The Assessment of Occurances of Urinary Tract Stones at Subtropical Conditions in Mission
Abstract
National military engagement is increasing, both in temperate and subtropical, tropical conditions. Health support must also be prepared for extreme conditions. There are several pathologies whose appearance depends on multiple environmental factors. Urinary tract stone is an asymptomatic disease in most cases, but under heavy physical exertion and some other factors it causes renal colic with an immediate and significant reduction in fighting value. The disease is well diagnosed but currently testing and screening is not a part of the military medical practice. Changed climatic conditions have been assessed for the occurrence of this disease and risk factors have been identified. In our study questionnaire, ultrasonic examination and lab tests were performed at the UN mission in Cyprus and we present the detailed findings. In the study we demonstrate that the chance of incidence of stone disease in a subtropical mission area is fivefold, and we found increased fluid consumption as a protective effect. Based on the results, due consideration should be given to screening for the stone disease and to the recommended detailed training of soldiers.