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October 4, 1999

Discontinued Vaccination Leads to Epidemic among Army Trainees

ATLANTA—A disease outbreak began when vaccination of army trainees was discontinued and ended just as promptly when vaccines were resumed, according to an article in the current issue of Emerging Infectious Diseases, CDC's peer-reviewed journal, which tracks new and reemerging infectious diseases worldwide.

Soldiers in basic training once received vaccines to protect them against adenovirus, which causes fever and cold symptoms. In 1996, the manufacturer stopped producing the vaccine. In March 1997, the army stopped vaccine administration so that the limited supplies could be reserved for use during the peak season for respiratory disease, September through March. In May 1997, however, soldiers in basic training at Fort Jackson, South Carolina, began to get sick with adenovirus. From May until December, 673 soldiers, both men and women, reported to sick call and tested positive for adenovirus. Soon after vaccinations were resumed in November, the outbreak ended.

Adenovirus is a major cause of acute respiratory disease in military training centers. At the peak of this outbreak, 70 soldiers were hospitalized each week, increasing costs and disrupting training. The Fort Jackson Army Hospital managed the increased patient load, but, according to the authors, similar outbreaks at other bases would stress military training facilities around the country.

This outbreak confirms how an effective vaccine can both prevent and control an epidemic. The 8-week basic combat training brings together several thousand soldiers from all over the United States into a setting (close contact, barracks housing) in which viruses can easily spread.

The vaccines that recruits are given do a good job of protecting them, as this outbreak demonstrates.

For more information, contact Dr. K. Mills McNeill at 803-286-9948. Access the full article at http://www.cdc.gov/ncidod/EID/vol5no6/mcneill.htm. All material in Emerging Infectious Diseases is in the public domain and may be used without special permission; proper citation, however, is appreciated.

For more information on this or related topics, see—

 

  

 

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