Active surveillance of birth defects among U.S. Department of Defense beneficiaries: a feasibility study.

Journal Article (Journal Article)

Since the Vietnam War, concern regarding the association of military exposures and birth defects has grown. The possibility of such associations remains a source of unease. To determine if such an association exists, birth defects surveillance among military families must be conducted. This project compared health record abstraction (active surveillance) with screening of Department of Defense electronic medical data (passive surveillance) to detect birth defects among San Diego County military families during the period January 1, 1997, through June 30, 1998. A total of 171 of 5,351 infants (3.2%) were identified as having a major defect, consistent with national civilian rates. There was approximately 80% concurrence between passive and active surveillance birth defect data, suggesting that a hybrid system of electronic data, supplemented with active surveillance in a specific region, represents a feasible and cost-effective surveillance program for the geographically dispersed military population.

Full Text

Duke Authors

Cited Authors

  • Bush, RA; Smith, TC; Honner, WK; Gray, GC

Published Date

  • February 2001

Published In

Volume / Issue

  • 166 / 2

Start / End Page

  • 179 - 183

PubMed ID

  • 11272718

Pubmed Central ID

  • 11272718

International Standard Serial Number (ISSN)

  • 0026-4075


  • eng

Conference Location

  • England