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Area of Science:

  • Military Medicine
  • Public Health
  • Operational Readiness

Background:

  • United States Central Command (USCENTCOM) deployment medical entry standards exclude individuals with specific medical conditions.
  • The impact of these medical entry standards on deployed personnel is not well understood.

Purpose of the Study:

  • To evaluate the impact of medical entry standards on U.S. Army personnel deployed to USCENTCOM in calendar year 2023.
  • To compare evacuation rates between the general deployed population and those with medical entry waivers.

Main Methods:

  • Retrospective analysis of U.S. Army personnel data for calendar year 2023.
  • Comparison of total deployed personnel, medical entry waivers granted by United States Army Central (USARCENT), and evacuation numbers.
  • Statistical comparison of evacuation rates between the general and waiver populations.

Main Results:

  • An estimated 20,519 U.S. Army personnel were deployed to USCENTCOM.
  • 1,918 personnel received medical entry waivers for disqualifying conditions.
  • The evacuation rate was 2.4% for the general population versus 1.4% for the waiver population (P=.0027).

Conclusions:

  • Medical entry standards, as applied in 2023, were associated with a lower evacuation rate compared to the general deployed population.
  • Individuals with medical waivers had a statistically significant reduced evacuation rate.
  • The findings suggest that current medical entry standards may not negatively impact operational readiness concerning evacuations.