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Table 1 Summary of selected characteristics of the 210 included studies

From: The military as a neglected pathogen transmitter, from the nineteenth century to COVID-19: a systematic review

Characteristic

No. (%)

Year of publication

1800–1820

1 (0.5)

1821–1840

0 (0)

1841–1860

1 (0.5)

1861–1880

0 (0)

1881–1900

0 (0)

1901–1920

2 (1)

1921–1940

1 (0.5)

1941–1960

7 (3)

1961–1980

14 (7)

1981–2000

33 (16)

2001–2020

151 (72)

Populations

Military

173 (82)

Military and civilian

34 (16)

Civilian

2 (1)

Unspecified

1 (0.5)

Military type

Army

89 (42)

Training base

51 (24)

Navy

30 (14)

Air Force

20 (10)

Marine Corps

19 (9)

Hospital

6 (3)

Academic institution

6 (3)

Medical Corps

2 (1)

Coast Guard

0 (0)

Unspecified

35 (17)

Method of data collection

Laboratory testing

156 (74)

Questionnaire

112 (53)

Interview

60 (29)

Medical record review

48 (23)

Environmental sampling (food or water sources)

28 (13)

Observations (i.e., physical examination)

14 (7)

Focus group

2 (1)

Participant journal/diary

1 (0.5)

Type of infectious disease

Foodborne/waterborne

84 (40)

Droplets

73 (35)

Sexually transmitted and bloodborne infections

30 (14)

Vector borne

29 (14)

Airborne

15 (7)

Close contact1

11 (5)

Unspecified

2 (0.9)

Disease incidence2

Confirmed3 incidence from microbiological testing

136 (65)

Suspected4 incidence only

27 (13)

Incidence not reported

47 (22)

Disease transmission populations

Military to military

183 (87)

Military to civilian

25 (12)

Civilian to military

25 (12)

Vector to military

15 (7)

Civilian to civilian

3 (1)

Vector to civilian

2 (1)

Military to vector to military

1 (0.5)

Unspecified

6 (3)

  1. 1Refers to infections that spread through sustained close contact rather than through casual contact (i.e., cold/flu microbes)
  2. 2Reported incidence is likely not the true incidence as many authors included only patient participants or did not include data for participants lost to follow-up
  3. 3Methods of confirmation of disease include: (a) isolation of pathogen from normally sterile site, (b) using a plaque reduction neutralization test, (c) using a real-time reverse transcription polymerase chain reaction, (d) serologically positive for infection as per specific antibody testing
  4. 4Refers to symptoms of disease without microbiological testing