Riddle M S, Althoff J M, Earhart K, Monteville M R, Yingst S L, Mohareb E W, Putnam S D, Sanders J W
Department of Preventive Medicine & Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Epidemiol Infect. 2008 May;136(5):665-9. doi: 10.1017/S0950268807009016. Epub 2007 Jun 25.
Understanding the epidemiology of current health threats to deployed U.S. troops is important for medical assessment and planning. As part of a 2004 study among U.S. military personnel deployed to Al Asad Air Base, in the western Anbar Province of Iraq, over 500 subjects were enrolled, provided a blood specimen, and completed a questionnaire regarding history of febrile illness during this deployment (average approximately 4 months in country). This mid-deployment serum was compared to pre-deployment samples (collected approximately 3 months prior to deployment) and evaluated for seroconversion to a select panel of regional arboviral pathogens. At least one episode of febrile illness was reported in 84/504 (17%) of the troops surveyed. Seroconversion was documented in nine (2%) of deployed forces tested, with no association to febrile illness. Self-reported febrile illness was uncommon although often debilitating, and the risk of illness due to arbovirus infections was relatively low.
了解当前对部署在美国军队中的健康威胁的流行病学情况对于医学评估和规划很重要。作为2004年对部署在伊拉克安巴尔省西部阿萨德空军基地的美国军事人员进行的一项研究的一部分,超过500名受试者被纳入研究,提供了血液样本,并完成了一份关于此次部署期间(在该国平均约4个月)发热疾病史的问卷。将此次部署中期的血清与部署前的样本(在部署前约3个月采集)进行比较,并评估针对一组选定的区域虫媒病毒病原体的血清转化情况。在接受调查的504名军人中,有84人(17%)报告至少有一次发热疾病发作。在接受检测的9名(2%)部署部队军人中记录到血清转化,与发热疾病无关。自我报告的发热疾病并不常见,尽管通常会使人衰弱,而且虫媒病毒感染导致疾病的风险相对较低。