McGinnis James, Bohnker Bruce K, Malakooti Mark, Mann Michael, Sack David M
Preventive Medicine Directorate, Navy Environmental Health Center, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA.
Mil Med. 2003 Dec;168(12):1011-4.
Reported cases of Lyme disease for Navy and Marine Corps personnel during 1997-2000 are presented from data collected in the Naval Disease Reporting System and the Defense Medical Epidemiological Database. Naval Disease Reporting System identified 210 case subjects; 60% were men, 49% were family members, and 37% were active duty, and most originated in the second quarter of the calendar year. States reporting the greatest number of reports were Connecticut (44%), North Carolina (16%), Rhode Island (10%), and Virginia (10%), which was generally consistent with national figures and the concentration of military populations. Incidence rates from Defense Medical Epidemiological Database for Lyme disease were generally higher for active duty personnel than reported civilian rates. Areas for improvement for Naval Disease Reporting System are identified and include additional emphasis on complete reporting on patient history and on Lyme disease antibody testing results. These findings suggest that Lyme disease is an important disease in military medicine, particularly in the eastern United States.
本文根据海军疾病报告系统和国防医学流行病学数据库收集的数据，呈现了1997 - 2000年期间海军和海军陆战队人员的莱姆病报告病例。海军疾病报告系统识别出210例病例；其中60%为男性，49%为家属，37%为现役军人，且大多数病例发生在日历年的第二季度。报告病例数最多的州是康涅狄格州（44%）、北卡罗来纳州（16%）、罗德岛州（10%）和弗吉尼亚州（10%），这与全国数据及军事人口分布情况总体一致。国防医学流行病学数据库中莱姆病的发病率，现役军人通常高于报告的 civilian 发病率。确定了海军疾病报告系统需要改进的方面，包括进一步强调完整报告患者病史和莱姆病抗体检测结果。这些发现表明，莱姆病在军事医学中是一种重要疾病，尤其是在美国东部。
