STDs from the DoD Perspective Victor H' MacIntosh, MD, MPH LtCol, USAF, MC

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STDs from the DoD PerspectiveVictor H.
MacIntosh, MD, MPHLtCol, USAF, MC

• Chairman, Surveillance Subcommittee
• STD Prevention Committee
• Victor.Macintosh_at_usafsg.bolling.af.mil

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Military Population Targeted Studies

• Handout titled
• SUMMARY OF RESULTS
• TARGETED STUDIES OF SEXUALLY TRANSMITTED DISEASES
  (STDs) IN
• THE UNITED STATES MILITARY

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(No Transcript)
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STDs and Military ServicesDiseases Challenges

• Chlamydia
• Navy screens all recruits, USCG all females
• Army and USAF no routine screening of BMTs
• However of 66K USAF women, 29K in 17-24 yo
• Brooks lab has18.5K female tests in FY00 and 20K
  tests with no gender listed
• GC
• Only Ft Bragg participates in GISP
• Syphilis
• HPV HSV

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STDs and Military ServicesDiseases Challenges

• Chlamydia
• Navy screens all recruits, USCG all females
• Army and USAF no routine screening of BMTs
• However of 66K USAF women, 29K in 17-24 yo
• Brooks lab has18.5K female tests in FY00 and 20K
  tests with no gender listed
• GC
• Only Ft Bragg participates in GISP
• Syphilis
• HPV HSV

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STDs and Military ServicesPrevention Programs

• STD Prevention Committee (DoD)
• Subcommittees (6) including
• Surveillance
• Education
• SHARP (Navy)
• Sexual health and responsibility program

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Acknowledgements

• STDPC SS
• Christine Bader
• Joel Gaydos
• Sharon Ludwig
• Mark Malakooti
• Kelly McKee
• Phil Renzuello

• The significant problems we face cannot be
  solved at the same level of thinking we were at
  when we created them.
• Albert Einstein

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Surveillance Systems

• Reportable events (RE) systems incorporate STDs
  based on Tri-Service List of REs
• Army RMES Navy NDRS Air Force AFRESS
• All use passive surveillance
• Marine Corps uses the Navy system
• Coast Guard does not have a name/acronym
• For STD reportable events, diagnoses may or may
  not be based on laboratory tests
• It is not possible to know the lab test used, if
  any, and the test result (within the RE system)

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Military Population Characteristics

• Young and healthy
• Many single
• Risk takers
• Sexually active
• STD rates at least as high as US population