Evidence map›Paper›PMID 42308086›Full record

ArticleMSMR2026

Heat exhaustion and heat stroke among U.S. active component service members, 2021-2025.

Alexis L Maule, Katherine S Kotas, Kiara D Scatliffe-Carrion, John F Ambrose

Abstract read
In one paragraph

Article in MSMR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alexis L MauleDisease Epidemiology Program, Defense Centers for Public Health-Aberdeen, Defense Health Agency, Aberdeen Proving Ground, MD.
Katherine S KotasDisease Epidemiology Program, Defense Centers for Public Health-Aberdeen, Defense Health Agency, Aberdeen Proving Ground, MD.
Kiara D Scatliffe-CarrionDisease Epidemiology Program, Defense Centers for Public Health-Aberdeen, Defense Health Agency, Aberdeen Proving Ground, MD.
John F AmbroseDisease Epidemiology Program, Defense Centers for Public Health-Aberdeen, Defense Health Agency, Aberdeen Proving Ground, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2025, the unadjusted incidence rates of heat stroke and heat exhaustion among U.S. active component service members were 39.4 and 170.0 cases per 100,000 person-years, respectively. The rate of heat stroke increased in 2024 and 2025, after declining for 3 years (2021-2023) at the beginning of the 5-year surveillance period. In contrast, the rate of heat exhaustion decreased in 2025, following a 4-year increase from 2021 through 2024. In 2025, male service members experienced higher rates of heat stroke, when compared to their female counterparts. Female service members and non-Hispanic Black service members experienced higher rates of heat exhaustion than their male counterparts and service members of other racial and ethnic groups, respectively. Consistent with prior annual reports, heat illness rates remained the highest among those younger than age 20 years, Marine Corps and Army members, and recruit trainees. To protect the force and increase readiness, military leaders and public health personnel can implement evidence-based prevention strategies, train service members to recognize the signs and symptoms of heat illness and take early action to counter the threat. The unadjusted incidence rate of heat stroke increased 6.9% from 2024 to 2025, for the second year in a row, while the unadjusted annual incidence rate of heat exhaustion fell by 9.1% in 2025, following a 4-year increase from 2021 through 2024. Locations where entry training are conducted for new Army, Air Force, Marine Corps, and Space Force personnel accounted for 40.3% of all heat illness diagnoses over the 5-year surveillance period. Training, specifically initial training upon service entry, remains a major risk factor for heat illness occurrence among U.S. active component service members.

Indexed as

Heat ExhaustionHeat StrokeMilitary PersonnelAdultFemaleHumansIncidenceMalePopulation SurveillanceUnited StatesYoung Adultarmed forcesenvironmentalexertionheatheat exhaustionheat strokeillnessmilitaryphysicalstressUnited States

Identifiers

PMID42308086
PMCPMC13405707

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.