Back to Top Skip to main content Skip to sub-navigation

Navy entomologist conducts vector surveillance throughout Asia

Soldier crouching down outside looking at the ground Navy Lt. Jodi M. Fiorenzano, and entomologist, conducts Dengue Vector Threat assessments at SEABEE worksites in East Timor.

Recommended Content:

Bug-Borne Illnesses | Armed Forces Health Surveillance Division

Navy Lt. Jodi Fiorenzano is a Navy entomologist stationed in Sembawang, Singapore where her team conducts vector surveillance throughout the Pacific to better understand regional diseases and help to prevent diseases outbreaks in the military population.

What vector-borne (mosquitoes, ticks, and fleas) projects are you working on?

My team and I conduct vector surveillance throughout the Pacific to better understand regional diseases, host and vector relations, and vector behaviors. In Cambodia, my team researches Dengue vectors and surveillance techniques in urban environments. We also research ectoparasites (fleas, lice, ticks, mites) and their diseases, along with sand flies and their related pathogens. In Laos and Mongolia, we conduct ectoparasites surveillance and study mosquito behaviors where both Malaria and Dengue reside in Vietnam. 

What do you enjoy most about entomology in the U.S. military?

I’ve met amazing entomologists from all the military services and worked alongside many partner nation and civilian entomologists and technicians. 

What are some of your most interesting projects? 

During my six years as a Navy Entomologist I was stationed in Hawaii and Singapore. I’ve taught integrated vector management techniques to multiple hospital corpsmen and participated in a vector management training program in Fiji, with the World Health Organization. I also helped plan Global Health Engagements with the Pacific Partnership in Sri Lanka, Malaysia and conducted Dengue Vector Threat assessments in Chuuk (one of four states in the Federated States of Micronesia), and East Timor to mitigate dengue risks to Navy construction teams. Most recently, I conducted regional surveillance throughout the Pacific to study multiple vectors (mosquitoes, ectoparasites, and sand flies) to understand vectors and their pathogens and add to the growing entomological knowledge across the DoD. 

You also may be interested in...

Medical encounters, by condition, U.S. Armed Forces 2016

Infographic
5/25/2017
This infographic documents the three burden of disease related conditions that accounted for the most medical encounters among the active component of the U.S. Armed Forces in 2016. LONG FORM: In 2016, the three burden of disease related conditions accounted for the most medical encounters were: •	Other back problems •	All other musculoskeletal diseases •	Knee injuries Altogether they accounted for 25.1% of all illness-and injury-related medical encounters overall. More Findings The top nine conditions that accounted for the most medical encounters accounted for 53.1% of all illness-and-injury –related medical encounters overall. In general, the conditions that accounted for the most medical encounters were predominantly musculoskeletal disorders such as the back) injuries to the knee, arm, shoulder, foot or ankle, and mental disorders like anxiety and adjustment conditions. View more findings at www.Health.mil/MSMR    Graphic details This graphic displays the musculoskeletal of a male service member’s body to show the bones of the back and knees.

This infographic documents the three burden of disease related conditions that accounted for the most medical encounters among the active component of the U.S. Armed Forces in 2016.

Recommended Content:

Armed Forces Health Surveillance Division | Conditions and Treatments

Accidental Drownings Among U.S. Service Members

Infographic
5/25/2017
Military members are at risk for unintentional drownings during training, occupational activities and off-duty recreation. Increase your awareness today to lower your risks: Drowning prevention: Water-related recreational activities in or near water can be potentially dangerous – particularly for non-swimmers and weak swimmers – in hazardous conditions and settings (e.g., storms, currents, riptides), and when safety measures are not observed. Military members are at risk for unintentional drownings during training, occupational activities and off-duty recreation. Here are four ways you can prevent unintentional drowning: •	Wear life jackets. •	Take swim lessons to become a stronger swimmer. •	Swim with a buddy; never swim alone. •	Be knowledgeable of water environments you are in. Increase your awareness and lower your risks by reading the Medical Surveillance Monthly Report (MSMR) Vol. 22 No. 6 – June 2015 report “Update: Accidental drownings, active component, U.S. Armed Forces, 2005 – 2014 at www.Health.mil/MSMR  #SwimSafe Follow us on Twitter for more information at AFHSBPAGE. Also check out hashtag #SwimSafe. Source: Defense Health Agency, Armed Forces Health Surveillance Branch. Graphic shows: •	Man swimming in pool •	Mom with three children swimming in pool. •	Woman swimming in pool

Military members are at risk for unintentional drownings during training, occupational activities and off-duty recreation. This infographic provides swim safety information to help increase awareness and lower the risks of accidental drownings among service members.

Recommended Content:

Armed Forces Health Surveillance Division | Summer Safety

Absolute and Relative Morbidity Burdens Attributable to various illnesses and injuries: Non-service member beneficiaries of the Military Health System, 2016

Infographic
5/18/2017
Individuals who are eligible for care through the Military Health System (MHS) are known as beneficiaries. MHS beneficiaries include family members of active component service members, the National Guard and Reserve service members, retirees and eligible family members of retirees. In 2016, there were approximately 9.4 million beneficiaries eligible for health care in the MHS. Findings: •	In 2016, a total of 6,589,843 non-service member beneficiaries of the MHS had 86,486,080 medical encounters. •	On average, each individual who accessed care from the MHS had 13.1 medical encounters over the course of the year. •	The top three morbidity-related categories accounted for 34.5% of all medical encounters. Top Three Morbidity-Related Categories Pie Chart •	Injuries and poisonings (10.5%) – pie slice shown in the color of lavender.  •	Signs, symptoms, and ill-defined conditions (11.9%) – pie slice shown in green. •	Musculoskeletal diseases (12.2%) - pie slice shown in dark blue. •	Orange of pie chart indicates the other morbidity related categories (make up approximately 65.4% of the pie chart). Signs, symptoms, and ill-defined conditions, injuries and poisonings, and disorders of the sense organs were the illness/injury categories that affected the most individuals (44.9%, 34.7%, and 30.3% of all beneficiaries who received any care, respectively). Learn more at Health.mil/MSMR Other images seen on graphic:  Father and baby daughter at medical appointment with a family doctor from the MHS.

Individuals who are eligible for care through the Military Health System (MHS) are known as MHS beneficiaries. This graphic provides information on the absolute and relative morbidity burdens attributable to various illnesses and injuries among non-service member beneficiaries of the MHS in 2016.

Recommended Content:

Armed Forces Health Surveillance Division

Absolute and Relative Morbidity Burdens Attributable to Various illnesses and Injuries, Active Component, U.S. Armed Forces, 2016

Infographic
5/18/2017
everal classification systems and morbidity measures have been developed to quantify absolute and relative morbidity burdens attributable to various illnesses and injuries among the active component of the U.S. Armed Forces in 2016. They determine to a large extent the conclusions that may be drawn regarding the relative “importance” of various conditions – and, in turn, the resources that may be indicated to prevent or minimize their impacts. This annual summary provides: •	142 categories based on a modified version of the classification system developed for the Global Burden of Disease (GBD) study. •	25 burden of disease-related conditions for all illness-and injury-specific diagnoses (as defined by the ICD-10). Findings: •	In 2016, 550,213 service members received medical care for injury/poisoning, more than any other morbidity related category. •	Injury/poisoning accounted for more medical encounters (n= 2,755,387) than any other morbidity category – that is 24.8% of all medical encounters overall. •	Together, injury/poisoning and mental disorders accounted for 56.2% of all hospital bed days and 41.8% of all medical encounters. Medical Encounters Pie Chart Display: •	There were a total of 11,113,506 medical encounters overall (whole pie chart or 100%) •	A total of 2,755,387 for the injury/poisoning category or 24.793% for injury/poisoning ( purple slice of pie chart that is labeled Injury/poisoning) •	A total of 1,895,156 categorized as mental disorders or 17.053% for mental disorders ( lime green slice of pie chart that is labeled mental disorders) •	Together, injury/poisoning and mental disorders accounted  for 41.8 of all medical encounters •	All other medical encounters is approximately 58.2% (dark green slice of the pie chart that is labeled all other medical encounters). For more findings, view the full MSMR report at Health.mil/AFHSB Images included on graphic: DHA logo, Military vehicle and helicopter propellers.

Several classification systems and morbidity measures have been developed to quantify absolute and relative morbidity burdens attributable to various illnesses and injuries among the active component of the U.S. Armed Forces. This graphic highlights findings about the active component of the U.S. Armed Forces in 2016.

Recommended Content:

Armed Forces Health Surveillance Division

Ambulatory visits, Active Component, U.S. Armed Forces, 2016

Infographic
5/18/2017
This infographic documents the frequencies, rates, trends and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during 2016. Findings •	During 2016, there were 19,158,557 reported ambulatory visits of active component service members. •	On average each service member had approximately 15 ambulatory encounters during the year. •	In 2016, four major diagnostic categories accounted for 72.6% of all illness-and injury-related ambulatory visits among active component service members. Pie Chart •	Signs, Symptoms, and ill-defined conditions (8.8%) – pie slice is blue;  military woman with illness seen. •	Disorders of the nervous system and sense organs (10.8%) – pie slice shows many getting his eye examined by a doctor. •	Mental Disorders (16.8%) –  pie slice is green; shows man sitting on the floor who is seeking mental health treatment. •	Musculoskeletal system/connective tissue disorders (36.3%) – pie slice is red; physician is treating patient for musculoskeletal system/ connective tissue disorders. The 2016 number of visits for musculoskeletal disorders (n= 4,198,896) is the highest annual count in the past 13 years. Learn about the largest percentage increases and decreases in ambulatory visits during 2012-2016 at www.Health.mil/MSMR.  Other images seen on graphic: transparent background shows entrance to an Emergency Center.

This infographic documents the frequencies, rates, trends and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during 2016.

Recommended Content:

Armed Forces Health Surveillance Division

The Defense Medical Epidemiology Database System Overview Fact Sheet

Fact Sheet
5/12/2017

This fact sheet provides a system overview of the Defense Medical Epidemiology Database (DMED). DMED is a web-based tool to remotely query de-identified active component personnel and medical event data contained within the Defense Medical Surveillance System (DMSS). Learn about the newly released version of DMED and its key features in this document.

Recommended Content:

Armed Forces Health Surveillance Division | Defense Medical Epidemiology Database

Global Influenza Summary: May 7, 2017

Report
5/7/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Division | AFHSD Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: April 30, 2017

Report
4/30/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Division | AFHSD Reports and Publications | Influenza Summary and Reports

DoD Global, Laboratory-Based Influenza Surveillance Program, 2014- 2015 Season

Infographic
4/17/2017
The DoD Global, Laboratory-Based, Influenza Surveillance Program is a DoD-wide, year-round program that tests respiratory specimens from DoD beneficiaries presenting to military treatment facilities with influenza-like illness (ILI). ILI is defined as an illness characterized by a fever 100.5 degrees F or greater and cough or sore throat within 72 hours of seeking treatment. Sentinel sites submit 6-10 specimens per week from beneficiaries presenting with ILI. Each specimen is tested via reverse transcription-polymerase chain reaction (RT-PCR) and viral culture. The 2014-2015 influenza season was dominated by influenza A (H3N2) at the beginning; however by Week 10, identifications of influenza B viruses were more numerous than for influenza A. Out of a total of 6,432 specimens, 32.7% were positive for influenza. Additionally 19.6% of specimens were positive for other respiratory pathogens while 47.7% specimens were negative. The molecular characterization of specimens showed that the majority of influenza A (H3N2) viruses circulating had drifted from the vaccine strain by December 2014. This finding was in agreement with the Centers for Disease Control and Prevention and World Health Organization observations during the 2014-2015 influenza season. For more information visit Health.mil/AFHSB

The DoD Global, Laboratory-Based, Influenza Surveillance Program is a DoD-wide, year-round program that tests respiratory specimens from DoD beneficiaries presenting to military treatment facilities with influenza-like illness (ILI).

Recommended Content:

Armed Forces Health Surveillance Division

Zika Virus Infections in Military Health System Beneficiaries

Infographic
4/17/2017
The introduction and rapid spread of the Zika virus (ZIKV), a Flavivrus of the Flaviviridae family, across the Western Hemisphere have posed a risk of infection to Military Health System (MHS) beneficiaries. This report documents: •	The impact of ZIKV transmission on MHS beneficiaries. •	ZIKV spread to nearly 50 countries and territories within a 17-month period. •	Among affected service members, the Army reported the most Zika cases. •	There have been 156 confirmed cases of Zika in MHS beneficiaries. •	A majority of cases reported exposure in Puerto Rico (n=91, 58.3%). Geographic regions of potential exposure to Zika cases in MHS beneficiaries between 01 Jan – 30 Nov 2016 included: •	Puerto Rico ( 91 cases) •	Caribbean ( 41 cases) •	Central America & Mexico (15 cases) •	South America (6 cases) •	Asia ( 3 cases) •	Unknown (3) •	U.S. Florida (1 case) Cases in Service Members Between 01 Jan – 30 Nov 2016 were: •	Army (48 cases) •	Coast Guard (29 cases) •	Air Force (16 cases) •	Navy (10 cases) •	Marine Corps (7 cases) Although most ZIKV infections are asymptomatic or have a relatively mild illness, the gravity of pregnancy and neurologic issues linked to infection remains a significant impetus for the continued surveillance of ZIKV in the MHS population. For more Zika surveillance and information on signs and symptoms, visit Health.mil/AFHSB

The introduction and rapid spread of the Zika virus (ZIKV), a Flavivrus of the Flaviviridae family, across the Western Hemisphere have posed a risk of infection to Military Health System (MHS) beneficiaries.

Recommended Content:

Armed Forces Health Surveillance Division | Zika Virus | In the Spotlight

Findings from The Department of Defense Global, Laboratory-Based Influenza Surveillance Program, 2015-2016 Influenza Season

Infographic
4/17/2017
The Department of Defense (DoD) Global, Laboratory-Based, Influenza Surveillance Program monitors the circulation of influenza viruses throughout each influenza season. Each season runs from the beginning of October through end of the next September. During the 2015 – 2016 influenza season, a total of 4,591 specimens were tested from 80 locations. The predominant influenza strain was A (H1N1) pdm09. Additionally peak influenza activity occurred during weeks 7 – 13 (14 February – 2 April 2016). Of those submitted for routine surveillance, 1,182 (25.7%) tested positive for other respiratory pathogens, 377 (8.2%) tested positive for influenza B, 755 (16.5%) tested positive for influenza A, and 2,277 (49.6%) tested negative. For more information on the 2015-2016 influenza season and how to identify influenza-like illness (ILI), read the Medical Surveillance Monthly Report (MSMR) at Health.mil/AFHSB.

The Department of Defense (DoD) Global, Laboratory-Based, Influenza Surveillance Program monitors the circulation of influenza viruses throughout each influenza season. Each season runs from the beginning of October through end of the next September.

Recommended Content:

Armed Forces Health Surveillance Division

Global Influenza Summary: April 16, 2017

Report
4/16/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Division | AFHSD Reports and Publications | Influenza Summary and Reports

New and Improved Defense Medical Epidemiology Database

Infographic
4/4/2017
The new and improved Defense Medical Epidemiology Database (DMED), known as DMED 5.0, is now only available online.  DMED provides timely and efficient access to data of active component personnel and medical event data.  It contains a subset of data from the Defense Medical Surveillance System (DMSS), offering remote access to tri-service epidemiologic data. Moreover, it protects privacy using only de-identified data and updates monthly.  The new DMED features an enhanced user interface, query data using ICD-9 and ICD-10 diagnostic codes granting authorized users to search multiple databases simultaneously. These users are U.S. military personnel (DoD-CaC users) or Federal partners and civilian collaborators in military medical research and operations. Authorized U.S. military personnel with access to DMED include medical providers, epidemiologists, medical researchers, safety officers, and medical operations and clinical support staff. Sign up for a new account at www.health.mil/dmed

The new and improved Defense Medical Epidemiology Database (DMED), known as DMED 5.0, is now only available online. DMED provides timely and efficient access to data of active component personnel and medical event data.

Recommended Content:

Armed Forces Health Surveillance Division | Defense Medical Epidemiology Database

Update: Exertional Hyponatremia U.S. Armed Forces, 2001-2016

Infographic
4/4/2017
Exertional Hyponatremia occurs during or up to 24 hours after prolonged physical activity. It is defined by a serum, plasma or blood sodium concentration below 135 millequivalents per liter. This infographic provides an update on Exertional Hyponatremia among U.S. Armed Forces, information on service members at high risk. Exertional hyponatremia can result from loss of sodium and/or potassium as well as relative excess of body water. There were 1,519 incident diagnoses of exertional hyponatremia among active component service members from 2001 through 2016. 86.8 percent were diagnosed and treated without having to be hospitalized. 2016 represented a decrease of 23.3 percent from 2015. In 2016, there were 85 incident diagnoses of exertional hyponatremia among active component service members and 77.6 percent of exertional hyponatremia cases affected males.  The annual rate was higher among females. Service members age 40 and over were most affected by exertional hyponatremia. High risk service members of exertional hyponatremia were: •	Females •	Service members aged 19 years or younger •	White, non-Hispanic and Asian/ Pacific Islander service members •	Recruit Trainees •	Marine Corps members Learn more at www.Health.mil/MSMR

Exertional Hyponatremia occurs during or up to 24 hours after prolonged physical activity. It is defined by a serum, plasma or blood sodium concentration below 135 millequivalents per liter. This infographic provides an update on Exertional Hyponatremia among U.S. Armed Forces, information on service members at high risk. Exertional hyponatremia can result from loss of sodium and/or potassium as well as relative excess of body water.

Recommended Content:

Armed Forces Health Surveillance Division | Physical Fitness

Minority Health Heat Illness Active Component U.S. Armed Forces, 2016

Infographic
4/4/2017
Heat illness refers to a spectrum of disorders that occur when the body is unable to dissipate heat absorbed from the external environment and the heat generated by internal metabolic processes. As heat illness progresses, failure of one or more body systems can occur. This report summarizes reportable medical events of heat illnesses, heat-related hospitalizations and ambulatory visits among minority active component members (Black, non-Hispanic, Hispanic, and Asian/Pacific Islanders) during 2016. In 2016, incidence rates of heat stroke were highest among Asian/ Pacific Islanders than any other ethnicity. Crude incidence rate of “other heat illnesses” was higher among females than males.  Heat Incidence cases: •	Black, non-Hispanic heat illness incidence cases – 64 for heatstroke and 389 for other heat illnesses •	Hispanic heat illness incidence cases—  63 for heatstroke and 320 for other heat illnesses •	Asian/ Pacific Islander heat illness incidence cases – 32 for heatstroke and for  117 other heat illnesses Incidence rates: •	Black, non-Hispanic incidence rates – 0.30 for heatstroke and 1.84 for other heat illnesses •	Hispanic incidence rates – 0.33 for heatstroke and 1.67 for other heat illnesses •	Asian/Pacific Islander – 0.62 for heatstroke and 2.26 for other heat illnesses Of all military members, the youngest and most inexperienced marines and soldiers – particularly those training at installations in the south eastern U.S. – are at highest risk of heat illnesses including heat stroke, exertional hyponatremia, and exertional rhabdomyolysis. Learn more at www.Health.mil/MSMR

Heat illness refers to a spectrum of disorders that occur when the body is unable to dissipate heat absorbed from the external environment and the heat generated by internal metabolic processes. As heat illness progresses, failure of one or more body systems can occur. This report summarizes reportable medical events of heat illnesses, heat-related hospitalizations and ambulatory visits among minority active component members (Black, non-Hispanic, Hispanic, and Asian/Pacific Islanders) during 2016.

Recommended Content:

Armed Forces Health Surveillance Division | Summer Safety
<< < ... 6 7 8 9 10  ... > >> 
Showing results 136 - 150 Page 10 of 13

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.