Viral Respiratory Disease at Lowry Air Force Base in Denver, 1952–1982
Identifieur interne : 000085 ( Istex/Corpus ); précédent : 000084; suivant : 000086Viral Respiratory Disease at Lowry Air Force Base in Denver, 1952–1982
Auteurs : Gordon MeiklejohnSource :
- Journal of Infectious Diseases [ 0022-1899 ] ; 1983.
Abstract
Surveillance of febrile respiratory diseases at Lowry Air Force Base, Denver, has been maintained from 1952 to 1982 with laboratory confirmation of diagnosis. Unvaccinated recruit populations were extremely vulnerable to explosive outbreaks of influenza A. Ten controlled trials demonstrated the protective efficacy of inactivated vaccines. Recent military vaccines have raised the hemagglutination-inhibiting antibody levels of most persons into the “protective” range. Despite repeated introduction of influenza viruses onto the base, when all personnel were vaccinated the impact of influenza was reduced to an insignificant level except in one year of antigenic shift (1968) and one of major antigenic drift (1972). Adenovirus disease has been virtually eliminated since live oral types 4 and 7 vaccines have been given to incoming recruits. Rubella and rubeola have disappeared since seronegative recruits have received vaccine. Overall rates of febrile respiratory diseases have been greatly reduced.
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DOI: 10.1093/infdis/148.5.775
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Unvaccinated recruit populations were extremely vulnerable to explosive outbreaks of influenza A. Ten controlled trials demonstrated the protective efficacy of inactivated vaccines. Recent military vaccines have raised the hemagglutination-inhibiting antibody levels of most persons into the “protective” range. Despite repeated introduction of influenza viruses onto the base, when all personnel were vaccinated the impact of influenza was reduced to an insignificant level except in one year of antigenic shift (1968) and one of major antigenic drift (1972). Adenovirus disease has been virtually eliminated since live oral types 4 and 7 vaccines have been given to incoming recruits. Rubella and rubeola have disappeared since seronegative recruits have received vaccine. 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<surname>Meiklejohn</surname>
<given-names>Gordon</given-names>
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<aff>From the <institution>Division of Infectious Diseases, Department of Medicine, University of Colorado School of Medicine</institution>, <addr-line>Denver, Colorado</addr-line></aff>
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<author-notes>
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<p>Informed consent of the participants was not obtained in the earlier studies. In recent years consent for collection of specimens or participation in vaccine trials has been obtained from all participants in accordance with guidelines of the University of Colorado Human Research Committee and review committees of the US Air Force and the US Army.</p>
</fn>
<fn fn-type="supported-by">
<p>The earlier studies were supported in part by a series of contracts with the US Army Research and Development Command under the auspices of the Commission on Influenza of the Armed Forces Epidemiological Board. Dr Meiklejohn is currently supported by contracts DAMD 17-82 C 2024 and DAMD 17-82 C 2023 with the US Army Research and Development Command.</p>
</fn>
<fn fn-type="other">
<p>I thank the members of the medical staff, students, and permanent party of Lowry Air Force Base for cooperation; Dr Theodore C. Eickhoff, former members of the Commission on Influenza, and personnel in the Virus Laboratory at the University of Colorado who have been coinvestigators; Patricia Graves and Josephine I for assistance in assembling data; and Viola de Therk for effectively maintaining the office at Lowry Air Force Base since 1952.</p>
</fn>
<fn fn-type="other">
<p>Please address requests for reprints to Dr Gordon Meikle-john, Department of Medicine, Box B-168, University of Colorado Medical Center, Denver, Colorado 80262.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>1983</year>
</pub-date>
<volume>148</volume>
<issue>5</issue>
<fpage>775</fpage>
<lpage>784</lpage>
<copyright-statement>© 1983 by The University of Chicago</copyright-statement>
<copyright-year>1983</copyright-year>
<abstract>
<p>Surveillance of febrile respiratory diseases at Lowry Air Force Base, Denver, has been maintained from 1952 to 1982 with laboratory confirmation of diagnosis. Unvaccinated recruit populations were extremely vulnerable to explosive outbreaks of influenza A. Ten controlled trials demonstrated the protective efficacy of inactivated vaccines. Recent military vaccines have raised the hemagglutination-inhibiting antibody levels of most persons into the “protective” range. Despite repeated introduction of influenza viruses onto the base, when all personnel were vaccinated the impact of influenza was reduced to an insignificant level except in one year of antigenic shift (1968) and one of major antigenic drift (1972). Adenovirus disease has been virtually eliminated since live oral types 4 and 7 vaccines have been given to incoming recruits. Rubella and rubeola have disappeared since seronegative recruits have received vaccine. Overall rates of febrile respiratory diseases have been greatly reduced.</p>
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