DISEASE RISK ASSESSEMENT PROFILE

File: 102596_sep96_decls1_0006.txt
Page: 0006
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








            Raw milk and raw fish should not be consumed.

                Typhoid immunizations should be up to date. All persons should
            have    completed a polio vaccine series.       Furthermore, anyone
            without a documented polio booster as an adult should receive one
            dose of either OPV or IPV.          Cholera immunizations are not
            routinely recommended.

                Immune Globulin (IG) for Hepatitis A is not routinely
            recommended for    brief (several days) port visits in urban or
            tourist areas. One can      minimize exposure to Hepatitis A by
            avoiding potentially contaminated water or food. Drinking water
            (and beverages with ice) of unknown purity, uncooked or partially
            .cooked shellfish, and uncooked fruits or vegetables which are not
            .peeled or prepared by the traveler should be avoided.

                  Immune globulin (gamma globulin) is recommended, however, for
            those whose travel is outside usual tourist routes, those who nay
            be unavoidably exposed to food or drinking water in settings of
            questionable sanitation (ex. certain local hosted parties), those
            who will be in contact with local young children in settings of
            poor sanitation, and to those who will be in-country for prolonged
            periods (several weeks). For such travelers, a single dose of IG
            prophylaxis of .02 ml/Kg (approx. two (2) cc deep intramuscular
            injection for the average adult) is recommended for travel less
            than three (3) months. For longer periods of travel, a different
            dosage, as well as other unrelated preventive medicine concerns
            must be addressed and can be provided by NEPMU-7.

            6. Malaria

                Low risk. P. vivax is the only Malaria species currently
            reported. Moderate endemicity exists along the Mediterranean coast
rovinces of southeast Anatolia from the coastal city of
            Mersin to the Iraqi border,     (Cukorova Area and Amikova Area) ,
            although the theoretical risk for an epidemic exists in the Adana
            region due to dam construction and irrigation.     Risk is greatest
            from Mar through Nov.      No drug resistant forms are reported.
            Unofficial reports of increasing numbers of travelers contracting
            vivax malaria in Turkey indicate that the risk of malaria along
            the southern coast      of Turkey may have increased.      Risk to
            travelers now appears to exist as far west as Antalya.
                Chemoprophylaxis with chloroquine and terminal prophylaxis with
            .chloroquine/primaguine are recommended for travel in risk areas
            during main risk periods. Personal Protective measures (such as
            proper clothing, DEET, and bed nets) should always be stressed.

            7. Other Vector Borne Diseases

                Low risk. Diseases historically reported but with uncertain
            endemicity    levels include:    Boutonnouse Fever, Dengue Fever,
            Filiariasis and Cutaneous Leishmaniasis.      Boutonneuse Fever has
            been reported from coastal areas.    Leishmaniasis is reported from
            the southeastern regions. Filariasis historically reported in an

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