Hawley A
Royal Defence Medical College, Horton Block, Gosport, Hants.
J R Army Med Corps. 1998 Jun;144(2):67-71. doi: 10.1136/jramc-144-02-03.
Many recent operations have highlighted the problem of hazard exposure in troops. This is a difficult area since it depends upon both post-deployment and possibly mid-deployment health surveillance and crosses the traditional limits of occupation and public health medicine. Health surveillance is itself a term which straddles occupational and public health medicine. For the military population at risk on operations, a combined approach is required incorporating the separate activities of needs and risk assessments. There is an existing vehicle to develop this approach using the new J95 methodology. Equally, a system of data access crossing medical and personnel records is necessary. The important requirement is that health surveillance is included in pre-deployment planning. Only by this method can adequate resources and significance be accorded to appropriate health surveillance strategies both during and following an operation as required.
最近的许多行动都凸显了部队面临的危险暴露问题。这是一个难题，因为它既取决于部署后的健康监测，也可能取决于部署中期的健康监测，并且跨越了职业医学和公共卫生医学的传统界限。健康监测本身就是一个横跨职业医学和公共卫生医学的术语。对于在行动中面临风险的军事人员而言，需要采用一种综合方法，将需求评估和风险评估等不同活动结合起来。有一个利用新的J95方法来发展这种方法的现有载体。同样，建立一个跨越医疗和人事记录的数据访问系统也是必要的。重要的要求是在部署前规划中纳入健康监测。只有通过这种方法，才能根据需要在行动期间和行动之后为适当的健康监测策略分配足够的资源并给予重视。
