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Coast Guard Trainee Health Surveillance

Coast Guard Trainee Health Surveillance Erica Schwartz, MD, MPH LCDR/MC/USPHS Preventive Medicine Officer Coast Guard Trainee Programs Injury Surveillance Febrile Respiratory Illness Surveillance Sexually Transmitted Infection Surveillance Research Initiatives Challenges Agenda

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Coast Guard Trainee Health Surveillance

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  1. Coast Guard Trainee Health Surveillance Erica Schwartz, MD, MPH LCDR/MC/USPHS Preventive Medicine Officer

  2. Coast Guard Trainee Programs Injury Surveillance Febrile Respiratory Illness Surveillance Sexually Transmitted Infection Surveillance Research Initiatives Challenges Agenda

  3. CG Trainee Programs Trainee Center Cape May • Cape May, New Jersey • Enlisted Accession Point • Active Duty – 8 week program • Reserve Basic Indoctrination (REBI) – 2 week program • Prior Service Training (PSTP) – 4 ½ week program • Goal: ~5110 enlisted recruits (FY 2005) • October – 417 recruits • November – 357 recruits • December – 150 recruits (anticipated) • Attrition rate ~10%

  4. CG Trainee Programs Coast Guard Academy • New London, Connecticut • Officer Accession Point • Academy • Officer Candidate School • Reserve Officer Candidate School • Direct Commission Officer Training • Goal: ~ 950 cadets (FY 2005) • Attrition rate ~8%

  5. CG Trainee Programs Trainee Center Cape May Clinic • Clinical Services: Dental/ Family Practice/ Optometry/ Physical Therapy/ Psychiatry • Ancillary Services: Immunizations/ Laboratory / Pharmacy/ Radiology Coast Guard Academy Clinic • Clinical Services: Dental/ Family Practice/ Optometry / Orthopedics/ Podiatry/ Psychiatry • Ancillary Services: Immunizations/ Laboratory/ Pharmacy/ Radiology • Swab summer

  6. Trainee Center Cape May Injury surveillance began 1999 Expanded surveillance in 2004 Administrative burden / limited support Utilize musculoskeletal injury information sheet (completed by corpsman / medical officer) Information complied and stored in Access database Injury Surveillance

  7. Trainee Center Cape May FRI surveillance began in 1999 Submitted ~950 specimens ( ~80% adenovirus) FRI Surveillance

  8. STI Surveillance Trainee Center Cape May • All recruits receive STI education • All females screened for gonorrhea & chlamydia • Gonorrhea – 0.3% of female recruits • Chlamydia – 3.9% of female recruits • No long-term follow-up studies on whether STI education is effective

  9. Research Initiatives • Prevention of lower extremity stress fractures using shock absorbing insoles - TRACEN Cape May • Febrile respiratory illness from adenovirus at TRACEN Cape May

  10. Challenges • Limited medical support • Limited resources • Limited preventive medicine support • Limited collaboration w/other training centers

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