The incidence of dengue infections has been increasing in the Caribbean, and cases have been identified among successive deployments of multinational peacekeepers to Haiti (1994-1997).
In the absence of an effective vaccine or chemoprophylaxis to prevent dengue fever, vector-control operations and use of personal protection measures to prevent arthropod bites are the most effective means of limiting disease transmission.
During our 5-month deployment as part of the United Nations Mission in Haiti, 79 cases of recent dengue fever were identified among 249 patients (32%) presenting with febrile illness to the 86th Combat Support Hospital.
Further investigation revealed low unit readiness to perform standard vector-control activities and poor individual adherence to measures to prevent arthropod bites.
Command enforcement of existing field preventive medicine doctrine is essential to prevent casualties caused by dengue, other arthropod-borne infections, and nuisance arthropod bites during military deployments.
Mots-clés Pascal : Dengue, Arbovirose, Virose, Infection, Haiti, Antilles, Amérique Centrale, Amérique, Militaire, Etats Unis, Amérique du Nord, Incidence, Homme
Mots-clés Pascal anglais : Dengue, Arbovirus disease, Viral disease, Infection, Haiti, West Indies, Central America, America, Military, United States, North America, Incidence, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0239408
Code Inist : 002B05C02I1A. Création : 16/11/1999.