DISEASE RISK ASSESSEMENT PROFILE

File: 102596_sep96_decls1_0005.txt
Page: 0005
Total Pages: 16

Subject: DISEASE RISK ASSESSEMENT PROFILE                                

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:          7

Folder SEQ  #:          2




                                  UNCLASSIFIED


          Pre'parer by, NEPMU-7, Naples, Italy
          Date of last review/revision: 10 Aug 1990

          PLAD: NAVENPVNTMEDU SEVEN NAPLES IT//04//
          Address: Box 41 FPO New York, NY 09521-4200
          Phone: AV 625-4468 or COMM 039-081-724-4468/9 or 4470
          Fax: 0039-81-762-4174

          1. Pass to Medical.

          2.   The following Disease Risk Assessment Profile (DISRAP) on
          Turkey has been prepared by NEPMU-7.       In assigning measures of
          risk (high, moderate, low) to diseases, we are indicating the risk
          of acquisition during a routine port           visit or in-country
          deployment of brief (3 weeks or less) duration unless otherwise
          stated. If your operations in Turkey differ from the above (such
          as   extended in-country missions) , please contact NEPMU-7 for
          possible changes in assignments of disease risk.

          3. We encourage user feedback and/or information relevant to this
          DISRAP.       Contributions from deployment reports and Port
          Surveillance Questionnaires       (contained in NEPMU-7 Medical
          information Advisory) are incorporated into         updates of our
          DISRAPS.

          4. This information should not be considered current after March
          1991.

          5. Gastrointestinal Diseases

              Moderate risk. These disorders will probably have the greatest
          impact on personnel. Routine Travellers diarrhea (E. Coli) is the
          most significant threat.     Diseases known to exist at mode rate
          levels of endemicity include:      Typhoid and Paratyphoid Fevers,
          Salmonellosis, Shigellosis, Viral Hepatitis,          Amebiasis and
          Helminthiasis (includes Echinococcosis). Scottish CDSC reported
          an increase in incidence of Hepatitis A in travelers  to Turkey. 462
          cases of Hepatitis A virus infection was reported in Jan 90,
uing a 3 year long upward trend (AFMIC, DOW, 31 Mar 90).
          Typhoid was reported in Ankara (Dec 86) and Sarakoy (near Denizli
          in SW) in Jul 87. Cholera outbreaks historically occur every few
          years; suspected outbreaks in Kayseri province and Trabzon occurred
          in Aug-Sep 86.    Although unconfirmed, numerous sources reported
          cases of cholera in Southeastern Turkey through Sep 89,           and
          cholera was recently confirmed in two European tourists upon their
          return from Turkey (AFMIC, DOW, 31 Dec 89).

              The most important preventive measure is avoidance of
          contaminated water and food. Presume all local water (including
          ice) is not potable, even in hotels and restaurants. All water
          consumed should be either bottled or      treated.   Uncooked foods
          likely to be contaminated with local water (for example: lettuce,
          unpeeled fruits and vegetables) should be avoided. Local street
          food vendors should be avoided. Meat should be thoroughly cooked.

Document 16 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/disease risk assessement profile:1018961449592
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303811
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS NAVAL MESSAGES FOLDER 1
Folder Seq # = 2
Subject = DISEASE RISK ASSESSEMENT PROFILE
Document Seq # = 7
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996