Experience in organizing the work of doctor-nurse teams of joint detachments of the Russian Federation’s Armed Forces in the Italian Republic under the supervision of medical epidemiologists


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Abstract

The Italian Republic was one of the most affected countries with the novel coronavirus infection in March 2020. As a demonstration of solidarity in the fight against the novel infectious disease, the Russian Federation sent its specialists to the Lombardy Region at the center of the epidemic. Objective. To analyze the use of forces and means of the medical service of the Russian Federation’s Armed Forces together with the specialists of the Min istry of Health of Russia and the Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being on the territory of the foreign state in the context of the global spread of the novel coronavirus infection. Subjects and methods. The experience with sanitary-anti-epidemic (preventive) and treatment-and-prophylactic measures was analyzed in the Field Hospital of the Association of Alpine Shooters at the FIERA DI BERGAMO’s Exhibition Center in Italy in the context of the COVID-19 pandemic. The work was done by 8 doctor-nurse teams, each of which included an epidemiologist, an anesthesiologist/resuscitation specialist, a general practitioner, and an intensive care nurse (a total of 32 specialists). Results. During their work in the field hospital, the Russian healthcare professionals treated 115 local residents with severe SARS- CoV-2; 76 of them were discharged after recovery, before returning to their homeland, the Russian specialists referred the remaining patients to Italian colleagues to continue their treatment. Conclusion. The work of physicians and nurses as part of the joint detachment of the Russian Federation’s Armed Forces in Italy made it possible to exchange experience with anti-epidemic measures in the localization and elimination of the consequences of the COVID-19 pandemic and the management of patients with this disease.

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About the authors

Dmitriy V. Trishkin

Main Military Medical Directorate, Ministry of Defense of Russia

Email: ngvmu@mail.ru
Cand. Med. Sci., Head

Maksim G. Kuandykov

Main Military Medical Directorate, Ministry of Defense of Russia

Deputy Head

Igor I. Azarov

Main Military Medical Directorate, Ministry of Defense of Russia

Email: igorazarov@yandex.ru
Principal State Sanitary Inspector

Vasily G. Akimkin

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: crie@crie.ru
MD, Academician of the Russian Academy of Sciences, Director

Alexander A. Kuzin

S.M. Kirov Military Medical Academy

Email: paster-spb@mail.ru
MD, Associate Professor, Associate Professor, Department of General and Military Epidemiology

Alexandr P. Yumanov

Branch, S.M. Kirov Military Medical Academy

Email: yuman-1980@yandex.ru
Cand. Med. Sci., Associate Professor, Department of Military Health Care Management

Viktor V. Kolesnikov

S.M. Kirov Military Medical Academy

Email: quadrat-vk@yandex.ru
Cand. Med. Sci., Associate Professor, Associate Professor, Department of General and Military Epidemiology

Alexey V. Smirnov

S.M. Kirov Military Medical Academy

Email: sm.aleksey2017@yandex.ru
Cand. Med. Sci., Deputy Head, Department of General and Military Epidemiology

Natalya Yu. Pshenichnaya

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; National Medical Research Center for Phthisiopulmonology and Infectious Diseases, Ministry of Health of Russia

Email: pshenichnaya@cmd.su
MD, Deputy Director for Clinical and Analytical Work

Alexey A. Degtyarev

Main Center for State Special-Purpose Sanitary and Epidemiological Surveillance, Ministry of Defense of Russia

Email: degtyaryoff@gmail.com
Senior Medical Examiner, Planning Department, Administrative and Planning Division

Alexey Yu. Tatarenko

Center 988 for State Sanitary and Epidemiological Surveillance, Ministry of Defense of Russia

Email: tatarinlexa@mail.ru
Head, Department of State Sanitary and Epidemiological Surveillance (over Strategic Missile Forces)

Alexey V. Filippov

Center 988 for State Sanitary and Epidemiological Surveillance, Ministry of Defense of Russia

Email: sony.user78@gmail.com
Head, Department of State Sanitary and Epidemiological Surveillance (for Airborne Troops)

Mikhail M. Davidov

Center 988 for State Sanitary and Epidemiological Surveillance, Ministry of Defense of Russia

Email: gvmu@bk.ru
Head, Head, Department of State Sanitary and Epidemiological Surveillance (over Naval Fleet)

Alexey N. Spirichev

Center 637 for State Sanitary and Epidemiological Surveillance, Ministry of Defense of Russia

Email: spirichev_a@mail.ru
Head, Head, Disinfection Department, Epidemiological Division

Alexander V. Semenov

Research Institute of Viral Infections, State Research Center of Virology and Biotechnology «Vector», Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia

Email: alexvsemenov@gmaii.com
BD, Head, Yekaterinburg Research Institute of Viral Infections

Dmitriy V. Dmitrakovich

Main Military Medical Directorate, Ministry of Defense of Russia

Email: ddmitrakovich@yandex.ru
Head, International Military Cooperation Group

References

  1. Here Comes the Coronavirus Pandemic: Now, after many fire drills, the world may be facing a real fire, The New York Times, 29 February 2020. https://www.nytimes.com/2020/02/29/opinion/sunday/corona-virus-usa.html
  2. Семенов А.В., Пшеничная Н.Ю. Уроки эпидемии COVID-19 в Италии. Инфекция и иммунитет 2020; 10(3): 410-20. doi: 10.15789/2220-7619-LTL-1468
  3. Cesari M., Proietti M. COVID-19 in Italy: Ageism and Decision Making in a Pandemic. J. Am. Med. Dir. Assoc. 2020; 21(5): 576-7. DOI: 10.1016/j. jamda. 2020.03.025
  4. Кузин А.А., Дегтярев А.А., Еремин Г.Г., Юманов А.П. Особенности применения средств индивидуальной защиты в очагах новой коронавирусной инфекции. Эпидемиология и Вакцинопрофилактика 2020; 19(6): 4-7. doi: 10.31631/2073-3046-2020-19-6-4-7

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