PREVENTIVE MEDICINE INFO UPDATED DISRAP 23 AUG 90

File: 970107_sep96_decls4_0002.txt
Page: 0002
Total Pages: 6

Subject: PREVENTIVE MEDICINE INFO UPDATED DISRAP  23 AUG 90              

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box  ID: BX303902

Folder Title: CONVULSION ANTIDOTE FOR NERVE AGENT EXPOSURE                                                    

Document Number:          2

Folder Seq  #:          1






                                       UNCLASSIFIED


        INFORMATION ADVISORY) ARE INCNRPORATED INTO UPDATES OF OUR DISRAPS,
        4, THIS INFORMATION SHOULD NOT BE CONSIDERED CURRENT AFTER MARCH
        19910
        5,   GASTROINTESTINAL DISEASES, HIGH RISK* THIS GROUP WILL PROBABLY
        HAVE THE GREATEST IMPACT ON PERSC)MNEL, ROUTINE TRAVELLERS DIARRHEA
        (E* COLI) IS THE MOST SIGNIFICANT THREAT* DISEASES KNOwt4 TO HAVE
        MODERATE yo HIGH ENDEMIC RATES INRLUDE: TYPHOID (14 CASES PER 10#000
        POP,) AND PARATYPHOID FEVERS, SALMONELLOSIST SHIGELLOSIST VIRAL
        HEPATITIS (7o7 HEP A AND 13,3 HEP B CASES PER lOtOOD POP*)P AMEBIASI$
        (3*9 CASES PER 10POOO POP.)R GIARDIASTS AND HELMINTHIABIS, SAUDI
        ARABIA HAS THE HIGHEST REPORTED HEPATITIS 8 CARRIER RATE IN THE
        MIDDLE EAST, 60% OF THE SAUDI POPULATINN EXPERIENCES HEPATITIS b
        VIRUS INFECTION* AMEBIASIS IS PRFSENT COUf4TRYWTOE AND ESPECIALLY
        ALONG COASTAL PLAINS OF THE PERSIAN GTILF# THE RED SEA ANO ALONG THE
        COMMON BORDER VITTH IRAQ* CHOLERA IS NOT ACTIVE AT PRESENT RUT HAS
        BEEN REPORTED SPORADICALLY IN THE PASTP LAST IN 1961t THE MOST
        IMPORTANT PREVENTIVE MEASURE IS AVOTD44CE DP CONTAMINATED WATER AND
        FOOD, PRESUME ALL LOCAL WATER (I"CLUDING ICE) TS NOT POTABLE# EVEN
        IN HOTELS AND RESTAURANTS,   ALL IVATER CONSUMED SHOULD 13E EITHER



        PAGE 04 RUFRSGG9748 U-VCLAS
        817TTLED OR TREATED, uNCor)XED FODDS LIKELY TO BE CONTAMINATED WITH
        LOCAL WATER (FOR LXAMPLE; LETTUCEP LINPEFLED FRUITS AND VEGETABLES)
        SHOULD BE AVOIDED* LOCAL STREET FOOD VENDORS SHOULD BE AVOIDED* MEAT
        SHOULD BE T14UROUGHLY COOKFD* RAN MILK AND RAW FISH SHOULD NOT BE
        CONSUIAED*  TYPHOID IMMUNIZATIONS SHOULD BE UP TO DATE* ALL PERSONS
        SH13ULD HAVE COMPLETED A POLIO VACCINE SERIES, FURTHERt4DREf ANYONE
        WITHOUT A DOCUMENTED POLIO BOOSTER AS AN ADULT SHOULD RECEIVE ONL
 ROUTINELY
        RECOMMENDED, IMMUNE GLOBULIN (IG) FOR HEPATITIS A 16 NOT ROUTINLLY
        REC04MENDED FOR BRIEF (SEVERAL DAYS) PORT VISITS IN URBAN OR TOURIST
        AREAS, ONE CAN MINIMIZE EXPOSURE TO HEPATITIS A By AVOIDING
        POTENTIALLY CON7AIJINATED WATER OR FOOD, DRINKING I%ATEP (AND BEVERAGES
        WITH ICE) OF UNKN04N PURITYP UNCONKED OR PARTIALLY COOKED SHELLFISH,
        AND U14COOKED FRUITS OR VEGETABLES WHICH ARE NOT PEELED OR PREPARED BY
        THE TRAVELER SHOULD BE AYSIDED* T14MUME GLOBULIN (GAMMA GLOBULIN) 13
        RECOMMENDEDP HOVIEVERP FOR THOSE WHOSE TRAVEL TS OUTSIDE USUAL TOURIST
        ROUTESP THOSE WHO MAY BE UNAVOIDARLY EXPOSED To FOOD OR DRINKING
        WATER IN SETIIIVGS OF QUESTIONABLE SANITATION (EX* CERTAIN LOCAL.
        140STED PARTTES)P THOSE WHO WILL Of IN CONTACT WITH LOCAL YOUNG
        CHILDREN IN SETTING$ OF POOR SANITATIONT AND TO THOSE OHU WILL BE



        PAGE 05 RUFRSGG9748 UNCLAS
        IN-COUNTRY FOR PROLONGED PERIOD$ CSEVERAL WEEKS)* FOR SUCH
        TRAVELERST A SINGLE DOSE OF IG PROPHYLAYIS OF *02 ML/KG CAPPROX, ThO
        (2) CC DEEP INTRAMUSCULAR INJECTION FOR THE AVERAGE ADULT) is
        RECOMMENDED FOR TRAVEL LESS THAN THREE (3) MONTHS, FOR LONGER PERIOD$
        OF TRAVELT A DIFFERENT DE)SAGEP AS WELL AS OTHER UNRELATED PREVENTIVE
        MEDICINE CONCERtISo, MUST BE ADDRESSED AND CAN BE PROVIDED BY NEPMU.7,
        6.   MALARIA, LO% TO MODERATE RISK, THE PREDC)PINANT SPECIES 18
        PLASMODTUM FALCIPARUM,    P, VIVAX AND P. MALARIAE ARE ALSO
        PRESENT. EXTENSIVE VECTOR CONTROL OPERATIONS IN THE RURAL IYES?ERN
        PROVINCES HAS SIGNIFICANTLY INTERPUPTEO MALARIA TRAAlSA4lsSION,
        CURRENTLY THERE 18 NU RISK OF ACQUIRING MALARIA EXCEPT IN EXTREME


                                       UNCLASSIFIED

Document 6 f:/Week-44/BX303902/CONVULSION ANTIDOTE FOR NERVE AGENT EXPOSURE/preventive medicine info updated disrap 23 aug :0102970936115
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-44
Box ID = BX303902
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = CONVULSION ANTIDOTE FOR NERVE AGENT EXPOSURE
Folder Seq # = 1
Subject = PREVENTIVE MEDICINE INFO UPDATED DISRAP 23 AUG
Document Seq # = 2
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 = 02-JAN-1997