DISEASE RISK ASSESSEMENT PROFILE

File: 102596_sep96_decls1_0007.txt
Page: 0007
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







         active ,locus on the Mediterranean coast around Alanya in Anatalya
         province.

         S. Disease Vector Information

             Important malaria vectors include Anopheles sacharovi (the
         primary   mosquito vector), An. superpictus, An. claviger, An.
         pulcherrimus, and An. maculipennis. An. sacharovi has been found
         resistant to DDT Dieldrin and Lindane, Fenitrothion, Fenthion,
         Jodfenphos, Chlorpyrifos, Chlorphoxim, Phoxim, Propoxur, Malathion
         and Parathion. The human body louse has also been found resistant
         to DDT. Aedes aegypti would be the main vector of Dengue Fever in
         urban areas with other species of aedes assuming a more significant
         role in transmission in forest areas. Ae. aegypti is known to be
         resistant to DDT, Dieldrin and Lindane.

         9. Sexually Transmitted Diseases

             Moderate risk: All forms are endemic. PPNG is present. As of
         April 88 health officials stated that 52"Aids patients" have been
         registered. Only 31 cases have been reported to the WHO as of Jan
         90.  Avoidance of sexual contact is the best prevention, but if
         contacts occur, "safe" sexual practices, such as use of condoms,
         are strongly advised. Treatments and contact management should be
         in accordance with NAVMEDCOMINST 6222.1 and the Sep 1, 1989, MMWR,
         111989 Sexually Transmitted Disease Guidelines." (Vol. 38, No. S-8)

         10. Animal Associated diseases

             Low risk:  Rabies is highly enzootic and endemic countrywide
         with hundreds of deaths annually.    on 1 Feb 89 the villages of
         Firinli, Edipli and Karaevliler in Izmir Province were put under
         rabies qurantine after a villager     was bitten by a rabid dog.
         Peviously, Ordu Province was experiencing a marked     increase in
         animal rabies. The increased reporting of rabies quarantines and
ease in animal
         rabies incidence in the ordu region.    Anthrax is reported to be
         moderately endemic in animal populations. Four cases of Anthrax
         were reported from Gurgen (Guneyce district of Rize ) in Nov 86.
         Brucellosis occurs countrywide. It is recommended that personnel
         be prudent in their contact with all domestic and wild animals.
         General guidance for the management of animal bites is found in
         NAVMEDCOMINST 6220.4, "Rabies Prevention and Control." If there
         are any questions, bites of any kind should be reported promptly to
         local public health authorities and/or to NEPMU-7.           It is
         adviseable to have Human diploid cell rabies vaccine (HDVC) and
         rabies immune globulin (RIG) for post-exposure treatment should it
         be indicated.


         11. Other Health considerations

             Low Risk: Schistosomiasis (Schistosoma haematobium) is endemic
         in the southeast along the border with Syria in the villages of
         Gundek, Gerbia and Kinnik, along the Sublak River, Nuseabin, i.e.,

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