Emerging Infections: In Harm’s Way: Infections in Deployed American Military Forces

Aronson, Naomi; Sanders, John W.; Moran, Kimberly

doi:10.1086/507539

Cited by 142 publications

(130 citation statements)

References 35 publications

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“…Supporting this hypothesis are several studies that have found an association between time spent off base and diarrhea: among U.S. personnel during Operations Iraqi Freedom and Enduring Freedom and during support operations in Egypt, diarrhea was more likely to be reported as the spent off base increased, which suggests increased consumption of locally prepared foods and drinks. 8,[23][24][25] These observations may also explain why the rate of diarrhea was so high among French forces in Chad, where during the period of this study, soldiers were exclusively deployed shortterm. An unpublished study (Pommier de Santi V, unpublished data) conducted in Chad during October 2007-February 2008 demonstrated that the incidence of diarrhea among French forces decreased during a period of combat between Chadian forces and rebels, when off-base travel was limited, mandating the consumption of pre-packaged meals ready to eat.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal Illnesses among French Forces Deployed to Djibouti: French Military Health Surveillance, 2005–2009

Ollivier¹,

Decam²,

Santi³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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Despite an increase in foreign tourism and in the numbers of foreign military personnel deployed to Djibouti, little is known about the risk of gastrointestinal illness in this country in eastern Africa. To assess risk and to describe common features of gastrointestinal illnesses, reports of illness derived from military health surveillance data collected during 2005–2009 among French service members deployed to Djibouti were reviewed. Diarrhea was the most common problem; it had an annual incidence ranging from 260 to 349 cases per 1,000 person-years. The risk was higher among soldiers deployed short-term (four months) than among soldiers deployed long-term (two years). This five-year review of French health surveillance data documents a significant burden of diarrhea among French soldiers in Djibouti. The identification of factors associated with risk may permit efficient targeting of interventions to reduce morbidity from gastrointestinal illness.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal Illnesses among French Forces Deployed to Djibouti: French Military Health Surveillance, 2005–2009

Ollivier¹,

Decam²,

Santi³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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“…The possible causes of the facial ulcer included cutaneous leishmaniasis, mycobacterial infection and fungal infection (e.g. sporotrichosis) 1 . Kabul, with two million citizens, has a yearly incidence of approximately 67,500 new cases of cutaneous leishmaniasis.…”

Section: Figurementioning

confidence: 99%

Case histories of infectious disease management in developing countries: Phnom Penh and Kabul

Pilsczek

2009

Rev. Soc. Bras. Med. Trop.

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Healthcare in developing countries is affected by severe poverty, political instability and diseases that may be of lesser importance in industrialized countries. The aim of this paper was to present two cases and histories of physicians working in hospitals in developing countries and to discuss the opportunities for clinical investigation and collaboration. Cases of patients in Phnom Penh, Cambodia, with histoplasmosis, cryptococcal meningitis, crusted scabies, cerebral lesions and human immunodeficiency virus and of patients in Kabul, Afghanistan, with liver cirrhosis, nephrotic syndrome and facial ulcer are discussed. Greater developmental support is required from industrialized nations, and mutually beneficial cooperation is possible since similar clinical problems exist on both sides (e.g. opportunistic cardiovascular infections). Examples for possible support of hospital medicine include physician interchange visits with defined objectives (e.g. infection control or echocardiography training) and collaboration with clinical investigations and projects developed locally (e.g. epidemiology of cardiovascular diseases or nosocomial bloodborne infections). Key-words:Developing countries. Infectious diseases. Collaboration. Cambodia. Afghanistan. RESUMOA assistência à saúde em países em desenvolvimento é afetada pela pobreza extrema, instabilidade política e doenças que podem ter menor importância em países industrializados. O objetivo deste trabalho foi apresentar dois casos e histórias de médicos que trabalham em hospitais de países em desenvolvimento e discutir as oportunidades de investigação clínica e cooperação. São discutidos casos de pacientes em Phnom Penh, no Camboja, com histoplasmose, meningite criptocócica, sarna, lesões cerebrais e vírus da imunodeficiência humana, e de pacientes em Kabul, no Afeganistão, com cirrose hepática, síndrome nefrótica e úlcera facial. Maior apoio ao desenvolvimento por parte dos países desenvolvidos é essencial, e uma cooperação mutuamente benéfica é possível, visto que problemas clínicos similares existem em ambos os lados (p. ex. infecções cardiovasculares oportunistas). Exemplos para possível apoio à medicina hospitalar incluem intercâmbio de médicos para visitas com objetivos definidos (p. ex. controle de infecção ou treinamento em ecocardiografia) e colaboração com investigações clínicas e projetos desenvolvidos localmente (p. ex. epidemiologia de doenças cardiovasculares ou infecções hospitalares causadas por via sanguínea). Palavras-chaves:Países em desenvolvimento. Doenças infecciosas. Colaboração. Camboja. Afeganistão.

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“…More recently, conflicts in Iraq and Afghanistan have led to significant advances in health care practices, in particular damage control surgery, damage control resuscitation, massive transfusion protocols, infection control and trauma reporting systems (Aronson et al, 2006;Eastridge et al, 2006;Hodgetts et al, 2007;Wildridge et al, 2012). A citation analysis of combat casualty research identified advances in the management of massive haemorrhage as the most significant contribution to military health care and that lessons learned have been adopted into civilian trauma paradigms (Orman et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Mapping the field of military nursing research 1990–2013: A bibliometric review

Currie

Chipps

2015

International Journal of Nursing Studies

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Emerging Infections: In Harm’s Way: Infections in Deployed American Military Forces

Cited by 142 publications

References 35 publications

Gastrointestinal Illnesses among French Forces Deployed to Djibouti: French Military Health Surveillance, 2005–2009

Gastrointestinal Illnesses among French Forces Deployed to Djibouti: French Military Health Surveillance, 2005–2009

Case histories of infectious disease management in developing countries: Phnom Penh and Kabul

Mapping the field of military nursing research 1990–2013: A bibliometric review

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