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Subject: DIARRHEAL DISEASES                                              

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:         16

Folder SEQ  #:          2








                  confirmation is required for epidemiologic purposes,
                  culture or specialized application of indirect
                  immunofluorescent antibody after cross absorption of
                  patient's serum with specially prepared antigen from
                  other rickettsial species.

         IV. Duration
              A: Treated: 2-3 days till defervescence
              B. Untreated: up to 16 days till defervescence

         V. Complications
             Very uncommon.

         VI. Treatment
              A.  Standard:
                  1. Tetracycline 25 mg/kg/day divided into 4 doses orally
                      until day 3 after defervescence
              B.  Alternatives:
                  1. Doxycycline 100 mg BID orally until 3 days after
                      defervescence
                  2. Chloramphenicol 50 mg/kg/day divided into 4 doses
                      until 3 days after defervescence.
              C. Relapse
                  1. Rare in marine typhus-retreat with original regimen.

         VII. Disposition: local hospitalization, anticipate return to
                             duty in 1-2 weeks.

         VIII. Prognosis - excellent; even untreated cases should recover
                            without sequelae.

         IX. Public Health Measures
              1. Insecticide application to rat runs and rat-infested
                  areas to kill fleas'
              2.  After effective insecticide applications, rat-elimination
                  measures including poisoning and trapping are indicated.
              3.  Rat-proofing human quarters.

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Document 28 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/diarrheal diseases:1018961450003
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 = DIARRHEAL DISEASES
Document Seq # = 16
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