| Bodybuilding, Energy, and Weight-Loss Supplements are Associated with Deployment and Physical Activity in U.S. Military Personnel |
May 2012 |
15 pages |
| Authors:
Isabel G Jacobson; Jaime L Horton; Besa Smith; Timothy S Wells; Edward J Boyko; Harris R Lieberman; Margaret A Ryan; Tyler C Smith; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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 | The characteristics of U.S. military personnel using dietary supplements have not been well described. Self-reported data from active-duty, Reserve, and National Guard participants in the Millennium Cohort Study (n=106,698) were used to determine whether deployment experience and physical activity were associated with the use of bodybuilding, energy, or weight-loss supplements. The study included participants from all three panels of the Cohort Study who completed a questionnaire during the 2007-2008 survey ... |
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| Trajectories of Trauma Symptoms and Resilience in Deployed US Military Service Members: Prospective Cohort Study |
Apr 2012 |
11 pages |
| Authors:
George A Bonanno; Anthony D Mancini; Jaime L Horton; Teresa M Powell; Cynthia A LeardMann; Edward J Boyko; Timothy S Wells; Tomoko I Hooper; Gary D Gackstetter; Tyler C Smith; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA DEPARTMENT OF DEFENSE CENTER FOR DEPLOYMENT HEALTH RESEARCH
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| Previous attempts to determine the psychological cost of military deployment have been limited by reliance on convenience samples, lack of predeployment data or confidentiality, and cross-sectional designs. This study addressed these limitations using a population-based, prospective study of U.S. military personnel deployed in support of the operations in Iraq and Afghanistan. The sample consisted of U.S. military service members in all branches, including active duty, reserve, and national guard who ... |
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| A Comparison of Mental Health Outcomes in Persons Entering U.S. Military Service Before and After September 11, 2001 |
Feb 2012 |
10 pages |
| Authors:
Timothy S Wells; Margaret A Ryan; Kelly A Jones; Tomoko I Hooper; Edward J Boyko; Isabel G Jacobson; Tyler C Smith; Gary D Gackstetter; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Background. After September 11, 2001, the United States entered into extended operations in Iraq and Afghanistan. Individuals joining the military in the post-September 11 era committed to potential prolonged and repeated deployments. It has been hypothesized that those who entered military service in the pre-September 11 era might have expectations incongruent with their subsequent experiences, and this may increase their risk for mental disorders. Methods. A subset of Millennium Cohort ... |
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| Profile of Two Cohorts: UK and US Prospective Studies of Military Health |
29 Jun 2011 |
13 pages |
| Authors:
Richard J Pinder; Neil Greenberg; Edward J Boyko; Gary D Gackstetter; Tomoko I Hooper; Dominic Murphy; Margaret A Ryan; Besa Smith; Tyler C Smith; Timothy S Wells; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| In the United Kingdom and United States, these two independent cohort studies have been instituted to prospectively study the health of service personnel and veterans. From comparisons with baseline information, these studies are designed to better inform the military and the public on how best to protect the health of their armed forces and better understand the long-term risks of some occupational exposures that extend beyond military communities. In order ... |
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| Mental Health Impact of the Iraq and Afghanistan Conflicts: A Review of U.S. Research, Service Provision, and Programmatic Responses |
Apr 2011 |
11 pages |
| Authors:
Timothy S Wells; Shannon C Miller; Amy B Adler; Charles C Engel; Tyler C Smith; John A Fairbank; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA DEPARTMENT OF DEFENSE CENTER FOR DEPLOYMENT HEALTH RESEARCH
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| Although documentation that war inflicts psychological casualties dates back to the American Civil War, most research began after the Vietnam conflict, when studies focused primarily on posttraumatic stress disorder (PTSD). With ongoing conflicts in Iraq and Afghanistan, there has been significant research to illuminate the epidemiology of war-related psychological casualties. Significant findings include an appreciation for the role combat plays in the development of mental disorders, including PTSD, depression, alcohol ... |
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| Health Impact of US Military Service in a Large Population-Based Military Cohort: Findings of the Millennium Cohort Study, 2001-2008 |
Jan 2011 |
38 pages |
| Authors:
Tyler C Smith; Isabel G Jacobson; Tomoko I Hooper; Cynthia A LeardMann; Edward J Boyko; Besa Smith; Gary D Gackstetter; Timothy S Wells; Paul J Amoroso; Gregory C Gray; James R Riddle; Margaret A Ryan; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA DEPARTMENT OF DEFENSE CENTER FOR DEPLOYMENT HEALTHE RESEARCH
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| Combat-intense, lengthy, and multiple deployments in Iraq and Afghanistan have characterized the new millennium. The US military's all-volunteer force has never been better trained and technologically equipped to engage enemy combatants in multiple theaters of operations. Nonetheless, concerns over potential lasting effects of deployment on long-term health continue to mount and are yet to be elucidated. This report outlines how findings from the first 7 years of the Millennium Cohort ... |
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| Examination of Post-Service Health-Related Quality of Life Among Rural and Urban Military Members of The Millennium Cohort Study |
Jan 2011 |
26 pages |
| Authors:
Susan P Proctor; Kelly A Jones; Timothy S Wells; Edward J Boyko; Tyler C Smith; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| Little information exists on the health-related quality of life (HRQL) of U.S. veterans based on rural (versus urban) status, especially those in younger age groups, and whether deployment influences this outcome. We addressed these questions in the Millennium Cohort Study, a prospective investigation of U.S. military personnel assessed first in 2001 and then subsequently every three years via self-administered questionnaires. Participants separated from the military at the time of the ... |
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| Smokeless Tobacco use Related to Military Deployment, Cigarettes and Mental Health Symptoms in a Large, Prospective Cohort Study Among US Service Members |
Jan 2011 |
14 pages |
| Authors:
Eric D Hermes; Timothy S Wells; Besa Smith; Edward J Boyko; Gary G Gackstetter; Shannon C Miller; Tyler C Smith; YALE UNIV NEW HAVEN CT SCHOOL OF MEDICINE
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| To characterize smokeless tobacco initiation and persistence in relation to deployment, combat, occupation smoking and mental health symptoms. Design Prospective cohort, utilizing self-reported survey data from the Millennium Cohort Study. Setting US military service members in all branches including active duty, reserve and National Guard. Participants Population-based sample of 45 272 participants completing both baseline (July 2001 - June 2003; n = 77 047) and follow-up (June 2004-January 2006; n ... |
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| Health Impact of U.S. Military Service in a Large Population-based Military Cohort: Findings of the Millennium Cohort Study, 2001-2008 |
Jan 2011 |
12 pages |
| Authors:
Tyler C Smith; Isabel G Jacobson; Tomoko I Hooper; Cynthia A LeardMann; Edward J Boyko; Besa Smith; Gary D Gackstetter; Timothy S Wells; Paul J Amoroso; Gregory C Gray; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Concerns over potential lasting effects of deployment on long-term health continue to mount. The Millennium Cohort Study is designed to help answer many of these long-term health-related questions. Over 150,000 active-duty, reserve, and National Guard personnel from all service branches have enrolled, and over 70% of the first 2 enrollment panels submitted at least 1 follow-up survey. Approximately half of the Cohort has deployed in support of operations in Iraq ... |
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| Assessing Nonresponse Bias at Follow-up in a Large Prospective Cohort of Relatively Young and Mobile Military Service Members |
21 Oct 2010 |
42 pages |
| Authors:
Alyson J Littman; Edward J Boyko; Isabel G Jacobson; Jaime Horton; Gary D Gackstetter; Besa Smith; Tomoko Hooper; Timothy S Wells; Paul J Amoroso; Tyler C Smith; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Background: Nonresponse bias in a longitudinal study could affect the magnitude and direction of measures of association. We identified sociodemographic, behavioral, military, and health related predictors of response to the first follow-up questionnaire in a large military cohort and assessed the extent to which nonresponse biased measures of association. Methods: Data are from the baseline and first follow-up survey of the Millennium Cohort Study. Seventy-six thousand, seven hundred and seventy-five ... |
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| Modifiable Characteristics Associated with Training Success Among U.S. Air Force Tactical Air Control Party Candidates. Battlefield Airmen Study, Part B |
Mar 2010 |
15 pages |
| Authors:
Timothy S Wells; Christopher J Knerl; Timothy S Webb; HUMAN EFFECTIVENESS DIRECTORATE WRIGHT-PATTERSON AFB OH 711 HUMAN PERFORMANCE WING
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| To understand personal characteristics associated with passing qualification training for entry into the US Air Force Tactical Air Control Party career field. Candidates were enrolled at initiation of training and participation in outdoor activities, high school sports, size of home town, use of dietary supplements, exercise regimens prior to training initiation, and demographic data was collected through a survey. Univariate and multivariate analyses were conducted to explore characteristics associated with ... |
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| A Public Health Approach to Injury Prevention: The U.S. Military Experience |
Jan-2010 |
17 pages |
| Authors:
Michelle Canham-Chervak; Bruce H Jones; Steven H Bullock; Timothy S Wells; David A Sleet; Bruce R Burnham; Christopher P Rennix; Jack W Smith; Bruce A Ruscio; ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE ABERDEEN PROVING GROUND MD
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| TITLE: A Process to Identify Military Injury Prevention Priorities Based on Injury Type and Limited Duty Days. BACKGROUND: Injuries, one of the leading public health problems in an otherwise healthy military population, affect operational readiness, increase healthcare costs, and result in disabilities and fatalities. This paper describes a systematic, data-driven, injury prevention-decision making process to rank potential injury prevention targets. METHODS: Medical surveillance and safety report data on injuries for ... |
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| A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan |
Jan 2010 |
12 pages |
| Authors:
Timothy S Wells; Cynthia A LeardMann; Sarah O Fortuna; Besa Smith; Tyler C Smith; Margaret A Ryan; Edward J Boyko; Dan Blazer; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Background: Previous studies have reported an association between deployment and depression; however, these studies have been limited by small sample size or lack of longitudinal design. Results: Deployed men and women with combat exposures had the highest onset of depression at follow-up (5.6% and 15.7%, respectively), followed by those not deployed (3.9% and 7.7%, respectively), and those deployed without combat exposures (2.3% and 5.1%, respectively). After adjusting for demographic, behavioral, ... |
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| Health Status and Performance of United States Air Force Airmen Following Mild Traumatic Brain Injury |
Sep-2009 |
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| Authors:
Timothy S Wells; AIR FORCE RESEARCH LAB WRIGHT-PATTERSON AFB OH
|
 | (Note: This is a progress report regarding the study. The report does not have any conclusions or results of the study.)
The objectives of this study are as follows: (1) determine the agreement between the Centers for Disease Control (CDC) definition of mild traumatic brain injury (mTBI) and the clinical judgment of a board-certified neurologist based upon medical records review; (2) utilize a historical prospective study design in a large, well-documented ... |
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| Self-Reported Health Symptoms and Conditions Among Complementary and Alternative Medicine Users in a Large Military Cohort |
Sep 2009 |
12 pages |
| Authors:
Isabel G Jacobson; Martin R White; Tyler C Smith; Besa Smith; Timothy S Wells; Gary D Gackstetter; Edward J Boyko; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| A typical profile of a person in the military who chooses complementary and alternative medicine (CAM) has not yet been established. Using data from the Millennium Cohort Study, this crosssectional analysis identified demographic characteristics and types of health-related symptoms and conditions associated with CAM use. A cross-sectional analysis of 86,131 individuals from all services, as well as active duty and Reserve and National Guard members from the Millennium Cohort, participated ... |
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| Injury and Disability: Identification and Reduction |
Sep 2009 |
54 pages |
| Authors:
Timothy S Webb; Eric R Master; Timothy S Wells; INFOSCITEX CORP DAYTON OH
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| Background. This effort was developed to support new initiatives within the Vulnerability Analysis Branch to enhance warfighter performance among all Airmen. Methods. Electronic data were utilized in epidemiological investigations to identify Airmen at increased risk for decreased warfighter performance. Results. Airmen consistently noted at increased risk included battlefield airmen and enlisted civil engineers. Conclusions. This project fulfilled stated objectives. The follow-on work unit will utilize workplace investigational techniques to identify ... |
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| Disordered Eating and Weight Changes after Deployment: Longitudinal Assessment of a Large US Military Cohort |
04-Feb-2009 |
15 pages |
| Authors:
Besa Smith; Tyler C Smith; Margaret A Ryan; Isabel G Jacobson; Edward J Boyko; Timothy S Wells; Paul J Amoroso; Pamela K Keel; Gaston P Bathalon; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| The effect of military deployments to combat environments on disordered eating and weight changes is unknown. Using longitudinal data from Millennium Cohort Study participants who completed baseline (2001-2003) and follow-up (2004-2006) questionnaires (n=48,378), the authors investigated new-onset disordered eating and weight changes in a large military cohort. Multivariable logistic regression was used to compare these outcomes among those who deployed and reported combat exposures, those who deployed but did not ... |
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| Racial Differences in Prostate Cancer Risk Remain Among US Servicemen With Equal Access to Care |
Jan 2009 |
10 pages |
| Authors:
Timothy S Wells; Anna T Bukowinski; Tyler C Smith; Besa Smith; Leslie K Dennis; Laura K Chu; Gregory C Gray; Margaret A Ryan; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Prostate cancer is the most common cancer among US men, yet the etiology of this disease remains unclear. This study used military health care and demographic data to describe the incidence of prostate cancer in the US military from September 1993 to September 2003, and to identify demographic and occupational risk factors for prostate cancer hospitalization. Annual rates of first-encounter prostate cancer were adjusted for age and race. Cox's proportional ... |
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| Baseline Self Reported Functional Health and Vulnerability to Post-Traumatic Stress Disorder After Combat Deployment: Prospective US Military Cohort Study |
Jan 2009 |
10 pages |
| Authors:
Cynthia A LeardMann; Tyler C Smith; Besa Smith; Timothy S Wells; Margaret A Ryan; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA DEPARTMENT OF DEFENSE CENTER FOR DEPLOYMENT HEALTHE RESEARCH
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| The objective of this study was to determine if baseline functional health status, as measured by SF-36 (veterans), predicts new onset symptoms or diagnosis of post-traumatic stress disorder among deployed US military personnel with combat exposure. Participants were combat deployed members who completed baseline (2001-3) and follow-up (2004-6) questionnaires. Self reported and electronic data used to examine the relation between functional health and posttraumatic stress disorder. Main outcome measures were ... |
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| Newly Reported Hypertension After Military Combat Deployment in a Large Population-Based Study |
Jan 2009 |
11 pages |
| Authors:
Nisara S Granado; Tyler C Smith; G M Swanson; Robin B Harris; Eyal Shahar; Besa Smith; Edward J Boyko; Timothy S Wells; Margaret A Ryan; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| High-stress situations, such as combat deployments, are a potential risk factor for hypertension. Although stress is postulated to increase blood pressure, the underlying role of stress on hypertension is not well established. We sought to determine the relations between combat deployment-induced stress and hypertension. The Millennium Cohort baseline questionnaire (2001-2003) was completed by 77 047 US active-duty and Reserve/National Guard members. Follow-up was completed by 55 021 responders 3 years ... |
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| Alcohol Use and Alcohol-Related Problems Before and After Military Combat Deployment |
Aug-2008 |
15 pages |
| Authors:
Tyler C Smith; Margaret A Ryan; Isabel G Jacobson; Tomoko I Hooper; Pail J Amoroso; Edward J Boyko; Gary D Gackstetter; Timothy S Wells; Nicole S Bell; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Concern has grown over the health of US service members returning from deployment in support of the way Afghanistan. High rates of alcohol misuse after deployment have been reported among personnel returning from past conflict focusing on alcohol misuse after returning from the current conflicts are lacking. The Millennium Cohort Study is a population-based longitudinal study designed to evaluate any long-term effect. Our analyses included 48 481 participants with complete ... |
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| Baseline Self-Reported Functional Health and Vulnerability to Post-Traumatic Stress Disorder after Combat Deployment: Prospective US Military Cohort Study |
26 Feb 2008 |
11 pages |
| Authors:
G A LeardMann; Tyler C Smith; Besa Smith; Timothy S Wells; Margaret A Ryan; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA OPERATIONS RESEARCH DIV
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| Objective To determine if baseline functional health status, as measured by SF-36 (veterans), predicts new onset symptoms or diagnosis of post-traumatic stress disorder among deployed US military personnel with combat exposure. Design Prospective cohort analysis. Setting Millennium Cohort. Participants Combat deployed members who completed baseline (2001-3) and follow-up (2004-6) questionnaires. Self reported and electronic data used to examine the relation between functional health and posttraumatic stress disorder. Main outcome measures ... |
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| Prior Health Care Utilization as a Potential Determinant of Enrollment in a 21-Year Prospective Study, the Millennium Cohort Study |
10-Jan-2008 |
11 pages |
| Authors:
Besa Smith; Tyler C Smith; Margaret A Ryan; Isabel G Jacobson; Timothy S Wells; Robert J Reed; Paul J Amoroso; Christina N Spooner; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Results obtained from self-reported health data may be biased if those being surveyed respond differently based on health status. This study was conducted to investigate if health, as measured by health care use preceding invitation, influenced response to invitation to a 21-year prospective study, the Millennium Cohort Study. Inpatient and outpatient diagnoses were identified among more than 68,000 people during a one-year period prior to invitation to enroll. Multivariable logistic ... |
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| US Military Service Members Vaccinated Against Smallpox in 2003 and 2004 Experience a Slightly Higher Risk of Hospitalization Postvaccination |
Jan-2008 |
12 pages |
| Authors:
Isabel G Jacobson; Tyler C Smith; Besa Smith; Timothy S Wells; Robert J Reed; Margaret A Ryan; NAVAL MEDICAL RESEARCH CENTER SILVER SPRING MD
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| This study explores adverse events severe enough to warrant hospitalization that may have been associated with receiving the smallpox vaccine in conjunction with military service. Cox proportional hazards modeling was used to identify the risk of hospitalization among US active-duty military personnel during a 1-year period following receipt of the smallpox vaccine. The reference group consisted of active-duty military personnel who also received the smallpox vaccine after the conclusion of ... |
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| Smallpox Vaccination. Comparison of Self-Reported and Electronic Vaccine Records in the Millennium Cohort Study |
Dec-2007 |
9 pages |
| Authors:
Besa Smith; Tyler C Smith; Margaret A Ryan; Timothy S Wells; Cynthia A LeardMann; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| In December 2002, the US Government implemented policy to immunize health workers, first responders and military personnel against smallpox in preparation for a possible bioterrorist attack. Self-reported vaccination data are commonly used in epidemiologic research and may be used to determine vaccination status in a public health emergency. To establish a measure of reliability, the agreement between self?reported smallpox vaccination and electronic vaccination records was examined using data from the ... |
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| The Physical and Mental Health of A Large Military Cohort: Baseline Functional Health Status of the Millennium Cohort |
26-Nov-2007 |
15 pages |
| Authors:
Besa Smith; Joyce Adkins; Cynthia A LeardMann; Mark Zamorski; James R Riddle; Timothy S Wells; Tyler C Smith; Charles C Engel; Charles W Hoge; Dan Blaze; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Background: The US military is currently involved in large, lengthy, and complex combat operations around the world. Effective military operations require optimal health of deployed service members, and both mental and physical health can be affected by military operations. Methods: Baseline data were collected from 77,047 US service members during 2001-2003 as part of a large, longitudinal, population-based military health study (the Millennium Cohort Study). The authors calculated unadjusted, adjusted, ... |
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| Self-reported Adverse Health Events Following Smallpox Vaccination in a Large Prospective Study of US Military Service Members |
27-Aug-2007 |
9 pages |
| Authors:
Besa Smith; Tyler C Smith; Margaret A Ryan; Isabel G Jacobson; Timothy S Wells; Cynthia A LeardMann; Robert J Reed; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| In December 2002, the Department of Defense re-instituted smallpox vaccination for US military forces following growing concerns that smallpox might be employed as a bioterrorist weapon. More than one million service members have been given the smallpox vaccine since 2002, although there have been concerns about the safety of the vaccine. Using Millennium Cohort study data, this prospective analysis investigated a wide variety of self-reported health outcomes and possible association ... |
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| Millennium Cohort: Enrollment Begins A 21-Year Contribution to Understanding the Impact of Military Service |
Jan 2007 |
13 pages |
| Authors:
Margaret A Ryan; Tyler C Smith; Besa Smith; Paul Amoroso; Edward J Boyko; Gregory C Gray; Gary D Gackstetter; James R Riddle; Timothy S Wells; Gia Gumbs; Thomas E Corbeil; Tomoko I Hooper; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Objective: In response to health concerns of military members about deployment and other service-related exposures, the Department of Defense (DoD) initiated the largest prospective study ever undertaken in the U.S. military. Study Design and Setting: The Millennium Cohort uses a phased enrollment strategy to eventually include more than 100,000 U.S. service members who will be followed up through the year 2022, even after leaving military service. Subjects will be linked ... |
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| Millennium Cohort: The 2001-2003 Baseline Prevalence of Mental Disorders in the U.S. Military |
Jan 2007 |
12 pages |
| Authors:
James R Riddle; Tyler C Smith; Besa Smith; Thomas E Corbeil; Charles C Engel; Timothy S Wells; Charles W Hoge; Joyce Adkins; Mark Zamorski; Dan Blazer; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| The 12-month prevalence of common mental illnesses in the United States is estimated to be 26 percent, accounting for a large and increasing fraction of all disability in the U.S. general population. The U.S. military is frequently called upon as the first line of response or defense in conflicts and disasters, often resulting in service members' separation from family or home life for extended periods of time. Reports have suggested ... |
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| Military Hospitalizations Among Deployed US Service Members Following Anthrax Vaccination, 1998-2001 |
Apr-2006 |
8 pages |
| Authors:
Timothy S Wells; Paul A Sato; Tyler C Smith; Linda Z Wang; Robert J Reed; Margaret A Ryan; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Safety concerns have confronted the Department of Defense Anthrax Vaccine Immunization Program since inception in 1998. To determine if anthrax vaccination was associated with an increased risk of hospitalization, a historical cohort study utilizing pre- and post-anthrax-vaccination hospitalizations was undertaken and analyzed with Cox proportional hazard models. The study population consisted of 170,723 active duty US service members who were anthrax-vaccinated and deployed during the time period January 1, 1998 ... |
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| Self-Reported Reproductive Outcomes Among Male and Female 1991 Gulf War Era US Military Veterans |
14-Jul-2005 |
12 pages |
| Authors:
Tyler C Smith; Timothy S Wells; Linda Z Wang; Gregory C Gray; Christina N Spooner; Katia M Hiliopolos; Deborah R Kamens; Paul A Sato; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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| Following the 1991 Gulf War, some veterans expressed concerns regarding their reproductive health. Our objective was to assess whether an association exists between deployment to the 1991 Gulf War and self-reported adverse pregnancy outcomes. Using a modified Dillman technique with telephone follow-up, we conducted a survey via a postal questionnaire from February 1996 - August 1997 to compare selected reproductive outcomes among 10,000 US veterans deployed to the 1991 Gulf ... |
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| Myopericarditis following Smallpox Vaccination |
20-Apr-2004 |
11 pages |
| Authors:
Timothy S Wells; James R Riddle; Sharon L Ludwig; Limone C Collins; J E Atwood; Suzanne S Love; Robert E Eckart; Mark K Arness; Renata J Engler; John D Grabenstein; David N Tornberg; ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE WASHINGTON DC ARMY MEDICAL SURVEILLANCE ACTIVITY
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| Myopericarditis has been a rare or unrecognized event after smallpox vaccinations with the New York City Board of Health strain of vaccinia virus (Dryvax; Wyeth Laboratories, Marietta, Pennsylvania). In this article, the authors report an attributable incidence of at least 140 clinical cases of myopericarditis per million primary smallpox vaccinations with this strain of vaccinia virus. Fifty-eight males and one female aged 21?43 years with confirmed or probable acute myopericarditis ... |
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