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Building a Better Mosquito: Identifying the Genes Enabling Malaria and Dengue Fever Resistance in A. gambiae and A. aegypti Mosquitoes
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Malaria Prophylaxis Adherence Among Aircrew Members.
Aerospace Medicine and Human Performance
|June 23, 2019
Summary
Most aircrew members did not adhere to malaria chemoprophylaxis due to complex regimens and side effects. Improving education and policies is crucial for ensuring protection during deployments to disease-endemic areas.
Area of Science:
- Aerospace Medicine
- Infectious Disease Prevention
- Public Health
Background:
- Military aircrew travel to regions with endemic diseases, posing significant health risks.
- Recent malaria cases among aircrew highlight the critical need for effective prevention strategies.
- Chemoprophylaxis is provided, but adherence among personnel is a concern.
Purpose of the Study:
- To assess malaria chemoprophylaxis adherence in aircrew members.
- To identify factors contributing to nonadherence to malaria prevention medication.
- To inform strategies for improving adherence and protecting aircrew health.
Main Methods:
- A retrospective online survey was administered to aircrew at Joint Base Charleston.
- Data were collected from aircrew visiting the Flight and Operational Medicine Clinic (January-April 2018).
- Descriptive statistics and Chi-squared analysis were used to analyze adherence and contributing factors.
Main Results:
- Over two-thirds of aircrew surveyed did not take malaria chemoprophylaxis as prescribed.
- Primary reasons for nonadherence included complex pill regimens and medication side effects.
- Nearly 70% of adherent individuals reported experiencing negative side effects like nausea and altered dreams.
Conclusions:
- Poor adherence to malaria chemoprophylaxis is prevalent among aircrew.
- Addressing regimen complexity and side effects is essential for improving compliance.
- Enhanced patient education, policy review, and adherence support are recommended.
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