DIARRHEAL DISEASES

File: 102596_sep96_decls2_0024.txt
Page: 0024
Total Pages: 28

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




            I. Communicability:             RABIES
                 A.    Route:     virus laden saliva of an infected animal
                       introduced by a bite.

                 B.    isolation of patients: contact isolation for saliva and
                       respiratory secretions.        Transmission to attending
                       personnel has not been documented.

                 C.    Contact prophylaxis:     contacts with an open wound or
                       mucous membrane that has been exposed to the patients
                       saliva should receive post-exposure prophylaxis.

            II. incubation period: 14 to 60 days (10 days to one year);
                   95% are within one year.

            Ill. Diagnosis:
                   A.  Symptoms and signs: nonspecific syndrome of malaise,
                       fatigue, headache and fever lasting 2-10 days with
                       pain and paraesthesia at the bite site in over 50%.
                       Syndrome merges to an acute encephalomyelitis with
                       apprehension and hyperactivity progressing to spasm of
                       the swallowing muscles and hydrophobia.

                   B.  Laboratoryt
                       Diagnosis confirmed by specific fluorescent antibody
                       staining of brain tissues.          No useful antemortem
                       diagnostic findings that would change management,
                       although corneal impression smears or a skin biopsy of
                       the    neck   above    the   hair    line,   stained    with
                       inimunofluorescent antibody, can confirm the diagnosis.

            IV. Duration%
                      Treated: death in weeks to months.
                      Untreated: death in days to weeks following onset of
                        clinical symptoms.

            V. Complications: usual multiple complications of comatose ICU
                   patient.

            VI. Treatment:
                  1.  No specific anti-rabies chemotherapy available; treatment
                       is directed solely at supportive care.
                   2.  Pre-exposure prophylaxis not indicated for routine
                       deployment to the Middle East.
                   3.  Post-exposure prophylaxis. should be given to anyone who
                       is bitten by dog, cat, fox or jackal and considered in
                       any other exposure.
                       a. cleanse and flush wound ASAP with copious water and
                       soap.
                       b. thorough wound cleaning and debridement under medical
                       supervision, leaving wound open if possible.
                       c. single dose of human rabies immune globulin (HRIG)


    1598

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