PERSIAN GULF GENERAL INFORMATION

File: 102596_sep96_decls3_0013.txt
Page: 0013
Total Pages: 16

Subject: PERSIAN GULF GENERAL INFORMATION                                

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:          3

Folder SEQ  #:          2







             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 is Plasmodium
         vivax, with P. falciparum and P. malariae also being occasionally
         reported. Malaria risk exists from Mar-Nov in rural areas of the
         provinces of Sistan-Baluchistan and Hormozgan, the southern parts
         of the governorates of: Fars, Kohgiluyeh-Boyar, Lorestan, and
         Chahar Mahal-Bakhtiani, and the north of Khuzestan. Risk exists
         below the altitude of 1500 meters. No urban risk is reported.
         An increased incidence of malaria was reported in 1989.    Approx-
n the south (south
         of the Zagros Mountains, along the Persian Gulf) and in the
         southeast (Sistan-Baluchistan), vectored by Anopheles stephensis
         in the south and An. culicifacies in the southeast (AFMIC, DOW
         31 JAN 90). Chloroquine resistance reported. Chloroquine resis-
         tance is suspected on the southeastern border with Afghani-
         stan/Pakistan based on unconfirmed clinical reports.   The
         presence of Mefloquine resistance is suspected.

             No Chemoprophylaxis needed for routine urban port visit. For
         other types of visits contact NEPMU-7. Personal protective
         measures (such as proper clothing, DEET, and bed nets) should
         always be stressed.

            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
         is the Navy Medical Department Guide to Malaria Prevention and
         Control.

Document 16 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/persian gulf general information:1018961450014
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 = PERSIAN GULF GENERAL INFORMATION
Document Seq # = 3
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