Medical Surveillance Monthly Report (MSMR). Volume 5, Number 7, October/November 1999
Abstract
For more than three decades, the Army has conducted routine surveillance of febrile acute respiratory illnesses among trainees. However, there has been no routine surveillance of acute respiratory illnesses among soldiers in general. This report summarizes frequencies, rates, and seasonal trends of hospitalizations and ambulatory visits of active duty soldiers for acute respiratory infections and pneumonia and influenza. Methods: On a regular basis, the Army Medical Surveillance Activity (AMSA) receives and integrates into the Defense Medical Surveillance System (DMSS) records of all hospitalizations and ambulatory visists of active duty servicemembers in US military hospitals and ambulatory clinics worldwide. For each hospitalization, there are up to eight discharge diagnoses that are coded based on the International Classification of Diseases, 9th revision, clinical modification (ICD-9-CM). For each ambulatory visit, there are up to four diagnoses that are coded based on the ICD-9-CM. AMSA also regularly receives and integrates into DMSS a monthly report of all servicemembers on active duty. For this summary, all hospitalizations and ambulatory visits of active duty soldiers from January 1998 through May 1999 with primary diagnoses of "acute respiratory infection" (ARI) (ICD-9-CM code 460-466) or "pneumonia and influenza" (P&I) (ICD-9-CM codes 480-487) were identified in the DMSS database. ARI diagnoses include acute sinusitis, pharyngitis, tonsillitis, bronchitis, and the "common cold." P&I diagnoses include pneumonias of viral, bacterial, and unspecified etiologies and influenza. When soldiers had more than one ARI or P&I hospitalization or ambulatory visit in a 10-day period, only the record of the earliest encounter (the "incident case") was included for analyses.
Document Details
- Document Type
- Technical Report
- Publication Date
- Nov 01, 1999
- Accession Number
- ADA497153
Entities
People
- John Brundage
- Kimmie F. Kohlhase
- Mark V Rubertone
- Robert F. DeFraites
- Yvette E. Smith
Organizations
- Armed Forces Health Surveillance Center