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Identifying and testing a threshold for action for co-circulating community influenza-like illness on a 5-week military training exercise
  1. Hannah Taylor1,
  2. D Seal2,
  3. S Elcock3,
  4. A Mason4 and
  5. Ma Dermont5
  1. 1Public Health, Army Health, British Army Land Forces Headquarters, Andover, UK
  2. 2Force Health Protection, Field Army, British Army Land Forces Headquarters, Andover, UK
  3. 3Army Medical Service 3 Medical Regiment, Catterick, UK
  4. 4Regimental Medical Officer, Wimbish, UK
  5. 5Defence Public Health Unit, Defence Medical Services, Lichfield, UK
  1. Correspondence to Dr Hannah Taylor; hannah.taylor329{at}mod.gov.uk

https://doi.org/10.1136/military-2024-002819

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    During all military activities, there is a background level of sub-clinical influenza-like illness (ILI), which may be symptomatic but does not require clinical or public health action.1 Identifying when the rate of ILI exceeds expected levels can give early warning indications of an emerging outbreak.2 In high-density institutions, such as military settings, there is an increased risk of rapid transmission of respiratory illness leading to large outbreaks and therefore increased morbidity and mortality.3 Early identification of exceedances allows rapid implementation of control measures to limit transmission, minimise morbidity or isolation and thereby maintain operational effectiveness.

    High levels of ILI and hospitalisation associated with this had been reported in the 2022–2023 winter season on a 5-week rotational military activity in high-density accommodation in the …

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    Footnotes

    • Contributors HT is the guarantor. HT, DS, AM and SE conceived the idea. HT and MD determined the best comparator. DS and SE undertook the data collection and investigation. HT undertook the analysis. All authors contributed to the draft and revisions.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.