EsSEx: Revista Científica

5-23

Authors: Nádia Vaez Gonçalves da Cruz, Clarissa R. Damaso

The eradication of smallpox is considered one of the greatest achievements of mankind that was achieved in 1980 thanks to the use of one of the most potent vaccine ever developed. However, in the present global scenario, variola virus is considered a potential threat that can be used as a biological weapon for bioterrorism purposes. Advances in biotechnology, lack of immunity in much of the world population, restricted vaccine stocks, and the risk that hidden stocks of the virus still exist are the main reasons that would allow the disease to return. The present review covers several historical, epidemiological,and clinical aspects of smallpox and itseradication, but mainly it discusses measures for containment and prevention of smallpox used in the past and those currently available, as well as the worldwide efforts to prevent smallpox from returning and haunt the human race again.

35-40

Authors: Nastassja S. Mendes de Souza, Antonio Manne Filho

The present study aims to describe the functioning and importance of medical intelligence in support of military operations. A literature review on the subject was carried out from 1982 to the present day. The medical intelligence service is used to obtain knowledge and aims at formulating strategies for the prevention of diseases and health-related constraints. In 1941, during the period of the Second World War, it was initiated and applied through bulletins with health information. In the period leading up to its creation, large epidemics, poor sanitary conditions and adverse weather conditions lead to large casualties on the battlefields. In conclusion, technological improvements, vaccine discoveries and new preventive measures have been of great importance in the development of health intelligence and are determinant in maintaining the integrity of the troop and fulfillment of the mission.

57-73

Authors: João Gilberto de Sá de Jesus, Cláudia de Almeida Guaranha Guaranha

Introduction: Dysentery results from the evolution of a diarrheal syndrome, which has a multifactorial etiology. However, in many cases, dysentery may be due to a poor early diagnosis, which is usually quite simple, causing late treatment, providing the military with a clinical picture. much more exuberant and even serious, causing several casualties in the PRPO and even earlier, compromising the entire operation. Objectives: To stimulate the implementation of protocols that provide an effective, fast, simple and early diagnosis of military personnel with diarrhea complaints or already starting clinical presentation of dysenteric syndrome, promoting their screening, so that we can establish which ones can remain in the Line. Contact Zone (combat zone) and those to be removed / evacuated to the interior zone (Campaign Hospitals and General Hospitals), thus allowing a control of medical expenses by the combatant force employed. Development: Understand what are the initial changes in a military man with a complaint of diarrhea, who will seek care both pre, but mainly per operational, so that there is an early and efficient treatment for it, avoiding that the military gets sick in whatever way it takes. to be evacuated to higher levels as well as to prevent infection of other military personnel in the area of operation, leading to significant casualties, even before action on the target. Understanding what is a diarrhea and dysenteric syndrome, what are the main microorganisms involved bringing this information to the missions of EB. Conclusion: Promotion of pre-operative educational lectures on the symptoms for the staff to be employed, teaching the military in the Combat Zone symptomatic initial self-treatment measures, medical intelligence on local epidemiology and hygiene and operational ration to be adopted, determination of Symptom severity, with simple stool analysis as well as vital signs, can prevent major damage to the treasury for the health system of the force, maintaining the full operability of the troops