TY - JOUR
T1 - Tick-borne encephalitis surveillance in u.S. military service members and beneficiaries, 2006–2018
AU - Mancuso, James D.
AU - Bazaco, Sara
AU - Stahlman, Shauna
AU - Clausen, Shawn S.
AU - Cost, Angelia A.
N1 - Funding Information:
The authors would like to acknowledge Mr. Nicholas Seliga, Epi-Data Center, Navy and Marine Corps Public Health Center, for his assistance with the laboratory data; Mr. Shannon Lynch for his assistance obtaining data from the Military Health System Data Repository; Dr. Kay Erkens, Lt Col, Kommando Sanit?tsdi-enst, UAbt VI 2.2, for consultation on German military vaccination policy; LTC Luke Mease for his review of and comments on an earlier version of this manuscript; and MAJ Amanda Cline, U.S. Army Public Health Command-Europe, for supplying the results from TBE tick surveillance in Europe. Support was provided by the Armed Forces Health Surveillance Branch of the Public Health Division at the Defense Health Agency.
Publisher Copyright:
© 2019, Armed Forces Health Surveillance Center. All rights reserved.
PY - 2019/11
Y1 - 2019/11
N2 - The risk of tick-borne encephalitis (TBE) among U.S. military service members and beneficiaries residing in or traveling to Europe has not been assessed since the 1990s. The primary objective of this study was to assess the current risk of TBE in this population. Records of reportable medical events, inpa-tient and outpatient care, and laboratory test results were searched for TBE cases between 2006 and 2018. There were 8 individuals who met the case definition for TBE over the 13-year interval; 7 cases occurred during 2017 or 2018. Outpatient records did not identify any additional verified cases of TBE but revealed a large number of misclassified diagnoses. The risk of TBE among U.S. military service members and beneficiaries is low but may have increased in recent years. Military members and their dependents residing in Europe or Asia generally have a risk for TBE similar to that of other residents of the host nation. Additionally, there may be locations or activities that place certain individuals or units at increased risk for TBE, thus warranting additional control measures such as active surveillance, enhanced personal pro-tective measures, and vaccination.
AB - The risk of tick-borne encephalitis (TBE) among U.S. military service members and beneficiaries residing in or traveling to Europe has not been assessed since the 1990s. The primary objective of this study was to assess the current risk of TBE in this population. Records of reportable medical events, inpa-tient and outpatient care, and laboratory test results were searched for TBE cases between 2006 and 2018. There were 8 individuals who met the case definition for TBE over the 13-year interval; 7 cases occurred during 2017 or 2018. Outpatient records did not identify any additional verified cases of TBE but revealed a large number of misclassified diagnoses. The risk of TBE among U.S. military service members and beneficiaries is low but may have increased in recent years. Military members and their dependents residing in Europe or Asia generally have a risk for TBE similar to that of other residents of the host nation. Additionally, there may be locations or activities that place certain individuals or units at increased risk for TBE, thus warranting additional control measures such as active surveillance, enhanced personal pro-tective measures, and vaccination.
UR - http://www.scopus.com/inward/record.url?scp=85083388554&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:85083388554
SN - 2158-0111
VL - 26
SP - 4
EP - 11
JO - Medical Surveillance Monthly Report
JF - Medical Surveillance Monthly Report
IS - 11
ER -