Article Text

Download PDFPDF
COVID-19: responding to a pandemic on Operation TORAL
  1. Stacey Webster1,2,
  2. A Gough3,
  3. M R Riley4 and
  4. S Makin4
  1. 1 Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine (Research & Academia), Birmingham, UK
  2. 2 Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
  3. 3 16 Medical Regiment, Merville Barracks, Colchester, UK
  4. 4 Academic Department of Military General Practice, Royal Centre for Defence Medicine (Research & Academia), Birmingham, UK
  1. Correspondence to Major Stacey Webster, Emergency Department, University Hospital Plymouth, Plymouth, PL6 8DH, UK; stacey.webster{at}doctors.org.uk

Abstract

Operation TORAL was the UK’s contribution to NATO’s Operation RESOLUTE SUPPORT in Kabul, Afghanistan. Approximately 1000 British troops were deployed in Kabul when the arrival of the COVID-19 pandemic in Afghanistan was declared. This article will describe the challenges faced due to COVID-19 in Kabul.

Medical planning considerations, occupational health issues, implementation of behaviour change and operating as part of a multinational organisation are all discussed, with challenges encountered detailed and potential solutions offered. The use of a suggested framework for ensuring the medical estimate process covered all areas relevant to an emerging viral pandemic —the 4Ds and 4Cs approach—proved particularly useful in the early stages of the pandemic in Afghanistan.

  • COVID-19
  • health policy
  • organisation of health services
  • infection control
  • public health
  • public health

This article is made freely available for personal use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • Contributors SW initiated the idea. SW, AG, SM and MRR wrote and reviewed the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.