Page 130 - Journal of Special Operations Medicine - Fall 2017

Table 1 Timeline and Type of Patients, by Nationality and Government Agency, Who Reported for Care a
UNK Civ Daily Daily Daily Running
Date Reported U.S. Mil BEL AUS NLD ITA DAN SF DoD (DoS) Total Mil Civ Total
30 Sept 1 0 3 0 0 0 0 1 2 7 5 2 7
1 Oct 0 0 2 3 X b X X 1 1 7 6 1 14
2 Oct 2 0 2 6 X X X 0 3 13 10 3 27
3 Oct 2 1 0 0 12 5 X 0 4 24 20 4 51
4 Oct 2 0 1 1 0 0 X 0 0 4 4 0 55
5 Oct 3 1 0 0 0 0 X 0 1 5 4 1 60
6 Oct 4 1 2 1 0 0 23 0 3 34 31 3 94
7 Oct 2 0 0 0 1 0 X 0 0 3 3 0 97
8 Oct 4 0 0 0 0 0 X 0 1 5 4 1 102
9 Oct 0 0 0 0 0 0 6 0 6 12 6 6 114
10 Oct 5 0 0 0 0 0 0 0 0 5 5 0 119
11 Oct 1 0 0 0 0 0 0 0 2 3 1 2 122
12 Oct 1 0 0 0 0 0 0 0 0 1 1 0 123
Total 27 3 10 11 13 5 29 2 23 123 98 23
AUS, Australia; BEL, Belgium; Civ, civilian; DAN, Danish; DoD, U.S. Department of Defense; DoS, U.S. Department of State; ITA, Italy; Mil,
military; NLD, The Netherlands; SF, Special Forces Soldiers of multiple nations; UNK, unknown.
a All were military except those marked as Civ/DoS.
b X denotes incomplete data. Special Forces medical providers only recorded name, complaint, and month the patient was seen. Twenty-three
cases recorded on 6 October had been seen from 1 October through 6 October. Six additional cases recorded on 9 October had been seen between
7 October and 9 October. Cases among the Danish personnel had been seen between 1 October and 3 October. Cases among the Italian personnel
had been seen between 1 October and 3 October. In response to the outbreak, Danish and Italian providers changed how they recorded patient
encounters to improve data collection and assist the investigation.

Table 2 Type and Frequency of Symptoms
Confidence Interval,
Sign/Symptom No. Confirmed No. Unsure Confirmed, % Unsure, % %
Diarrhea 112 6 91.1 4.9 91.1–95.9
Abdominal cramping 89 6 72.4 4.9 72.4–77.2
Fatigue 69 6 56.1 4.9 56.1–61.0
Headache 60 9 48.8 7.3 48.8–56.1
Chills 40 11 32.5 8.9 32.5–41.5
Body aches 37 12 30.1 9.8 30.1–39.8
Fever 35 17 28.5 13.8 28.5–42.3
Nausea 17 6 13.8 4.9 13.8–18.7
Constipation 6 12 4.9 9.8 4.9–14.6
Vomiting 3 9 2.4 7.3 2.4–9.8

Table 3 Time Presentation of Ill Personnel by Nationality and Government Agency a
Daily Daily Running
Date Reported U.S. Military BEL NLD Civilian (DoS) Daily Total Military Civilian Total
29 Sept 1 1 2 2 0 2
30 Sept 4 3 7 4 3 9
1 Oct 7 2 1 2 12 10 2 21
2 Oct 2 2 0 2 23
3 Oct 2 2 2 0 25
4 Oct 1 1 1 0 26
5 Oct 1 1 1 3 2 1 29
6 Oct 2 1 3 2 1 32
7 Oct 0 0 0 32
8 Oct 4 1 5 4 1 37
9 Oct 3 3 3 0 40
Total 25 3 2 10 40 30 10
BEL, Belgium; DoS, U.S. Department of State; NLD, The Netherlands.
a All were military except those marked as Civ/DoS.

126 | JSOM Volume 17, Edition 3/Fall 2017