Malaria and other vector-borne infection surveillance in the U.S. Department of Defense Armed Forces Health Surveillance Center-Global Emerging Infections Surveillance program: review of 2009 accomplishments

Table 2 Military Infectious Disease Impact Rank: Top 20 febrile illnesses ranked by order of military significance.

Rank	Disease	Median GRSI Score	Medical Force ICDT Rank	Military Impact Index (GRSI/ICDT Rank)
1	Malaria	4949	1	4949
2	Diarrhea, bacterial	5236	3	1745
3	Dengue	3148	2	1574
4	Norovirus and other viral diarrhea	1964*	7	280
5	Leptospirosis	1745	10	174
6	Chikungunya	2608	16	163
7	Rift Valley Fever	2519	24	104
8	HIV/AIDS	728	14	52
9	Meningococcal meningitis	698	17	41
10	Diarrhea, protozoal	411	11	37
11	Crimean-Congo hemorrhagic fever	430	13	33
12	Leishmaniasis	12	5	24
13	Hepatitis E	402	21	19
14	Hemorrhagic fever with renal syndrome	252	15	16
15	Q fever (Coxiella burnetti)	92	6	15
16	Rickettsioses	155	19	8
17	Tick Borne encephalitis	134	23	5
18	Influenza	35	8	4
19	Plague	89	18	4
20	Lassa/other arenaviruses	63	22	2

Index calculated as quotient of Infectious Diseases Investment Decision Evaluation Algorithm (ID-IDEAL) Global Risk Severity Index (GRSI)/Integrated Capabilities Development Team (ICDT) rank for diseases listed in both documents. Adapted from refs 27 and 28.
*Mean of all GSRI scores for diarrheal diseases
⁺Mean of cutaneous, visceral and mucosal leishmaniasis GSRI scores

ISSN: 1471-2458