HUMANITARIAN OPERATIONS ORAL ABSTRACTS

MA MUTOMBE Lieutenant Colonel Mutombe’s specialties are public sanitarian health care and health economics. He is the Deputy Director of Research, Strategic Studies and Planning, General Directorate of the Military Health Service, Kinshasa, Democratic Republic of Congo. He has a General Practice Degree and a Master of Public Health (Health Economics) from Kinshasa National University. LTC Mutombe speaks French, English and Lingala. He is married, has 5 children and is Roman Catholic. He was born in Kinshasa, Democratic Republic of Congo.

Socio-Demographic and Epidemiologic Profile Of Kinshasa Population At The Medflag 10

Situakibanza H, Kabanda K. G., Mbuyi M. A. Kinshasa University Clinic INTRODUCTION: MEDFLAG 10 was the name of the joint military medical exercise between United States Army in Africa (USARAF) and Armed Forces of the Democratic Republic of Congo (FARDC), a Humanitarian Civic Action (HCA) was organized from 11 to 15 September 2010 in Kinshasa. Medical care was freely given to the population. The aim of the study is to establish the

socio-demographic and epidemiologic profile of this population. METHOD: 1870 files of the patients admitted during the HCA were validated and their socio-demographic and epidemiologic data were studied. RESULTS: Majority of the patients (84%) consulted for an affection of general medicine, 16% for odontopathies. Most patients were between 45 and 49years, male to female ratio was 1.8:1. On average 466 patients were seen per day. 43.5% lived in Funa district. In different frequencies, transmissible pathologies (malaria 33%, intestinal parasitosis 11.2% and genital infections 11.6%) while non transmissible pathologies (rheumatism with 17.6%, HTA with 9.6%, dyspepsias with 12.8%) made up the rest. More men (56.7%) than women presented HTA after 40 years. Genital infection was found with more occurrences (68%) between 20 and 49 years among women, and between 40 and 64 years for men. CONCLUSION: More men than women attended the HCA. The selection bias was in favour of inhabitants of Funa District. Both transmissible and non transmissible pathologies were observed.

KEY WORDS: MEDFLAG 10, HCA, Socio-demographic, Epidemiologic, transmissible pathologies, Non transmissible pathologies.

XIANG SHIPING Xiang Shiping was born on 1st December, 1958. He studied Medicine at Hubei Medical University (HBMU), China between 1994-1997, then (Project management), Naval Engineering University of the China People's Liberation Army, between 1998-2001. He has served as Deputy Director, Director, Navy Guilin Military Sanatorium (2000-2005), Director of NO.421 Military Hospital (2005-2007) and is Deputy Director of Guangzhou General Hospital�Guangzhou military Command since 2007. He is also Deputy Chief, the Hygiene society of Guangdong Medical Association and Committee member, the Health Management Committee of PLA Medical Association.

Experience of the China Medical Team with Emergency Medical Relief in Burma after Cyclone Nargis

Xiang Shiping, TU Weifeng, JI Hongbiao, et al. Guangzhou General Hospital of Guangzhou Military Command, Guangzhou 510010, (CHINA). Objective: To review and summarize the experience and lessons learnt by Chinese Medical Team, being as the first organizational hospital, going to Burma take part in international emergent medical relief for 2 weeks after “5·02” Cyclone Nargis. Methods: The experience and comprehension were

retrospectively summarized and analyzed in the transnational emergent medical relief and epidemic prevention following the “5·02” Cyclone Nargis powerful tropical storm. Results: During the period of aiding Burma to join in disaster medical relief for 2 weeks, Chinese Medical Team totally provided the medical service for 3,197 patients, of which 58 cases being anaesthetized and operated on, 180 cases for acute and chronic pain relief, 80 cases for postoperative monitoring and infusion therapy, and 2 cases of severely critical acute respiratory dysfunction being rescued successfully. The diverse auxiliary examinations such as clinical laboratory tests, and ultrasonic and X-ray checkouts, 561 cases, were completed. Two hundred and sixty-seven species of the diverse drugs and medical equipment were sent, Five hundred and ten times of water quality and food were inspected, Five hundred square kilometers were disinfected., More than 30 Burma party epidemic prevention personnel were trained. Before returning back, Chinese Medical Team donated Myanmar a great deal of medical rescue supplies, medicine, materials and equipment including 2 ambulances and 2 luxury middle-sized bus. Conclusion: It is hopeful that these can provide a typical sample and the successful experience to fulfill the analogous diverse military tasks abroad and to ensure the independent medical service. Key words: international medical assistance, disaster relief; tropical cyclone

LEONIE VAN DEN HEEVER Colonel Leonie van den Heever was born on 12 January 1954. She obtained a Masters in Business Administration (MBA) at the University of Pretoria from 1998-2000. She obtained a Postgraduate Diploma in Hospital Dietetics at the University of the Free state in 1975 and a Baccalaurette degree in Dietetics at the University of Pretoria from 1972-1974. She has been employed by the South African Military Health Service since 1990 and is currently the Senior Staff Officer Dietary Service. She is responsible for the ddevelopment of Ration Packs and Ration Scales and is a member of South African National Defence Force Hospitality Service Workgroup. She is a registered dietician with the Health Professions Council of South Africa. Energy Intake and Free Living Energy Expenditure Of Learner Special Forces Operators During Different Training Phases

L. Van Den Heever, South African National Defence Force Introduction: Surveys were conducted to establish the energy expenditure and nutritional intake of Special Forces (SF) learners on minor tactics, pre-selection and selection phases. The purpose of the research was to establish whether adequate nutrition is provided. Methodology: Food was provided according to the South African National Defence Force Ration Scale. The researchers weighed sample meals and individual leftovers at mealtimes and collected containers of snacks and drinks. The intake of energy (EI) and nutrients and the percentage energy derived from macronutrients were calculated. Nutritional analyses were completed and compared to the Dietary Reference Intakes1.Energy expenditure (EE) was established by the doubly labelled water technique.Results: The nutritional intakes of macronutrients compared favourably with prudent guidelines. The intake of most other nutrients was well above the recommended daily allowance. The total EE and EI were not well matched. During minor tactics training there was an average deficit of 3 345kJ per day. During preparation phase the average daily EE was 3 300kJ higher than the EI. This is apparent in the mean body mass loss of 1.54kg during 6 days. During selection the mean daily EE was 27 460kJ. The EI was not established. The EI and EE comparison highlighted significant individual variance in soldiers performing the same training. Conclusion: Additional supplementation of energy with energy-dense carbohydrate rich preparations need to be considered for certain individuals and particular training phases.

ESSAM NLO’O Dr ESSAM NLO'O received his undergraduate education at Mohammed V University; he then completed postgraduate training in cardiology at the Abidjan Cardiology Institute. From 2003 to 2005, Dr ESSAM NLO'O served as medical officer at the Department of Internal Medicine, Yaounde Military Hospital; in 2005, he was appointed Chief of Medical Services at the Fire Fighters Department. He currently serves at the Cardiology Department in Yaounde Military Hospital. Dr ESSAM NLO'O is member of Cameroon Cardiac Society and the French Society of Cardiology.

The Epidemiologic and Therapeutic Aspect of Hypertension within the Cameroonian Military Hospital Environment.

A. Essam Nlo’o, O.Hamadou, N. Sileu, E. Bizome. Ministry of Defence, Yaounde, Cameroon. Objective: Analysing the epidemiologic and therapeutic caracteristics of (TAH) at the military hospital cardiologist service department of Yaounde. Methods and Material: Retrospective

descrition and analytic studies of 102 hypertensive patients using WHO criteria from January to December 2010 at the military Hospital in Yaounde. Database: Sex, age, quality of the military or civillian; certain cardiovascular risks as well as the indices of body masse were reviewed. The blood preasure and the treatment recieved were also noted. Result: Amongst 612 patients admitted during the year 2010, the TAH represent 16,8% of consultations; the average age of the patients were between 55.2 +13.2 years ; a slight feminine predominance with a sex ratio of 0.7 was noted. The patients in most cases were civilians (71.8%) than military (28.15%). Other risk factors were recoreded as follows : 64% over weight or obessed patients, 5.8% Tobacco intoxicants patients, 50.5% Alchoholics patients ; 9.7% diabetics patients, 20.6% TAH heriditory patients. Systologic pressure in average of 170mmhg(140-231), diastolic pressure in average of 100.43mmhg (63-160). The bitherapy fix has been established in (71.5%) cases. The monotherapy followed with calcic inhibitors (2.4%), the diuretic in (11.74%). A tritherapy has been prescribed in (13.72%) casas.Conclussion: The TAH (Therapeutic Aspect of Hypertension) remains a major cardiovascular risk factor. Its prevalence in the cardiology service departmnet of the military hospital in Yaounde is weak despite its national prevalence of 30%, the explaination is certainly due to low patronage of the Yaounde military hospital to the benefit of other health formations. Its global reach nevertheless is overtaken by the control of other cardiovascular risk factors. The medicinal treatment depends much on the habits of the medical teams.

SH IRAVANI

Comparison of Fecal Calprotectin Level as an Inflammatory Factor in Iranian General Population and Army PersonnelIravani SH, Azimzadeh P AJA University of Medical Sciences – Tehran- Iran Background: Fecal Calprotectin is released in the colon by activated nutrophils. Investigation of diagnostic application of determination of fecal Calprotectin levels is considered by many researchers to compare between different colorectal diseases like Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Diseases (IBD). Objective: The main goal of this study was to compare the level of fecal Calprotectin between patients with IBD and IBS and healthy control subjects for determination of probable relationships between this molecular marker with considered gastrointestinal diseases in Iranian general population (1st phase) and Army personnel (2nd phase). Method: This study was prospective and sample collection method was using available samples (Convenience sampling). We collect stool samples from subjects with corresponding data collection form. Determination of Calprotectin levels was done by specific third generation ELISA kit and statistics were done using SPSS software. Results: Mean Calprotectin level in three included groups were 202.4 micrograms per gram in IBD group, 24.4 micrograms per gram in IBS group and 25.2 micrograms per gram in healthy control subjects. Fecal Calprotectin level in IBD group was significantly higher than Healthy controls (P<0.001). Despite the little increase in Calprotectin levels

in IBS group compared with control group this difference wasn’t statistically significant (P>0.05). Conclusion: Determination of fecal Calprotectin levels as a cost effective and non invasive test could be used by military physicians for early diagnosis of inflammation in IBD patients and differentiation between these patients with IBS subjects. Keywords: Inflammatory Bowel Diseases, Irritable Bowel Syndrome, Inflammation, Calprotectin.

MOHSEN HAZEINOLABEDINI Mohsen Hajzeinolabedini lives in Tehran, Islamic Republic of Iran. He graduated with MSc. Degree in Educational Management. He has accomplished some seven projects and published fifteen articles in local and international journals. Currently, he is the Manager of Educational Department, Headquarters, Police Force Medicine, Islamic Republic of Iran.

A Comparative Study of Police Force Medicine Service Members Job Motivation Based on Herzberg`S Theory

Askarian M., Bagheri SH., Shirzad H. Aghdam H. Research Center-Head Quarter of Police Force Medicine, Tehran, (IRAN) Background: The main objective of this article is to measure and compare education service member’s job motivation in NAJA based on Fredrick Herzberg`s Motivation-Hygiene Theory. Method: A descriptive-survey research method was employed. A sample of 82 education service members was selected through a proportionate classified sampling method. The data-gathering instrument included a 81- item researcher-made questionnaire. The instrument coefficient reliability was estimated 0.881 and its content and internal validities were also determined. Results: The results indicate that the hygienic factors contributed more than motivation factors to job motivation of the members. Meanwhile, job safety, salary and gratitude and praise in work played a more positive role in job motivation of the members. Moreover, there was no significant difference with regard to the relationship between demographic variables such as sex, age, educational credentials and the academic ranking. Key words: Motivation, job motivation, hygienic factors, motivation factors, motivation factors, education service,NAJA

A BARSUKOV Some Predictors of Orthostatic Hypotension in Young Regular Servicemen Suffering from Acute out of Hospital Viral-Bacterial PneumoniaBarsukov A., Karimova A., Shustov S., Gordienko A. Military medical academy, S.-Petersburg, (RUSSIA) Background: Acute infectious disorders increase probability of orthostatic unfavorable hemodynamic reactions occurrence irrespective of a gender and age. Objective: To determine some factors associated with of orthostatic hypotension (OH) in young males suffering from out of hospital non severe viral-bacterial pneumonia. Methods and design: There were investigated 108 males (mean age 20,1 ± 1,6 years), from them 64 had acute pneumonia and 44 were healthy volunteers. Everybody were underwent to active orthostatic test (AOT) (European society of neurologists recommendations, 2006). AOT was made with regular heart rate and blood pressure control. Heart rate variability (HRV) was assessed by spectral analysis of 5 minutes rhythm-cardiogram recording in horizontal position before and during AOT. In state of bed rest there were researched plasma levels of angiotensin I and aldosteron. Dispersion statistic analysis of anthropometric, hemodynamic, HRV and neurohumoral parameters totality was accomplished. Results: Prevalence of OH was 18% among males with acute faze of pneumonia and 7% among healthy volunteers (p<0,05). On the basis of AOT result patients

with pneumonia were subdivided into two groups (OH positive (+) and OH negative(−)). OH+ persons

demonstrated lower body mass index (BMI, kg/m2) then OH− patients (21,5±1,4 vs 22,9±2,1; p<0,05). According to the dispersion analysis some signs and factors turned out associated certainly

with OH (OH+ patients vs OH− ones): lesser BMI (F-criterion 4.8; p=0.033), lesser magnitude of initial low frequency (LF, ms2) waves density and total power of spectral waves (TP, ms2) before standing up (F-criterion 7,4; p=0,009; F-criterion 3,6; p=0,06 respectively), lower aldosteron level (ng/ml) (F-criterion 11,6; p=0,001). Conclusions: The phenomenon of orthostatic hypotension in young patients with out of hospital pneumonia is associated with lesser BMI, transitory functional insufficiency of sympathetic pattern and aldosteron secretion in comparison with persons who have normal orthostatic tolerance.

TAHIR OSHE UMARMajor General Tahir Oshe Umar was born on the 23 August 1954 in Iyamoye Ijumu in Kogi State, Nigeria. He attended educational institutions at Gombe and Maiduguri before moving to the Ahmadu Bello University in Zaria for his MBBS course from 1974 to 1979. He received a Federal Government Merit Scholarship Award in his first year in the Medical School. He returned to the University Teaching Hospital in 1985 for a postgraduate course in Internal Medicine. He obtained a Fellowship of the West African College of Physicians in 1992. His dissertation on Electrocardiographic Changes in healthy young Adult Nigerians following physical conditioning put him more into the realms of cardiology in his professional practice. In the Nigerian Army, he has served at unit, command and administrative levels at various times in his service. He is presently the Chairman of the Ministry of Defence HIV Programme under the Emergency Plan Implementation Committee in collaboration with the United States Department of Defence. His hobbies include reading, music and sports. Counterpart Funding as a Veritable Tool for Ensuring Programme Sustainability: The NMOD-USDOD HIV Programme ExperienceTahir Oshe UMAR, Chairman, Emergency Plan Implementation Committee, Ministry of Defence, Abuja, (NIGERIA). Background: Planning for programme sustainability is a key contributor to health and development, especially in developing countries. The eventual ownership of ‘donor driven’ health programmes hinges on the establishment of a sound community involvement and robust sustainability mechanism. The President’s Emergency Fund for AIDS Relief (PEPFAR) was accessed by the US Military HIV Research Programme (USMHRP) to provide preventive, care and support activities in the Nigerian Military Health Facilities. The Programme is now in its 6th year of implementation in partnership with the Nigerian Ministry of Defence (NMOD). The efforts of USMHRP have been complemented by the recipient nation (Nigeria) through counterpart funding. Budgetary allocations are made from the Federal Government of Nigeria to complement the resources provided through PEPFAR. Objective: To highlight the gains of recipient’s counterpart funding in the NMOD-USDOD HIV program and assurance of its sustainability. Result: The counterpart funding mechanism has enhanced human capacity building, strengthened the existing health infrastructure of implementing sites, improved service delivery, facilitated formation PLWHA support groups, and increased enthusiasm by both partners. Also, the number of benefitting sites has increased from 4 in 2005 to 20 in March 2009. Conclusion: The sustained efforts towards reducing HIV/AIDS to a level that it will no longer be a public health burden in Nigeria has been enhanced by the recipient partner’s counterpart funding. With this effort, sustainability of the programme is guaranteed. Recommendation: The counterpart funding mechanism should be adopted by all recipient countries.

DONG GANG Associate Professor (Colonel, MD) Dong Gang was born on 6th August, 1971. He attended the Quartermaster University of People’s Liberation Army, Veterinary Public Health between 1990 1nd 1994, from where he obtained a Bachelor’s degree. At the same university, he studied genetics of laboratory animals, obtaining a Master’s degree. He has served as Staff Officer, Laboratory Animal Center, General Hospital (301 Hospital), PLA. Currently, he is Director of the Office of Diseases Control, Academy of Military Medical Sciences.

Experiences with and Lessons Learned from Earthquake Rescue and Epidemic Prevention in Yushu

Dong Gang, Xu Tianhao. The Academy of Military Medical Sciences, General Logistic Department of the Chinese PLA, Beijing, (CHINA).

Based on the experience with earthquake rescue and epidemic prevention in Yushu, the authors analyzed the factors that might have affected the earthquake rescue in Yushu, such as natural conditions, geography, climate and the magnitude of the quake. The hazards to the public health after the earthquake were also identified. This paper is intended to serve as a systematic summary of the experience gained by the military professional rescue personnel in their efforts of epidemic prevention under a cold high-altitude environment in light of epidemic diseases, hygiene of drinking water and foods, sanitation of the environment, species-neutral diseases and plateau diseases. Four proposals are raised: (1) formulating sound and relevant standards and codes for epidemic prevention during peace-time military actions; (2) enhancing the research on applied technology for epidemic prevention in a special area; (3) building a standard reserve for emergency response and preparation; (4) improving the training of personnel for emergency rescue and enhancing their the ability to deal with emergencies.

GODWIN AYUBA

Colonel Godwin Iko Ayuba was born on 28 November 1959 at Maigamo village of Saminaka in Lere Local Government, Kaduna State, Nigeria. He attended All Saints Primary School, Samaru, Zaria then proceeded to Government Secondary School, Kafanchan and the School of Basic Studies Ahmadu Bello University, Zaria, Nigeria. At the same university, he was at the Faculty of Medicine from where he obtained the MBBS degree. He went for residency training in Histopathology and obtained the Fellowship of the the Faculty of Pathology of the National Postgraduate Medical College of Nigeria. He was comissioned 2nd Lieutenant in the Nigerian Army in 1981 and has risen to the rank of Col and Chief Consultant Histopathologist. He has published in peer review journals. Godwin is married to Rebecca and the both have three children. His hobbies include, table and lawn tennis, jogging and reading the bible.Hematological, Anti-Inflammatory and Antioxidant Properties of a Commercial Herbal Preparation, Jobelyn®Godwin Iko Ayuba, Patrick O Erah, Moses O Okubena 68 Nigerian Army Referennce Hospital, Yaba, Lagos, (NIGERIA) Jobelyn® is a herbal preparation whose primary active ingredient is from the leaves of Sorghum bicolor plant that has been used for over a century to treat several diseases. Phytochemical screening revealed the presence of oligomeric and polymeric proanthocyanidins, anthocyanins, monomeric catechins, carbohydrates, protein, saponins, apigenidin and proapigenidin. In vitro studies have revealed that in rabbits and rats with trypanosome-induced anemia, Jobelyn® rapidly increases haemoglobin and packed cell volume levels. Investigation of antioxidant capabilities revealed that Jobelyn® has oxidative radical absorbance capacity (ORAC) of 3,123.0 per mg and antioxidant capacity which is more than 13 well-known antioxidant-rich fruits combined. Animal and in vitro studies, supplemented by epidemiological evidence and human studies, indicate numerous health benefits (including protection from various ailments), associated with the antioxidant effects. In humans, Jobelyn has been shown to increase CD4 counts in HIV positive patients either alone or in combination with antiretroviral drugs making it a possible good alternative and/or supplement to antiretroviral drugs in the management of HIV/AIDS patients. Studies on the effects on lipopolysaccharide-induced cytokine and PGE2 release in human monocytes of healthy human blood donors using enzyme-linked immunosorbent assay (ELISA) indicate that Jobelyn® significantly inhibits lipopolysaccharide-induced release of cytokines (IL-1beta, TNFalpha, IL-6, IL-8) and PGE2. Its selective effect on COX-2 activity makes it a very promising anti-inflammatory medicine with minimal side effects. Results of acute toxicity studies using laboratory animals revealed LD50 values of 215.1mg/kg and 193.4mg/kg for oral and intraperitoneal routes, respectively. It is concluded that

Jobelyn® is safe and useful for the management of anemia and HIV/AIDS, and is a promising medicine for inflammatory diseases and protection against many other diseases.

YU MIN

Professor (Senior Colonel, MD) YU Min was born on 7th May 1963. He is a pecialist in Health Services Management. Between 1979 and 1983, he was at Xi'an Jiaotong University for the Bachelor’s Degree in Science. In 1985, he went to the 4th Military Medical University for a Master Degree in Medicine, obtaining a doctorate at the same university in 1995. He was at London School of Hygiene and Tropical Medicine for a Master Degree of Health Service Management (2003-2004). Between 1988 and 1992, he was a lecturer at the Fourth Military Medical University, becoming Associate professor, between 1995 and 2005 and a full professor in 2010. In 1997, he got the Chinese Oversea -study Scholarship and the WHO Fellowship in 2003-2004. A member of many professional groups, he has been Chairman of Chinese Medical System Engineering Association, Member of Technical Advisory Group of United Nation for medical services of Peacekeeping Operation and a teacher of the ICMM reference Center for the LOAC.t

The Medical Evacuation for UN Peacekeeping Operations: Achievement and Challenge

YU Min1, SONG Yu2.

1 The Health Teaching and Research Division of the Fourth Military Medical University, 2 The Health Department of General Logistics Department (CHINA)

Objective: By analysis of the achievements recorded and the role of medical evacuation system of UN peacekeeping operations, and by discussion of the deficiencies and challenge met in the new situation, advices are given to improve the ability of medical support for UN peacekeeping operations. Methodology: Data of medical evacuation from 2006 to 2007 of UNMIS were analyzed, medical evacuation system of MONUSCO was visited and some of FMO and CMO were interviewed in 2011. Results: UN medical evacuation system played an important role to ensure the life and health of the peacekeepers, meanwhile it faced to severe challenges, such as bad weather, complex terrain and landing sites, limited conditions for night flying, inadequate deployment and use of AMET and long distance between each two of the 4 hospitals. Discussion: The airborne and medical resources should be rationally allocated and the AMETs needed to be well trained for improving the medical evacuation ability of UN peacekeeping operation.

AJ BOLAJOKO Promoting Civil Relationship through Community Health Service

AJ Bolajoko; UR Habib, SO Apetuje, A Anekwe. 45 Nigerian Air Force Hospital, Makurdi, (NIGERIA) Nigeria is a multi ethnic, multi religious country that had undergone a 3 year civil war. Post civil war, demobilized soldiers had problem integrating back into civil life and a number of clashes resulted in different parts of the country. In addition, the advent of the military into politics and governance resulted in a widespread civil distrust of the military as an organization. The objective of this paper is to present means of promoting military civil relationship through community health service. This was done by opening the Nigerian Air Force Base Makurdi’s gates to civilians in the immediate neighbourhood for their general health maintenance and to the whole State and surrounding States for access and uptake of HIV counseling/testing and anti-retroviral (ARV) drugs therapy. The Hospital records show an increase in civilians seeking health services in general practice and specialized care, rising from 7,650 to 21,219 over a 15 month period (July 2006 – October 2007). The number of civilians seeking HIV related services was 3447 counseled and tested with 2737 positives and 2102 on ARV supplied free of charge through American Department of Defence (DoD) and Nigerian Ministry of Defence (NMOD) partnership. In the same period, only 170 soldiers had counseling and testing with 21 positives and on ARVs. The report for 15 months of activities shows a change in attitude of both soldiers and civilians. The civilians see the soldiers as human beings who are also Nigerians and who care about their well being. The soldiers on their part are more ready to accept the civilians with the realization that they are Nigerians who need access to health facility

CORNELIA van STRATEN Dr Cornelia van Straten is currently employed at 1 Military Hospital, Pretoria, Republic of South Africa, as a Maxillo-Facial&Oral Surgeon. Both degrees in dentistry (BChD) and medicine (MBChB) were obtained from the University of Pretoria. Medical Internship was performed in Rustenburg Provincial Hospital, North-West Province of South Africa, and Community Service performed at 1 Military Hospital. Master degrees were obtained from the University of Pretoria and from the College of Medicine of South Africa, in the speciality of Maxillo-Facial & Oral Surgery in 2011. The research was done under the guidance of Prof K.W Butow, at the University of Pretoria’s Facial Cleft Deformity Clinic, the largest Facial cleft clinic in Africa and the second largest in the southern hemisphere. The clinic was initiated by Prof Butow in 1982 and currently has more than 3500 patients and include a multidisciplinary team consisting of Maxillo-Facial & Oral Surgeons, Orthodontists,

Psychologist, Speech therapists, Pedodontist, Geneticist, Community Nursing staff and Prosthodontist. It is also a recognized international training facility for a fellowship in Cleft Surgery. The research has already been presented at IADR (International Association of Dental Research) 2010, Pretoria and at the South African Dental Association (SADA), International Dental Exhibition & Congress (IDEC), November 2010, Durban, South Africa.

Three Syndromes, Connected to the P63 Gene: Peri-Operative Complications

C Van Straten, K-W Bütow, E Honey Departments Maxillo-Facial and Oral Sugery and Genetics, University Of Pretoria Objective: The objective was to evaluate three different syndromes associated with p63 gene mutations, known as Ectrodactyly-Ectodermal-Dysplasia-Clefting syndrome (EEC), Ankyloblaphron Ectodermal Dysplasia Clefting syndrome (AEC or Hay-Wells) and Rapp-Hodgkin (RHS) syndrome, concerning the post-operative complications associated. Methods: Demographic information and in particular the following data is extensively recorded: clinical appearance, associated malformations and the type and complications of the reconstructive surgical procedure. This data was analysed using the Microsoft Excel program. 3352 Cleft Lip and Palate patients were evaluated for these three specific syndromes usually associated with the p63 gene mutation. Results: The analysis presents with 10 (0.30%) cases of p63 associated syndromes: EEC (6), RHS (3) and AEC (1). These three syndromes were recorded with following clinical appearance and associated demographic information - EEC: unilateral right-sided CLA = 1 (female); CLAP = 4 (males) 3 - 2-bilateral CLAP and 1-unilateral right-sided CLAP; female 1 - unilateral left-sided CLAP); hPsP = 1 (female) (3 Black, 2 White, 1 Indian); RHS: bilateral CLAP = 2 (White males); hPsP = 1 (White female); AEC: bilateral CLAP = 1 (White male). Post-operative complications included: stenosis of nasal opening after closure of bilateral cleft lip and columella lengthening (2), premaxilla-prolabium fusion (2), repeated occurrence of oro-nasal fistula (4) and retrognathic development of midfacial structures (3). Conclusions: The three p63 associated syndromes (EEC, AEC, and RHS) were reported in 0.30% of cleft deformities. The majority presented with a bilateral CLAP, and only in males, where females and males had a unilateral CLA and only females an hPsP cleft deformities. The associated ectodermal component of these syndromes most probably had a negative influence on post-operatively wound healing, concerning the nasal, sulcus and palate mucosa. As such, the reconstruction of these three p63 associated syndromes is a challenge to the surgeon.

ALI-MAJIDI Gen. II , MD Ali- Majidi Head Manager of I.R.IRAN Police Medical Organization, graduated in M.D from Shahid Beheshti University of Medical Science in 1986, in Master of Neurosurgery from Tabriz University of Medical Science in 1994. His responsibilities include as Head Manager of Islamic Republic of Iran Police Medical Organization since 2007; Vice-Chancellor Health & Treatment Department of Police Health Center from 2001 to 2006; Head Manager of Medical council of Islamic Republic of Iran Police Medical Organization from 2000 to 2001.

Seatbelt Use in Tehran: Facts and Beliefs

Shirzad H., Majidi A, Bahadorani H. Research Center-Head Quarter of Police Force Medicine, Tehran, Iran Objectives: to describe the underlying reasons that prohibits seatbelt use among citizens of Tehran. Method and Materials: 810 citizens were selected through two-stage sampling. Clusters were defined based on the zip codes and individuals were identified through convenient sampling. The study was approved by Human Subject Committee of Tehran’s Police Department, divisions of Health and Traffic safety. Results: 810 citizen were interviewed (Male/Female=4/1), 62% were active drivers. Mean age of the interviewees was 31 years (range: 20-82 years). Twenty five percent had more than 12 years of education’ 28% of the study population had received at least one ticket and 2% three tickets for not fastening the seatbelt. The preventive importance of seatbelts (55%), fearful of receiving a traffic citation (10%) and combination of these two factors (35%) were the most common reasons for using seatbelts. 91% [of total 810 people] were aware of the safety impacts of seatbelts however only 51% of them used seatbelts frequently. Discussion: enforcement is police study showed that a significant factor that can significantly promotes seat belt use in the community. Providing the legal requirements for further reinforcement of the seatbelt law and changing the seatbelt law to a primary law, accompanied by public education and equipping vehicles with standard seatbelts might significantly increase seatbelt use in the Tehran.

AS MOHAMMED Surgeon Lieutenant Commander AS Mohammed was born on 29th July 1974. He attended the Nigerian Military School, Zaria and thereafter proceeded to Usmanu Danfodiyo University, Sokoto where he graduated as a medical doctor in 2000. In 2010 he obtained the Master of Public Health degree from University of Lagos. He joined the Nigerian Navy in 2001 and has served as a medical officer onboard both the Naval Medical Centre –Nigerian Naval Dockyard and the Nigerian Navy Reference Hospital, Ojo. He was also the Base Medical Officer onboard the Nigerian Navy Finance and Logistic School, Owerrinta from where he proceeded for his residency training. He is currently a senior registrar in public health at the Lagos State University Teaching Hospital, Ikeja. Mohammed is married and has three children. Rational Drug Prescribing Among Doctors at Nigerian Navy Hospitals in LagosMohammed A Shehu, Senior Registrar, Public Health, Lagos State University Teaching Hospital, Ikeja, Lagos (NIGERIA). In rational drug prescribing, patients receive medications appropriate to their clinical needs, in doses meeting individual requirements, for adequate duration, and at the lowest cost. The potential negative consequences of irrational prescriptions justify this study. Objectives: The study sort to assess rational prescribing and factors affecting them among doctors at navy hospitals in Lagos. Methodology: This was a cross-sectional descriptive study. All doctors in the 3 navy hospitals were enrolled while systematic sampling was used to prospectively record 600 drug prescriptions. Data was collected, using a self-administered questionnaire and a prescription survey form. Data was analyzed using the Statistical Package for the Social Sciences version 17. The level of significance was set at 0.05. Results: Although only 16.4% of doctors had ever received any formal training on rational drug use, 85.2% had good knowledge, while, 67.2% had good attitude towards rational prescribing. However, only 29.5% reported good practice. Average number of drugs per prescription was 3.78 +/- 1.6 while generic prescription rate was 51.38%. Percentage antibiotics prescription was 46.3% while percentage injections prescription was 24.5%. Percentage of drugs prescribed from the essential drug list was 91.01%. Most (93.86%) of prescribed drugs were dispensed and average cost of dispensed drugs per prescription was N745.37 +/- 539.05. Seventy-five percent of anti-malarial prescriptions were Artemisinin Based Combinations. Training, duration of practice, being military officers, use of essential drug list, use of standard treatment guideline, health insurance status and age of patients affected rational prescribing. Conclusion: Although knowledge of rational prescribing was good and attitude fair, practice could be greatly improved. All measured drug use indicators showed worse values than WHO. Keywords: Rational drug prescribing, Navy, Nigeria.

KAMAL ABOALI Graduated in M.D from Shaheed- beheshtee university of medical science • Graduated in MMPH (military master primary health) from Baghiatollah university of medical science • Manager of health department of the Iran police force since 2004 • Membership of the Iranian National Committee of AIDS Prevention & Control • Author of following books: - Mental Health Generalities - Diseases Prevention & control - Psychological tests - Usage of Insecticides & disinfectant Guideline • Author of article titled " evaluation of frequency of HIV,HBV,HCV and risk factors in IDU`s in shafagh camp during 2006-2007 " • Author of article titled " a survey on Ureaase test in identifying H.Pylori infection"

Evaluation of Knowledge, attitudes and impact of education on how to apply pesticides in police centers

Colonel Kamal Abooali , Bahareh Younesei, Noroozali Noroozi Naja Health department. Health Office abooali_kamal@yahoo.com

Objectives: Police health departmen of Iran belives on sanitation actions much more than using chemical pesticides in the police centers but sometimes employing other methods such as application of pest toxins (insecticides, rodenticides) becomes unavoidable. Health engeneers and health officials have the responsibility of the operation supervision as squad-leaders. This study was conducted to evaluate knowledge of health engineers and health officials in police centers about different insecticides and correct application of each of them, as well as effects of training on this subject with the aim of weak points recognition and planning future programs on this field. Method: In this descriptive analytical study, 120 health officials from Iran's police centers were chosen as the sample population. A four-part questionnaire which was approved by the University Human Subjects Research Office. Using the questionnaire background information and primary knowledge of the population and then, effects of training on safety knowledge and practices were evaluated. Furthermore, evaluation was made considering some other factors such as working years, gender and education level. Results: Health officials working in large police centers have more background information (higher mean total scores) about the application of pesticides and insecticides in comparison with whom working in police training centers. Attendants with environmental health education got higher mean total scores about integrated application of insecticides. There were no meaningful correlation between working years and the background information. Moreover, no significant correlation was observed between gender and insecticide application information.

Conclusion: Considering the study results, more training on the integrated application of pesticides and employing appropriate type of insecticides for indoor spraying is quite necessary. In addition, results showed that personal protection tools (cloth, glasses, mask) did not provided appropriately, which led to spray men objection during and after spraying operation and needs more authorities' attention in police health department. Key Words: Insecticides, Knowledge, Attitudes, Practices and Training ABODO JACKO Major (Dr) Abodo Jacko was born on 1st of January, 1971 at Bouaké in Côte d’Ivoire. The Best at Ivorian National Physicians Hospital Resident test, he has been Assistant Professor, Department of Internal medicine, metabolic diseases and Geriatrics (Abidjan);- Internist-Endocrinologist-Diabetologist (Military Hospital of Abidjan); and President of Obesity and Diabetes Association of Côte d’Ivoire. He has High Specialization Diploma in Internal Medicine and Geriatrics (France), a University Diploma in Methods and Clinical Research (France), and a University Diploma in Genetics Diagnosis and Genetics Advices (France). He attended the Specialist course in Endocrine, Metabolic disease – Nutrition at Abidjan in Côte d’Ivoire, and has a High Post-Doctoral Diploma in Human Biology. Past appointments include Resident in Internal Medicine and Geriatrics, Marseille, France, Resident in Endocrine – Diabetes, Paris, France. He is the Vice-President of the Ivorian Military Medicine Society, a Member of Francophone Diabetes Society and Vice-secretary General of African Francophone Diabetes Society. In addition, Dr Jacko is a Life Member of the International Diabetes Federation, a Member of French Endocrine Society, Member of European Association for the study of Diabetes and a Member of Ivorian Geriatric Society. He has 20 Publications, 60 communications on Internal Medicine and Diabetes to his credit.

Burden of chronic diseases in the military environment of Côte d’Ivoire.

Abodo Jacko (COTE D'IVOIRE) After China and India, numerous countries in Sub-Saharan Africa are making major leaps in economic development. Meanwhile, urbanization in these countries shows a very fast growth. This phenomenon has, unfortunately, been associated with an increasing rate of obesity, high blood pressure, diabetes, stress, cardiovascular and other non communicable diseases. All social and occupational sectors have been affected. Our study aims is to specify chronic diseases frequency in military environment in Côte d’Ivoire. Methods: From 2000 through 2010, we made a meta-analytical study of works realized in military environment in Côte d’Ivoire (Mmilitary Hospital of Abidjan, military regions Barracks). Results: High blood pressure was has been found in 20-50 % of the cases; post-traumatic stress disorder in 45.45 % of cases; smoking in 27 % of the cases; overweight and obesity in 21 % of cases; the asthma in 18.2 % of cases; the alcoholic consumption in 12.4 % of cases; type 2 diabetes in 5 % of cases. On the other hand, the mobile teams for HIV screening reported 1.13 % whereas UNAIDS gave 4.7 % in the general population of Côte D’Ivoire. Conclusion: While HIV/AIDS prevalence shows a much lower figure compared to the general population drastic decline, non-communicable chronic diseases showed a high prevalence. increase dangerously. A World Bank report (2007) report (2007) of the World Bank predicts that, in less than 10 years, chronic conditions will be the main cause of

death death main cause in developing countries. Also, population ageing associated with these chronic conditions bound to the lifestyle of the most productive population will destroy the countries already fragile economies. Regrettably, defense forces officers of Côte d’Ivoire do not escape this. We must do implement everything possible to slow down these modern times plagues. Key words: chronic diseases, urbanization, military, Côte d’Ivoire.

EBRAHIMNIA MEHDIOrganizational Diagnosis of Integration Medical Education with Staff a Military Health Organization: A Qualitative StudyParsa H. , Abdi A. , Amerion A.,Ahmadizadeh M., Farzaneh A Health Management Research Center, BMSU alimajidi2009@gmail.com Objectives: Special importance has been given to structure for the effectiveness and as an organizational control tool in the management literature. The most comprehensive type of organizational change is organizational restructuring. Integration is a type of structural changes that focus on centralization of decision-making centers, saving resources, increasing effectiveness and reduce incumbency. Organizational diagnosis is introduction to evolution and reconstruction in any organization. It is a systematic process of data collection to effective and profitable interaction in order to solve problems, challenges and environmental pressures and constraints in the organization. This study evaluates the integrated collection strategy of medical education component with health care system in a military health care organization to identify dimensions, strengths and weakness of variables. Methods: this descriptive study with a qualitative approach has been done in 2009 in the senior managers of a military health organization. A targeted sampling was conducted and data analyzed, we using from external evaluation, peer assessment and member evaluation and used renewed coding in order to measure reliability. Results: The integration created centralization of decision-making in staff. Although the integration could crated human resources efficiency with the mechanical structure and provided smaller offices, but cannot reached a lot of effectiveness due to inappropriate strategies, the type of structure and creating a high concentration. Conclusion: the integration had being medical employees familiar and responsible with the new subjects in medical sciences, educational and research, also was interfere affairs headquarters and undermine medical education in line. There was not realizing of some goals of integration. Key words: integration, medical education, services system, organizational structure, Organizational diagnosis

ESMAEIL ALI BAKSHI Esmaeil Ali bakhshi was born on 16th August, 1982 at Nahavand in the Islamic Republic of Iran. He is researcher in Exercise Physiology and Sport Rehabilitation at Ministry of Health and Medicine since 2010. He has a Diploma in Experimental Sciences from Shohadaye Nahavand High School, Nahavand, Iran (1997-1999), B.A degree in Physical Education and Sports Sciences from Arak University, Iran (2001-2005) and later a Master’s of Arts degree in Physical Education from same university, (2005-2007). He also trained under the famous rehabilitation specialist Dr Golpaygani, between 2004 and 2005 in Corrective and therapeutic exercise from Arak Free Instruction Institute. Esmaeil has worked as a professional teacher in Physical Education at Arak University – Science University to MA students of Physical Education (from 2005 to now). He was also Aquatic Therapist of Arak Petrochemical Co. (2007), Deputy of Physical Education office, Arak University (2007) and head of sport teams participating at national universities competitions (2007). His research interests are Exercise rehabilitation, Exercise Science, Exercise Therapy, Sport Medicine, Sport Injuries and Rehabilitation, Sport Manipulation and Sport Physical Therapy. He is a keen sportsman, writer and administrator. Currently, he is Assistant professor and researcher in Exercise Physiology research center of Iran – Exercise Rehabilitation Group from 2010.

A Comparative Study of Massage, Physical Therapies and Compound in the Treatment of Chronic Knee Pain among Members of the Armed Forces

Esmaeil, Alibakhshi, 1, Vahid Sobhani2 1, 2 Exercise Physiology Research Center - Beqyatallah University of Medical Science, Tehran, (IRAN). Introduction: A comparative study of Massage and Physical therapies and Compound in the Treatment of chronic knee pain among members of the Armed Forces. Aim comparative study of Massage and Physical therapies and effect of compound of it on chronic knee pain. Methodology: 45 army males who suffer from chronic knee pain in 3 programs of massage therapy, physical therapy and Compound with average ages of 35/27±2/13 years old from army education centers of Iran randomly were selected at 2011 year. For evaluation the injury used of, MRI, Special Clinical Tests, Rang of Motion (ROM) of Knee and EMG test. Statistics methods, Descriptive statistics and T- student in the level of (P<0.01). Findings: Special Clinical Test (P<0.0061) and MRI (P<0.0025) in 3 programs was more significant. In ROM the Compound program (T=16/336, P<0.0214) had more significant of Massage and Physical therapies. In EMG, Reaction time of Quadriceps muscles in

Physical therapies group was more significant (RT=222.3±12.6, P<0.00251). Conclusions: Physical

therapies, Massage Therapy and Compound significant effective on treated chronic knee pain of army

forces (P<0.001). But Compound treatment in improve of ROM, Reaction time muscle extensor and Clinical tests had more effect than Massage and Physical therapies.

Key words: Physical therapy, Massage therapy, chronic knee pain, Army forces.

OA OGUNBIYI

Brigadier General Obashina Ogunbiyi was commissioned into the Nigerian Army as a 2/Lt on 12 May 1980. He is a Chief Consultant Anaesthetist. He graduated with MBBS degree from the prestigious University of Ibadan, Nigeria. He is a Fellow of the National Postgraduate Medical College of Nigeria (FMCA-Anaesthesia), Fellow of the West African College of Surgeons (FWACS), Fellow of the International College of Surgeons (FICS) and he is a UK-certified Instructor on Basic and Advanced Life Support. In 1997, through a British Government-sponsored Post-Fellowship grant, he undertook sub-specialty training in Intensive Care Medicine at the James Paget University Hospital, Gt. Yarmouth (1997-1999), with working experience at the Royal London Hospital. In 2000, Brig Gen Ogunbiyi was a subject of biographical citation in the renowned MARQUIS WHO’s WHO IN MEDICINE AND HEALTHCARE IN THE WORLD following his outstanding achievements and meritorious contributions in the field of Medicine. This earned him the Chief of Army Staff Commendation same year. He is an avid and professed author of many scientific articles published in local and international peer-reviewed medical journals. Brig Gen Ogunbiyi has held several regimental, command and professional appointments including: Regimental Medical Officer, General Duty Medical Officer and he was the 1st Commander of the UN-COE Level II Hospital (NIMED 1) at El-Geneina, Darfur; Head of Department (Anaesthesia), 44 Nigerian Army Reference Hospital, Kaduna; Director, Field and Curative Medicine, HQ NAMC and presently he is the Director, Military Hospital, Lagos. ’Gen Ogunbiyi is a member of the UN Technical Advisory Group (TAG) for revision of the UN Medical Support Manual that started in March 2011. Military decorations include the Forces Service Star, the Meritorious Service Star and Golden Jubilee Medal. He is happily married, loves meeting new people and occasionally plays squash racket.

The UNAMID-Nigerian Level 11 Hospital: A Pioneering Experience in Medical Support in International Peace Support Operations Obashina Ayodele Ogunbiyi, Military Hospital, Ikoyi, Lagos, (NIGERIA) Introduction: With the transition of the African Union Mission in Sudan (AMIS) to the Hybrid United Nations African Union Mission in Darfur (UNAMID) in 2007, the UN approved the Nigerian Government’s pledge to deploy a Level II Hospital in Darfur in support of UNAMID. Objective: The objective of this presentation is to review the deployment of the 1st Troop Contributing Country (TCC) Level II Hospital in UNAMID with emphasis on challenges and achievements during their tour of duty. Methodology: A retrospective review of the deployment and challenges of the first Nigeria Level II Hospital (NIMED 1) to UNAMID in El-Geneina, Darfur between 13 Sep 2008 and 17 March 2009. The Level II Hospital located in the new Super camp was commissioned by the UNAMID Force Commander on 12 March 2009. Results: The NIMED 1 contingent composed of 96 officers and soldiers made up of 66 medical specialists (including an Aero-Medical Evacuation Team, AMET) and 30 members of the 1x Infantry platoon strength Protection Force with a Brigadier-General (the author) as Commander. With initial constraints of late arrival of Contingent Owned Equipment (COE), lack of hospital infrastructure and difficult operational environments, some personnel of the Level II Hospital were deployed to other team sites in the sector to enhance the capabilities of their Level I Hospital. The Commander, assisted by the UN Sector West Engineering Team designed the layout of the proposed hospital to be sited at the new UN Super Camp. A total of 320 peacekeepers presented mostly with malaria, gastroenteritis and diarrheal symptoms. There were 3 mass casualty incidents (RTA and rebel attacks on UN patrol) with a total of 8 soldiers with severely injured lower limbs out of a total number of 20 peacekeepers involved. Three successful evacuations to Level III Hospital were conducted by the AMET Unit. Long distances and difficult terrain, dearth of Air ambulances and UN bureaucracy were major challenges to medevac. Conclusion: In spite of initial constraints, the pioneer personnel of the UNAMID Level II Hospital, Darfur (NIMED 1) successfully discharged their mandate during their tour of duty from 13 Sep-17 Mar 2009. The pioneer Commander received a Letter of Commendation from the UN Under-Secretary General (DPKO), Mr. Alain De-Roy for the successful establishment of the first COE Level II Hospital in UNAMID. The UN should enhance the capabilities of their Logistic Division when establishing a new PSO mission to mitigate challenges experienced by NIMED I. Keywords: Medical support, Level II Hospital, aero-medical

A VLASOV

Application of the Medical Force (Airmobile) Provision for Medical Emergencies in PeacetimeVlasov A, Shelepov A., Mirgorodskiy A., Gogolevsky A., Lemeshkin R. Military Medical Academy, S.-Petersburg, (RUSSIA). Prediction and prevention of accidents, natural disasters and catastrophes, as well as the elimination of their consequences are one of the sharpest-term global problems. Several regions of the Russian

Federation are currently vulnerable to emergencies in peacetime. Predict the occurrence of most natural and industrial disasters it is difficult or impossible. Despite this, before the service of disaster medicine is a difficult problem to provide urgent and adequate medical assistance to a large number of wounded and sick, arising in a short period. In emergencies may be involved medical units of various ministries and departments, including mobile hospitals Defense Ministry. The issue of participation of military medicine in the care of affected populations as a result of disasters is becoming increasingly important. Military-medical unit is best suited to provide medical assistance to populations in the area of emergency. They are able to quickly advance in the desired area, a fully autonomous, high level of organization and medical equipment. As part of the medical service Airborne Division has a medical unit (airmobile), which is a separate medical military unit of permanent combat readiness and is designed to provide medical parts Airborne Division, in combat operations of all sizes, as well as in peacetime. In addition, to provide medical care to victims of emergencies. The structure and complete-hospital-issue equipment can provide skilled care and 300 wounded a day, may provide the elements of specialized care in the event the hospital relevant professionals. Deployment of airfield evacuation receiver allows the preparation of the victims to further medical evacuation by air to their destinations. During the day, the hospital staff is able to perform 70-80 surgeries, of which up to 40 complexes. All units of the detachment can be transported by any transport, including aviation. Detachment to be in constant readiness for take-off and landing in the disaster areas by planting method. Upon arrival at the crash site of the first stage units (receiver and evacuation department, operating and intensive care) are able to turn around and begin to receive the victims in the shortest time (1.5-2 hours). A deployment of all functional departments in the hospital the full scheme will be achieved through 3-3.5 hours. Thus, analyzing the functionality of the Medical Detachment Airborne Division, it can be concluded with regard to its possible application to provide adequate medical care to victims of natural disasters, accidents and disasters.

Colonel Igor Bukhtiyarov is a graduate of Military Medical Academy named after S. M. Kirov, the City of S.Petersburg. Currently he holds the position of Chief of Scientific Research and Exploratory Institute of Military Medicine of the Military Medical Academy named after S. M. Kirov, the City of Moscow. Colonel Bukhtiyarov is a PhD and a Professor in aerospace medicine, author of numerous publications in the field of military medicine. The officer has been decorated with a number of awards and medals for the distinguished service.

New Solutions for Health Care in the Brigade Branch of Medical Service of the Ministry of Defence of the Russian Federation

IV Bukhtiyarov; NV Murashev; AB Yudin; T A Zavalina Scientific Research and Exploratory Institute of Military Medicine of the Military Medical Academy named after S. M. Kirov, the City of Moscow (RUSSIA). For the brigade branch of medical service in the Russian Federation was developed a set of mobile facilities (MFS) of high degree of readiness for immediate use on the basis of modern deployment tools designed to be used in various climatic and geographic conditions, for the accelerated transfer by the air transport in the area of military conflict or a large-scale emergency. The organizational and staff structure of the MFS is based on the "blocky" principle: management; receiving and sorting department; surgery and dressing department; hospital ward for 75 beds; laboratory department; X-ray room; sanitary-epidemiological department; department of special processing; department of medical intensification and rapid response (mobile medical team); supplying unit; auxiliary unit. There was executed the economic evaluation of MFS implementation by the medical company of the brigade. It was determined separately by the seriously injured, moderately injured and slightly injured. During the work the value life of the saved was calculated according to the amount of the nonrecurring disbursements paid to the families of deceased uniformed personnel. These payments are afforded by the Russian Federation in the amount of 3 million rubles. Excessive economic benefits over the costs for health care show the economic feasibility of MFS usage by the medical company of the brigade with a new image.