Advertisement

Active Tuberculosis and Recent Overseas Deployment in the U.S. Military

      In their recent analysis
      • Mancuso J.D.
      • Tobler S.K.
      • Eick A.A.
      • Keep L.W.
      Active tuberculosis and recent overseas deployment in the U.S. military.
      of tuberculosis within the U.S. military, Mancuso and colleagues demonstrate that factors identifiable at application comprise the strongest risk for subsequent development of active tuberculosis. Their findings imply that a significant burden of disease within the U.S. military is due to pre-existing latent tuberculosis infection (LTBI) among new recruits.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Mancuso J.D.
        • Tobler S.K.
        • Eick A.A.
        • Keep L.W.
        Active tuberculosis and recent overseas deployment in the U.S. military.
        Am J Prev Med. 2010; 39: 157-163
        • U.S. Department of Defense
        Medical standards for appointment, enlistment, or induction in the military services (Instruction 6130.03).
        • Mancuso J.D.
        • Tobler S.K.
        • Keep L.W.
        Pseudoepidemics of tuberculin skin test conversions in the U.S. Army after recent deployments.
        Am J Respir Crit Care Med. 2008; 177: 1285-1289
        • Mazurek M.
        • Jereb J.
        • Vernon A.
        • et al.
        Updated guidelines for using interferon gamma release assays to detect mycobacterium tuberculosis infection—United States, 2010.
        MMWR Recomm Rep. 2010; 59: 1-25
        • Niebuhr D.W.
        • Completo J.D.
        • Helfer T.M.
        • Chandler D.W.
        A comparison of the military entrance processing station screening audiogram with the Defense Occupational and Environmental Health Readiness System reference audiogram at Fort Sill, Oklahoma, in 2000.
        Mil Med. 2006; 171: 117-121
        • Clark K.L.
        • Kelley P.W.
        • Mahmoud R.A.
        • et al.
        Cost-effective syphilis screening in military recruit applicants.
        Mil Med. 1999; 164: 580-584
        • Department of Defense
        Fulfilling the military service obligation (Instruction 1304.25).

      Linked Article

      • Response from the Authors
        American Journal of Preventive MedicineVol. 39Issue 6
        • Preview
          We would like to clarify some specific scientific and military issues raised by Dr. Nevin's response to our article.1 These issues include the thesis that switching from the use of the tuberculin skin test (TST) to an interferon-gamma release assay (IGRA) will improve adherence to therapy in the military's universal latent tuberculosis infection (LTBI) screening program and the thesis that the IGRA would be more cost effective than the TST in military populations.
        • Full-Text
        • PDF