Michael Termini

Thermal Response Patterns Provide Early Sign of Exertional Heat Stroke during Intense Activity

Emma Y. Atkinson, Nisha Charkoudian, Kyla A. Driver, Tim J. Mesite et autres

OBJECTIVE: Exertional heat stroke (EHS) remains a stubborn challenge for active communities globally, but it is difficult to study in humans because it is a relatively rare occurrence. Severe EHS can lead to long-term organ damage and death without rapid treatment. Physiological …

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Skin temperature adapted physiological strain index (aPSI) predicts exertional heat illness

Mark J. Buller, Emma Y. Atkinson, Michelle E. Akana, П. Д. Финч et autres

Abstract Objective. Exertional heat illness (EHI) remains a challenge for those that exercise in hot and humid environments. Physiological status monitoring is an attractive method for assessing EHI risk and a critical component of recommended layered risk management approaches. While there is …

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Pre-infection antiviral innate immunity contributes to sex differences in SARS-CoV-2 infection

Natalie Sauerwald, Zijun Zhang, Irene Ramos, Venugopalan D. Nair et autres

Male sex is a major risk factor for SARS-CoV-2 infection severity. To understand the basis for this sex difference, we studied SARS-CoV-2 infection in a young adult cohort of United States Marine recruits. Among 2,641 male and 244 female unvaccinated and seronegative …

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SARS-CoV-2 Outbreak Dynamics in an Isolated US Military Recruit Training Center With Rigorous Prevention Measures

Rhonda A. Lizewski, Rachel Sealfon, Sang Woo Park, Gregory R. Smith et autres

BACKGROUND: Marine recruits training at Parris Island experienced an unexpectedly high rate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, despite preventive measures including a supervised, 2-week, pre-entry quarantine. We characterize SARS-CoV-2 transmission in this cohort. METHODS: Between May and November …

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Lessons Learned From a Prospective Observational Study of U.S. Marine Recruits During a Supervised Quarantine, Spring‒Fall 2020

Andrew G. Letizia, Carl Goforth, Yongchao Ge, Michael Termini et autres

Introduction Quarantining is commonly used to mitigate the spread of SARS-CoV-2. However, questions remain regarding what specific interventions are most effective. Methods After a 2-week home quarantine, U.S. Marine Corps recruits underwent a supervised 2-week quarantine at a hotel from August 11 …

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Antibody Responses to SARS-CoV-2 Following an Outbreak Among Marine Recruits With Asymptomatic or Mild Infection

Irene Ramos, Carl Goforth, Alessandra Soares‐Schanoski, Dawn L. Weir et autres

We investigated serological responses following a SARS-CoV-2 outbreak in spring 2020 on a US Marine recruit training base. 147 participants that were isolated during an outbreak of respiratory illness were enrolled in this study, with visits approximately 6 and 10 weeks post-outbreak …

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Viable virus shedding during SARS-CoV-2 reinfection

Andrew G. Letizia, Darci R. Smith, Yongchao Ge, Irene Ramos et autres

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SARS-CoV-2 seropositivity and subsequent infection risk in healthy young adults: a prospective cohort study

Andrew G. Letizia, Yongchao Ge, Sindhu Vangeti, Carl Goforth et autres

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SARS-CoV-2 seropositivity and subsequent infection risk in healthy young adults: a prospective cohort study

Andrew G. Letizia, Yongchao Ge, Sindhu Vangeti, Carl Goforth et autres

Summary Background The risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) subsequent infection among seropositive young adults was studied prospectively. Methods The study population comprised 3,249 predominantly male, 18-20-year-old Marine recruits. Upon arrival at a Marine-supervised two-week quarantine, participants were assessed …

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SARS-CoV-2 Seropositivity and Subsequent Infection Risk in Healthy Young Adults: A Prospective Cohort Study

Andrew G. Letizia, Yongchao Ge, Sindhu Vangeti, Carl Goforth et autres

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SARS-CoV-2 Transmission among Marine Recruits during Quarantine

Andrew G. Letizia, Irene Ramos, Ajay Obla, Carl Goforth et autres

BACKGROUND: The efficacy of public health measures to control the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not been well studied in young adults. METHODS: We investigated SARS-CoV-2 infections among U.S. Marine Corps recruits who underwent a 2-week quarantine …

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Reshaping US Navy Pacific Response in Mitigating Disaster Risk in South Pacific Island Nations: Adopting Community-Based Disaster Cycle Management

Erik J. Reaves, Michael Termini, Frederick M. Burkle

The US Department of Defense continues to deploy military assets for disaster relief and humanitarian actions around the world. These missions, carried out through geographically located Combatant Commands, represent an evolving role the US military is taking in health diplomacy, designed to …

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