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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

Coast Guard Trainee Health Surveillance

Erica Schwartz, MD, MPH

LCDR/MC/USPHS

Preventive Medicine Officer

agenda
Coast Guard Trainee Programs

Injury Surveillance

Febrile Respiratory Illness Surveillance

Sexually Transmitted Infection Surveillance

Research Initiatives

Challenges

Agenda
cg trainee programs
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%
cg trainee programs4
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%
cg trainee programs5
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
injury surveillance
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
fri surveillance
Trainee Center Cape May

FRI surveillance began in 1999

Submitted ~950 specimens ( ~80% adenovirus)

FRI Surveillance
sti surveillance
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
research initiatives
Research Initiatives
  • Prevention of lower extremity stress fractures using shock absorbing insoles - TRACEN Cape May
  • Febrile respiratory illness from adenovirus at TRACEN Cape May
challenges
Challenges
  • Limited medical support
  • Limited resources
  • Limited preventive medicine support
  • Limited collaboration w/other training centers