DISEASE RISK ASSESSEMENT PROFILE

File: 102596_sep96_decls1_0014.txt
Page: 0014
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







            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
            may 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 recom-
            mended 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 to moderate risk. The predominant species in the
            foothills and oases is Plasnodium falciparum. P. vivax is the
            predominant form in the highlands and P. malariae is also
            present. No Chloroquine resistance confirmed. Resistance is
            suspected in the Tihama coastal region. Risk exists in all areas
            except for Hajja and Sada provinces. Risk exists below 1400
 urban areas in affected provinces. Period of
            greatest risk is from Sep thru Feb. Chemoprophylaxis with
            chloroquine and terminal prophylaxis with chlorocruine/primaquine
            are recommended for all personnel on a routine port visit to risk
            areas. For visits to risk areas with possible resistance,
            contact NEPMU-7. Personal protective measures (such as proper
            clothing, DEET, and bed nets) should always be stressed.

                NOTE: Primaquine should not be given to persons known to be
            G6PD defficient. Individuals who do not receive primaquine
            should be counselled that they may experience a delayed case of
            relapsing (vivax or ovale) malaria weeks to years after exposure.
            All febrile episodes should be reported to a physician, who
            should be made aware of the possibility of malaria. In general,
            relapsing malaria is easily treated and not life-threatening.
            Medical Department personnel should review the laboratory and
            clinical diagnosis of malaria, as well as treatment. An adequate
            supply of treatment drugs such as Fansidar, Quinine, and/or
            Mefloquine should be readily available. A recommended reference

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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