Military Medicine
International Journal of
AMSUS
1891-2016
ISSN 0026-4075 (Print)
ISSN 1930-613X (Online)
PUBLISHER
VADM Mike Cowan, MC, USN (Ret), Executive Director
ASSOCIATE PUBLISHER
CDR John Class, MSC, USN (Ret), Deputy Executive Director
EDITOR
*CAPT William H.J. Haffner, M.D. USPHS (Ret)
ASSOCIATE EDITOR
CAPT Trueman W. Sharp, MC, USN (Ret)
Col Laura Talbot, USAFR, NC (Ret)
Stephen W. Rothwell PhD
MANAGING EDITOR
Tonya Lira
ASSISTANT EDITOR
CAPT Melvin Lessing, USPHS (Ret)
EDITORIAL BOARD
CDR Anthony R. Artino Jr., MSC, USN
RDML Michael S. Baker, MC, USNR (Ret)
Col Sergei Bankoul, Switzerland
COL Robert F. De Fraites, MC, USA
COL Robert A. De Lorenzo, MC, USA
Col Marcel de Picciotto, MC, France
COL Joel C. Gaydos, MC, USA (Ret)
Maureen N. Hood, PhD, RN
RADM Joyce M. Johnson, USPHS (Ret)
Col Joseph F. Molinari, USAFR, BSC (Ret)
Frances M. Murphy, MD, MPH
CDR Karen Near, USPHS (Ret.)
RADM Carol A. Romano, USPHS (Ret)
SPECIAL SECTION EDITORS
CHRONICLES
André B. Sobocinski
INSTITUTE OF MEDICINE SUMMARY
Frederick Erdtmann, M.D., M.P.H.
MILITARY MEDICAL HISTORY
Timothy E. Clarke, Jr.
PERSPECTIVES IN GLOBAL HEALTH
Col. Edwin Burkett USAF, MC
VIEW THROUGH THE SCOPE
CDR Adam K. Saperstein, MC, USN
LEGAL COUNSEL
Whiteford, Taylor & Preston L.L.P.
ADVERTISING/EXHIBIT MANAGER
Stacie Doan
9320 Old Georgetown Road
Bethesda, MD 20814
Telephone: (301) 828-1585
FAX: (301) 530-5446
E-mail: ads@amsus.org
MILITARY MEDICINE is the offi cial monthly journal of AMSUS - The Society
of Federal Health Professionals. The objective of the Journal is to advance the
knowledge of federal medicine by providing a forum for responsible discussion
of common ideas and problems relevant to federal healthcare. Its mission is:
healthcare education; to bring scientifi c and other information to its readers; to
facilitate communication; and to offer a prestige publication for members’ writings.
MILITARY MEDICINE is available on the Internet via the AMSUS website
amsus.org to members and subscribers who purchase online access.
MILITARY MEDICINE is indexed by the United States National Library of
Medicine (NLM) and is included in the MED LARS system, ISSN 0026-4075.
MILITARY MEDICINE is also available online via the AMSUS website
amsus.org.
AUTHOR SINGLE REPRINTS are available for purchase via the AMSUS website
Military Medicine.
COMMERCIAL REPRINTS for articles and Eprints,
contact Matt Neiderer,
Sheridan Matt.neiderer@sheridan.com 800-635-7181 ext. 8265
SINGLE COPY ORDERS: Order single issue print copies subscriptions@amsus.org;
Fax (717) 633-8920
PHOTOCOPYING PERMISSION Prior to photocopying items for internal or
personal use, the internal or personal use of specifi c clients, or for educational
classroom use, please contact the Copyright Clearance Center, Customer Service,
(978) 750-8400, 222 Rosewood Drive, Danvers, MA 01923 USA, or check CCC
Online at the following address: copyright.com
MANUSCRIPT SUBMISSION CHARGE – Free for AMSUS members, $125
non-refundable for non-members.
MEMBERSHIP INFORMATION – To update contact information or to discontinue
delivery of Military Medicine please contact AMSUS at membership@amsus.org.
Please include your fi ve-digit member number from the mailing label.
SUBSCRIPTION INFORMATION – All subscription rates are listed on our
website, www.amsus.org. Checks should be made payable to AMSUS. Publisher
reserves the right to restrict subscribers to those in the healthcare fi eld. The
addresses of members and subscribers are not changed except upon request.
Requests for change of address must reach the Association offi ce 15 days before
change is to be effective. Subscription rates are subject to change without notice.
CLAIMS FOR MISSING ISSUES – Claims for missing issues should be sent to
subscriptions@amsus.org within 3 months of the issue date. After the three-month
period, payment of $30 is required to replace the issue.
AMSUS - The Society of Federal Health Professionals
Founded 1891, Incorporated by Act of Congress 1903
9320 Old Georgetown Road
Bethesda, Maryland 20814-1653
Telephone: (301) 897-8800
FAX: (301) 530-5446
E-mail: milmed@amsus.org (journal); amsus@amsus.org (other)
Copyright © AMSUS - The Society of Federal Health Professionals, 2016
Printed in U.S.A. • All rights reserved.
www.amsus.org
MILITARY MEDICINE (ISSN 0026-4075) is published monthly by AMSUS - The Society of Federal Health Professionals, 9320 Old Georgetown Rd.,
Bethesda, MD 20814-1653. Periodicals postage paid at Bethesda, MD, and additional mailing offices. POSTMASTER: Send address changes to AMSUS,
9320 Old Georgetown Rd., Bethesda, MD 20814-1653.
*Under a cooperative enterprise agreement between AMSUS and USUHS