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November 2, 1994

Threats to Health Remain High on List of Dangers to US Troops Now Beginning Seventh Week in Haiti

JAMA. 1994;272(17):1312-1313. doi:10.1001/jama.1994.03520170022007

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MILITARY THREATS may be subsiding in Haiti, but disease threats are not.

Among the challenges for US military physicians and commanders of US troops who still are in Haiti are diarrheal and other intestinal problems, malaria and other insect-borne disorders, parasites lurking in water and soil, zoonoses, sexually transmitted diseases, respiratory infections, venomous creatures (centipedes, scorpions, and "brown recluse" spiders, but few if any poisonous snakes), and difficulties arising from stress, climate (it's now the rainy season, with temperatures exceeding 20°C [80°F]), or breakdowns in personal hygiene.

In addition, US military physicians will be watching troops returning from Haiti to be certain that there is no malaria, as occurred among some soldiers returning from Somalia (JAMA. 1994; 271:92-96 and 1993;269:2833-2838); tuberculosis; sexually transmitted diseases; or other health problems.

By the Book  Most of the US troops who began moving ashore in Haiti on September 19 had been issued a 14-page

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