title: Diarrheal and respiratory disease aboard the hospital ship, USNS-Mercy T-AH 19, during Operation Desert Shield.
abstract: Diarrhea and respiratory disease were common problems among ground troops deployed to the Middle East during Operation Desert Shield. In order to determine the prevalence and impact of diarrheal and upper respiratory disease among shipboard personnel during this period, an epidemiologic survey was conducted on the hospital ship, USNS Mercy T-AH 19. An episode of acute diarrhea was reported by 46% of the surveyed population, and 79% reported upper respiratory symptoms. Six percent of personnel were temporarily unable to perform scheduled duties due to gastrointestinal symptoms and 7% due to respiratory symptoms. Officers were at increased risk of experiencing an episode of diarrhea, and female crew members more often reported respiratory complaints. Improved strategies to prevent diarrhea and respiratory disease among shipboard personnel are needed.
authors.affiliation: Division of Infectious Diseases, National Naval Medical Center, Bethesda, MD 20889-5000.
authors.forename: S F
authors.initials: SF
authors.lastname: Paparello
authors.forename: P
authors.initials: P
authors.lastname: Garst
authors.forename: A L
authors.initials: AL
authors.lastname: Bourgeois
authors.forename: K C
authors.initials: KC
authors.lastname: Hyams
mesh_terms: D000293:Adolescent; D000328:Adult; D003967:Diarrhea / Q000453:epidemiology; D005260:Female; D006772:Hospitals, Military; D006801:Humans; D008297:Male; D008877:Middle East; D008889:Military Personnel; D012140:Respiratory Tract Diseases / Q000453:epidemiology; D014481:United States; D014857:Warfare