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Emerg Infect Dis. Spread of Adenovirus to Geographically Dispersed Military Installations, May–October 2007

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  • Emerg Infect Dis. Spread of Adenovirus to Geographically Dispersed Military Installations, May–October 2007

    Spread of Adenovirus to Geographically Dispersed Military Installations, May–October 2007 (Emerg Infect Dis., abstract, edited)

    [Source: Emerging Infectious Diseases Review, Full PDF Document (LINK). Edited.]

    DOI: 10.3201/eid1605.091633

    Suggested citation for this article: Trei JS, Johns NM, Garner JL, Noel LB, Ortman BV, Ensz KL, et al. Spread of adenovirus to geographically dispersed military installations, May–October 2007. Emerg Infect Dis. 2010 May; [Epub ahead of print]

    Spread of Adenovirus to Geographically Dispersed Military Installations, May–October 2007

    Jill S. Trei,1 Natalie M. Johns, Jason L. Garner, Lawrence B. Noel, Brian V. Ortman, Kari L. Ensz, Matthew C. Johns, Michel L. Bunning, and Joel C. Gaydos - Author affiliations: United States Air Force School of Aerospace Medicine, San Antonio, Texas, USA (J.S. Trei, N.M. Johns, J.L. Garner, M.C. Johns); Air Education and Training Command, San Antonio (L.B. Noel, B.V. Ortman); Sheppard Air Force Base, Wichita Falls, Texas, USA (K.L. Ensz); Lackland Air Force Base, San Antonio (M.L. Bunning); and Armed Forces Health Surveillance Center, Silver Spring, Maryland, USA (J.C. Gaydos)

    1Current affiliation: Allina Hospitals & Clinics, Minneapolis, MN, USA.


    In mid-May 2007, a respiratory disease outbreak associated with adenovirus, serotype B14 (Ad14), was recognized at a large military basic training facility in Texas. The affected population was highly mobile; after the 6-week basic training course, trainees immediately dispersed to advanced training sites worldwide. Accordingly, enhanced surveillance and control efforts were instituted at sites receiving the most trainees. Specimens from patients with pneumonia or febrile respiratory illness were tested for respiratory pathogens by using cultures and reverse transcription–PCR. During May through October 2007, a total of 959 specimens were collected from 21 sites; 43.1% were adenovirus positive; the Ad14 serotype accounted for 95.3% of adenovirus isolates. Ad14 was identified at 8 sites in California, Florida, Mississippi, Texas, and South Korea. Ad14 spread readily to secondary sites after the initial outbreak. Military and civilian planners must consider how best to control the spread of infectious respiratory diseases in highly mobile populations traveling between diverse geographic locations.

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