UK Role 4 Military Infectious Diseases at Birmingham Heartlands Hospital in 2005-9

Glennie, JS; Bailey, Margaret

doi:10.1136/jramc-156-03-07

Cited by 19 publications

(15 citation statements)

References 7 publications

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“…For example, leishmaniasis has been diagnosed in American, Canadian, Dutch, and British soldiers returning from active duty in Leishmania-endemic region including Afghanistan and Iraq. 36,37 Furthermore, several cases of leishmaniasis have been reported in people who traveled to endemic areas for business or pleasure. 38 A recent study showed that 6% and 3% of people who traveled to industrialized nations in Europe (including Italy, Spain, and Turkey) and Latin America, respectively, were diagnosed with CL.…”

Section: Opinion: Benefits Of Continued Researchmentioning

confidence: 99%

Social and Economic Burden of Human Leishmaniasis

Okwor¹,

Uzonna²

2016

The American Society of Tropical Medicine and Hygiene

260

163

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Abstract. Leishmaniasis continues to pose a major public health problem worldwide. With new epidemics occurring in endemic areas and the spread of the disease to previously free areas because of migration, tourism, and military activities, there is a great need for the development of an effective vaccine. Leishmaniasis is a disease of the poor, occurring mostly in remote rural villages with poor housing and little or no access to modern health-care facilities. In endemic areas, diagnosis of any form of leishmaniasis puts a huge financial strain on an already meagre financial resource at both the individual and community levels. Most often families need to sell their assets (land and livestock) or take loans from informal financial outfits with heavy interest rates to pay for the diagnosis and treatment of leishmaniasis. Here, we discuss the disease with special emphasis on its socioeconomic impact on the affected individual and community. In addition, we highlight the reasons why continued research aimed at developing an effective Leishmania vaccine is necessary.

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Section: Opinion: Benefits Of Continued Researchmentioning

confidence: 99%

Social and Economic Burden of Human Leishmaniasis

Okwor¹,

Uzonna²

2016

The American Society of Tropical Medicine and Hygiene

260

163

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“…However, this could probably be done retrospectively and would be worthwhile in view of what the National Audit Office has said about the MOD needing to do more data analysis on this topic 3. Until more detailed figures are available officially, the work of clinicians collecting such data at Role 3 and Role 4 medical facilities1 4 will remain vital and should be fully supported.…”

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confidence: 99%

Medical and DNBI admissions to the Role 3 field hospital at Camp Bastion during Operation Herrick

Bailey

2015

J R Army Med Corps

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“…Infections such as Q fever and bacterial gastroenteritis can also have serious long-term sequelae that are not recognised by current data collection methods. Overall, a wide range of infectious and tropical diseases continue to be seen in British troops overseas and on their return to the UK 57. However, this century has also seen a marked reduction in the facilities and other resources available for military teaching and research on these diseases 58.…”

Section: British Military Experiences In the 21st Centurymentioning

confidence: 99%

A brief history of British military experiences with infectious and tropical diseases

Bailey

2013

J R Army Med Corps

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Infectious and tropical diseases have been a problem for British expeditionary forces ever since the Crusades. Outbreaks were especially common on Navy ships from the 16th to 18th centuries due to poor living conditions and travel to the tropics. However, since these occurred in small, isolated and controlled environments it meant that naval medical practitioners were able to keep detailed records and develop empirical approaches for their prevention. The first Royal Naval Hospitals were established in response to these diseases and Royal Navy doctors made valuable early contributions towards understanding them. Even larger outbreaks of infectious and tropical diseases occurred in the Army during the Napoleonic, Crimean and Boer Wars and throughout the colonial era, which strongly influenced the formation of the Army Medical Services including provision for teaching and research. The establishment of germ theory led to a golden era of discovery regarding these diseases and British Army doctors made numerous important contributions. Subsequent improvements in prevention, diagnosis and treatment reduced the mortality from infectious and tropical diseases during the World Wars, but they remained a significant problem in the non-European campaigns and also the numerous ‘small wars’ that followed. Even in the 21st century some of these diseases still cause outbreaks with significant morbidity and impact on deployments, but the military clinical and academic resources to deal with them are now much reduced. Preventive measures such as hygiene, sanitation, infection control, vaccination and chemoprophylaxis are invaluable, but history shows that these can become neglected over time and disrupted or overwhelmed during the early or most intense stages of military operations. This is why military specialists in infectious diseases, tropical medicine, sexual health, medical microbiology and communicable diseases control are still required.

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UK Role 4 Military Infectious Diseases at Birmingham Heartlands Hospital in 2005-9

Abstract: Dermatological infections and undifferentiated febrile illnesses that require management at a UK Role 4 facility are important causes of disease non-battle injury. Prospective collection of this data in the future will be a valuable asset.

Cited by 19 publications

References 7 publications

Social and Economic Burden of Human Leishmaniasis

Social and Economic Burden of Human Leishmaniasis

Medical and DNBI admissions to the Role 3 field hospital at Camp Bastion during Operation Herrick

A brief history of British military experiences with infectious and tropical diseases

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