That's absolutely the reality for many. Disclosure, particularly the neuropsychiatric side effects related to mefloquine in serving military members, is a black box subject. Certainly my husband experienced that. I know that many of his colleagues who experienced side effects would never report them for fear of their careers being damaged by that process.
One of the issues compounding that has been that when people have come forward and disclosed their issues associated with quinoline antimalarials, they have had to do that in the broad public domain to gain recognition. They have often been openly attacked or faced very negative career consequences because of that. I think that absolutely has been the experience within military circles to date, so changing the attitude around reporting is something that is critically important.
I know that a lot of military organizations are working to try to get that safe disclosure environment as part of the modern military concept. It is a significant challenge and it certainly is an impediment to many people coming forward to report their side effects, even if they were side effects that occurred a very long time ago and are now related to relatively minor health issues.