Measures to Limit COVID-19 Outbreak Effects Among Military Personnel: Preliminary Data
Measures to Limit COVID-19 Outbreak Effects Among Military Personnel: Preliminary Data
复制标题
DOI：
10.1093/milmed/usaa112
复制
发表时间：
2020-09-01
影响因子：
1.2
通讯作者：
Karp, Erez
中科院分区：
文献类型：
--
作者：
Segal, David;Rotschield, Jacob;Karp, Erez
简介 COVID-19 的爆发对军队的战备状态及其执行任务的能力构成了威胁。看到军队也遇到了类似的挑战，我们发现分享以色列国防军 (IDF) 北方司令部 (NC) 的初步经验非常重要。材料和方法我们回顾性总结了我们团队所采取的行动，重点关注以色列 NC 的 18 个营。这些行动包括在社交距离和医疗法规方面推动一系列组织变革，以及通过与整个组织的医疗指挥官举行指定视频会议来努力加强医疗领导。会议包括相关的临床教育、更新和领导力建设。这些行动和其他行动旨在增加我们对决策过程的影响力。虽然我们对疑似感染 COVID-19 的士兵（在接触确诊的 COVID-19 患者后出现相似体征和症状的士兵）进行了实时逆转录聚合酶链反应 SARS-CoV-2 实验室检测，但我们无法筛查健康人群，在研究期间也没有可用的血清抗体血清学检测。我们审查了从卫生部出版物和 IDF 数据库获得的 COVID-19 疫情国家数据。数据涵盖从 2020 年 2 月 26 日（第 0 天，以色列首例 COVID-19 患者）到 2020 年 4 月 19 日（第 53 天，大约在北卡罗来纳州发布大部分 COVID-19 法规后 1 个月）。结果 该营士兵的平均年龄为 21.29 +/- 4.06（范围 18-50），其中 81.34% 为男性。大多数限制措施是在第 18 天发布的。第 53 天，各营中 98.85% 的人员在其部队中保持活跃且无症状。结论尽管针对 COVID-19 的实验室检测有限，但我们的行动使我们能够领导严格的风险管理政策，同时维持大部分可用劳动力。
IntroductionThe COVID-19 outbreak posed a threat to the readiness of military forces as well as their ability to fulfill missions. Seeing that military forces have been encountering similar challenges, we found it eminent to share the Israeli Defense Force (IDF) Northern Command's (NC) preliminary experience.Materials and MethodsWe retrospectively summarized the actions that were taken by our team, focusing on 18 battalions at the Israeli NC. These actions included promoting a series of organizational changes in terms of social distancing and medical regulations as well as working to strengthen medical leadership through designated video meetings with medical commanders across our organization. Meetings included relevant clinical education, updates, and leadership building. These actions and others were aimed to increase our influence on the decision-making processes. While we conducted real-time reverse transcriptase polymerase chain reaction SARS-CoV-2 laboratory tests for soldiers who were suspected to have COVID-19 (those presenting with compatible signs and symptoms after having been exposed to a confirmed COVID-19 patient), we were not able to screen healthy populations, nor did we have serum antibody serologic tests available during the study period. We reviewed the COVID-19 outbreak national data, obtained from Ministry of Health publishings and the IDF databases. Data were included from February 26th, 2020 (day 0, first COVID-19 patient in Israel) to April 19th, 2020 (day 53, about 1 month after most of the COVID-19 regulation were issued in the NC).ResultsThe mean age of the battalion soldiers was 21.29 +/- 4.06 (range 18-50), 81.34% male. Most restrictions were issued on day 18. On day 53, 98.85% of the personnel in the battalions were kept active and asymptomatic in their units.ConclusionsDespite the limited availability of laboratory testing for COVID-19 our actions enabled us to lead a strict risk-management policy while maintaining most of the available workforce.