ArticleOpen forum infectious diseases2026
The Molecular Epidemiology and Congregate Transmission Dynamics of Medically Attended Acute Respiratory Infections at the United States Naval Academy During Plebe Summer.
Emily Hone, Stephanie A Richard, Kat Schmidt, Jennifer Rothenberg, Rezalina Tant, Michele Wayman, Chantele Friend, Kamala Thapa, Vivian Hogan, Timothy H Burgess and 6 more
Abstract read
In one paragraphArticle in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 · The registryThe trial behind it
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3 · Its place in the literatureWho cites it
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4 · The recordCorrections and comments
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5 · Who and what moneyAuthors and funding
16 authors.
Emily HoneInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Stephanie A RichardInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-0530-384X Kat SchmidtInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-1240-6767 Jennifer RothenbergInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0009-0002-4037-5918 Rezalina TantInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0009-0001-5740-4060 Michele WaymanInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Chantele FriendInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Kamala ThapaInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Vivian HoganInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Timothy H BurgessInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0003-1247-8370 Robert J O'ConnellInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0001-8901-1432 Mark P SimonsInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-4316-9709 Drake H TilleyInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0009-0000-8707-9222 Simon D PollettInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Rhonda E ColomboInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0003-0154-1928 Funding
No grant is acknowledged in the PubMed record.
6 · The paper itselfAbstract
Background: Understanding the epidemiology of acute respiratory infections (ARIs) in congregate military settings is vital to force health protection. This analysis describes insights gleaned from the "Acute Respiratory Infections at the Academy" (ARIA) study regarding respiratory virus incidence and impact at the United States Naval Academy during "Plebe Summer" 2023, an intense 6-week training for all incoming freshmen (plebes). Methods: Residual nasal swabs collected as part of the standard-of-care work-up in midshipmen who presented to clinic with an ARI were sent for multiplex PCR testing and viral genomic sequencing. Corresponding patient demographics, symptoms, diagnoses, and outcomes were abstracted from medical records. Integrated epidemiological and viral genomic analyses were performed. Results: During Plebe Summer 2023, 40% of incoming freshmen (473/1187) sought healthcare for at least 1 ARI, as did 71 upperclassmen. Swabs were collected in 598 of 615 ARIs (97%), among which 324 (54%) tested positive for at least 1 virus; 2 + viruses were detected in 52/324 (16%). Rhinovirus/enterovirus was most frequently detected, followed by SARS-CoV-2; several SARS-CoV-2 variants, all Omicron sub-lineages, were identified. There was considerable symptom overlap among MAARIs in which different viruses were detected. Most (83%) midshipmen with a medically attended ARI (MAARI) spent at least 1 day sick-in-quarters (SIQ). SARS-CoV-2 detections were associated with the longest SIQ durations. Conclusions: Plebe Summer 2023 was characterized by high MAARI attack rates, considerable viral diversity and viral codetections, and substantial training days lost. ARIA highlights the importance of ongoing characterization of ARIs in congregate populations to help inform mitigation strategies.
Indexed as
acute respiratory infectionsmilitarymilitary trainingrespiratory coinfectionsviral infections
Identifiers
PMID41743994
PMCPMC12930196
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