Seroconversion for infectious pathogens among UK military personnel deployed to Afghanistan, 2008–2011

Edmund N.C. Newman, Penelope Johnstone, Hannah Bridge, Deborah Wright, Lisa Jameson, Andrew Bosworth, Rebecca Hatch, Jenny Hayward-Karlsson, Jane Osborne, Mark S. Bailey, Andrew Green, David Ross, Timothy Brooks, Roger Hewson

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Military personnel are at high risk of contracting vector- borne and zoonotic infections, particularly during overseas deployments, when they may be exposed to endemic or emerging infections not prevalent in their native countries. We conducted seroprevalence testing of 467 UK military personnel deployed to Helmand Province, Afghanistan, during 2008–2011 and found that up to 3.1% showed seroconversion for infection with Rickettsia spp., Coxiella burnetii, sandfly fever virus, or hantavirus; none showed seroconversion for infection with Crimean-Congo hemorrhagic fever virus. Most seroconversions occurred in personnel who did not report illness, except for those with hantavirus (70% symptomatic). These results indicate that many exposures to infectious pathogens, and potentially infections resulting from those exposures, may go unreported. Our findings reinforce the need for continued surveillance of military personnel and for education of health care providers to help recognize and prevent illnesses and transmission of pathogens during and after overseas deployments.

Original languageEnglish
Pages (from-to)2015-2022
Number of pages8
JournalEmerging Infectious Diseases
Issue number12
Publication statusPublished - 1 Dec 2014

Bibliographical note

Publisher Copyright:
© 2014, Centers for Disease Control and Prevention (CDC). All rights reserved.


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