Strategies to prevent acute diarrhea and upper respiratory tract infection among disaster relief workers

Research output: Contribution to journalArticle

Abstract

Background: Sickness among field relief workers prompted us to develop strategies for preventing manpower loss. Most studies have focused on the preparedness and safety of medical responders in the prepared phase, but those parameters are lacking in the response phase. This study attempted to identify effective ways to prevent medical team members from acquiring acute diarrhea and upper respiratory tract infection (URI) based on our field reports. Methods: This was a retrospective cohort study. The 56 team members were from eight missions in total, including medial disaster relief and international humanitarian assistance, deployed between June 2007 and February 2010. The demographics of the participating members and their actions were examined for association with acute diarrhea and upper respiratory tract infection episodes using a mixed-effect logistic regression model. Results: One member (7.0%) with acute diarrhea and 11 (26.1%) members without acute diarrhea took doxycycline. The relationship between doxycycline and acute diarrhea episodes was not statistically significant. However, while 6 of 14 team members (42.9%) with acute diarrhea used hand sanitizer, 35 of 42 team members (83.3%) without diarrhea used hand sanitizer. Only hand sanitizer use was statistically related to the prevention of acute diarrhea and URI (p value = 0.021, 0.032). Conclusion: Hand sanitizer is suggested to protect medical teams from acute diarrhea and URI in such challenging environments. Chemoprophylaxis for malaria remains dependent on the area of deployment.

Original languageEnglish
Pages (from-to)101-106
Number of pages6
JournalJournal of Acute Medicine
Volume7
Issue number3
DOIs
Publication statusPublished - 2017 Jan 1

Fingerprint

Disasters
Respiratory Tract Infections
Diarrhea
Hand Sanitizers
Doxycycline
Relief Work
Logistic Models
Chemoprevention
Health Personnel
Malaria
Cohort Studies
Retrospective Studies
Demography
Safety

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

@article{45aeba57f7da490db163959570b3cddb,
title = "Strategies to prevent acute diarrhea and upper respiratory tract infection among disaster relief workers",
abstract = "Background: Sickness among field relief workers prompted us to develop strategies for preventing manpower loss. Most studies have focused on the preparedness and safety of medical responders in the prepared phase, but those parameters are lacking in the response phase. This study attempted to identify effective ways to prevent medical team members from acquiring acute diarrhea and upper respiratory tract infection (URI) based on our field reports. Methods: This was a retrospective cohort study. The 56 team members were from eight missions in total, including medial disaster relief and international humanitarian assistance, deployed between June 2007 and February 2010. The demographics of the participating members and their actions were examined for association with acute diarrhea and upper respiratory tract infection episodes using a mixed-effect logistic regression model. Results: One member (7.0{\%}) with acute diarrhea and 11 (26.1{\%}) members without acute diarrhea took doxycycline. The relationship between doxycycline and acute diarrhea episodes was not statistically significant. However, while 6 of 14 team members (42.9{\%}) with acute diarrhea used hand sanitizer, 35 of 42 team members (83.3{\%}) without diarrhea used hand sanitizer. Only hand sanitizer use was statistically related to the prevention of acute diarrhea and URI (p value = 0.021, 0.032). Conclusion: Hand sanitizer is suggested to protect medical teams from acute diarrhea and URI in such challenging environments. Chemoprophylaxis for malaria remains dependent on the area of deployment.",
author = "I-Lin Hsu and Chia-Chang Chuang and Chih-Hsien Chi and Chih-Hao Lin and Tsai, {Ming Chie}",
year = "2017",
month = "1",
day = "1",
doi = "10.6705/j.jacme.2017.0703.002",
language = "English",
volume = "7",
pages = "101--106",
journal = "Journal of Acute Medicine",
issn = "2211-5587",
publisher = "Elsevier BV",
number = "3",

}

TY - JOUR

T1 - Strategies to prevent acute diarrhea and upper respiratory tract infection among disaster relief workers

AU - Hsu, I-Lin

AU - Chuang, Chia-Chang

AU - Chi, Chih-Hsien

AU - Lin, Chih-Hao

AU - Tsai, Ming Chie

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background: Sickness among field relief workers prompted us to develop strategies for preventing manpower loss. Most studies have focused on the preparedness and safety of medical responders in the prepared phase, but those parameters are lacking in the response phase. This study attempted to identify effective ways to prevent medical team members from acquiring acute diarrhea and upper respiratory tract infection (URI) based on our field reports. Methods: This was a retrospective cohort study. The 56 team members were from eight missions in total, including medial disaster relief and international humanitarian assistance, deployed between June 2007 and February 2010. The demographics of the participating members and their actions were examined for association with acute diarrhea and upper respiratory tract infection episodes using a mixed-effect logistic regression model. Results: One member (7.0%) with acute diarrhea and 11 (26.1%) members without acute diarrhea took doxycycline. The relationship between doxycycline and acute diarrhea episodes was not statistically significant. However, while 6 of 14 team members (42.9%) with acute diarrhea used hand sanitizer, 35 of 42 team members (83.3%) without diarrhea used hand sanitizer. Only hand sanitizer use was statistically related to the prevention of acute diarrhea and URI (p value = 0.021, 0.032). Conclusion: Hand sanitizer is suggested to protect medical teams from acute diarrhea and URI in such challenging environments. Chemoprophylaxis for malaria remains dependent on the area of deployment.

AB - Background: Sickness among field relief workers prompted us to develop strategies for preventing manpower loss. Most studies have focused on the preparedness and safety of medical responders in the prepared phase, but those parameters are lacking in the response phase. This study attempted to identify effective ways to prevent medical team members from acquiring acute diarrhea and upper respiratory tract infection (URI) based on our field reports. Methods: This was a retrospective cohort study. The 56 team members were from eight missions in total, including medial disaster relief and international humanitarian assistance, deployed between June 2007 and February 2010. The demographics of the participating members and their actions were examined for association with acute diarrhea and upper respiratory tract infection episodes using a mixed-effect logistic regression model. Results: One member (7.0%) with acute diarrhea and 11 (26.1%) members without acute diarrhea took doxycycline. The relationship between doxycycline and acute diarrhea episodes was not statistically significant. However, while 6 of 14 team members (42.9%) with acute diarrhea used hand sanitizer, 35 of 42 team members (83.3%) without diarrhea used hand sanitizer. Only hand sanitizer use was statistically related to the prevention of acute diarrhea and URI (p value = 0.021, 0.032). Conclusion: Hand sanitizer is suggested to protect medical teams from acute diarrhea and URI in such challenging environments. Chemoprophylaxis for malaria remains dependent on the area of deployment.

UR - http://www.scopus.com/inward/record.url?scp=85038923870&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85038923870&partnerID=8YFLogxK

U2 - 10.6705/j.jacme.2017.0703.002

DO - 10.6705/j.jacme.2017.0703.002

M3 - Article

VL - 7

SP - 101

EP - 106

JO - Journal of Acute Medicine

JF - Journal of Acute Medicine

SN - 2211-5587

IS - 3

ER -