Australian Defence Force Malaria and Infectious Disease Institute, Brisbane, Queensland, Australia.
School of Public Health, University of Queensland, Brisbane, Queensland, Australia.
Intern Med J. 2023 Jan;53(1):145-149. doi: 10.1111/imj.15987.
Casualties during the occupation of German New Guinea by the Australian Naval and Military Expeditionary Force starting in September 1914 were limited to six dead during a few initial armed clashes and the loss of RAN submarine AE-1, followed by a few years of tropical disease exposures. A dengue epidemic affected most soldiers within a month of their arrival in Rabaul. Subsequently, a malaria epidemic swept through the occupation forces in January 1915 infecting a majority of the soldiers and killing five. Malaria was eventually controlled by daily draughts of quinine solution. Diarrhoea/dysentery was a particular concern among the local contract labour force. Skin diseases were a major chronic problem of tropical service. Twenty-seven non-combat deaths over 4 years (<1%/year) were considered a 'healthy' outcome for the occupation force which consisted largely of men unfit for active service in the Australian Imperial Force. No one should under-estimate the modern requirement to protect non-immune soldiers or travellers going to Papua New Guinea for extended periods.
1914 年 9 月,澳大利亚海军和军事远征军开始占领德属新几内亚,在此期间,仅有 6 人在最初的几次武装冲突中丧生,以及 RAN 潜艇 AE-1 失踪,随后几年则暴露在热带疾病中。登革热疫情在抵达拉包尔一个月内影响了大多数士兵。随后,1915 年 1 月疟疾疫情席卷了占领军,大多数士兵感染,5 人死亡。疟疾最终通过每天服用奎宁溶液得到控制。腹泻/痢疾是当地合同劳动力特别关注的问题。皮肤病是热带服役的一个主要慢性问题。4 年中有 27 名非战斗死亡(<1%/年),这被认为是占领军的“健康”结果,其中大部分人不适合在澳大利亚帝国军队中服现役。任何人都不应低估现代保护非免疫士兵或前往巴布亚新几内亚长期旅行的旅行者的要求。