EXPERIENCE IN MEDICAL SUPPORT OF SHIPS AND UNITS OF FOREIGN ARMIES DURING THE NEW CORONAVIRUS PANDEMIC
- Authors: Kryukov E.V.1, Shulenin K.S.1, Cherkashin D.V.1, Fisun A.Y.2, Mavrenkov E.M.1, Kutelev G.G.1, Chibiryakova E.O.1
-
Affiliations:
- Kirov Military Medical Academy
- Military Innovative Technopolis «ERA»
- Issue: Vol 7, No 1 (2021)
- Pages: 69-77
- Section: EXPERIENCE OF MEDICAL SUPPORT
- URL: https://seamed.bmoc-spb.ru/jour/article/view/427
- DOI: https://doi.org/10.22328/2413-5747-2021-7-1-69-77
- ID: 427
Cite item
Full Text
Abstract
The pandemic of a new coronavirus infection (COVID-19) threatened the combat readiness of the Armed Forces (AF) and required the urgent development and implementation of its own measures to limit the spread of the disease. Wide-spread principles to combat this disease, including social distancing, isolation of patients and quarantine of contact persons, are difficult to comply with Navy service. Given the features of habitability, autonomy and distance from the main locations, the experience gained and the measures taken during the outbreak of COVID-19 on the US Navy nuclear aircraft carrier «Theodore Roosevelt» are of great interest. It was important that at the time of diagnosis COVID-19 77% of crew members had no signs of disease, and 43% of them remained completely asymptomatic. The incidence among officers was significantly less than in ordinary and sergeant personnel. None of the officers were hospitalized. People of the white race predominated among the diseased and hospitalized (42,7 per cent and 30,4 per cent, respectively), as well as those associated with reactor operation, weapons and support personnel (27,9 per cent in total). At the same time, those servicemen who strictly followed non-specific preventive measures had a reliably lower infection rate.
About the authors
E. V. Kryukov
Kirov Military Medical Academy
Email: fake@neicon.ru
ORCID iD: 0000-0002-8396-1936
Evgeniy V. Kryukov
St. Petersbur
Russian FederationK. S. Shulenin
Kirov Military Medical Academy
Author for correspondence.
Email: shulenink@mail.ru
ORCID iD: 0000-0002-3141-7111
Konstantin S. Shulenin
St. Petersbur
Russian FederationD. V. Cherkashin
Kirov Military Medical Academy
Email: fake@neicon.ru
ORCID iD: 0000-0003-1363-6860
Dmitriy V. Cherkashin
St. Petersbur
Russian FederationA. Ya. Fisun
Military Innovative Technopolis «ERA»
Email: fake@neicon.ru
Aleksandr Ya. Fisun
Anapa
Russian FederationE. M. Mavrenkov
Kirov Military Medical Academy
Email: ehdmavrenkov@ya.ru
ORCID iD: 0000-0001-8040-3720
Eduard M. Mavrenkov
St. Petersbur
Russian FederationG. G. Kutelev
Kirov Military Medical Academy
Email: gena08@mail.ru
ORCID iD: 0000-0002-6489-9938
Gennadiy G. Kutelev
St. Petersbur
Russian FederationE. O. Chibiryakova
Kirov Military Medical Academy
Email: chibiryakova@icloud.com
ORCID iD: 0000-0002-7616-6248
Еkaterina O. Chibiryakova
St. Petersbur
Russian FederationReferences
- Rasmussen T.E., Koelling E.E. A military perspective on the vascular surgeon’s response to the COVID-19 pandemic // Journal of Vascular Surgery. 2020. Vol. 71, No. 6. P. 1821–1822. doi: 10.1016/j.jvs.2020.03.036.
- Liu Z., Xing B., Zhi X.Z. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China // Chinese Journal of Epidemiology. 2020. Vol. 41, No. 2. P. 145–151. doi: 10.3760/cma.j.issn.0254–6450.2020.02.003.
- Yang X., Yu Y., Xu J., Shu H., Xia J., Liu H., Wu Y., Zhang L., Yu Z., Fang M., Yu T., Wang Y., Pan S., Zou X., Yuan S., Shang Y. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study // Lancet Respiratory Medicine. 2020. Vol. 8, No. 5. P. 475–481. doi: 10.1016/S2213-2600(20)30079-5.
- Ойноткинова О.Ш., Никонов Е.Л., Зайратьянц О.В., Ржевская Е.В., Крюков Е.В., Воевода М.И., Масленникова О.М., Ларина В.Н., Демидова Т.Ю., Дедов Е.И. Клинические и морфологические особенности повреждения миокарда и течения фульминантного миокарда на фоне COVID-19, диагностика и тактика лечения // Вестник Российской академии медицинских наук. 2020. Т. 75, № S5. С. 414–425. doi: 10.15690/vramn1433.
- Coronavirus Disease 2019 (COVID-19) treatment guidelines. National Institutes of Health. 253 р. https://files.covid19treatmentguidelines.nih.gov/guidelines/covid19treatmentguidelines.pdf
- Rezende L.F.M., Thome B., Schveitzer M.C., Souza-Júnior P.R.B., Szwarcwald C.L. Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil // Revista de Saude Publica. 2020. Vol. 54. P. 1–9. doi: 10.11606/s1518-8787.2020054002596.
- Kim J.G. Role of military medical personnel as part of the public sector during the COVID-19 outbreak in Korea: a personal experience // Military Medicine. 2020. Vol. 185, No. 9–10. P. e1388-e1389. doi: 10.1093/milmed/usaa098.
- Воробьев В.С., Нагорнов В.В., Крюков Е.В., Таланова А.В., Солдатов П.А. Санитарно-авиационная эвакуация пациента с COVID-19 на искусственной вентиляции легких в транспортировочном изолирующем боксе // Медицина катастроф. 2020. № 3. С. 65–68. doi: 10.33266/2070-1004-2020-3-65-68.
- Pasquier P., Luft A., Gillard J., Boutonnet M., Vallet C., Pontier J-M., Duron-Martinaud S., Dia A., Puyeo L, Debrus F., Prunet B., Beaume S., de Saint Maurice G., Meaudre E., Ficko C., Merens A., Raharisson G., Conte B., Dorandeu F., Canini F., Michel R., Ausset S., Escarment J. How do we fight COVID-19? Military medical actions in the war against the COVID-19 pandemic in France // BMJ Military Health. 2020. P. 1–6. doi: 10.1136/bmjmilitary-2020-001569.
- Santiago G.F., Anderson D.C., Zuckerman S.L. Neuroplastic surgery aboard USNS Comfort during the COVID-19 pandemic in New York City // The Journal of Craniofacial Surgery. 2020. Vol. 31, No. 6. P. e636-e639. doi: 10.1097/SCS.0000000000006886.
- Costa I.P.A., Maêda S.M.D.N., Teixeira L.F.H.S.B., Gomes C.F.S., Santos M.D. Choosing a hospital assistance ship to fight the COVID-19 pandemic // Revista de Saude Publica. 2020. Vol. 54. P. 1–10. doi: 10.11606/s1518-8787.2020054002792.
- Pirnay J-P., Selhorst P., Cochez C., Petrillo M., Claes V., Van der Beken Y., Verbeken G., Degueldre J., T’Sas F., Van den Eede G., Weuts W., Smets C., Mertens J., Geeraerts P., Ariën K.K., Neirinckx P., Soentjens P. Study of a SARS-CoV-2 outbreak in a Belgian military education and training center in Maradi, Niger // Viruses. 2020. Vol. 12, No. 9. P. 1–16. doi: 10.3390/v12090949.
- Letizia A.G., Ramos I., Obla A., Goforth C., Weir D.L., Ge Y., Bamman M.M., Dutta J., Ellis E., Estrella L., George M.C., Gonzalez-Reiche A.S., Graham W.D., van de Guchte A., Gutierrez R., Jones F., Kalomoiri A., Lizewski R., Lizewski S., Marayag J., Marjanovic N., Millar E.V., Nair V.D., Nudelman G., Nunez E., Pike B.L., Porter C., Regeimbal J., Rirak S., Santa Ana E., Sealfon R.S.G., Sebra R., Simons M.P., Soares-Schanoski A., Sugiharto V., Termini M., Vangeti S., Williams C., Troyanskaya O.G., van Bakel H., Sealfon S.C. SARS-CoV-2 transmission among marine recruits during quarantine // The New England Journal of Medicine. 2020. Vol. 383, No. 25. P. 2407–2416. doi: 10.1056/NEJMoa2029717.
- de Lesquen H., Bergez M., Vuong A., Boufime-Jonqheere A., de l’Escalopier N. Adding the capacity for an intensive care unit dedicated to COVID-19, preserving the operational capability of a French golden hour offset surgical team in Sahel // Military Medicine. 2020. Vol. 186, No. 1–2. P. e30-e31. doi: 10.1093/milmed/usaa273.
- Segal D., Rotschield J., Ankory R., Kutikov S., Moaddi B., Verhovsky G., Benov A., Twig G., Glassberg E., Fink N., Bader T., Karp E. Measures to limit COVID-19 outbreak effects among military personnel: preliminary data // Military Medicine. 2020. Vol. 185, No. 9–10. P. e1624-e1631. doi: 10.1093/milmed/usaa112.
- Фролов Д.В., Крюков Е.В., Светлицкая М.В., Костюченко О.М., Зайцев А.А., Чернов С.А., Чернецов В.А. Физическая реабилитация пациентов с новой коронавирусной инфекцией COVID-19 в военном стационаре с использованием телекоммуникационных технологий (временные методические рекомендации). М.: ГВКГ имени Н.Н.Бурденко, 2020. 25 c.
- Joshi R.K., Ray R.K., Adhya S., Chauhan V.P.S., Pani S. Spread of COVID-19 by asymptomatic cases: evidence from military quarantine facilities // BMJ Military Health. 2020. P. 1–2. doi: 10.1136/bmjmilitary-2020-001669.
- Edge H.M., Carlucci S, Lu D. The role of Force Health Protection in the Canadian Armed Forces’ response to the COVID-19 pandemic // Сanada Сommunicable Disease Report. 2020. Vol. 46, No. 9. P. 279–281. doi: 10.14745/ccdr.v46i09a05.
- Norheim A.J., Nakstad E., Berg A.S., Borud E.K., Rein E. Testing armed forces recruits for COVID-19 // Tidsskriftet Den Norske Laegeforening. 2020. Vol. 140, No. 10. P. 1–4. doi: 10.4045/tidsskr.20.0384.
- Marcus J.E., Frankel D.N., Pawlak M.T., Casey T.M., Blackwell R.S., Tran F.V., Dolan M.J., Yun H.C. COVID-19 monitoring and response among U.S. Air Force basic military trainees — Texas, March-April // Morbidity and Mortality Weekly Report. 2020. Vol. 69, No. 22. P. 685–688. doi: 10.15585/mmwr.mm6922e2.
- Vicente D., Maves R., Elster E., Shwayhat A. U.S. Navy’s response to a shipboard coronavirus outbreak: considerations for a medical management plan at sea // Military Medicine. 2020. Vol. 186, No. 1–2. P. 23–26. doi: 10.1093/milmed/usaa455.
- Kasper M.R., Geibe J.R., Sears C.L., Riegodedios A.J., Luse T., Von Thun A.M., McGinnis M.B., Olson N., Houskamp D., Fenequito R., Burgess T.H., Armstrong A.W., DeLong G., Hawkins R.J., Gillingham B.L. An outbreak of COVID-19 on an aircraft carrier // The New England Journal of Medicine. 2020. Vol. 383, No. 25. P. 2417–2426. doi: 10.1056/NEJMoa2019375.
- Payne D.C., Smith-Jeffcoat S.E., Nowak G., Chukwuma U., Geibe J.R., Hawkins R.J., Johnson J.A., Thornburg N.J., Schiffer J., Weiner Z., Bankamp B., Bowen M.D., MacNeil A., Patel M.R., Deussing E., Gillingham B.L. SARS-CoV-2 infections and serologic responses from a sample of U.S. Navy service members — USS Theodore Roosevelt // Morbidity and Mortality Weekly Report. 2020. Vol. 69, No. 23. P. 714–721. doi: 10.15585/mmwr.mm6923e4.
- Nelson L.M. SARS-CoV-2 in the U.S. Military — lessons for civil society // The New England Journal of Medicine. 2020. Vol. 383, No. 25. P. 2472–2473. doi: 10.1056/NEJMe2032179.