Accession Number : AD1051230


Title :   Outbreak of Influenza and Rhinovirus Co-circulation Among Unvaccinated Recruits, U.S. Coast Guard Training Center Cape May, NJ, 24 July-21 August 2016


Descriptive Note : Journal Article - Open Access


Corporate Author : NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States


Personal Author(s) : Swanson,Krista C ; Darling,Nellie ; Kremer,Perry ; Doepking,Matthew ; Steiner,Shane C ; Myers,Christopher A ; Hawksworth,Anthony W ; Sanchez,Jose L ; Harris,Stic ; Cooper,Michael J


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1051230.pdf


Report Date : 01 Jan 2018


Pagination or Media Count : 7


Abstract : Military and Coast Guard recruits are particularly susceptible to respiratory infections. Although seasonal influenza vaccinations are mandatory for recruits, the vaccine expires annually in June. On 29 July 2016, the U.S. Coast Guard Training Center Cape May, NJ, identified an increase in febrile respiratory illness (FRI) among recruits. During 24 July 21 August, a total of 115 recruits reported symptoms. A total of 74 recruits tested positive for respiratory infections: influenza A (H3) (n=34), rhinovirus (n=28), influenza/rhinovirus co-infection (n=11), and adenovirus/rhinovirus co-infection (n=1), while 41 recruits had no laboratory-confirmed specimen but were considered suspected cases. Only one recruit reported receiving the seasonal influenza vaccine within the previous 12 months. Influenza predominated during 24 July6 August, whereas rhinovirus predominated during 7 August 20 August. Most (92.2 ) cases were identified in four of 10 recruit companies; incidence rates were highest among recruits in weeks 24 of an 8-week training cycle. Key factors for outbreak control included rapid detection through routine FRI surveillance, quick decision-making and streamlined response by using a single chain of command, and employing both nonpharmaceutical and pharmaceutical interventions.


Descriptors :   vaccines , coinfection , therapy , wound infections , hygiene , vaccination , intervention , surveillance , influenza , department of defense , adenoviruses , coast guard , health services , military training , military medicine


Subject Categories : Microbiology
      Military Forces and Organizations


Distribution Statement : APPROVED FOR PUBLIC RELEASE