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The 2022 monkeypox outbreak: A UK military perspective.
Woolley, S D; Dermont, M; Adam, M; Pallet, S J C; Reece, N; Hoysal, N; Holden, G; Attridge, K K; Fletcher, T E; O'Shea, M K; Hutley, E J; Nicol, E D; Lamb, L E.
  • Woolley SD; Centre of Defence Pathology, Royal Centre for Defence Medicine, Birmingham, UK; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; Tropical and Infectious Disease Unit, Royal Liverpool Hospital, Liverpool, UK. Electronic address: Stephen.woolley@lstmed.ac.uk.
  • Dermont M; Defence Public Health Unit, DMS Whittington, Lichfield, UK.
  • Adam M; Regional Infectious Diseases Unit, Western General Hospital, NHS Lothian, Edinburgh, UK; Tactical Medical Wing, RAF Brize Norton, Carterton, UK.
  • Pallet SJC; Centre of Defence Pathology, Royal Centre for Defence Medicine, Birmingham, UK; Infection and Immunity Clinical Academic Group, St George's Hospital, London, UK.
  • Reece N; Centre of Defence Pathology, Royal Centre for Defence Medicine, Birmingham, UK; Department of Microbiology, Queen Alexandra Hospital, Portsmouth, UK.
  • Hoysal N; Defence Public Health Unit, DMS Whittington, Lichfield, UK.
  • Holden G; Defence Public Health Unit, DMS Whittington, Lichfield, UK.
  • Attridge KK; RAF Health Directorate, RAF High Wycombe, Buckinghamshire, UK.
  • Fletcher TE; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; Tropical and Infectious Disease Unit, Royal Liverpool Hospital, Liverpool, UK; Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK.
  • O'Shea MK; Centre of Defence Pathology, Royal Centre for Defence Medicine, Birmingham, UK; Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK; Department of Infectious Diseases and Tropical Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Hutley EJ; Centre of Defence Pathology, Royal Centre for Defence Medicine, Birmingham, UK; Department of Microbiology, Frimley Park Hospital, Camberley, UK.
  • Nicol ED; RAF Health Directorate, RAF High Wycombe, Buckinghamshire, UK; Department of Cardiology, Royal Brompton Hospital, London, UK.
  • Lamb LE; Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK; Department of Infectious Diseases, Royal Free Hospital, London, UK.
Travel Med Infect Dis ; 52: 102540, 2023.
Article in English | MEDLINE | ID: covidwho-2246394
ABSTRACT
With the emergence of SARS-CoV-2 and now monkeypox, the UK Defence Medical Services have been required to provide rapid advice in the management of patients with airborne high consequence infectious diseases (A-HCID). The Defence Public Health Network (DPHN) cadre, consisting of closely aligned uniformed and civilian public health specialists have worked at pace to provide evidence-based recommendations on the clinical management, public health response and policy for monkeypox, with military medicine and pathology clinicians (primarily infectious disease physicians and medical microbiologists). Military environments can be complicated and nuanced requiring specialist input and advice to non-specialists as well as unit commanders both in the UK and overseas. DPHN and military infection clinicians have close links with the UK National Health Service (NHS) and the UK Health Security Agency (UKHSA), allowing for a dynamic two-way relationship that encompasses patient management, public health response, research and development of both UK military and national guidelines. This is further demonstrated with the Royal Air Force (RAF) Air Transport Isolator (ATI) capability, provided by Defence to support the UK Government and UKHSA. Military infectious disease clinicians are also embedded within NHS A-HCID units. In this manuscript we provide examples of the close interdisciplinary working of the DPHN and Defence clinicians in managing military monkeypox patients, co-ordinating the public health response, advising the Command and developing monkeypox policy for Defence through cross-government partnership. We also highlight the co-operation between civilian and military medical authorities in managing the current outbreak.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Communicable Diseases / Monkeypox / COVID-19 / Military Medicine / Military Personnel Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Travel Med Infect Dis Journal subject: Communicable Diseases Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Communicable Diseases / Monkeypox / COVID-19 / Military Medicine / Military Personnel Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Travel Med Infect Dis Journal subject: Communicable Diseases Year: 2023 Document Type: Article