Prevention of the
development and importation of infections in members of the Army of the
Czech Republic participating in foreign missions
Smetana J.1, Smetana R.2, Vacková M.1, Pek M.3, Chlíbek R.1
1Katedra epidemiologie Fakulty vojenského zdravotnictví Univerzity obrany, Hradec Králové 2Ústřední vojenský zdravotní ústav, České Budějovice 3Ústřední vojenský zdravotní ústav, Praha |
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Summary:
Over the last years, Czech soldiers became involved in several foreign missions. In 2001–2003 more
than 4000 persons participated in such missions. Since their activities are typically associated
with high health risks including that of acquiring infectious diseases, the significance of
prevention is underlined. Preventive antiepidemic measures taken in soldiers of the Army of the
Czech Republic before their deployment and upon return home are described. Prior to being
dispatched on a foreign mission any soldier is screened at the department for occupational
diseases at the military hospital. Such a screening enables to identify persons with impaired
health who are unfit for the mission. Upon return home any soldier is screened for infectious
diseases. The scope of the screening varies with geographical area where the mission took place.
In the case of missions to areas at high epidemiological risk such as Afghanistan and Iraq,
substantially enlarged laboratory screening is conducted with an emphasis on serodiagnosis of
infectious diseases. An important step in the prevention of infectious diseases is vaccination prior
to mission deployment. The vaccination schedule has developed over years to currently include
vaccination against tetanus, viral hepatitis A and B, typhoid fever, type A and C meningococcal
meningitis and poliomyelitis and is being further modified in agreement with the latest
recommendations and known risks. Soldiers can also be vaccinated against other diseases such as
influenza and rabies. The prevention of infectious diseases as described in this article is based on
travel medicine applied to the military environment.
Key words:
infectious disease – prevention and importation – vaccination – foreign mission – Army
of the Czech Republic.
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