DISEASE RISK ASSESSMENT

File: 970101_sep96_decls8_0002.txt
Page: 0002
Total Pages: 3

Subject: DISEASE RISK ASSESSMENT                                         

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box  ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:          5

Folder Seq  #:          2





                                      UNCLASSIFIED
        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-coun-
        try 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

            No malaria risk. Imported cases are reported in foreign
        workers. No chemoprophylaxis recommended.

        7. Other Vector Borne Diseases

            Low risk. Diseases considered to be present, current levels
        unclear, include: Leishmaniasis, sandfly Fever, Tick Borne
        Relapsing Fever, Tick Borne Typhus, and Dengue.

        8. Sexually Transmitted Diseases

            Low risk. All forms are reported to be present. PPNG has
        not been reported. 23 cases of AIDS have been reported to the
        WHO as of February 1990. Avoidance of sexual contact is the best
        prevention, but if contacts occur, "safe" sexual practices, such
        as use of condoms, are strongly advised. Treatments and contact
nd
        the Sep 1, 1989, MMWR, 111989 Sexually Transmitted Disease
        Guidelines." (Vol. 38, No. S-8)

        9. Animal Associated Diseases

            Low risk. Rabies is reported to be enzootic countrywide and
        in the neighboring eastern provinces of Saudi Arabia. The
        reservoir in Saudi Arabia is the jackal. The prevalence in the
        animal population in unclear. Risk areas should include all
        urban and rural areas.

            It is recommended that personnel be prudent in their contact
        with all domestic and wild animals. General guidance for the
        management of animal bites is found in NAVMEDCOMINST 6220.4,
        "Rabies Prevention and Control."  If there are any questions,




                                   UNCLASSIFIED

Document 3 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/disease risk assessment:1224960906539
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 ASSESSMENT
Document Seq # = 5
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 = 24-DEC-1996