Page 64 - JSOM Fall 2021
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TABLE 1  Demographics and Symptoms                 FIGURE 2  Structure of SARS-CoV-2.
                                                Overall,
           Characteristic                       N = 264
           Age, y*                             26 (23, 32)
           Male sex (%)                         164 (55)
           Race, No. (%)
             Caucasian                          154 (58)
             Other                              59 (22)
             African American                   12 (4.5)
             Asian                              29 (11)
             Native Hawaiian or Pacific Islander  6 (2.3)
             Native American                     4 (1.5)     FIGURE 3  ECLIA.
           Ethnicity, No. (%)
             Not Hispanic or Latino             205 (78)
             Hispanic or Latino                 39 (15)
             Other                               20 (8)
           Housing situation, No. (%)
             Barracks                           51 (19)
             On- or off-post housing            213 (81)
           Medical history, No. (%)
             Body mass index*                  27 (24, 29)   (1) 1st incubation (20mL of  sample) combined  with  biotinylated
             Hypertension                        13 (5)        SARS-CoV-2 antigen (green) and sample anti-SARS-CoV-2 (red)
                                                               with a ruthenium complex (blue).
             Diabetes                            1 (0.4)     (2) 2nd incubation: streptavidin-coated microparticles (purple) added,
             Asthma                              2 (0.8)       which binds the biotinylated portion of antigen.
             Tobacco use or vape                106 (40)     (3) Streptavidin binds electrode, and when voltage is applied, the ru-
           Occupation, No. (%)                                 thenium complex will emit chemiluminescent emission, which is
                                                               measured.
             Combat arms                        146 (55)     Image Credit:
                                                                   ®
             Medical                            34 (13)      “Elecsys  Anti-SARS-CoV-2 Factsheet”. Roche Diagnostics. 2020,
             Combat support or combat service support  84 (32)  https://diagnostics.roche.com/content/dam/diagnostics/se/pdfer-p%
                                                             C3%A5-webbplatsen-redigerade/OWP-Central%20lab-Pdf-Elecsys
           SARS-CoV-2 antibody positive, No. (%)  1 (0.4)    -Anti-SARS-CoV-2-factsheet-PM2020-00117.pdf
           SARS-CoV-2 NAAT tested, positive/tested  1 / 14
           Quarantined as COVID-19 trace contact,            FIGURE 4  Quarantine and respiratory quarters of sample.
           No. (%)                              31 (12)
           Respiratory quarters, No. (%)        48 (18)
           Symptoms since January 2020?, No. (%)
             Fever or chills                    51 (19)
             Fatigue                            68 (26)
             Muscle or body aches (myalgias)    44 (17)
             Sore throat                        83 (31)
             Cough                              91 (35)
             Runny nose (rhinorrhea)            90 (34)
             Shortness of breath (dyspnea)      36 (14)
             Headache                           93 (35)
             Nausea or vomiting                 28 (11)
             Diarrhea                           55 (21)
             New loss of taste or smell          7 (3)
          *Presented as median (25th, 75th percentile).

          t-tests. There were insignificant differences in Native American   ageusia. She tested positive for COVID-19 on 29 March 2020
          race and in combat arms MOS proportions, when compar-  and tested positive for the SARS-CoV-2 antibody on 29 June
          ing the sample to the brigade. The sample had proportionally   2020. She was a nonsmoker, and had no comorbid conditions
          more  females  (38% versus  11%) and  participants  classified   of hypertension, diabetes, or asthma. Only 14 (5%) of the co-
          as medical MOS (13% versus 6%). Compared to the brigade,   hort were tested via SARS-CoV-2 NAAT testing.
          there were proportionally fewer African Americans in the
          study (4.5% versus 16.5%).                         A total of 71 of 264 (27%) participants had been on respira-
                                                             tory quarters and/or quarantined as a trace contact. A total
          One (0.4%) of 264 participants tested positive for the SARS-  of 23 (8.7%) were quarantined only, 40 (15.2%) were on re-
          CoV-2 antibody. The participant testing positive had NAAT   spiratory quarters only, and eight (3%) participants had been
          testing confirmed COVID-19 with symptoms of fatigue, myal-  on both respiratory quarters and quarantined at two different
          gias, sore throat, rhinorrhea, dyspnea, headache, and anosmia/  times. The proportion of Soldiers quarantined accounts for


          62  |  JSOM   Volume 21, Edition 3 / Fall 2021
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