MSMR. 2017 Mar;24(3):9-13.
In 2016, there were 2,536 incident diagnoses of heat illness among active component service members (incidence rate: 1.96 cases per 1,000 person-years [p-yrs]). The overall crude incidence rates of heat stroke and "other heat illness" were 0.31 and 1.65 per 1,000 p-yrs, respectively. In 2016, subgroup-specific incidence rates of heat stroke were highest among males and service members aged 19 years or younger, Asian/Pacific Islanders, Marine Corps and Army members, recruit trainees, and those in combat-specific and "other" occupations. Subgroup-specific incidence rates of "other heat illnesses" in 2016 were highest among females, service members aged 19 years or younger, Marine Corps and Army members, recruit trainees, and service members in combat-specific occupations. During 2012-2016, a total of 572 diagnoses of heat injuries were documented among service members serving in Iraq/Afghanistan; 7.9% (n=45) of those diagnoses were for heat stroke. Commanders, small unit leaders, training cadre, and supporting medical personnel must ensure that military members whom they supervise and support are informed regarding risks, preventive countermeasures, early signs and symptoms, and first-responder actions related to heat illnesses.
2016年,现役军人中暑病例确诊数为2536例(发病率:每1000人年1.96例)。中暑和“其他中暑疾病”的总体粗发病率分别为每1000人年0.31例和1.65例。2016年,男性、19岁及以下军人、亚太岛民、海军陆战队和陆军成员、新兵学员以及从事特定作战和“其他”职业的军人中暑的亚组特异性发病率最高。2016年,女性、19岁及以下军人、海军陆战队和陆军成员、新兵学员以及从事特定作战职业的军人“其他中暑疾病”的亚组特异性发病率最高。在2012 - 2016年期间,在伊拉克/阿富汗服役的军人中,共记录了572例热损伤诊断病例;其中7.9%(n = 45)的诊断为中暑。指挥官、小单位领导、训练干部和辅助医务人员必须确保他们所监督和支持的军人了解与中暑疾病相关的风险、预防措施、早期症状和急救行动。