How to manage a norovirus outbreak during military training?

Question

Hello doctor,

Norovirus outbreak during wilderness survival training has affected 85 individuals across three camps in remote locations. Medical evacuation is hindered by a blizzard. Several individuals show severe dehydration at high altitudes (9,000 feet), and one group lacks clean water access for 36 hours. Survival equipment is contaminated. A case of delirium with fever is concerning. The satellite medical unit has limited IV fluids, and two instructors have developed hematemesis. The next supply drop is 48 hours away.

Should we abort the whole training program?
What is the risk of hypothermia with severe dehydration in these conditions?

The nearest emergency response team is four hours away by ground.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

This is an emergency. I request that you reach out to the emergency services in your area.

Treatment plan

Kindly secure IV (intravenous) access and commence intravenous fluid normal saline or Ringer’s lactate.
Give Zinc tablet if available, 40 mg (milligrams).
Give ORS (oral rehydration solution) in addition to IV fluids.
Give probiotics if available.
Monitor vitals closely.
Give Acetaminophen (analgesic and antipyretic) if there is a fever.
Ensure isolation of those affected.
Ensure regular hand washing.
Use chlorinated water to clean surfaces.
Call for help, because this can be overwhelming.

Kindly consult a physician, discuss with them, and start taking the medications with their consent.

Revert with the answer to assist further.

Thank you, and take care.

Regards.