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Taken from Princeton.edu, vigorous is to be "characterized by forceful and energetic action or activity" or to be "strong and active physically or mentally."

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How does the military regard sickle cell trait as it pertains to physical fitness requirements?

Persons with the Sickle Cell Trait usually are considered to be essentially normal, that is, they do not exhibit signs of symptoms of Sickle Cell Disease and are just 'carriers' of the abnormal hemoglobin gene. However, when exposed to vigoruos physical training and extreme environments (e.g. high altitudes where the oxygen levels are significantly low), they are at an increased risk of developing sickle cell crises, which if not adressed early may be fatal. There have been incidences in some militaries where persons have actually died from rigorous physical training during recruitment. As a result, there are some militaries that do not accept persons with Sickle Cell Trait as a policy.


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