FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 328:1061-1068 April 8, 1993 Number 14

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

The Four Horsemen of the Apocalypse -- War, Famine, Pestilence, and Death -- ride the arid plains of Somalia. Despite the protection offered by modern chemoprophylaxis, immunization, and preventive medicine, military personnel safeguarding food delivery in Operation Restore Hope are threatened by exotic infectious diseases rarely seen by U.S. physicians. Some require prompt treatment to prevent death (Table 1). Many other infections acquired in Somalia will appear soon after exposure, some will become evident after the troops return home, and others will remain latent unless host immunity is compromised. Physicians caring for Somalis, particularly displaced persons in refugee . . . [Full Text of this Article]

Acute Infections That May Be Rapidly Fatal

Other Acute Infections

Infections with Possible Delayed Presentation

Latent Infections That Present in Immunocompromised Hosts

Infectious Causes of Mortality in Refugee Camps

Conclusions

Source Information

The opinions or assertions herein are the private views of the authors and are not to be considered as official or as reflecting the views of the Departments of the Army or the Air Force or the Department of Defense.

Address reprint requests to Dr. Heppner at the Department of Immunology, Walter Reed Army Institute of Research, Washington, DC 20307-5100.

References

Related Letters:

Infectious Diseases in Somalia
Smart R., Heppner D. G., Magill A. J., Gasser R. A., Oster C. N.
Extract | Full Text  
N Engl J Med 1993; 329:889-890, Sep 16, 1993. Correspondence

This article has been cited by other articles:

• Kassirer, J. P. (1999). Should Medical Journals Try to Influence Political Debates?. NEJM 340: 466-467 [Full Text]  
• Mankin, H.J., Wu, H.C. (1996). Case 9-1996- A 21-year-old African woman with thoracolumbar pain and fever. NEJM 334: 784-789 [Full Text]  
• Smart, R., Heppner, D. G., Magill, A. J., Gasser, R. A., Oster, C. N. (1993). Infectious Diseases in Somalia. NEJM 329: 889-890 [Full Text]