Shiau Danny T, Sanders John W, Putnam Shannon D, Buff Ann, Beasley William, Tribble David R, Riddle Mark S
Department of Preventive Medicine, Uniformed Services University of Health Sciences, Bethesda, MD 20814, USA.
Mil Med. 2007 Oct;172(10):1099-102. doi: 10.7205/milmed.172.10.1099.
Much has been written about injury, diarrhea, and respiratory cases but less is known about other threats, specifically snake, scorpion, and spider encounters. To examine the risk from local fauna, a cross-sectional study using an anonymous survey was conducted among U.S. troops in Southwest Asia between January 2005 and May 2006. Among 3,265 troops, 9 cases (0.3%) of snakebites and 85 cases (2.6%) of spider stings and scorpion bites were reported, equating to an incidence of 46.1 per 10,000 person-months for scorpion/spider encounters and 4.9 per 10,000 person-months for snakebites. There was a significant association with service branch and toileting facilities for snakebites. Season, deployment location, rank, and toileting facilities were associated with differential risk of scorpion/spider encounters. Troops are at risk for local fauna encounters while deployed in the current operational environment. The potential morbidity, mortality, and operational impact of these health hazards need to be considered.
关于受伤、腹泻和呼吸道疾病的报道很多，但对于其他威胁，特别是遭遇蛇、蝎子和蜘蛛的情况，人们了解较少。为了研究当地动物带来的风险，2005年1月至2006年5月期间，在美国驻西南亚部队中进行了一项使用匿名调查的横断面研究。在3265名士兵中，报告了9例（0.3%）蛇咬伤和85例（2.6%）蜘蛛蜇伤及蝎子蜇伤，蝎子/蜘蛛遭遇的发病率为每10000人月46.1例，蛇咬伤的发病率为每10000人月4.9例。蛇咬伤与军种和厕所设施有显著关联。季节、部署地点、军衔和厕所设施与蝎子/蜘蛛遭遇的不同风险相关。在当前作战环境中部署时，部队面临遭遇当地动物的风险。需要考虑这些健康危害的潜在发病率、死亡率和作战影响。
