Arthropod. Fecal-oral. Exposure/exertion. Hepatitis Hepatitis B. Sexually transmitted. Page 24. MSMR Vol. 19 No. 4 April Lyme disease.

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1 Sentinel Reportble Medicl Events, Service Members nd Other Beneficiries of the U.S. Militry Helth System, First Clendr Qurter, Versus 11 Deprtment of Defense policy mndtes the reporting of cses of 7 different diseses nd injuries whose occurrence my represent significnt thret to public helth nd militry opertions. The chrt below depicts the numbers of cses of selected conditions which were reported through service-specific electronic reporting systems. For ech condition, the brs represent the numbers of cses mong service members nd mong other helth cre beneficiries (retirees, fmily members) during the first qurters of nd 11. The 1 conditions shown were selected on the bsis of the frequency of their occurrence or the vilbility of preventive interventions. The occurrence of ll reportble conditions will be summrized nnully in the MSMR. The current reportble events guidelines cn be viewed t A new revision to these guidelines, to be clled the Armed Forces Reportble Medicl Events Guidelines nd Cse Definitions, is expected to be published in. Arthropod Lyme disese 1 Mlri Service members (Jn-Mr) Others (Jn-Mr) Fecl-orl Dengue Norovirus Norovirus Service members 11 (Jn-Mr) Others 11 (Jn-Mr) Cmpylobcter 3 37 Slmonell 19 Shigell Shigell Exposure/exertion Het Het injury injury Cold injury 9 Heptitis Heptitis B Heptitis B Heptitis C Heptitis Heptitis A Heptitis Vccine-preventble Pertussis Pertussis Vricell Vricell H. influenze, invsive H. influenze, invsive Sexully trnsmitted No. of events reported Chlmydi,,73 1,93 1,7 Gonorrhe Syphilis 9 3 1,, 3,,,, 7,, Only service member cses re reportble No. of events reported Pge MSMR Vol. 19 No. April

2 Report Documenttion Pge Form Approved OMB No. 7-1 Public reporting burden for the collection of informtion is estimted to verge 1 hour per response, including the time for reviewing instructions, serching existing dt sources, gthering nd mintining the dt needed, nd completing nd reviewing the collection of informtion. Send comments regrding this burden estimte or ny other spect of this collection of informtion, including suggestions for reducing this burden, to Wshington Hedqurters Services, Directorte for Informtion Opertions nd Reports, 1 Jefferson Dvis Highwy, Suite, Arlington VA -3. Respondents should be wre tht notwithstnding ny other provision of lw, no person shll be subject to penlty for filing to comply with collection of informtion if it does not disply currently vlid OMB control number. 1. REPORT DATE APR. REPORT TYPE 3. DATES COVERED -- to --. TITLE AND SUBTITLE Sentinel Reportble Medicl Events, Service Members nd Other Beneficiries of the U.S. Militry Helth System, First Clendr Qurter, Versus 11. CONTRACT NUMBER b. GRANT NUMBER c. PROGRAM ELEMENT NUMBER. AUTHOR(S) d. PROJECT NUMBER e. TASK NUMBER f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Armed Forces Helth Surveillnce Center,11 Tech Rod, Suite,(MCAF-CS),Silver Spring,MD,9. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 1. SPONSOR/MONITOR S ACRONYM(S). DISTRIBUTION/AVAILABILITY STATEMENT Approved for public relese; distribution unlimited 13. SUPPLEMENTARY NOTES MSMR, April, Vol. 19, No.,See lso ADA9 1. ABSTRACT 11. SPONSOR/MONITOR S REPORT NUMBER(S) 1. SUBJECT TERMS 1. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT. REPORT b. ABSTRACT c. THIS PAGE Sme s Report (SAR) 1. NUMBER OF PAGES 19. NAME OF RESPONSIBLE PERSON Stndrd Form 9 (Rev. -9) Prescribed by ANSI Std Z39-1

3 by month nd service, Mrch 3 - Mrch (dt s of 1 My ) Hospitliztions outside of the opertionl theter for motor vehicle ccidents occurring in non-militry vehicles (ICD-9-CM: E1-E; NATO Stndrd Agreement (STANAG): 1-1, 17-19, -, 7-9) 1 Motorcycle ccident-relted hospitliztions Other MVA-relted hospitliztions 1 No. of hospitliztions 1 1./mo 7./mo.3/mo.3/mo.1/mo.9/mo./mo.3/mo.1/mo Jnury 3 April 3 July 3 October 3 Jnury April July October Jnury 9 April 9 July 9 Note: Hospitliztion (one per individul) while deployed to/within 9 dys of returning from OEF/OIF/OND. Excludes ccidents involving militry-owned/specil use motor vehicles. Excludes individuls mediclly evcuted from CENTCOM nd/or hospitlized in Lndstuhl, Germny within 1 dys of nother motor vehicle ccident-relted hospitliztion. Deths following motor vehicle ccidents occurring in non-militry vehicles nd outside of the opertionl theter (per the DoD Medicl Mortlity Registry) 9 7 Motorcycle ccident-relted deths Other MVA-relted deths No. of deths /mo 1.7/mo 3.3/mo.7/mo 1./mo./mo 1.1/mo 1./mo./mo Jnury 3 April 3 July 3 October 3 Jnury April July October Jnury 9 April 9 July 9 Reference: Armed Forces Helth Surveillnce Center. Motor vehicle-relted deths, U.S. Armed Forces, 1. Medicl Surveillnce Monthly Report (MSMR). Mr 11;17(3):-. Note: Deth while deployed to/within 9 dys of returning from OEF/OIF/OND. Excludes ccidents involving militry-owned/specil use motor vehicles. Excludes individuls mediclly evcuted from CENTCOM nd/or hospitlized in Lndstuhl, Germny within 1 dys prior to deth. April Vol. 19 No. MSMR Pge

4 by month nd service, Mrch 3 - Mrch 11 (dt s of 1 My ) Trumtic brin injury (ICD-9: 31., -1, 3-, -, 97., , 99.1, V1._1-9, V1._A-F, V1._-9, V1._A- F, V1.9_1-9, V1.9_A-F) 1, 1, 1, 1, 1,./mo./mo 13./mo 9./mo 19./mo 3.3/mo 7./mo 3./mo./mo 3 1 Jnury 3 April 3 July 3 October 3 Jnury April July October Jnury 9 April 9 July 9 Jnury 3 April 3 July 3 October 3 Jnury April July October Jnury 9 April 9 July 9 Reference: Armed Forces Helth Surveillnce Center. Deriving cse counts from medicl encounter dt: considertions when interpreting helth surveillnce reports. MSMR. Dec 9; 1():-. Indictor dignosis (one per individul) during hospitliztion or mbultory visit while deployed to/within 3 dys of returning from OEF/OIF/OND. (Includes in-theter medicl encounters from the Theter Medicl Dt Store [TMDS] nd excludes 3,13 deployers who hd t lest one TBI-relted medicl encounter ny time prior to OEF/OIF/OND). Deep vein thrombophlebitis/pulmonry embolus (ICD-9: 1.1, 1.1, 1.1, 1.3, 1.9, 3., nd 3.) b 1./mo 1./mo 13./mo 1./mo 1./mo 1./mo 17.3/mo 1./mo 17.9/mo Reference: Isenbrger DW, Atwood JE, Scott PT, et l. Venous thromboembolism mong United Sttes soldiers deployed to Southwest Asi. Thromb Res. ;117(): b One dignosis during hospitliztion or two or more mbultory visits t lest 7 dys prt (one cse per individul) while deployed to/within 9 dys of returning from OEF/OIF/OND. Pge MSMR Vol. 19 No. April

5 by month nd service, Mrch 3 - Mrch (dt s of 1 My ) Amputtions (ICD-9-CM: 7, 9, 97, V9. except V9.1-V9., V9.7 except V9.71-V9.7, PR.-PR.1, except PR.1-PR. nd PR.11) /mo.3/mo.3/mo.7/mo 1.9/mo.7/mo 7.3/mo 1./mo 17./mo 1 1 Jnury 3 April 3 July 3 October 3 Jnury April July October Jnury 9 April 9 July 9 Jnury 3 April 3 July 3 October 3 Jnury April July October Jnury 9 April 9 July 9 Reference: Medicl Surveillnce Activity. Deployment-relted condition of specil surveillnce interest: mputtions. Amputtions of lower nd upper extremities, U.S. Armed Forces, MSMR. Jn ;11(1):-. Indictor dignosis (one per individul) during hospitliztion while deployed to/within 3 dys of returning from OEF/OIF/OND. Heterotopic ossifi ction (ICD-9: 7., 7.13, 7.19) b./mo.7/mo.3/mo 7./mo 1./mo 9.9/mo./mo 7.3/mo 9./mo Reference: Medicl Surveillnce Activity. Heterotopic ossifi ction, ctive components, U.S. Armed Forces, -7. MSMR. Aug 7; 1():7-9. b One dignosis during hospitliztion or two or more mbultory visits t lest 7 dys prt (one cse per individul) while deployed to/within 3 dys of returning from OEF/ OIF/OND. April Vol. 19 No. MSMR Pge 7

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