DISEASE RISK ASSESSMENT PROFILE

File: 970101_sep96_decls9_0003.txt
Page: 0003
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
           All febrile episodes should be reported to a physician, who
           should be made aware of the possibility of malaria. In general,
           relapsing malaria is easily treated and not life-threatening.

               Personal protective measures (such as peoper 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 ade-
           quate 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.
               No chemoprophylaxis is recommended  for transit of the Red'
           Sea, without-a port visit, since vessels in transit are not
           considered at risk.

           7. Other Vector Borne Diseases

               Low risk. Diseases reported   to be present, current levels
           unclear, include: Leishmaniasis (approx. 2.6 cases per 10,000
           Pop.), Filariasis, onchocarciasis, Viral Encephalitis, Sandfly
           fever, Tick Borne Relapsing fever, Typhus and Dengue. Cutaneous
           Leishmaniasis is endemic along the border with Iraq and coastal
           plains of the Persian Gulf. Major foci are reported to include
           Riyad, Al Kharj, El Hassa, and Bisha. Visceral Laishmaniasis is
           reported from the northern Yemen border areas and along the Red
           Sea coast, primarily in the Asir, Bisha, Ranyah and southern'
           Mecca areas. The disease occurs mainly in infants and young
           children, although cases occur in all ages in the plateaus and
           foothills of the Asir range in the South-Western provinces. Dogs
           presumably are the enzootic reservoir. The incidence rises from
ay and Aug. Most
           cases respond well to Sodium stibogluconate, or solf-heal. Viral
           Encephalitis (type unspecified) cases have been reported from
           Sindbis in the eastern province. onchocerciasis and Filariasis
           have been historically reported from the southwestern and coastal
           regions. Flea Borne Typhus has been reported in the eastern
           regions and along the Yemeni border. Relapsing fevers are
           reported in low endemic rates. Dengue has historically been
           reported along the coastal plains of the Persian Gulf and Red
           Sea. Q-Fever is holoendemic among indigenous population of the
           Eastern provinces. Sylvatic Plague is endemic along the Yemeni
           border (no human cases in recent years). Plague immunizations
           are not recommended for routine port visits.

           8.   Disease Vector Information
               Important malaria vectors could include Anopheles    culffcies
           An. superpictus, An. stephonsi, An. fluviatilis, An.     pulcherri-
           mus, An. sergentii and An. multicolor       An. sergentii , An.

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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