The 2022 monkeypox outbreak: A UK military perspective

The 2022 monkeypox outbreak: A UK military perspective

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 unif...

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Bibliographic Details
Published in:Travel medicine and infectious disease Vol. 52; p. 102540
Main Authors: 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.
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01-03-2023
Elsevier Limited
Subjects:
Air transport
Air transportation
Aircraft
Communicable Diseases - epidemiology
Consultants
COVID-19 - epidemiology
Defense
Disease Outbreaks
Epidemiology
Health care networks
Health services
Hospitals
Humans
Immunization
Infections
Infectious diseases
Laboratories
Microbiologists
Military
Military Medicine
Military Personnel
Monkeypox
Mpox (monkeypox) - epidemiology
Outbreaks
Pathology
Primary care
Public health
R&D
Research & development
Respiratory diseases
Risk assessment
SARS-CoV-2
Security
Severe acute respiratory syndrome coronavirus 2
State Medicine
Teams
Travel medicine
United Kingdom - epidemiology
United Kingdom
United Kingdom > UK
Nigeria
Central Africa
Monkeypox
Military
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Summary: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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ISSN:1477-8939
1873-0442
DOI:10.1016/j.tmaid.2022.102540