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Deployment Health Report – April 2008 Emphasis on OIF, OEF

Deployment Health Report – April 2008 Emphasis on OIF, OEF. Organization Casualty Summary - Deaths and Injuries Severely Injured Traumatic Brain Injuries Amputees Disease and Non-battle Injuries (DNBI) Medical Air Transports from CENTCOM Post-deployment Health Assessment and Re-Assessment

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Deployment Health Report – April 2008 Emphasis on OIF, OEF

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  1. Deployment Health Report – April 2008Emphasis on OIF, OEF Organization • Casualty Summary - Deaths and Injuries • Severely Injured • Traumatic Brain Injuries • Amputees • Disease and Non-battle Injuries (DNBI) • Medical Air Transports from CENTCOM • Post-deployment Health Assessment and Re-Assessment • Medical Holding • Conditions Found in Medical Evaluation Boards • Surveys of Ill / Injured Service Members Post Deployment

  2. Of those wounded in action, approximately 70% (OIF) and 43% (OEF) remain in theater, i.e., do not require Medical Air Transport. • Of those wounded in action, approximately 55% (OIF) and 39% (OEF) return to duty within 72 hours. Total Deaths – 4,511 Total WIA – 31,707 (as of April 12, 2008) Source: Defense Manpower Data Center, Statistical Information Analysis Division

  3. TRAUMATIC BRAIN INJURIES Agent of Injury Severity of Injury Source: Defense Veterans Brain Injury Center as of February 29, 2008

  4. AMPUTEES – OEF AND OIF (N = 1,056) Percent of Amputees, by Service Circumstances of Injury Source: US Army OTSG, as of 1 March 2008

  5. Disease & Non-Battle Injuries (D & I) in TheaterCENTCOM (OEF/OIF) CombinedPercent of all Encounters Data Source: JMeWS 01JAN05 to 07APR08

  6. Injury Distribution in TheaterCENTCOM (OEF/OIF) CombinedPercent of all Injury Encounters Data Source: JMeWS 01JAN05 to 07APR08

  7. Medical Air Transportsfrom CENTCOM for OEF/OIFTotal # of Service Members Transported: 48,904 Distribution by Underlying Condition: • Disease 58% • Non-Battle Injury 21% • Battle Injury 21% Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  8. % Distribution, by Year, of Disease, Non-Battle Injuries, and Combat Injuries Among Service Members Medically Air Transported from CENTCOM Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  9. GWOT Medical Air Transports (MAT) Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  10. MATs from OEF / OIF for DiseaseMilitary PersonnelMost Frequent Major Diagnostic Categories Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  11. MATs from OEF / OIF for DiseaseCivilians and ContractorsMost Frequent Major Diagnostic Categories Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  12. MAT from OEF and OIF for Disease Military Personnel Only Details about Major Diagnostic Categories (selected) • Musculoskeletal System / Connective Tissue • Disorders of the vertebral column 2,664 • Miscellaneous soft tissue disorders 1,327 • Non-arthritic joint disorders 894 • Arthritis of the joints of the arms and legs 54 • All other conditions 403 • TOTAL 5,342 Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  13. MAT from OEF and OIF for Disease Military Personnel Only Details about Major Diagnostic Categories (selected) Symptoms, Signs, and Other Ill-Defined Conditions Symptoms related to the respiratory system and chest 1,176 (Chest pain, Dyspnea, Cough, Hemoptysis, Stridor) Alterations of consciousness 847 (Convulsions, Syncope and collapse, Alteration of consciousness, Dizziness and giddiness, Hallucinations) Abdominal pain 413 Sleep disturbances 210 Headache 188 All other conditions 1,551 (e.g., Swelling or mass or lump in head and neck, Palpitations, Enlargement of lymph nodes, Dysphagia, Abdominal or pelvic swelling, mass or lump) TOTAL 4,389 Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  14. MAT from OEF and OIF for Disease Military Personnel Only Details about Major Diagnostic Categories (selected) • Mental Disorders • Depression and depressive disorders 1,044 • Adjustment disorders (incl. PTSD) 677 • Neurotic disorders 419 • Manic and bipolar disorders 292 • Organic mental disorders 246 • Personality disorders 217 • Acute stress reactions 141 • Schizophrenia 66 • All other conditions 396 • TOTAL 3,498 Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  15. 12 Most Common Types of “Disease” Resulting in MATMilitary Personnel Only No. of MAT % of all for This Disease CategoryMATs Disorders of the vertebral column 2,664 9.2% Misc. soft tissue disorders of the musculoskeletal system 1,327 4.6% Ill-defined symptoms related to resp. system and chest 1,176 4.0% Inguinal & abdominal hernias 1,054 3.6% Depression and depressive disorders 1,044 3.6% Non-arthritic disorders of joints 894 3.1% Ill-defined alterations of consciousness 847 2.9% Skin disorders 739 2.5% Adjustment disorders, including PTSD 677 2.3% Urinary stones (calculi) 543 1.9% Breast Disorders 435 1.5% Appendicitis 432 1.5% Coronary artery disease 423 1.5% TOTAL OF THESE 13 CATEGORIES 12,255 42.9% TOTAL OF ALL DISEASE MATS 28,535 Data Source: USTRANSCOM TRAC2ES As of 15 April 2008

  16. Pre- and Post-Deployment Health Assessments and Post-Deployment Health Re-assessments (PDHRA)1 January 2008 – 17 April 2008 *2% of individuals do not respond to this question, so the total is less than 100% ♦ Any positive response to Questions 11-13 on DD Form 2796 or Questions 8, 9, or 11 on DD Form 2900

  17. Recovering Service Member OverviewTotal force, not just GWOT related Source: Services

  18. Recovering Service Member Overview Total Force, not just GWOT-related Source: Services SGs: As of April 1, 2008

  19. Medical Evaluation Boards (MEB)Most Common Major Categories of Primary Diagnoses Among 3,825 Army Personnel Completing MEBs (1 Sep 07 – 20 Mar 08) (Includes all Soldiers, not just OEF/OIF veterans)

  20. Telephone Survey of Ill and Injured Service Members Post-Operational DeploymentAfter Ten Months March 27, 2008 Rich Bannick, Ph.D. OASD(HA)/TMA, Health Program Analysis & Evaluation Division

  21. 2 3 4 5 1 Outstanding Poor Surveyed Service Members’ Ratings in Areas Related to Their Medical Hold / Holdover Experience(Points on Graph Reflect the Percentage of Participants in the Month Shown Who Responded with a Rating of “1” or “2” on the 5-point scale) PEB: n=1 Preferred Direction * Small PEB numbers

  22. Outpatient Health Care-Ratings over Time(Points on Graph Reflect the Percentage of Participants in the Month Shown Who Responded with a Rating of “1” or “2” on the 5-point scale) Preferred Direction Noteworthy: Very few problems with doctors, or health care relative to concerns with access

  23. Self-Reported Health Status Ratings over Time(Percentage of survey participants rating their Overall Health or Mental Health as “1” or “2” on 5-point scale; % indicating health is worse than before deployment) Preferred Direction

  24. Backup Slides

  25. Post-deployment Health Assessment Key Results - Cumulative1 January 2003 – 17 April 2008 Health(Excellent, Very Good, Good) Referral Indicated for any reason Medical/ DentalProblems Mental Health Concerns* Currently on Profile Active Duty (N = 830,207) 93% 23% 7% 31% 20% Reserve Components (N = 440,832) 90% 42% 12% 29% 25% Summary of responses for all Service members with a DD Form 2796 submitted since 01 Jan 03, all operations/deployments * Service member reported mental health concerns: any positive response to Questions 11-13 Data Source: Defense Medical Surveillance System, As of 17 April 2008

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