Name
#34 Stress in the Peace Time Military; Multiple Cases of Early Shingles at a Military Treatment Facility
Speakers
Content Presented On Behalf Of:
Air Force
Session Type
Poster
Date
Tuesday, March 3, 2026
Start Time
5:00 PM
End Time
7:00 PM
Location
Prince Georges Expo Hall E
Focus Areas/Topics
Clinical Care
Learning Outcomes
Following this session, the attendee will be able to summarize the the relationship between stress, cortisol activation, and reactivation of latent VZV. The attendee will also be able to demonstrate how peacetime military operations can contribute to this stress. Lastly, the attendee will be able to understand the operational impacts of VZV reactivation and how the current CDC guidelines may be inadequate for protecting members of the military who are at risk for reactivation.
Session Currently Live
Description
At our military treatment facility, we observed multiple cases of shingles in otherwise immunocompetent patients well before the CDC vaccination guidelines were issued. In our discussions with our patients, the only contributing factors to their development of shingles were their work/home stressors related to their peacetime military operations. Furthermore, through retroactive data collection, we discovered that every single shingles patient at our MTF did not meet the age-based vaccination requirement. In our poster presentation, we analyze stress during peacetime military operations and its potential contribution to waning immunity, leading to the subsequent reactivation of the latent Varicella-Zoster virus (VZV). Our presentation will feature two cases of shingles, one in a 34-year-old and one in a 38-year-old, which occurred within one week of each other. Utilizing Discern data, we will also present retrospective data of all local cases. We will also discuss stress in the military population in comparison to their civilian counterparts, how this stress can cause waning immunity, and ultimately reactivation of VZV. Furthermore, we will discuss the operational impacts that this disease can cause on flying status and non-flying duty restrictions.