Abstract

ABSTRACTIntroductionMedically attended acute respiratory infections (MAARI) at the U.S. Naval Academy increase during Plebe Summer, a training program for incoming freshmen. Because of COVID-19, extensive nonpharmaceutical interventions (NPI) were implemented during 2020 Plebe Summer.MethodsWe reviewed MAARI counts in weeks 22–45 from 2012 to 2020 and compared counts in pandemic (2020) vs. pre-pandemic (2012–2019) periods.ResultsFrom 2012 to 2019, an average of 1,642 MAARI cases occurred annually. In 2020, 443 MAARI cases occurred. NPI use was associated with a 77% reduction in MAARI.ConclusionsDuring a high-risk military training period, routine NPI use was associated with a major reduction in MAARI.

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