Risk Assessment and Prevention of Malaria Among Italian Troops in Afghanistan, 2002 to 2011

Peragallo, Mario Stefano; Sarnicola, Giuseppe; Boccolini, Daniela; Romi, Roberto; Mammana, Giacomo

doi:10.1111/jtm.12046

Cited by 8 publications

(13 citation statements)

References 31 publications

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“…In the present study, the mosquito net for beds was used by 34.0% of the personnel, differences were found between education level, force belonging, country development a trip duration. Similar data was found in another article carried out in Tibet, 35.0% [16], but other studies have lower percentages 19.7% [20], 18.14% [14] and 2.2% [21]. The use could be due to the health advice received in the traveller's office and/or the use of facilities with a prior installation of nets.…”

Section: Fundingsupporting

confidence: 84%

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Compliance with preventive measures against malaria of personnel treated in the centre of international vaccination of the Minister of Defence (Spain)

Bazán

Mora²

2020

Rev Esp Quimioter

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Cumplimiento de las medidas preventivas contra la malaria, del personal tratado en el centro de vacunación internacional del Ministerio de Defensa (España) RESUMEN Objetivo. Este estudio evaluó el cumplimiento de las medidas preventivas contra la malaria por parte del personal tratado en el Centro de Vacunación Internacional de la Defensa. Material y métodos. Se realizó un estudio retrospectivo de noviembre a diciembre de 2017. La población era de 534 individuos. Todos fueron tratados en el Centro de Vacunación Internacional, antes de su despliegue en áreas endémicas de malaria, en las que según indicación de la Organización Mundial de la Salud se recomendaba el uso de medidas de prevención tipo C y D. Se elaboró un cuestionario de 23 ítems. Resultados. El porcentaje de respuesta al cuestionario fue del 36,9% (n = 194), el 100% eran hombres. El aire acondicionado fue la medida de protección más utilizada 93,8% (IC 95% 90,4-97,2). Solo el 35,5% (IC 95%: 28,8-42,2) de ellos, mostraron buena adherencia a la medicación. Los factores que influyeron en la adhesión fueron el país y la duración del despliegue. No se estableció una relación directa entre la aparición de reacciones adversas y la baja adherencia al tratamiento. Conclusiones. Las medidas generales de protección contra la malaria se cumplieron en un porcentaje elevado, mientras que el uso de quimioprofilaxis fue bajo. Estos datos epidemiológicos nos permitieron conocer la validez de la educación sanitaria que se brinda en la consulta de atención al viajero. También permitió conocer las posibilidades de infección e importación de malaria por parte del personal de las Fuerzas Armadas Españolas. La oficina del viajero reforzará la importancia de una quimioprofilaxis adecuada a través de conferencias y dípticos informativos.

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Section: Fundingsupporting

confidence: 84%

“…The percentage of response was 36.9%, lower than other studies conducted where it ranged between 100% [14], 83.2% [15] and 74% [16], although similar to another study with 36.2% [17]. The reason could be the place where military personnel carry out their activity, sometimes outside their facilities with a difficult access to Internet.…”

Section: Discussionsupporting

confidence: 46%

Compliance with preventive measures against malaria of personnel treated in the centre of international vaccination of the Minister of Defence (Spain)

Bazán

Mora²

2020

Rev Esp Quimioter

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“…Several interesting observations emerge from similar studies on malaria chemoprophylaxis in other countries. A large scale cross sectional study of peacekeeping forces deployed in Afghanistan from 2002 to 2011 evaluated the compliance with mefloquine in 5773 participants [ 19 ]. The compliance was approximately 80 % until 2006 and dropped to less than 60 % between 2007 and 2011.…”

Section: Discussionmentioning

confidence: 99%

The risk of imported malaria in security forces personnel returning from overseas missions in the context of prevention of re-introduction of malaria to Sri Lanka

Fernando

Dharmawardana

Semege³

et al. 2016

Malar J

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BackgroundSri Lanka is a malaria-free country. However it remains surrounded by countries with endemic malaria transmission. Since the last indigenous case of malaria was reported in October 2012, only imported malaria cases have been diagnosed with 36 cases detected in 2015, which includes 17 cases each of Plasmodium vivax and Plasmodium falciparum and two cases of Plasmodium ovale.MethodsThis study investigated the knowledge and practices regarding malaria chemoprophylaxis among all the Sri Lankan security forces personnel returning from peacekeeping missions in malaria endemic countries over a 7 month period. Adherence to other malaria prevention measures, occurrence of adverse events and incident cases of malaria were also recorded maintaining the anonymity of the respondents. Potential associations for non-compliance were studied.ResultsInterviews were carried out with 559 security forces personnel returning home from foreign deployments in malaria-endemic regions (males: 550, 98.4 %). The majority (553, 98.9 %) was well aware of the need for chemoprophylaxis during the overseas stay and its regular use as prescribed. The overall adherence to chemoprophylaxis was good with 78.7 % (440/559) reporting regular, as prescribed, use. Having better educational qualifications, being female, being prescribed mefloquine, having fever during deployment and belonging to a security force other than the army were significantly associated with poor compliance (p < 0.05).ConclusionsThe study reveals that knowledge regarding malaria chemoprophylaxis among Sri Lankan security forces personnel serving abroad was good, a fact that may have contributed to absence/extremely low incidence of malaria during deployment.

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“…Similarly, in a study of 4123 Italian AF regulars, 21.2% (n=875) of those prescribed mefloquine reported adverse events. However, no serious adverse events were reported, and authors concluded ‘good tolerability of mefloquine in the military’ 11. In US troops, deployed personnel prescribed mefloquine were significantly more likely to experience anxiety, while non-deployed personnel prescribed mefloquine were significantly more likely to experience symptoms of post-traumatic stress disorder 12.…”

Section: Responses To Mefloquine In Military Personnelmentioning

confidence: 99%

Mefloquine for malaria prophylaxis in military personnel

Williamson

Blamey

Sharpley³

et al. 2020

BMJ Mil Health

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Risk Assessment and Prevention of Malaria Among Italian Troops in Afghanistan, 2002 to 2011

Cited by 8 publications

References 31 publications

Compliance with preventive measures against malaria of personnel treated in the centre of international vaccination of the Minister of Defence (Spain)

Compliance with preventive measures against malaria of personnel treated in the centre of international vaccination of the Minister of Defence (Spain)

The risk of imported malaria in security forces personnel returning from overseas missions in the context of prevention of re-introduction of malaria to Sri Lanka

Mefloquine for malaria prophylaxis in military personnel

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