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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hotel Clinic-Based Diarrheal and Respiratory Disease Surveillance in U.S. Service Members Participating in Operation Bright Star in Egypt, 2009</title>
<author><name sortKey="Sebeny, Peter J" sort="Sebeny, Peter J" uniqKey="Sebeny P" first="Peter J." last="Sebeny">Peter J. Sebeny</name>
</author>
<author><name sortKey="Nakhla, Isabelle" sort="Nakhla, Isabelle" uniqKey="Nakhla I" first="Isabelle" last="Nakhla">Isabelle Nakhla</name>
</author>
<author><name sortKey="Moustafa, Manal" sort="Moustafa, Manal" uniqKey="Moustafa M" first="Manal" last="Moustafa">Manal Moustafa</name>
</author>
<author><name sortKey="Bruton, Jody A" sort="Bruton, Jody A" uniqKey="Bruton J" first="Jody A." last="Bruton">Jody A. Bruton</name>
</author>
<author><name sortKey="Cline, Joanne" sort="Cline, Joanne" uniqKey="Cline J" first="Joanne" last="Cline">Joanne Cline</name>
</author>
<author><name sortKey="Hawk, Douglas" sort="Hawk, Douglas" uniqKey="Hawk D" first="Douglas" last="Hawk">Douglas Hawk</name>
</author>
<author><name sortKey="El Mohammady, Hanan" sort="El Mohammady, Hanan" uniqKey="El Mohammady H" first="Hanan" last="El-Mohammady">Hanan El-Mohammady</name>
</author>
<author><name sortKey="Nada, Rania A" sort="Nada, Rania A" uniqKey="Nada R" first="Rania A." last="Nada">Rania A. Nada</name>
</author>
<author><name sortKey="Ahmed, Salwa F" sort="Ahmed, Salwa F" uniqKey="Ahmed S" first="Salwa F." last="Ahmed">Salwa F. Ahmed</name>
</author>
<author><name sortKey="Pimentel, Guillermo" sort="Pimentel, Guillermo" uniqKey="Pimentel G" first="Guillermo" last="Pimentel">Guillermo Pimentel</name>
</author>
<author><name sortKey="Young, Sylvia Y N" sort="Young, Sylvia Y N" uniqKey="Young S" first="Sylvia Y. N." last="Young">Sylvia Y. N. Young</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22855764</idno>
<idno type="pmc">3414570</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414570</idno>
<idno type="RBID">PMC:3414570</idno>
<idno type="doi">10.4269/ajtmh.2012.11-0318</idno>
<date when="2012">2012</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Hotel Clinic-Based Diarrheal and Respiratory Disease Surveillance in U.S. Service Members Participating in Operation Bright Star in Egypt, 2009</title>
<author><name sortKey="Sebeny, Peter J" sort="Sebeny, Peter J" uniqKey="Sebeny P" first="Peter J." last="Sebeny">Peter J. Sebeny</name>
</author>
<author><name sortKey="Nakhla, Isabelle" sort="Nakhla, Isabelle" uniqKey="Nakhla I" first="Isabelle" last="Nakhla">Isabelle Nakhla</name>
</author>
<author><name sortKey="Moustafa, Manal" sort="Moustafa, Manal" uniqKey="Moustafa M" first="Manal" last="Moustafa">Manal Moustafa</name>
</author>
<author><name sortKey="Bruton, Jody A" sort="Bruton, Jody A" uniqKey="Bruton J" first="Jody A." last="Bruton">Jody A. Bruton</name>
</author>
<author><name sortKey="Cline, Joanne" sort="Cline, Joanne" uniqKey="Cline J" first="Joanne" last="Cline">Joanne Cline</name>
</author>
<author><name sortKey="Hawk, Douglas" sort="Hawk, Douglas" uniqKey="Hawk D" first="Douglas" last="Hawk">Douglas Hawk</name>
</author>
<author><name sortKey="El Mohammady, Hanan" sort="El Mohammady, Hanan" uniqKey="El Mohammady H" first="Hanan" last="El-Mohammady">Hanan El-Mohammady</name>
</author>
<author><name sortKey="Nada, Rania A" sort="Nada, Rania A" uniqKey="Nada R" first="Rania A." last="Nada">Rania A. Nada</name>
</author>
<author><name sortKey="Ahmed, Salwa F" sort="Ahmed, Salwa F" uniqKey="Ahmed S" first="Salwa F." last="Ahmed">Salwa F. Ahmed</name>
</author>
<author><name sortKey="Pimentel, Guillermo" sort="Pimentel, Guillermo" uniqKey="Pimentel G" first="Guillermo" last="Pimentel">Guillermo Pimentel</name>
</author>
<author><name sortKey="Young, Sylvia Y N" sort="Young, Sylvia Y N" uniqKey="Young S" first="Sylvia Y. N." last="Young">Sylvia Y. N. Young</name>
</author>
</analytic>
<series><title level="j">The American Journal of Tropical Medicine and Hygiene</title>
<idno type="ISSN">0002-9637</idno>
<idno type="eISSN">1476-1645</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
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</teiHeader>
<front><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>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id>
<journal-id journal-id-type="iso-abbrev">Am. J. Trop. Med. Hyg</journal-id>
<journal-id journal-id-type="publisher-id">tpmd</journal-id>
<journal-title-group><journal-title>The American Journal of Tropical Medicine and Hygiene</journal-title>
</journal-title-group>
<issn pub-type="ppub">0002-9637</issn>
<issn pub-type="epub">1476-1645</issn>
<publisher><publisher-name>The American Society of Tropical Medicine and Hygiene</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22855764</article-id>
<article-id pub-id-type="pmc">3414570</article-id>
<article-id pub-id-type="doi">10.4269/ajtmh.2012.11-0318</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Articles</subject>
</subj-group>
</article-categories>
<title-group><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>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sebeny</surname>
<given-names>Peter J.</given-names>
</name>
<xref ref-type="corresp" rid="COR1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nakhla</surname>
<given-names>Isabelle</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Moustafa</surname>
<given-names>Manal</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Bruton</surname>
<given-names>Jody A.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Cline</surname>
<given-names>Joanne</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Hawk</surname>
<given-names>Douglas</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>El-Mohammady</surname>
<given-names>Hanan</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Nada</surname>
<given-names>Rania A.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Ahmed</surname>
<given-names>Salwa F.</given-names>
</name>
</contrib>
<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>
</contrib>
</contrib-group>
<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>
</pub-date>
<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>
</permissions>
<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>
</notes>
</front>
</pmc>
</record>
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