Titre :
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Medical surveillance of multinational peacekeepers deployed in support of the United Nations Mission in Haiti, June-October 1995. (1999)
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Auteurs :
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J.M. GAMBEL ;
J.J. DRABICK ;
L. MARTINEZ-LOPEZ
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 28, n° 2, 1999)
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Pagination :
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312-318
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Langues:
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Anglais
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Mots-clés :
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Guerre
;
Militaire
;
Evaluation
;
Méthode
;
Homme
;
Antilles
;
Amérique
;
Haïti
;
Amérique centrale
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Résumé :
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[BDSP. Notice produite par INIST oR0xEkvC. Diffusion soumise à autorisation]. Background Multinational peacekeepers, both military and civilian, often deploy to areas of the world where significant health threats are endemic and host country public health systems are inadequate. Medical surveillance of deployed personnel enables leaders to better direct health care resources to prevent and treat casualties. Over a 5-month period, June to October 1995, a medical surveillance system (MSS) was implemented in support of the United Nations Mission in Haiti (UNMIH). Information obtained from this system as well as lessons learned from its implementation and management may help decrease casualty rates during future multinational missions. Methods Over 90% of UNMIH personnel (80% military from over 11 countries and 20% civilian from over 70 countries) stationed throughout Haiti participated in the MSS. A weekly standardized reporting form included the number of new outpatient visits by disease and non-battle injury (DNBI) category and number of personnel supported by each participating UN medical treatment facility (MTF). Previously, medical reporting consisted of simple counts of patient visits without distinguishing between new and follow-up visits. Weekly incidence rates were determined and trends compared within and among reporting sites. The diagnoses and numbers of inpatient cases per week were only monitored at the 86th Combat Support Hospital, the facility with the most sophisticated level of health care available to UN personnel. (...)
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