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Helminth infections in British troops following an operation in Sierra Leone

Bailey, M. S., Thomas, R., Green, A. D., Bailey, Wendi and Beeching, Nicholas ORCID: https://orcid.org/0000-0002-7019-8791 (2006) 'Helminth infections in British troops following an operation in Sierra Leone'. Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol 100, Issue 9, pp. 842-846.

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Abstract

One hundred and fifty-three British soldiers and 86 Royal Air. Force (RAF) personnel were deployed on a hostage rescue operation in Sierra Leone. For 3 days they were exposed to various infection risks and 6 weeks later some of the soldiers presented with gastrointestinal complaints. Both groups were screened with structured questionnaires, blood investigations and (where indicated) faecal microscopy and charcoal culture for helminths. Definite and probable cases of helminth infection were treated with albendazole and all soldiers were screened again after 3 months. Among the soldiers investigated, 73/145 (50%) reported gastrointestinal symptoms and 70/139 (50%) had eosinophilia. Among these, 17/66 (26%) had hookworm infection, 6/66 (9%) had Strongyloides stercoralis infection and 1/66 (2%) had Giardia lamblia infection. Eosinophilia was most strongly associated with entering the enemy camp and being in the platoon that attacked the area around the camp Latrines. Among RAF personnel, who were not involved in activities on the ground, 3/86 (3%) had borderline eosinophilia. Treatment of 105/153 (69%) soldiers with albendazole was welt tolerated and, on follow-up screening 3 months later, 23/124 soldiers (19%) had gastrointestinal symptoms and 18/121 (15%) had eosinophilia. Faecal investigations and schistosomiasis serology tests were all negative at this stage. (C) 2005 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: gastroenteritis hookworm infections strongyloidiasis albendazole military personnel sierra leone strongyloides-stercoralis infection far-east prisoners intestinal parasites hookworm infection vietnam veterans us-marines albendazole diagnosis outbreak gastroenteritis
Subjects: QX Parasitology > Helminths. Annelida > QX 200 Helminths
WA Public Health > Health Problems of Special Population Groups > WA 360 Veterans health
WI Digestive System > WI 140 Diseases (General)
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI): https://doi.org/10.1016/j.trstmh.2005.10.001
Depositing User: Ms Julia Martin
Date Deposited: 23 Feb 2011 14:50
Last Modified: 06 Feb 2018 13:01
URI: http://archive.lstmed.ac.uk/id/eprint/1443

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