3):2–11.

6. Cozza KL, Hales RE. Psychiatry in the Army: a brief historical perspective and current developments. Hosp Community Psychiatry. 1991;42(4):413–418.

7. Watanabe HK, Harig PT, Rock NL, Koshes RJ. Alcohol and drug abuse and dependence. In: Jones FD, Sparcino LR, Wilcox VL, Rotherberg JM, eds. Military Psychiatry: Preparing in Peace for War. Part I of Textbook of Military Medicine Series. Washington, DC: Office of the Surgeon General, Department of the Army. Borden Institute; 1994.https://ke.army.mil/bordeninstitute/published_volumes/military_psychiatry/MPch5.pdf. Accessed 2 April 2019.

8. Army Medical Surveillance Activity. Relative burdens of selected illnesses and injuries, U.S. Armed Forces, 2001. MSMR. 2002;8(2):24–28.

CE/CME

This activity offers continuing education (CE) and continuing medical education (CME) to qualified professionals, as well as a certificate of participation to those desiring documentation. For more information, go to www.health.mil/msmrce.

Key points

• In 2018, more service members received medical care for injury/poisoning than for any other morbidity-related category, and injury/poisoning accounted for one-quarter of all medical encounters overall.

• Musculoskeletal disorders, injuries, mental health disorders, and pregnancy- and delivery-related conditions accounted for relatively large proportions of the morbidity and healthcare burdens that affected active component service members in 2018.

• This analysis, like those of prior years, documents that relatively few illnesses and injuries account for most of the morbidity and healthcare burdens that affect U.S. military members.

Learning objectives

• The reader will explain how the comparative burden of disease among active component service members can be evaluated and estimated.

• The reader will analyze the rankings of the various burden of disease-related conditions in terms of the number of medical encounters, individuals affected, and hospital bed days for active component service members in 2018.

• The reader will describe the relationships between the 3 healthcare burden indicators for active component service members in 2018.

Disclosures: MSMR editorial staff engage in a monthly collaboration with the DHA J7 Continuing Education Program Office (CEPO) to provide this CE/CME activity. MSMR staff authors, the DHA J7 CEPO, as well as the planners and reviewers of this activity have no financial or nonfinancial interest to disclose.

Numbers of medical encounters,a individuals affected,b and hospital bed days, by burden of disease major category,c active component, U.S. Armed Forces, 2018

Percentages of medical encounters,a and hospital bed days, attributable to burden of disease major categories,b active component, U.S. Armed Forces, 2018

Percentage and cumulative percentage distribution, burden of disease-related conditionsa that accounted for the most medical encounters, active component, U.S. Armed Forces, 2018

Percentage and cumulative percentage distribution, burden of disease-related conditionsa that accounted for the most hospital bed days, active component, U.S. Armed Forces, 2018

Health care burdens attributable to various diseases and injuries, U.S. Armed Forces, 2018Health care burdens attributable to various diseases and injuries, U.S. Armed Forces, 2018Health care burdens attributable to various diseases and injuries, U.S. Armed Forces, 2018

Health care burdens attributable to various diseases and injuries, U.S. Armed Forces, 2018

You also may be interested in...

Cardiovascular disease-related medical evacuations

Infographic
1/29/2019
Cardiovascular disease-related medical evacuations

This descriptive analysis summarizes the demographic characteristics, counts, rates and temporal trends for Cardiovascular disease-related medical evacuations from the CENTCOM area of responsibility. In addition, the percentage of those evacuated who had received pre-deployment diagnoses indicating cardiovascular risk is summarized. Responses to questions regarding health status and physician referrals on the DD2795 are also summarized.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Cardiovascular Disease-related Medical Evacuations, Active and Reserve Components, U.S. Armed Forces, 1 October 2001–31 December 2017

Article
1/1/2019
Cardiovascular Diagnoses

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; 52.9%) occurred in reserve or guard members. The most common CVD risk factors which had been diagnosed among evacuated service members prior to their deployment were hypertension (n=236; 33.9%) and hyperlipidemia (n=241; 34.9%). Much lower percentages had been previously diagnosed with obesity (n=74, 10.6%) or diabetes (n=21, 3.0%). More than 1 in 4 service members with a CVD-related medical evacuation had been diagnosed with more than one risk factor (n=182, 26.1%). Both limitations to the data available and strategies to reduce CVD morbidity in theater are discussed.31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Acute Flaccid Myelitis: Case Report

Article
1/1/2019
Acute Flaccid Myelitis

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. This case highlights important clinical characteristics of AFM and emphasizes the importance of including AFM in the differential diagnosis when evaluating active duty service members and Military Health System (MHS) beneficiaries presenting with paralysis.31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Non-alcoholic Fatty Liver Disease (NAFLD), Active Component, U.S. Armed Forces, 2000–2017

Article
1/1/2019
Non-alcoholic fatty liver disease

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. Crude overall rates of adrenal gland disorders among females tended to be higher than those of males, with female:male rate ratios ranging from 2.1 for adrenal insufficiency to 5.5 for androgenital disorders and Cushing’s syndrome. The highest overall rates of adrenal insufficiency for males and females were among non-Hispanic white service members. Among females, rates of Cushing’s syndrome and other disorders of adrenal gland were 31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Historical Perspective: Leptospirosis Outbreaks Affecting Military Forces

Article
1/1/2019
Acute Flaccid Myelitis

Leptospirosis is a widespread and highly prevalent bacterial zoonotic disease that is caused by pathogenic spirochetes of the genus Leptospira. It is transmitted to humans primarily through contact of abraded skin or mucous membranes with water or wet soil that has been contaminated with infected animal urine. Many wild and domestic animals are susceptible to infection by pathogenic Leptospira bacteria including rats, dogs, cattle, goats, sheep, and swine. Once chronically infected, a carrier animal can shed Leptospira bacteria in urine for long periods of time and Leptospira bacteria can survive in water or soil for weeks to months.higher among non-Hispanic white service members compared with those in other race/ethnicity groups. In both sexes, the annual rates of adrenal insufficiency and other disorders of adrenal gland increased slightly during the 16-year period.31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Thyroid Disorders, Active Component, U.S. Armed Forces, 2008–2017

Article
12/1/2018
Thyroid scan

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: 43.7 per 10,000 person-years [p-yrs]) and 11,656 males (incidence rate: 10.2 per 10,000 p-yrs). Overall incidence rates of all thyroid disorders were 3 to 5 times higher among females compared to males. Among both males and females, incidence of primary/NOS hypothyroidism was higher among non-Hispanic white service members compared with service members in other race/ethnicity groups. The incidence of most thyroid disorders remained stable or decreased during the surveillance period. Overall, the prevalence of most thyroid disorders increased during the first part of the surveillance period and then either decreased or leveled off.31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Adrenal Gland Disorders, Active Component, U.S. Armed Forces, 2002–2017

Article
12/1/2018
Adrenal Glands

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. Crude overall rates of adrenal gland disorders among females tended to be higher than those of males, with female:male rate ratios ranging from 2.1 for adrenal insufficiency to 5.5 for androgenital disorders and Cushing’s syndrome. The highest overall rates of adrenal insufficiency for males and females were among non-Hispanic white service members. Among females, rates of Cushing’s syndrome and other disorders of adrenal gland were 31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Incidence and Prevalence of the Metabolic Syndrome Using ICD-9 and ICD-10 Diagnostic Codes, Active Component, U.S. Armed Forces, 2002–2017

Article
12/1/2018
Metabolic Syndrome

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. During 2002–2017, the annual incidence rates of MetS peaked in 2009 at 11.6 cases per 100,000 p-yrs and decreased to 5.9 cases per 100,000 p-yrs in 2017. Annual prevalence rates of MetS increased steadily during the first 11 years of the surveillance period reaching a high of 38.9 per 100,000 active component service members in 2012, after which rates declined slightly to 31.6 per 100,000 active component service members in 2017. Validation of ICD-9/ICD-10 diagnostic codes for MetS using the National Cholesterol Education Program Adult Treatment Panel III criteria is needed to establish the level of agreement between the two methods for identifying this condition.

Recommended Content:

Medical Surveillance Monthly Report

Rabies

Infographic
11/20/2018
Rabies

Although Germany is rabies-free for terrestrial land mammals, rabies exposure remains a concern for U.S. military personnel assigned there because of personal and military travel and deployments to rabies endemic countries. Deployments have become much more variable both in location and duration. Deployments have increasingly focused on enhancing partnerships and peacekeeping.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Cold Weather Injuries

Infographic
11/20/2018
Cold Weather Injuries

This update summarizes the frequencies, incidence rates, and correlates of risk of cold injuries among members of both active and reserve components of the U.S. Armed Forces during the past 5 years.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Malaria

Infographic
11/20/2018
Malaria

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.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Psychiatric Medical Evaluations

Infographic
10/26/2018
Psychiatric Medical Evaluations

This study evaluated incidence of pre-deployment family problem diagnoses and psychiatric medical evacuations among a population of active component service members without a history of previous mental health diagnoses, who deployed to the U.S. Central Command Area of Responsibility for the first time between 1 January 2002 and 31 December 2014.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

DoD Flu VE

Infographic
10/26/2018
DoD Flu VE

Each season, several entities within the(DoD) perform surveillance for influenza among beneficiaries and utilize these data to perform VE analyses to estimate how well the seasonal vaccine protects against medically-attended influenza.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health | Influenza Summary and Reports

Pelvic Inflammatory Disease

Infographic
10/26/2018
Pelvic Inflammatory Disease

The purpose of this study was to update previous MSMR analyses of the incidence of acute Pelvic inflammatory disease (PID) among U.S. active component women using a 21-year surveillance period from 1996 through 2016. A secondary objective was to report on the proportion of service women with previously diagnosed PID who were subsequently diagnosed with infertility or ectopic pregnancy.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Gynecologic Disorders

Infographic
10/3/2018
Gynecologic disorders are conditions that affect the female reproductive organs, including the uterus, ovaries, fallopian tubes, vagina, and vulva. As part of Women’s Health Month, this report describes the incidence and burden of four commonly occur-ring gynecologic disorders (menorrhagia, polycystic ovary syndrome (PCOS), uterine fibroids, and endometriosis) among active component service women from 2012 through 2016. This report also documents the number and percentage of women with co-occurring incident diagnoses during the surveillance period.

Gynecologic disorders are conditions that affect the female reproductive organs, including the uterus, ovaries, fallopian tubes, vagina, and vulva. As part of Women’s Health Month, this report describes the incidence and burden of four commonly occur-ring gynecologic disorders (menorrhagia, polycystic ovary syndrome (PCOS), uterine fibroids, and endometriosis) among active component service women from 2012 through 2016. This report also documents the number and percentage of women with co-occurring incident diagnoses during the surveillance period.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health
<< < 1 2 3 4 5  ... > >> 
Showing results 46 - 60 Page 4 of 7

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing; Download a PDF Reader or learn more about PDFs.