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An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies (2020) / Chapter Skim
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Summary
Pages 1-4

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From page 1...
... However, the committee was able to identify distinctive clinical features, consider possible causes, evaluate plausible mechanisms and rehabilitation efforts, and offer recommendations for future planning and responses. CLINICAL FEATURES A distinct set of unusual clinical manifestations occurred abruptly in some individuals at the onset of their illness, and the illness became chronic and debilitating for some, but not for all.
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From page 2...
... However, after reviewing the medical and public health literature, the committee found it highly unlikely that Zika was the cause of the constellation of signs and symptoms reported among DOS personnel. The acute initial, sudden-onset, distinctive, and unusual symptoms and signs are difficult to ascribe to psychological and social factors.
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From page 3...
... The committee suggests that DOS utilize an expert panel described in Section 6 to provide advice on the collection of routine medical data. In addition to the collection of data pertaining to individual diplomats, it is critical that additional public health and epidemiological surveillance data be obtained to provide the temporal and geographic context for the health presentation of individuals.
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From page 4...
... Program may serve as a valuable model for a coordinated system-wide research response to public health emergencies. In addition, to facilitate early identification of health threats to Embassy personnel, the committee suggests an expanded role for health attachés.
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Key Terms

  • sudden onset
  • clinical features
  • distinctive clinical
  • clinical heterogeneity
  • chronic symptoms

  • dos employees
  • committee suggests
  • brain injury
  • government employees
  • plausible mechanisms

  • embassy personnel
  • contributing factor
  • symptoms suffered
  • potential causes
  • research response

  • provide advice
  • clinical symptoms
  • auditory symptoms
  • health literature
  • health presentation

  • clinical manifestations
  • health risks
  • additional public
  • proper public
  • affecting dos

  • health threats
  • patient clinical
  • expeditious public
  • clinical assessment
  • nonspecific chronic


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