Prevention of Infectious Diseases during Military Deployments: A Review of the UAE Armed Forces Experience
DOI:
https://doi.org/10.55677/IJCSMR/V3I5-01/2023Keywords:
.Abstract
The UAE Armed Forces involved in many missions that range from major combat operations to humanitarian relief efforts. Military medical professional accompanied deployed military troops is responsible for disease prevention, which can be made more difficult in the situation of short preparation times and prolonged deployment duration. The military medical professional must use deployment medicine in protecting military personnel from infectious and tropical diseases in operation theatre. This review emphasizes the importance of preparation, health education, personal protective measures, vaccines, chemoprophylaxis, and surveillance in an attempt to prevent infectious diseases. This review gives a summary of experiences of preventive medicine for UAE Medical Corps during deployment in many countries.
References
Al-Nakhi IM. The Gulf War: U.A.E. Participation in that War. US Army War College 1993 Apr 2. Available from: http://www.dtic.mil/get-tr-doc/pdf?AD=ADA264530. [Accessed 16th November 2017]
Schiano P, Berend M, Revel F, Borne M, Barbou F, Monsegu J. Suspected Acute Coronary Syndrome in a Theater of Operations: First Management, Medical Evacuation, and Final Diagnosis: Experience of the French Medical Army. Military Medicine 2009 Jun; 174(6):605-609. Available from: http://militarymedicine.amsus.org/doi/abs/10.7205/MILMED-D-02-3608. [Accessed 16th November 2017]
Abed I, Hellyer P. United Arab Emirates: a new perspective. : Trident Press Ltd; 2001.
Katzman K. The United Arab Emirates (UAE): Issues for US Policy. : LIBRARY OF CONGRESS WASHINGTON DC CONGRESSIONAL RESEARCH SERVICE; 2013 Oct 1; 4(4):639. Available from: http://www.dtic.mil/get-tr-doc/pdf?AD=ADA588704. [Accessed 16th November 2017]
Lutterbeck D. Arab Uprisings, Armed Forces, and Civil–Military Relations. Armed Forces & Society 2013; 39(1):28-52.
Khan SM. UAE's Operation Restoring Hope. Defence Journal 2015 09; 19(2):25-26.
Integrated Regional Information Networks (IRIN). Pakistan: The role of the military in the Pakistan earthquake. ReliefWeb. 2006 Jun. Available from: https://reliefweb.int/report/pakistan/pakistan-role-military-pakistan-earthquake. [Accessed 16th November 2017]
Ahmad K. Quake victims reach help too late to save crushed limbs. Bulletin of the World Health Organization 2005 Dec; 83(12):889. Available from: http://www.who.int/bulletin/volumes/83/12/news31205/en/. [Accessed 16th November 2017]
Putnam SD, Sanders JW, Frenck RW, Monteville M, Riddle MS, Rockabrand DM, et al. Self‐reported description of diarrhea among military populations in operations Iraqi Freedom and Enduring Freedom. Journal of travel medicine. 2006 Mar 1; 13(2):92-9.
Madani TA, Abuelzein ET, Al-Bar HM, Azhar EI, Kao M, Alshoeb HO, et al. Outbreak of viral hemorrhagic fever caused by dengue virus type 3 in Al-Mukalla, Yemen. BMC infectious diseases. 2013 Mar 14; 13(1):136.
Ghouth AS, Amarasinghe A, Letson GW. Dengue outbreak in Hadramout, Yemen, 2010: an epidemiological perspective. The American journal of tropical medicine and hygiene. 2012 Jun 1; 86(6):1072-6.
Military.com. Deployment, an overview. 2017. Available from: http://www.military.com/deployment/deployment-overview.html. [Accessed 16th November 2017]
Lounsbury DE. Military preventive medicine: mobilization and deployment/Vol.1. Washington, DC, Office of the Surgeon General, Department of the Army, 2003.
Smallman-Raynor MR, Cliff AD. Impact of infectious diseases on war. Infectious Disease Clinics. 2004 Jun 1; 18(2):341-68.
Brown K. Poxed and Scurvied: The Story of Sickness & Health at Sea. Seaforth Publishing; 2011 May 30.
Riddle MS, Rockabrand DM, Schlett C, Monteville MR, Frenck RW, Romine M, et al. A prospective study of acute diarrhea in a cohort of United States military personnel on deployment to the Multinational Force and Observers, Sinai, Egypt. The American journal of tropical medicine and hygiene. 2011 Jan 5; 84(1):59-64.
Lay J. Malaria, US Army, 2004. Medical Surveillance Monthly Report 2005; 11:7–10. Available at: http://amsa.army.mil.
Kotwal RS, Wenzel RB, Sterling RA, Porter WD, Jordan NN, Petruccelli BP. An outbreak of malaria in US Army Rangers returning from Afghanistan. Jama. 2005 Jan 12; 293(2):212-6.
World Health Organization. World Malaria Report 2016. Geneva: World Health Organization; 2016.
Moi ML, Takasaki T, Kotaki A, Tajima S, Lim CK, Sakamoto M, et al. Importation of dengue virus type 3 to Japan from Tanzania and Côte d’Ivoire. Emerging infectious diseases. 2010 Nov; 16(11):1770.
Linthicum KJ, Kramer VL, Madon MB, Fujioka K. Introduction and potential establishment of Aedes albopictus in California in 2001. Journal of the American Mosquito Control Association. 2003 Dec; 19(4):301-8.
Porse CC, Kramer V, Yoshimizu MH, Metzger M, Hu R, Padgett K, et al. Public health response to Aedes aegypti and Ae. albopictus mosquitoes invading California, USA. Emerging infectious diseases. 2015 Oct; 21(10):1827.
Al-Bedwawi S. Infectious Diseases Department. Zayed Military Hospital. Personal communication. 23rd November 2017.
Weina PJ, Neafie RC, Wortmann G, Polhemus M, Aronson NE, Strausbaugh LJ. Old world leishmaniasis: an emerging infection among deployed US military and civilian workers. Clinical infectious diseases. 2004 Dec 1; 39(11):1674-80.
American Red Cross. Blood donation eligibility guidelines. 14 September 2004. Available at: http://www.redcrossblood.org/donating-blood/eligibility-requirements/eligibility-criteria-topic. Accessed 24 November 2017. . Accessed 24 November 2017.
Murray CK, Yun HC, Markelz AE, Okulicz JF, Vento TJ, Burgess TH, et al. Operation United Assistance: Infectious Disease Threats to Deployed Military Personnel. Military medicine. 2015 Jun; 180(6):626-51.
Centers of Diseases Control and Prevention (CDC). Dengue Epidemiology. 28th July, 2010. Available from: https://www.cdc.gov/dengue/epidemiology/index.html. Accessed 24 November 2017
UAE Armed Forces. MEDICAL FITNESS STANDARDS. UAE Armed Forces, 2011. Print.
Gubata ME, Oetting AA, Niebuhr DW, Cowan DN. Accession medical waivers and deployment duration in the US Army. Military medicine. 2013 Jun; 178(6):625-30.
De Raad J, Nijhuis FJ, Willems JH. Difference in fitness for duty among soldiers on a mission: Can these be explained by a difference in the preemployment assessment?. Military medicine. 2005 Sep 1;170(9):728.
North Atlantic Treaty Organization. A NATO Guide for Assessing Deployability for Military Personnel with Medical Conditions. FRANCE: STO PUBLICATIONS; 2014.
World Health, Organization. Vaccine-preventable diseases: monitoring system 2017 global summary. WHO, Geneva, ; 2017. Available from: http://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=ARE&commit=OK. [Accessed 17th November 2017]
Health Authority - Abu Dhabi. Immunization Schedule for 2015-2016. Available from: http://www.haad.ae/HAAD/LinkClick.aspx?fileticket=9nWVMFujBTc%3D&tabid=183. [Accessed 17th November 2017].
Al-Mekaini LA, Kamal SM, Al-Jabri O, Soliman M, Alshamsi H, Narchi H, et al. Seroprevalence of vaccine-preventable diseases among young children in the United Arab Emirates. International Journal of Infectious Diseases. 2016 Sep 30;50:67-71.
Al-Khashan HI, Selim MA, Mishriky AM, Binsaeed AA. Meningitis and seasonal influenza vaccination coverage among military personnel in central Saudi Arabia. Saudi Med J 2011 Feb;32(2):159-165.
Salmon DA, Teret SP, MacIntyre CR, Salisbury D, Burgess MA, Halsey NA. Compulsory vaccination and conscientious or philosophical exemptions: past, present, and future. The Lancet. 2006 Feb 10;367(9508):436-42.
Polak S, Riddle MS, Tribble DR, Armstrong AW, Mostafa M, Porter CK. Pre-deployment vaccinations and perception of risk among US military personnel. Human vaccines. 2011 Jul 1;7(7):762-7.
Anwar E, Goldberg E, Fraser A, Acosta CJ, Paul M, Leibovici L. Vaccines for preventing typhoid fever. The Cochrane Library. 2014 Jan 1.
Jackson BR, Iqbal S, Mahon B, Centers for Disease Control and Prevention (CDC). Updated recommendations for the use of typhoid vaccine—Advisory Committee on Immunization Practices, United States, 2015. MMWR Morb Mortal Wkly Rep. 2015 Mar 27;64(11):305-8.
World Health Organization. Cholera vaccines: who position paper. Weekly Epidemiological Record. 2010;85(13):117-28.
Fiore AE, Wasley A, Bell BP. Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report: Recommendations and Reports. 2006 May 19;55(7):1-CE.
Porter CK, Gloor K, Cash BD, Riddle MS. Risk of functional gastrointestinal disorders in US military following self-reported diarrhea and vomiting during deployment. Digestive diseases and sciences. 2011 Nov 1;56(11):3262.
Krueger GP. Environmental medicine research to sustain health and performance during military deployment: desert, arctic high altitude stressors. Journal of Thermal Biology. 1993 Dec 1;18(5-6):687-90.
Mayet A, Manet G, Decam C, Morisson D, Bédubourg G, De Santi VP, et al. Epidemiology of food-borne disease outbreaks in the French armed forces: a review of investigations conducted from 1999 to 2009. Journal of Infection. 2011 Nov 30;63(5):370-4.
Appel KE, Gundert-Remy U, Fischer H, Faulde M, Mross KG, Letzel S, , et al. Risk assessment of Bundeswehr (German Federal Armed Forces) permethrin-impregnated battle dress uniforms (BDU). International journal of hygiene and environmental health. 2008 Mar 12;211(1):88-104.
Centers for Disease Control and Prevention. Division of Parasitic Diseases and Malaria: Insecticide-Treated Bed Nets. 2015 December 28, Jun 30. Available from: https://www.cdc.gov/malaria/malaria_worldwide/reduction/itn.html#. [Accessed 17th November 2017].
World Health Organization. Dengue control. 2017. Available from: http://www.who.int/denguecontrol/human/en/. [Accessed 17th November 2017].
Schofield S, Tepper M, Tuck JJ. Malaria risk assessment and preventive recommendations: a new approach for the Canadian military. Military medicine. 2007 Dec;172(12):1250-3.
McCollum JT, Hanna R, Halbach AC, Cummings JF. Strengthening Malaria Prevention and Control: Integrating West African Militaries' Malaria Control Efforts. The Inaugural Meeting of the West African Malaria Task Force, April 24–26, 2013, Accra, Ghana. Military medicine. 2015 Jan;180(1):7-11.
Manning JE, Satharath P, Gaywee J, Lopez MN, Lon C, Saunders DL. Fighting the good fight: the role of militaries in malaria elimination in Southeast Asia. Trends in parasitology. 2014 Dec 31;30(12):571-81.
Tracking Humanitarian aid flows. Financial Tracking Service. United Arab Emirates: Yemen Humanitarian Response Plan 2016. Available from: https://fts.unocha.org/countries/235/flows/2016?order=directional_property_1&sort=desc&f%5B0%5D=destinationPlanIdName%3A%22513%3AYemen%20Humanitarian%20Response%20Plan%202016%22. [Accessed 17th November 2017].
Centers of Diseases Control and Prevention (CDC). Choosing a Drug to Prevent Malaria. 9th November, 2012. Available from: https://www.cdc.gov/malaria/travelers/drugs.html. [Accessed 24 November 2017].
Navy and Marine Corps Public Health Center. Navy and Marine Corps Public Health Center Pocket Guide to Malaria Prevention and Control. Portsmouth, Virginia 2011 Jan. Available from: http://www.public.navy.mil/surfor/Documents/6250_1_NMCPHC_TM.pdf. [Accessed 17th November 2017].
Boutin JP, Meynard JB, Keundjian A, Ryfer S, Giurato L, Baudon D. Tolerability of doxycycline monohydrate salt vs. chloroquine–proguanil in malaria chemoprophylaxis. Tropical Medicine & International Health. 2002 Nov 1; 7(11):919-24.
Fukuda M, Raczniak G, Riddle M, et al. Centers for Disease Control and Prevention. CDC Yellow Book 2018: Health Information for International Travel. Chapter 8. US: Oxford University Press; 2017.
Nevin RL, Pietrusiak PP, Caci JB. Prevalence of contraindications to mefloquine use among USA military personnel deployed to Afghanistan. Malaria Journal. 2008 Feb 11; 7(1):30.
Nevin RL. Mefloquine prescriptions in the presence of contraindications: prevalence among US military personnel deployed to Afghanistan, 2007. Pharmacoepidemiology and drug safety. 2010 Feb 1; 19(2):206-10.
Peterson AL, Seegmiller RA, Schindler LS. Severe neuropsychiatric reaction in a deployed military member after prophylactic mefloquine. Case reports in psychiatry. 2011 Sep 8; 2011.
Brisson M, Brisson P. Compliance with antimalaria chemoprophylaxis in a combat zone. The American journal of tropical medicine and hygiene. 2012 Apr 1; 86(4):587-90.
Most H, Kane CA, Lavietes PH, Schroeder EF, Behm A, Blum L, et al. Schistosomiasis Japonica in American Military Personnel: Clinical Studies of 600 Cases during the First Year after Infection1, 2. The American journal of tropical medicine and hygiene. 1950 Mar 1; 1(2):239-99.
Vieira P, Miranda HP, Cerqueira M, de Lurdes Delgado M, Coelho H, Antunes D, et al. Latent schistosomiasis in Portuguese soldiers. Military medicine. 2007 Feb; 172(2):144-6.
Chusri S, McNeil EB, Hortiwakul T, Charernmak B, Sritrairatchai S, Santimaleeworagun W, et al. Single dosage of doxycycline for prophylaxis against leptospiral infection and leptospirosis during urban flooding in southern Thailand: A non-randomized controlled trial. Journal of Infection and Chemotherapy. 2014 Nov 30; 20(11):709-15.
Schneider MC, Velasco-Hernandez J, Min KD, Leonel DG, Baca-Carrasco D, Gompper ME, et al. The Use of Chemoprophylaxis after Floods to Reduce the Occurrence and Impact of Leptospirosis Outbreaks. International Journal of Environmental Research and Public Health. 2017 Jun 3; 14(6):594.
Russak SM, Ortiz DJ, Galvan FH, Bing EG. Protecting our militaries: a systematic literature review of military human immunodeficiency virus/acquired immunodeficiency syndrome prevention programs worldwide. Military medicine. 2005 Oct 1; 170(10):886.
Beckett MA, Callum J, da Luz LT, Schmid J, Funk C, Glassberg CE, et al. Fresh whole blood transfusion capability for Special Operations Forces. Canadian Journal of Surgery. 2015 Jun; 58(3 Suppl 3):S153.
Walker GJ, Zouris J, Galarneau MF, Dye J. Descriptive Summary of Patients Seen at the Surgical Companies during Operation Iraqi Freedom-1. Military Medicine 2007 Jan; 172(1):1-5.
Hospenthal DR, Green AD, Crouch HK, English JF, Pool J, Yun HC, et al. Infection prevention and control in deployed military medical treatment facilities. Journal of Trauma and Acute Care Surgery 2011; 71(2):S298.
Annas GJ. Privacy Rules for DNA Databanks: Protecting Coded 'Future Diaries'. JAMA 1993 Nov 17; 270(19):2346-2350.
Macilwain C. US military tightens rules on DNA records. Nature 1996 Apr 18; 380(6575):570.
Federick A. Science, Ancestry and Identity: What I learned from following my DNA. 2017; Available at: https://health.mil/News/Articles/2017/01/06/Science-Ancestry-and-Identity-What-I-learned-from-following-my-DNA. [Accessed 17th November 2017].
Pamela Sankar. Topics for our times: The proliferation and risks of government DNA databases. American Journal of Public Health 1997 Mar 1; 87(3):336.
Frickmann H, Schwarz NG, Holtherm HU, Maassen W, Vorderwülbecke F, Erkens K, et al. Compliance with antimalarial chemoprophylaxis in German soldiers: a 6-year survey. Infection. 2013 Apr 1; 41(2):311-20.
Ollivier L, Romand O, Marimoutou C, Michel R, Pognant C, Todesco A, et al. Use of short message service (SMS) to improve malaria chemoprophylaxis compliance after returning from a malaria endemic area. Malaria journal. 2009 Dec 1; 8(1):236.
Armed Forces Health Surveillance Branch. Armed Forces Health Surveillance Branch Health Surveillance, Analysis and Insight for Action. 2017; Available at: https://health.mil/Military-Health-Topics/Health-Readiness/Armed-Forces-Health-Surveillance-Branch. [Accessed 1st December, 2017].
Armed FH. Update: Malaria, US Armed Forces, 2015. MSMR. 2016 Jan; 23(1):2.
DeFraites RF. The Armed Forces Health Surveillance Center: enhancing the Military Health System's public health capabilities. BMC public health 2011; 11 Suppl 2(Suppl 2):S1.
Mancuso JD, Geurts M. Challenges in Obtaining Estimates of the Risk of Tuberculosis Infection During Overseas Deployment. The American journal of tropical medicine and hygiene 2015 Dec; 93(6):1172-1178.
World Health, Organization.Yemen crisis. WHO, Geneva, ; 2017. Available from: http://www.who.int/emergencies/yemen/en/. [Accessed 17th November 2017]
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