Nonpharmaceutical interventions for military populations during pandemic influenza

Özet: İnfluenza genç yetişkinlerde ciddi hastalığa ve işgünü kaybına neden olmakta, ve salgınlar askeri birimlerin hazırlılık durumlarını etkilemektedir. Bir influenza pandemisinde kapali alanlarda yaşayanlar daha büyük enfeksiyon riski taşımaktadırlar. Askeri personel özellikle yüksek risk altındadır. Pandeminin başında ve sonraki ilk aylarda uygulanabilecek etkili aşı ve antiviral ilaçların bulunmaması, ilaç-dışı müdaheleleri son derece önemli hale getirebilmektedir. Pandemi sırasında, askeri halk sağlığı çalışanlarının çeşitli ilaç-dışı müdahelelerde bulunabilmesi mümkündür. Örneğin sık el yıkama ve öksürme sırasında ağzı kapatma askerler arasinda teşvik edilmeli, önemle vurgulanmalidr. Başı arkadaşının ayağı yönünde uyuma hiçbir maliyeti olmayan bir girişimdir ve kalabalık ranzaların olduğu yerlerde uygulanmalıdır. İnfluenza hastalarının izolasyonu ve bu kişilerin yakın temasta bulunduklari için karantina uygulanması sağlanmalıdır. İleri derecede yüksek riskin sözkonusu olduğu durumlarda maske ve alkol bazlı el dezenfektanları kullanılmalıdır. Son olarak, influenza virüsünün geçiş riskini azaltmak için, mümkün olduğu hallerde askeri planlamadan sorumlu kişiler toplu yaşam yerlerinde kalabalıklığı azaltmalı ve eğitim gören personelin birbirleri ile etkileşimini sınırlamalıdırlar.

Anahtar Kelimeler:

Askeri personel, İnfluenza, insan, Hastalık salgınları, Birincil önleme

Askeri birlikler için influenza pandemisinde ilaç-dışı müdaheleler

Abstract: Influenza causes substantial illness and loss of work days among young adults, and outbreaks can affect the preparedness of military units. In an influenza pandemic, people who live in confined settings have greater risk of infection. Military trainees are at particularly high risk. Because of likely unavailability of vaccines and antiviral drugs at the start of a pandemic and for many months thereafter, nonpharmaceutical interventions may be very important. During a pandemic, it seems prudent that military public health officials employ at least several nonpharmaceutical interventions. For example frequent handwashing and respiratory hygiene/cough etiquette should be strongly encouraged among soldiers. Head-to-toe sleeping, a “no-cost” intervention should be for crowded berthing areas. Isolation of patients with influenza and quarantine of their close contacts should be employed. Masks and alcohol-based hand rubs may be employed among those at highest risk. Finally, whenever possible military planners should, reduce crowding and limit the interaction of training cohorts to reduce risk of influenza virus transmission.

Keywords:

Military Personnel, Influenza, Human, Disease Outbreaks, Primary Prevention,

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