Quality assessment of nonanthrax vaccination data in the Defense Medical Surveillance System (DMSS), 1998–2004

Vaccine ◽  
2008 ◽  
Vol 26 (12) ◽  
pp. 1577-1584 ◽  
Author(s):  
Jill C. Davila ◽  
Daniel C. Payne ◽  
Yujia Zhang ◽  
Charles E. Rose ◽  
Aaron Aranas ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Surveillance System ◽  
Medical Surveillance ◽  
Defense Medical

Assessment of anthrax vaccination data in the Defense Medical Surveillance System, 1998–2004

2007 ◽  
Vol 16 (6) ◽  
pp. 605-611 ◽  
Author(s):  
Daniel C. Payne ◽  
Charles E. Rose ◽  
Aaron Aranas ◽  
Yujia Zhang ◽  
Herman Tolentino ◽  
...  
Keyword(s):  
Surveillance System ◽  
Medical Surveillance ◽  
Defense Medical

Trends in Metabolic Disorder in U.S. Army Aviators, 20162018

2021 ◽  
Vol 92 (1) ◽  
pp. 43-46
Author(s):  
Claire Goldie ◽  
James McGhee ◽  
Amanda M. Kelley
Keyword(s):  
Metabolic Syndrome ◽  
Metabolic Disorder ◽  
Surveillance System ◽  
Epidemiological Studies ◽  
Incidence Rates ◽  
Medical Surveillance ◽  
Exclusion Criteria ◽  
Electronic Resource ◽  
Defense Medical ◽  
The U.S

INTRODUCTION: Recent epidemiological studies of U.S. Army aviators have suggested higher than anticipated rates of hyperlipidemia and metabolic disorder. The goal of this study was to determine whether this finding has persisted in 20162018 and to subsequently determine whether this trend is genuine and warrants further evaluation.METHODS: Data were requested from the U.S. Army Aeromedical Electronic Resource Office (AERO) and retrieved from the publicly available Defense Medical Surveillance System (DMSS) utilizing similar inclusion/exclusion criteria, where possible, as the earlier studies. For each year 20162018, incidence rates (per 1000 person years) for hyperlipidemia and metabolic syndrome were retrieved from DMSS, while percentages of aviators with these conditions were retrieved from AERO. The DMSS incidence rates were also age stratified. No formal analyses were conducted.RESULTS: Results from DMSS showed overall rates of hyperlipidemia ranging from 3.18 to 6.83 per 1000 person-years and for metabolic syndrome from 0.16 to 0.69 per 1000 person-years. The age stratified rates increased proportionally with age. AERO data showed a range of 0.81.5% of aviators had hyperlipidemia and for metabolic syndrome this ranged from 0.31 to 0.45%. These rates are broadly comparable to the previous studies findings.DISCUSSION: This studys findings suggest no continued increase in hyperlipidemia or metabolic disorder in aviators. While the exact cause is unknown, one could speculate a number of sources such as preferences in testing or encouragement from specific commanders or flight surgeons.Goldie C, McGhee J, Kelley AM. Trends in metabolic disorder in U.S. Army aviators, 20162018. Aerosp Med Hum Perform. 2021; 92(1):4346.

scholarly journals An outbreak of rubella in British troops in Bosnia

1997 ◽  
Vol 118 (3) ◽  
pp. 253-257 ◽  
Author(s):  
M. S. ADAMS ◽  
A. M. J. CROFT ◽  
D. A. WINFIELD ◽  
P. R. RICHARDS
Keyword(s):  
Health Risk ◽  
Surveillance System ◽  
Control Measures ◽  
Microbiology Laboratory ◽  
Military Operations ◽  
Medical Surveillance ◽  
Potential Health ◽  
Potential Health Risk ◽  
Congenital Rubella

An outbreak of rubella in April 1996 involved four male British soldiers deployed to Bosnia–Herzegovina. All were helicopter ground crew who were members of the same unit and who periodically travelled to and worked at forward air refuelling stations in Bosnia. There was a potential for spread of the infection to adjacent British units, to troops of other nations in the peacekeeping force, and also to the local civilian population. The British force included 620 female personnel, some of whom may have been non-immune to rubella. One pregnant British servicewoman was repatriated to UK for her own protection. There was a potential health risk, including the possibility of congenital rubella syndrome, in the non-immune wives and partners of deployed male personnel, as a result of contact during the mid-tour home leave of the husbands or partners. The outbreak was monitored through a medical surveillance system known as ARRC 97, and was contained by prompt and rigorous control measures. This outbreak shows the importance of effective surveillance and of good microbiology laboratory support during military operations. The role of immunization against rubella during future military deployments is discussed.

Field Medical Surveillance System User's Manual

2000 ◽  
Author(s):  
Jennifer A. Jaeger ◽  
Shawn Wing ◽  
Martin R. White
Keyword(s):  
Surveillance System ◽  
Medical Surveillance

Comparison of the Use of Administrative Data and an Active System for Surveillance of Invasive Aspergillosis

2008 ◽  
Vol 29 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Douglas C. Chang ◽  
Lauren A. Burwell ◽  
G. Marshall Lyon ◽  
Peter G. Pappas ◽  
Tom M. Chiller ◽  
...  
Keyword(s):  
Invasive Aspergillosis ◽  
Quality Assessment ◽  
Medical Record ◽  
Administrative Data ◽  
Surveillance System ◽  
Medical Record Review ◽  
Solid Organ ◽  
Cell Transplant ◽  
Transplant Recipients ◽  
Record Review

Background.Administrative data, such as International Classification of Diseases, Ninth Revision (ICD-9) codes, are readily available and are an attractive option for surveillance and quality assessment within a single institution or for interinstitutional comparisons. To understand the usefulness of administrative data for the surveillance of invasive aspergillosis, we compared information obtained from a system based on ICD-9 codes with information obtained from an active, prospective surveillance system, which used more extensive case-finding methods (Transplant Associated Infection Surveillance Network).Methods.Patients with suspected inyasive aspergillosis were identified by aspergillosis-related ICD-9 codes assigned to hematopoietic stem cell transplant recipients and solid organ transplant recipients at a single hospital from April 1, 2001, through January 31, 2005. Suspected cases were classified as proven or probable invasive aspergillosis by medical record review using standard definitions. We calculated the sensitivity and positive predictive value (PPV) of identifying invasive aspergillosis by individual ICD-9 codes and by combinations of codes.Results.The sensitivity of code 117.3 was modest (63% [95% confidence interval {CI}, 38%-84%]), as was the PPV (71% [95% CI, 44%-90%]); the sensitivity of code 117.9 was poor (32% [95% CI, 13%-57%]), as was the PPV (15% [95% CI, 6%-31%]). The sensitivity of codes 117.3 and 117.9 combined was 84% (95% CI, 60%-97%); the PPV of the combined codes was 30% (95% CI, 18%-44%). Overall, ICD-9 codes triggered a review of medical records for 64 medical patients, only 16 (25%) of whom had proven or probable invasive aspergillosis.Conclusions.A surveillance system that involved multiple ICD-9 codes was sufficiently sensitive to identify most cases of invasive aspergillosis; however, the poor PPV of ICD-9 codes means that this approach is not adequate as the sole tool used to classify cases. Screening ICD-9 codes to trigger a medical record review might be a useful method of surveillance for invasive aspergillosis and quality assessment, although more investigation is needed.

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