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File: aaaak_04.txtPRIORITY UNCLASSIFIED PAGE 02 OF 02 RHDJGAA 0048 SECTION 02 OF 03 000837 14/0002Z IMMUNIZED IN ACCORDANCE WITH SERVICE REOUIREMENTS FOR DEPLOYMENT TO THE DEPLOYMENT AREAS. THE FOLLOWING STANDARD IMMUNIZATIONS ARE RECOMMENDED: TETANUS/DIPHTHERIA TOXOID (TD) - BASIC SERIES WITH 10 YEARS BOOSTER. POLIOVIRUS VACCINE (ORAL) - BASIC SERIES PLUS ONE BOOSTER. YELLOW FEVER - EVERY 10 YEARS. IF IS NOT NECESSARY TO UNDERGO HIV SCREENING PRIOR TO RECEIVING ORAL POLIO OR YELLOW FEVER VACCINE UNLESS CLINICALLY INDICATED. TYPHOID - SINGLE DOSE SHOULD BE ADMINISTERED UNLESS IMMUNIZED WITHIN THE PAST 3 YEARS: RE-IMMUNIZATION IS REQUIRED AT TIME OF DEPLOYMENT TO AOR IF MORE THAN 3 YEARS HAS ELAPSED SINCE PREVIOUS DOSE, SMALLPOX PLAGUE CHOLERA, AND RABIES (HDCV) VACCINE ARE NOT RECOMMENDED. IMMUNIZATION CERTIFICATE MAY BE REQUIRED BY HOST COUNTRY IF PERSONNEL ARRIVE FROM ANOTHER AOR COUNTRY WHERE CHOLERA IS PRESENT (2) MENINGOCOCCAL VACCINE QUADRIVALENT IS RECOMMENDED TO PERSONNEL, NOT VACCINATED WITHIN THE PAST 5 YEARS, WHO EXPECT PROLONGED, CLOSE CONTACT WITH LOCAL NATIONALS, ESPECIALLY CHILDREN, DURING THEIR DEPLOYMENT. IT MUST BE UNDERSTOOD THAT OCCASIONAL, CASUAL CONTACT IS NOT REPEAT NOT A SUFFICIENT REASON TO VACCINATE. CURRENT MEDICAL INTELLIGENCE ANALYSIS INDICATES THAT RISK OF MENINGITIS WILL BE EXTREMELY LOW TO DEPLOYED SERVICE MEMBERS DURING ANTICIPATED ACTIVITIES. DISEASE ACTIVITY WILL BE MONITORED UNTIL DEPLOYMENT AND RECOMMENDATIONS FOR IMMUNIZATIONS MAY BE SUBJECT TO CHANGES AS REQUIRED. K. CHEMOPROPHYLAXIS GUIDELINES (1). CHEMOPROPHYLAXIS SHOULD BE CONSIDERED AS "SECOND-ECHELON- PREVENTION. PERSONAL PROTECTIVE MEASURES OF ALL TYPES TAKE PRECEDENCE OVER CHEMOPROPHYLAXIS, AND MUST BE PURSUED WITH VIGILANCE. (2) IMMUNE GLOBULIN (I. S. G. GAMMA GLOBULIN) IS RECOMMENDED FOR DEPLOYMENT TO ALL COUNTRIES IN THE AOR. IMMUNE GLOBULIN 2.0 CC IM SHOULD BE USED FOR SHORT-TERM TRAVEL OF 3 MONTHS OR LES5: 5.0 CC IM SHOULD BE USED FOR LONG-TERM TRAVEL (UP TO 5 MONTHS) (3) MALARIA CHEMOPROPHYLAXIS SHOULD OCCUR AS FOLLOWS: NO PROPHYLAXIS NECESSARY FOR UNITS DEPLOYING TO EGYPT. BAHRAIN OR U. A. E. (4) PERSONNEL DEPLOYING TO OMAN SHOULD USE WEEKLY CHLOROQUINE PROPHYLAXIS AND TERMINAL WEEKLY PROPHYLAXIS WITH CHLOROQUINE/PRIMAQUINE (C-P) FOR 8 WEEKS. THE SAME CHEMOPROPHYLACTIC MEASURES ARE REQUIRED IN SAUDI ARABIA ONLY IN THE RED SEA COAST REGION OUTSIDE OF THE URBAN AREAS OF JEDDAH AND TAIF PREGNANT FEMALES AND G-6-PD DEFICIENT PERSONNEL SHOULD NOT USE PRIMAQUINE. IT IS NOT NECESSARY TO ROUTINELY TEST FOR G-6-PD DEFICIENCY PRIOR TO USE OF PRIMAQUINE, UNLESS INDIVIDUALS ARE OF MEDITERRANEAN-ANCESTRY OR WILL BE EXPOSED TO REPEATED TREATMENTS (THIS GUIDANCE APPLIES TO ONE WEEKLY.TERMINAL PROPHYLAXIS WITH PRIMAQUINE ONLY.) L. SEXUALLY-TRANSMITTED DISEASES (STD) (1) HIV AND HEPATITIS B ARE PRESENT, ESPECIALLY AMONG PROSTITUTES. STRICT AVOIDANCE IS RECOMMENDED. AS HETEROSEXUAL TRANSMISSION AMONG NON-PROSTITUTES OCCURS AS WELL. ABSTINENCE FROM SEXUAL ACTIVITY OF ANY KIND IS RECOMMENDED. CURRENTLY, NO COUNTRY IN THE USCENTCOM AOR REQUIRES CERTIFICATION FROM MILITARY PERSONNEL ON OFFICIAL DUTY TO BE DOCUMENTED HIV-NEGATIVE. HOWEVER. TRI-SERVICE GUIDANCE DICTATES THE FOLLOWING: A. ARMY ACTIVE DUTY COMPONENTS REQUIRE HIV TESTING WITHIN 2 YEARS IF OCONUS DEPLOYMENT IS LESS THAN 180 DAYS. FOR DEPLOYMENT GREATER THAN 180 DAYS, HIV TEST WITHIN 6 MONTHS IS REQUIRED. ARMY RESERVE COMPONENTS REQUIRE HIV TEST WITHIN 2 YEARS IF DEPLOYMENT IS LESS THAN 30 DAYS, BUT WITHIN 6 MONTHS IF DEPLOYED FOR MORE THAN 30 DAYS. B. AIR FORCE ACTIVE DUTY AND RESERVE COMPONENTS REQUIRE HIV TESTING UTILIZING SAME STANDARDS AS ARMY RESERVE COMPONENTS. (CORRECTION: USE ARMY ACTIVE DUTY STANDARDS PER HQ MAC/SGPM) C. NAVY AND MARINE ACTIVE AND RESERVE FORCES MUST HAVE HIV TEST WITHIN 1 YEAR OF OCONUS DEPLOYMENT. D. HIV TESTING SHOULD OCCUR PRIOR TO RECEIVING IMMUNE GLOBLIN. HOWEVER, IF HIV TESTING OCCURS AFTER IMMUNE GLOBLIN. ADMINISTRATION OF IMMUNE GLOBLIN A PERIOD OF 30 DAYS MUST ELA TO BT 0048 UNCLASSIFIED
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