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Hotel Clinic-Based Diarrheal and Respiratory Disease Surveillance in U.S. Service Members Participating in Operation Bright Star in Egypt, 2009

Identifieur interne : 000651 ( Pmc/Corpus ); précédent : 000650; suivant : 000652

Hotel Clinic-Based Diarrheal and Respiratory Disease Surveillance in U.S. Service Members Participating in Operation Bright Star in Egypt, 2009

Auteurs : Peter J. Sebeny ; Isabelle Nakhla ; Manal Moustafa ; Jody A. Bruton ; Joanne Cline ; Douglas Hawk ; Hanan El-Mohammady ; Rania A. Nada ; Salwa F. Ahmed ; Guillermo Pimentel ; Sylvia Y. N. Young

Source :

RBID : PMC:3414570

Abstract

We conducted clinic-based, influenza-like illness and diarrheal disease surveillance among U.S. service members participating in Operation Bright Star 2009. Epidemiologic data and samples were collected. Nasopharyngeal swab specimens were tested for viruses, and feces was tested for microbiologic, immunologic, and molecular diagnostics. A survey was used to collect self-reported data. From 1,529 surveys, 41% reported diarrheal disease and 25% reported respiratory illness (incidence rate = 62 of 100 versus 37 of 100 person-months; incidence rate ratio = 1.7, 95% confidence interval = 1.5–1.9). Enterotoxigenic Escherichia coli was identified in 74% (69 of 93) of fecal samples. In the influenza-like illness case series, 17% (9 of 52) were positive for influenza A; all were positive for pandemic (pH1N1) 2009 virus. Rates of decreased work performance reported by patients with diarrhea and influenza-like illness were similar (46% versus 48%; P = 0.8). Diarrheal diseases and respiratory illness remain common among deployed military personnel, with important operational impact. Despite an ongoing influenza pandemic, diarrheal disease incidence was higher than that of respiratory illness.


Url:
DOI: 10.4269/ajtmh.2012.11-0318
PubMed: 22855764
PubMed Central: 3414570

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PMC:3414570

Le document en format XML

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<series>
<title level="j">The American Journal of Tropical Medicine and Hygiene</title>
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<div type="abstract" xml:lang="en">
<p>We conducted clinic-based, influenza-like illness and diarrheal disease surveillance among U.S. service members participating in Operation Bright Star 2009. Epidemiologic data and samples were collected. Nasopharyngeal swab specimens were tested for viruses, and feces was tested for microbiologic, immunologic, and molecular diagnostics. A survey was used to collect self-reported data. From 1,529 surveys, 41% reported diarrheal disease and 25% reported respiratory illness (incidence rate = 62 of 100 versus 37 of 100 person-months; incidence rate ratio = 1.7, 95% confidence interval = 1.5–1.9). Enterotoxigenic
<italic>Escherichia coli</italic>
was identified in 74% (69 of 93) of fecal samples. In the influenza-like illness case series, 17% (9 of 52) were positive for influenza A; all were positive for pandemic (pH1N1) 2009 virus. Rates of decreased work performance reported by patients with diarrhea and influenza-like illness were similar (46% versus 48%;
<italic>P</italic>
= 0.8). Diarrheal diseases and respiratory illness remain common among deployed military personnel, with important operational impact. Despite an ongoing influenza pandemic, diarrheal disease incidence was higher than that of respiratory illness.</p>
</div>
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<journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id>
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<journal-title>The American Journal of Tropical Medicine and Hygiene</journal-title>
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<issn pub-type="ppub">0002-9637</issn>
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<article-title>Hotel Clinic-Based Diarrheal and Respiratory Disease Surveillance in U.S. Service Members Participating in Operation Bright Star in Egypt, 2009</article-title>
<alt-title alt-title-type="left-running-head">SEBENY AND OTHERS</alt-title>
<alt-title alt-title-type="right-running-head">INFECTIOUS DISEASE SURVEILLANCE IN U.S. MILITARY in EGYPT</alt-title>
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<contrib contrib-type="author">
<name>
<surname>Sebeny</surname>
<given-names>Peter J.</given-names>
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<xref ref-type="corresp" rid="COR1">*</xref>
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<name>
<surname>Nakhla</surname>
<given-names>Isabelle</given-names>
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<contrib contrib-type="author">
<name>
<surname>Moustafa</surname>
<given-names>Manal</given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname>Bruton</surname>
<given-names>Jody A.</given-names>
</name>
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<name>
<surname>Cline</surname>
<given-names>Joanne</given-names>
</name>
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<name>
<surname>Hawk</surname>
<given-names>Douglas</given-names>
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<surname>El-Mohammady</surname>
<given-names>Hanan</given-names>
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<surname>Nada</surname>
<given-names>Rania A.</given-names>
</name>
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<name>
<surname>Ahmed</surname>
<given-names>Salwa F.</given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname>Pimentel</surname>
<given-names>Guillermo</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Young</surname>
<given-names>Sylvia Y. N.</given-names>
</name>
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<aff id="AFF1">United States Naval Medical Research Unit Number 3, Cairo, Egypt; United States Special Operations Command, MacDill Air Force Base, Florida; Naval Medical Research Center, Silver Spring, Maryland; Navy Environmental Preventive Medicine Unit 6, Joint Base Pearl Harbor Hickam, Hawaii</aff>
<author-notes>
<corresp id="COR1">*Address correspondence to Peter J. Sebeny, US Naval Medical Research Center, Infectious Diseases Directorate, 3A34, 503 Robert Grant Ave., Silver Spring, MD 20910-7500. E-mails:
<email>Peter.Sebeny@med.navy.mil</email>
or
<email>sebeny@comcast.net</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<day>01</day>
<month>8</month>
<year>2012</year>
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<volume>87</volume>
<issue>2</issue>
<fpage>312</fpage>
<lpage>318</lpage>
<history>
<date date-type="received">
<day>17</day>
<month>5</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>4</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>©The American Society of Tropical Medicine and Hygiene</copyright-statement>
<copyright-year>2012</copyright-year>
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<abstract>
<p>We conducted clinic-based, influenza-like illness and diarrheal disease surveillance among U.S. service members participating in Operation Bright Star 2009. Epidemiologic data and samples were collected. Nasopharyngeal swab specimens were tested for viruses, and feces was tested for microbiologic, immunologic, and molecular diagnostics. A survey was used to collect self-reported data. From 1,529 surveys, 41% reported diarrheal disease and 25% reported respiratory illness (incidence rate = 62 of 100 versus 37 of 100 person-months; incidence rate ratio = 1.7, 95% confidence interval = 1.5–1.9). Enterotoxigenic
<italic>Escherichia coli</italic>
was identified in 74% (69 of 93) of fecal samples. In the influenza-like illness case series, 17% (9 of 52) were positive for influenza A; all were positive for pandemic (pH1N1) 2009 virus. Rates of decreased work performance reported by patients with diarrhea and influenza-like illness were similar (46% versus 48%;
<italic>P</italic>
= 0.8). Diarrheal diseases and respiratory illness remain common among deployed military personnel, with important operational impact. Despite an ongoing influenza pandemic, diarrheal disease incidence was higher than that of respiratory illness.</p>
</abstract>
</article-meta>
<notes notes-type="disclaimer">
<p>Disclaimer: The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the U.S. Government.</p>
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