Health Readiness

Exertional Rhabdomyolysis

Each year, the MSMR summarizes the numbers, rates, trends, risk factors, and locations of occurrences of exertional heat injuries, including exertional rhabdomyolysis. This report includes the data for 2014–2018.

Exertional Hyponatremia

Each year, the MSMR summarizes the numbers, rates, trends, risk factors, and locations of occurrences of exertional heat injuries, including exertional rhabdomyolysis. This report includes the data for 2014–2018.

Heat Illness

This report summarizes reportable medical events of heat illness as well as heat illness-related hospitalizations and ambulatory visits among active component service members during 2018 and compares them to the previous 4 years. Episodes of heat stroke and heat exhaustion are summarized separately.

Lyme Disease

Each year, the MSMR summarizes the numbers, rates, trends, risk factors, and locations of occurrences of exertional heat injuries, including exertional rhabdomyolysis. This report includes the data for 2014–2018.

MSMR Vol. 26 No. 4 - April 2019

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Modeling Lyme disease host animal habitat suitability, West Point, New York; Incidence, timing, and seasonal patterns of heat illnesses during U.S. Army basic combat training, 2014–2018; Update: Heat illness, active component, U.S. Armed Forces, 2018; Update: Exertional rhabdomyolysis, active component, U.S. Armed Forces, 2014–2018; Update: Exertional hyponatremia, active component, U.S. Armed Forces, 2003–2018

Pacific Partnership 2019 introduces helicopter en route medical care

The exercise is an important part of disaster risk reduction

Pacific Partnership 2019 participates in community health engagement in Tacloban

Pacific Partnership 2019 exchanges create lasting bonds of friendship and trust

Eat well, live well

Fad diets come and go, but basic nutrition has staying power

Sexually Transmitted Infections

This report summarizes incidence rates of the 5 most common sexually transmitted infections (STIs) among active component service members of the U.S. Armed Forces during 2010–2018.

Testosterone Replacement Therapy

With the increasing number of testosterone deficiency diagnoses and potential health risks associated with initiation of TRT, it is important to understand the epidemiology of which U.S. service men are receiving TRT and whether these individuals have an indication for receiving treatment.

Vasectomy

There are few published studies of vasectomy and vasectomy reversal among the U.S. military population. To address these gaps, the current analysis describes the overall and annual incidence rates of vasectomy among active component service men during 2000–2017 by demographic and military characteristics and by type of surgical vas isolation procedure used. In addition, the median age at incident vasectomy and the time between incident vasectomy and first vasectomy reversal are described.

Male Infertility

The current report updates and expands on the findings of the previous MSMR analysis of infertility among active component service men. Specifically, the current report summarizes the frequencies, rates, temporal trends, types of infertility, and demographic and military characteristics of infertility among active component service men during 2013–2017.

Airmen perform in-flight Transportation Isolation System training

This mission capability is the only one of its kind in the Department of Defense

DHA IPM 19-003: Reserve Health Readiness Program

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (i): • Provides utilization guidance and funding requirements for the RHRP contract to supplement Reserve Component Individual Medical Readiness (IMR) and Deployment Health activities when Service organic health readiness resources are not available to meet mission requirements. • Provides utilization guidance and funding requirements for the RHRP contract for Active Duty enrolled in TRICARE Prime Remote, U.S. Coast Guard (USCG), USCG Reserves, and re-deploying DoD civilians (e.g., U.S. Army Corps of Engineers and U.S. Army Intelligence and Security Command). • Communicate procedure guidance to all DoD organizations utilizing RHRP services. • Will expire effective 12 months from the date of issue and be converted to a DHA-Procedural Instruction.

• Identification #: 19-003
• Date: 3/8/2019
• Type: DHA Interim Procedures Memorandum
• Topics: Health Readiness

Sudden cardiac death in young athletes

Sudden cardiac events can occur in seemingly healthy young people in their teens or twenties, including young servicemembers