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diarrhea outbreak during u.s. military training in el salvador在美国军事训练在萨尔瓦多腹泻暴发
Diarrhea Outbreak during U.S. Military Training in El
Salvador
1 1,4 1 2 3
Matthew R. Kasper *, Andres G. Lescano , Carmen Lucas , Duncan Gilles , Brian J. Biese ,
Gary Stolovitz3, Erik J. Reaves1
1 U.S. Naval Medical Research Unit 6, Lima, Peru, 2 Madigan Healthcare System, Tacoma, Washington, United States of America, 3 452nd Combat Support Hospital, U.S.
Army Reserve, Milwaukee, Wisconsin, United States of America, 4 Universidad Peruana Cayetano Heredia, Lima, Peru
Abstract
Infectious diarrhea remains a major risk to deployed military units worldwide in addition to their impact on travelers and
populations living in the developing world. This report describes an outbreak of diarrheal illness in the U.S. military’s 130th
Maneuver Enhancement Brigade deployed in San Vicente, El Salvador during a training and humanitarian assistance
mission. An outbreak investigation team from U.S. Naval Medical Research Unit – Six conducted an epidemiologic survey
and environmental assessment, patient interviews, and collected stool samples for analysis in an at risk population of 287
personnel from May 31st to June 3rd, 2011. Personnel (n = 241) completed an epidemiological survey (87% response rate)
and 67 (27%) reported diarrhea and/or vomiting during the past two weeks. The median duration of illness was reported to
be 3 days (IQR 2–4 days) and abdominal pain was reported among 30 (49%) individuals. Presentation to the medical aid
station was sought by (62%) individuals and 9 (15%) had to stop or significantly reduce work for at least one day.
Microscopy and PCR analysis of 14 stool samples collected from previously symptomatic patients, Shigella (7
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