DISEASE RISK ASSESSMENT PROFILE

File: 970101_sep96_decls9_0002.txt
Page: 0002
Total Pages: 5

Subject: DISEASE RISK ASSESSMENT PROFILE                                 

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box  ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:          6

Folder Seq  #:          2





                                  UNCLASSIFIED


         tice, unpe@led fruits and vegetables should be avoided, Local
         street food vendors should be avoided. Meat should be thoroughly
         cooked. Raw milk and raw fish should not be consumed.
             Typhoid immunizations should be up to date. All persons
         should have completed a polio vaccine series. Furthermore,
         anyone without a documented polio booster as an adult should
         receive one dose of either OPV or IPV. Cholera immunizations are
         not routinely recommended.

             Immune Globulin (IG) for Hepatitis A is not routinely recom-
         mended 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-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

lasmodium
         falciparum. P. vivax and P. malariae are also present. Risk
         is year round at all altitudes. Risk is greatest in all areas
         in the Western provinces bordering the Red Sea Coast, especially
         from Khaybar south, in the Asir and Tinamat valleys around and
         north of Sikaka. The eastern and central provinces and the
         cities of Jp-ddah, Mecca and Medina are without risk. Also the
         areas of Alhasa, Arar, Jauf, Qurdiya, Riyad, Tabuk and Taif are
         without risk. No drug resistant forms reported, although some
         Chloroquine resistance is suspected. Peak risk is Nov-Mar.

             Chemoprophylaxis with chloroquine and terminal prophylaxis
         with chloroquine/primaquine are recommended for personnel
         visiting risk areas. For other types of visits contact NEPMU-7.

              NOTE: Primaquine should not be given to persons known to be
         G6PD defficient. Individuals who do not receive primacluine
         should be counselled that they may experience a delayed case of
         relapsing (vivax or ovale) malaria weeks to years after exposure.

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                                     UNCLASSIFIED

Document 5 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/disease risk assessment profile:12249609065310
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 PROFILE
Document Seq # = 6
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