title: A malaria outbreak following a British military deployment to Sierra Leone.
abstract: OBJECTIVE
  To describe a malarial outbreak amongst a British military force deployed to Sierra Leone in May 2000.
  
  
  METHODS
  A case-control study was conducted that investigated possible risk or protective factors affecting the population.
  
  
  RESULTS
  All bite avoidance measures (use of insecticide-treated bed nets and insecticide-treated clothes and use of thermal fogging/knockdown insecticide sprays) offered some degree of protection, although only use of clothes and nets was significant at the 5% level. Use of 3 or 4 protection measures was significantly protective, as was the cumulative protective effect when using multiple protective measures.
  
  
  CONCLUSIONS
  Professionals giving travel advice must continue to advice travellers that they can significantly improve their levels of malarial protection by using multiple protection measures.
authors.affiliation: UK Defence Medical Services Health Unit, Army Medical Directorate, Former Army Staff College, Slim Road, Camberley, Surrey, GU15 4NP, UK. jerryck@lineone.net
authors.forename: J J H
authors.initials: JJ
authors.lastname: Tuck
authors.forename: A D
authors.initials: AD
authors.lastname: Green
authors.forename: K I
authors.initials: KI
authors.lastname: Roberts
mesh_terms: D000328:Adult; D001512:Bedding and Linens; D016022:Case-Control Studies; D004196:Disease Outbreaks / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007306:Insecticides; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D008889:Military Personnel; D012807:Sierra Leone / Q000453:epidemiology
chemical_list: D007306:Insecticides