Does the Balkan Syndrome Exist? – the Belgian Experience

نویسنده

  • JACQUES MYLLE
چکیده

Belgian soldiers have participated in Crisis Response Operations since the early nineties. The first deployments took place in the Balkans. These real life operations led to health problems that looked quite similar to experiences in other Task Forces sent abroad but the pattern did not fit into any disease diagnostic. Hence, new descriptive labels were invented; e.g. the “Cambodia syndrome” in the Netherlands’ troops, or the “Gulf war syndrome” among British and American soldiers. Therefore, this “new illness” – as a result of the Balkan deployment – was named the “Balkan syndrome”. After much criticism, among others, that the higher command was hiding information about the health condition of the deployed soldiers, the Belgian Medical Service started to record all symptoms/complaints of soldiers (designated to deployments) before, during and after deployment, as reported in their personal medical file. These reported complaints were put in a large database using the International Classification of Primary Care (ICPC-2) to encode those complaints. The database contains data of 4521 soldiers. In this presentation we will first pay attention to aspects of nosography in general and secondly to the clinical epidemiology of the observed complaints in particular. Given that no consistent clinical image appeared, the conclusion is that there is no syndrome (in the strict sense) and thus that the “Balkan syndrome” does not exist.

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تاریخ انتشار 2013