[法国军队中的病媒控制策略]
[Disease vector control strategy in the French army].
作者信息
Deparis X, Boutin J P, Michel R, Galoisy-Guibal L, Meynard J B, Pages F, Matton T, Spiegel A, Baudon D
机构信息
L'Institut de Médecine Tropicale du Service de Santé des Armées, Marseille, France.
出版信息
Med Trop (Mars). 2001;61(1):87-90.
Disease vector control is a major priority for the Medical Health Corps of the French Armed Forces which maintains around 23,000 troops in tropical areas and is involved in numerous military and humanitarian missions throughout the world. Control strategy includes both general and personal control measures. Personal control measures include wearing permetherin-impregnated combat uniforms, application of repellents to the skin, and use of deltamethrin-impregnated bednets. General measures are implemented in facilities and in the environment. Measures in facilities include not only physical deterrents such as screens on openings and air-conditioning but also application of chemical insecticides to walls, curtains, and screening. Environmental measures include control of larval deposits and elimination of potential breeding areas. Low-volume wide-area spraying of imagocides is a supplemental option used in case of disease outbreak. For units stationed in tropical areas, command and surveillance of vector control operations is under the responsibility of the mosquito control committee which includes personnel from the affected field unit. Strategies are chosen in function of local climate and operational conditions. The efficacy of vector control programs is assessed annually by reviewing the incidence in armed forces personnel of the main vector-transmitted diseases: malaria, dengue fever, and leishmaniasis. Documentation and training are dispensed to all units stationed in tropical areas. To ensure that knowledge of military physicians remains current, three courses on malaria control are offered each year at the Tropical Medicine Institute of the Armed Forces Health Corps (Le Pharo) in Marseille. Field research conducted in collaboration with military or civilian organizations independent of the Armed Services Health Corps makes it possible to keep chiefs of staff informed of state-of-the art vector control measures adapted to use by personnel on assignment or mission in tropical areas.
病媒控制是法国武装部队医疗健康军团的一项主要优先任务,该军团在热带地区维持约23000名部队,并参与全球众多军事和人道主义任务。控制策略包括一般控制措施和个人控制措施。个人控制措施包括穿着浸有氯菊酯的作战制服、在皮肤上涂抹驱虫剂以及使用浸有溴氰菊酯的蚊帐。一般措施在设施和环境中实施。设施中的措施不仅包括物理防护手段,如开口处的纱窗和空调,还包括在墙壁、窗帘和纱窗上喷洒化学杀虫剂。环境措施包括控制幼虫滋生地和消除潜在的繁殖区域。在疾病爆发时,低容量大面积喷洒杀虫剂成虫是一种补充选项。对于驻扎在热带地区的部队,病媒控制行动的指挥和监督由蚊虫控制委员会负责,该委员会包括受影响野战部队的人员。根据当地气候和作战条件选择策略。每年通过审查武装部队人员中主要病媒传播疾病(疟疾、登革热和利什曼病)的发病率来评估病媒控制计划的效果。向驻扎在热带地区的所有部队提供文件资料和培训。为确保军事医生的知识与时俱进,每年在马赛的武装部队医疗健康军团热带医学研究所(勒法罗)提供三门疟疾控制课程。与独立于武装部队医疗健康军团的军事或民间组织合作开展的实地研究,使参谋长能够了解适用于在热带地区执行任务或使命的人员使用的最新病媒控制措施。