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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




            Communicability    MENINGOCOCCAL DISEASE

            A.  Route: Person to person by respiratory droplets
            B.  ISOLATION OF PATIENTS = respiratory isolation for first
                24 hours of antibiotic therapy; disinfect nasal and
                pharyngeal secretions and material contaminated with them.
            C.  PROPHYLAXIS OF CONTACTS:
                1.  Intimate and household contacts, including barracks
                    and  tent-niates should receive:
                    a.   i) Rifampin 600 mg orally q 12 h x 4 doses, or
                         ii)  Ceftriaxone (Rocephin) 250 mg IM, one dose,
                              or
                         iii) Ciprofloxacin 500 mg q 12 h x 5 days, orally
                               plus
                    b. Meningococcal vaccine, unless this has been
                         received within two years.
                2. Casual contacts need not receive prophylaxis.

        II.   INCUBATION: 3-4 days (range 2-10 days).

        III. DIAGNOSIS

                   Meningococcal infection may be asymptomatic, or may
              present as a self-limited flu-like illness (without sequelae),
              as meningitis, as fulminant septicemia (meningococcemia) or
              as combined meningitis-septicemia.       Clinical signs and
              symptoms will vary with the type of presentation.

              A. SYMPTOMS
                   1.  Meningococcemia-very abrupt onset with fulminant
                       course:
                       fever
                       headache
                       malaise
                       diarrhea (occasionally may be severe)

                   2.  Meningitis:   onset may be abrupt or subacute
                       (several days):
                       headache
                       fever
                       malaise
                       photophobia
                       nausea/vomiting
                       back ache


              B. SIGNS
   1.  Meningococcemia
                       fever
                       tachycardia
                       generalized muscular tenderness
                       petechiae/purpura/ecchymoses - both skin and
                             mucosal

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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