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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 l.jpg

Coast Guard Trainee Health Surveillance

Erica Schwartz, MD, MPH

LCDR/MC/USPHS

Preventive Medicine Officer


Agenda l.jpg

Coast Guard Trainee Programs

Injury Surveillance

Febrile Respiratory Illness Surveillance

Sexually Transmitted Infection Surveillance

Research Initiatives

Challenges

Agenda


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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%


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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%


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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


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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


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Trainee Center Cape May

FRI surveillance began in 1999

Submitted ~950 specimens ( ~80% adenovirus)

FRI Surveillance


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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


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Research Initiatives

  • Prevention of lower extremity stress fractures using shock absorbing insoles - TRACEN Cape May

  • Febrile respiratory illness from adenovirus at TRACEN Cape May


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Challenges

  • Limited medical support

  • Limited resources

  • Limited preventive medicine support

  • Limited collaboration w/other training centers


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