Update: cold weather injuries, active and reserve components, U.S. Armed Forces, July 2009-June 2014

From July 2013 through June 2014, the number of active and reserve component service members treated for cold injuries (n=719) was the highest of the past five cold seasons (2009-2014). The rate of cold injury among active component personnel was also the highest of the 5-year period. Army personnel accounted for the majority (62%) of cold injuries. Frostbite was the most common type of cold injury in each of the services. Consistent with trends from previous cold seasons, service members who were female, younger than 20 years old, or of black, non-Hispanic race/ethnicity tended to have higher cold injury rates than their respective counterparts. Numbers of cases in the combat zone have decreased in the past 2 years, presumably as a result of declining numbers of personnel exposed and the changing nature of operations. The increase in numbers and the geographic distribution of cold injuries in the previous cold season are compatible with the unusual pattern of cold weather that marked Winter 2013-2014.