• 1.

    Coton T, 2011. Acute diarrheas among French soldiers in Djibouti. Am J Trop Med Hyg 84: 174.

  • 2.

    Sharp TW, Thornton SA, Wallace MR, DeFraites RF, Sanchez JL, Batchelor RA, Rozmajzl PJ, Hanson RK, Echeverria P, Kapikian AZ, Xiang XJ, Estes MK, Burans JP, 1995. Diarrheal disease among military personnel during Operation Restore Hope, Somalia, 1992–1993. Am J Trop Med Hyg 52: 188193.

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  • 3.

    Solaymani-Mohammadi S, Genkinger JM, Loffredo CA, Singer SM, 2010. A meta-analysis of the effectiveness of albendazole compared with metronidazole as treatments for infections with Giardia duodenalis. PLoS Negl Trop Dis 4: e682.

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In Response

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  • 1 Bayne-Jones Army Community Hospital
  • | 2 Fort Polk, LA
  • | 3 E-mail: remington.nevin@us.army.mil
  • | 4 Direction Centrale du Service de Santé des Armées
  • | 5 Paris, France
  • | 6 E-mail: lenaickollivier@hotmail.com
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Dear Sir:

We thank Dr. Coton for his kind letter1 and agree with his assessment that other gastrointestinal pathogens not specifically addressed in our recent paper, particularly Giardia duodenalis, present ongoing challenges to military personnel serving on deployments in Djibouti, and elsewhere.

Although published information is lacking on the incidence of giardiasis specific to deployed French Forces, a research study conducted between 1992 and 1993 during a previous United States military operation in neighboring Somalia found Giardia in 3 of 113 specimens (3%) collected from service members presenting with diarrhea or with high fever.

Dear Sir:

We thank Dr. Coton for his kind letter1 and agree with his assessment that other gastrointestinal pathogens not specifically addressed in our recent paper, particularly Giardia duodenalis, present ongoing challenges to military personnel serving on deployments in Djibouti, and elsewhere.

Although published information is lacking on the incidence of giardiasis specific to deployed French Forces, a research study conducted between 1992 and 1993 during a previous United States military operation in neighboring Somalia found Giardia in 3 of 113 specimens (3%) collected from service members presenting with diarrhea or with high fever.

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