Marine with malaria on terminal leave after deployments to Iraq and Liberia.

A case report is presented for a 22-year-old male Marine who developed clinical symptoms of malaria while on terminal leave. His exposure history has included operational deployments to Liberia and Iraq. His care was complicated by his terminal leave status, which required detailed coordination with civilian providers as well as military authorities.

U.S. Navy and Marine Corps conversion rates for tuberculosis skin testing (1999-2002), with literature review.

We examined tuberculosis skin conversion rates for U.S. Navy and Marine Corps personnel for 1999 to 2002, using information submitted to the Navy Environmental Health Center (Portsmouth, Virginia).

Navy physical readiness test scores and body mass index (Spring 2002 cycle).

Physical performance and risk factors from the U.S. Navy physical readiness test (PRT) were analyzed in a retrospective, cross-sectional, population-based study using data from the Spring 2002 cycle.

Neoplasms in the Navy, 1998-2000: a descriptive analysis of the Physical Evaluation Board database.

Records with diagnoses for neoplasms (International Classification of Diseases, Ninth Revision, Clinical Modification, codes 140-239) contained in the U.S. Navy Physical Evaluation Board database for 1998 to 2000 were identified (n = 427 cases, 342 malignant and 85 benign).

Navy and Marine Corps malaria surveillance from the Navy Disease Reporting System and the Defense Medical Epidemiological Database (1997-2000).

Reported cases of malaria in the Navy and Marine Corps were reviewed from the Naval Disease Reporting System (NDRS) and the Defense Medical Epidemiological Database (DMED). For 1997 through 2000, NDRS identified 62 cases of malaria and DMED identified 162 cases. Further analysis compared NDRS and DMED information with Composite Health Care System (CHCS) records in the Hampton Roads catchment area.

Department of Defense West Nile virus surveillance in 2002.

The Department of Defense (DoD) has engaged in West Nile virus (WNV) surveillance and response since 1999. In 2002, the three Services continued their cooperative, multidisciplinary approach to the WNV outbreak. Activities included a doubling of mosquito surveillance and vector control responses, extension of and doubling of bird and nonhuman mammal surveillance to all four continental United States regions, expanded diagnostic testing by DoD laboratories, and installation environmental clean up and personnel protection campaigns.

Community-acquired methicillin-resistant Staphylococcus aureus among military recruits.

We report an outbreak of 235 community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections among military recruits. In this unique environment, the close contact between recruits and the physical demands of training may have contributed to the spread of MRSA. Control measures included improved hygiene and aggressive clinical treatment.

Lyme disease reporting for Navy and Marine Corps (1997-2000).

Reported cases of Lyme disease for Navy and Marine Corps personnel during 1997-2000 are presented from data collected in the Naval Disease Reporting System and the Defense Medical Epidemiological Database. Naval Disease Reporting System identified 210 case subjects; 60% were men, 49% were family members, and 37% were active duty, and most originated in the second quarter of the calendar year. States reporting the greatest number of reports were Connecticut (44%), North Carolina (16%), Rhode Island (10%), and Virginia (10%), which was generally consistent with national figures and the concentration of military populations.

Tuberculosis outbreak investigation of a U.S. Navy amphibious ship crew and the Marine expeditionary unit aboard, 1998.

A Marine deployed aboard a U.S. Navy amphibious ship had smear-positive, cavitary pulmonary tuberculosis (TB).

Analysis of Navy Physical Evaluation Board diagnoses (1998-2000).

An analysis is provided from 19,265 Physical Evaluation Board diagnoses from 10,406 Navy personnel from 1998 to 2000. The leading diagnostic categories were musculoskeletal and mental disorders as well as for subgroups of women and officers. Musculoskeletal conditions were 41.