Sauvet Fabien, Lebeau Christian, Foucher Stéphane, Flusain Olivier, Jouanin Jean Claude, Debonne Jean-Marc
Department of Operational Environments, Army Biomedical Research Institute, Bretigny sur Orge, France.
Mil Med. 2009 Sep;174(9):921-8. doi: 10.7205/milmed-d-05-1008.
Diseases always have a significant impact during military deployments. We evaluated the operational impact of health problems observed in a French infantry battalion (n = 690) during a 4-month assignment in Ivory Coast. In all, 55.7% of soldiers consulted at least once and sought care for 608 health problems. A total operational incapacity was observed in 22.2% of cases (7.6/1,000 person-days). The 5 diseases causing the greatest operational incapacity were diarrhea (2.1 days lost/1,000 person-days), musculoskeletal diseases and injuries (53.7 days), malaria (29 days), dental diseases (30.9 days), and fevers of undetermined origin (7 days). The incidence of diarrhea and skin infections was higher in rank-and-file troops than among noncommissioned officers. It was also higher during the mission's first month, when individual susceptibility to infections is suspected to be highest. Some diseases that are not serious nonetheless have a significant operational impact and should be better studied to determine preventive measures.
疾病在军事部署期间总会产生重大影响。我们评估了一个法国步兵营（n = 690）在科特迪瓦进行为期4个月任务期间所观察到的健康问题对行动的影响。共有55.7%的士兵至少就诊过一次，并就608个健康问题寻求治疗。在22.2%的病例中观察到了完全行动能力丧失（7.6/1000人日）。导致行动能力丧失最严重的5种疾病分别是腹泻（每1000人日损失2.1天）、肌肉骨骼疾病和损伤（53.7天）、疟疾（29天）、牙科疾病（30.9天）以及不明原因发热（7天）。普通士兵中腹泻和皮肤感染的发病率高于士官。在任务的第一个月发病率也更高，据推测此时个体对感染的易感性最高。一些疾病虽不严重，但对行动有重大影响，应进一步深入研究以确定预防措施。
