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An assessment of illness in U.S. government employees and their families at overseas embassies

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서명/저자사항An assessment of illness in U.S. government employees and their families at overseas embassies/ Julie A. Pavlin, David A. Relma, editors ; Standing Committee to Advise the Department of State on Unexplained Health Effects on U.S. Government Employees and Their Families at Overseas Embassies, Health and Medicine Division, Division on Engineering and Physical Sciences, National Academies of Sciences, Engineering, and Medicine.
개인저자Pavlin, Julie,editor,
Relman, David A.,editor,
단체저자명National Academies of Sciences, Engineering, and Medicine (U.S.). Standing Committee to Advise the Department of State on Unexplained Health Effects on U.S. Government Employees and Their Families at Overseas Embassies.issuing body.
형태사항1 online resource (1 PDF file (xii, 64 pages)).
총서사항Consensus study report
기타형태 저록Print version: National Academies of Sciences, Engineering, and Medicine An Assessment of Illness in U. S. Government Employees and Their Families at Overseas Embassies Washington, D.C. : National Academies Press,c2020 9780309681377
ISBN9780309681377
0309681375
9780309681407
0309681405
9780309681384
0309681383
서지주기Includes bibliographical references.
요약In late 2016, U.S. Embassy personnel in Havana, Cuba, began to report the development of an unusual set of symptoms and clinical signs. For some of these patients, their case began with the sudden onset of a loud noise, perceived to have directional features, and accompanied by pain in one or both ears or across a broad region of the head, and in some cases, a sensation of head pressure or vibration, dizziness, followed in some cases by tinnitus, visual problems, vertigo, and cognitive difficulties. Other personnel attached to the U.S. Consulate in Guangzhou, China, reported similar symptoms and signs to varying degrees, beginning in the following year. As of June 2020, many of these personnel continue to suffer from these and/or other health problems. Multiple hypotheses and mechanisms have been proposed to explain these clinical cases, but evidence has been lacking, no hypothesis has been proven, and the circumstances remain unclear. The Department of State asked the National Academies to review the cases, their clinical features and management, epidemiologic investigations, and scientific evidence in support of possible causes, and advise on approaches for the investigation of potential future cases. In An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies, the committee identifies distinctive clinical features, considers possible causes, evaluates plausible mechanisms and rehabilitation efforts, and offers recommendations for future planning and responses.
기금정보주기This activity was supported by Contract 19AQMM19C0090 between the National Academy of Sciences and the Department of State. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
주제명(지명)United States
China
Cuba
일반주제명Diplomatic and consular service, American --Health and hygiene.
Neurologic manifestations of general diseases.
Diagnosis, Differential.
Chronic diseases.
Neurologic Manifestations
Diagnosis, Differential
Symptom Assessment
Chronic Disease
Occupational Exposure
Government Employees
Manifestations neurologiques des maladies.
Diagnostics diffe?rentiels.
Maladies chroniques.
Diplomatic and consular service, American --Health and hygiene.
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