部署部队中虫媒传染病的过去和现在的威胁。
The past and present threat of vector-borne diseases in deployed troops.
机构信息
Institut de Recherche Biomédicale des Armées, antenne de Marseille, Marseille, France.
出版信息
Clin Microbiol Infect. 2010 Mar;16(3):209-24. doi: 10.1111/j.1469-0691.2009.03132.x.
From time immemorial, vector-borne diseases have severely reduced the fighting capacity of armies and caused suspension or cancellation of military operations. Since World War I, infectious diseases have no longer been the main causes of morbidity and mortality among soldiers. However, most recent conflicts involving Western armies have occurred overseas, increasing the risk of vector-borne disease for the soldiers and for the displaced populations. The threat of vector-borne disease has changed with the progress in hygiene and disease control within the military: some diseases have lost their military significance (e.g. plague, yellow fever, and epidemic typhus); others remain of concern (e.g. malaria and dengue fever); and new potential threats have appeared (e.g. West Nile encephalitis and chikungunya fever). For this reason, vector control and personal protection strategies are always major requirements in ensuring the operational readiness of armed forces. Scientific progress has allowed a reduction in the impact of arthropod-borne diseases on military forces, but the threat is always present, and a failure in the context of vector control or in the application of personal protection measures could allow these diseases to have the same devastating impact on human health and military readiness as they did in the past.
自古以来,虫媒传染病就严重削弱了军队的战斗力,并导致军事行动暂停或取消。自第一次世界大战以来,传染病已不再是士兵发病率和死亡率的主要原因。然而,最近涉及西方国家军队的大多数冲突都发生在海外,这增加了士兵和流离失所人群感染虫媒传染病的风险。虫媒传染病的威胁随着军队内部卫生和疾病控制的进步而发生了变化:一些疾病已经失去了其军事意义(例如鼠疫、黄热病和斑疹伤寒);其他疾病仍然令人担忧(例如疟疾和登革热);并且出现了新的潜在威胁(例如西尼罗河脑炎和基孔肯雅热)。因此,病媒控制和个人防护策略始终是确保武装部队战备状态的主要要求。科学的进步使虫媒传染病对军队的影响有所减轻,但威胁始终存在,如果在病媒控制或个人防护措施的应用方面出现失误,这些疾病可能会像过去一样对人类健康和军事准备产生同样破坏性的影响。