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File: 970123_159_d_03.txt
Page: 03
Total Pages: 5

                                   ~NCLASSIFIE-'
                                                      ~:  --p'-:

              -~ 19
                  C~NTROL OF CO~M ~.CABLE DISEASES
           Uk*WSUAL OCCURRENrES OR TRE~DS OF rj SEASES AF~ELTING L S          PERSONNEL
            NE THE CIVILIAN POPL~At O~       AND PEMED.AL ACT'"NS       *~L'~T BE PRO~~TL~
           --~-"~RTED TO THr ~`SCENTC~~ SURuEON
              -   ~ROBLE~S ASS~CIArED W~TH ~EAT AL~L'MATi~7ATION AND          `ET~LA'j'
              ~D.ETE HEAT AL~LI,~ATlZAT,Ok WILL TAkE AP~ROXl.~AT=. ~       7 TC `0 DA~S
              -  ~~RK'RES    rYCLES ~N.D   `k~E.'4~ *TY,DURA~IO\. `p -H~SIC~L =XERClSE
           *``~` LE BE PRoGRE¼SI~!E~'r INr~-ASET LNTI-* FULL AC~L!~-~IZ~T ;J~ HAS
                 ~~I =~VErJ B~ PERS"'I~-     JET- ~L M~~   ~ERS'    p0    3 Tj' ~ DA~S ik
              *   PSONNEL DE0LOY `N'~ T     THE        STAY'N6 *~vDRA~ED     AVIDID'kL:
           -~~~~uL AN    ST:~j~AN"S   :lLA~FE*NE   k!CCTIkE     -``,`E EXtRCIS:~L
           ...:~RA-E~Y   C=~ ~`55~~T i~ ~~N1M~Z ~~    H'   IN~TI~L `~~~C""   ~  E    -~L
                ~E~    5 ";F' I'~UL DL~ * G THE   F !RST  Ew EAvS OF     =PLOYM~
            T *~`DxYZ!NE i'A~ARAX   5 .~G 3" ~iN~T:S -RIOR T' SLEE       MA~  B-' US~
           -L ~--NATE      Ik "I F- CU  ~R    ~C   CALL~   IM.pORT~L.T S UA~IC'~
              .~j~AM   (HALCiDN)   0 2  u 3~ M,;\~TES PRIOR      L SLEEP   I'~ ``P~
              -  *VE     NEITwER DRL'~: S~~ULD D'   COMBINED W TH ALEHO       L'* (  L~
               - S"NT MEDiCA""ICNS
                 ANIMAL r~ONTROL
                  (`     ALL W~~~2 AN  D.L'.MES-*IC ANIMALS  ~NCLU~~ING OOGS   `.ATS
                  SCORPiONS     SFIDERS    SNAKES,  ETC:  ARE TO BE AVOIDED
                   2'.   INSTRUrTION RECAR~ING SPECIFIC SNAKE ANTIVENIN TO
                  `S AS FOL~CWS PER NAVY      ENVIRONMENTAL ANE PREVENTIVE MEDICINL

           LN' LA S
           * *~-` ~FCT~ON OF    £
                NO    7  (NEPMJ-7)  N*~PLES    BEHRING~ERKE AG     ~OSTSCHLIESSFACH
                35    MARBURG   GERMANY MANUFACTURES A POLYVALENT ANTIVENIN THAT
                ~ I'~ALLY  ADDRES~ES SNAkEB'TES    IN AFR1CA    AND  TO A LESSEP
           E~'',k  T~E MI DEL     EAST, WHICH  IS LABELLED SERUM NORDAFRICA
           S~NCEkTRATED,    BU  kCT L~O~HILIZED     IT IS PREPARED BY PEPSIN
                  ON AND AMMONIUM SU'FATE PRECIPITATiON RESULTiNG          iN A   Ib
           ``L~L~"NT PROTEIN SDLUTION W~TH A S~ELF LIFE OF ABOUT 3 YEARS            IT IS
              * - IVE ~CA'NS      HE NORTH A~RICAN SPECIES OC THE EGYPTIAN COBRA
           *N~J~ HA `E)    THE nESERT H"RNEO VI~EP     (CERASTES)  AND THE SA~ARA SAND
           ~I'Eh' (CERAcTES VIPERA      THESE 3 S~ECiES WOULE BE EXPEr~TEO TO POSE
                 `CERASTES      A PflSSIB~E THREAT    1k AND AROUNL~ THE DEPL.?MENT AREA
              N AJ'DI
              * ,E'PECTIVE AGAINST THE ~JFF ADDER         (BITIS AR'ETA~S)   AND TH-
                ~ALED OR CARPE" VIPER      (ECHIS rARINATLIS)    THE POLVVALENT
           r'R~)'ERTiES OF THIS ANT1VENIN ADDRESS MANY OF THE       IMPORTANT SPECIES
           (`= `HE REGION    POC AT NEQMU-7    IS LT LLUBERAS    AV ~25-44~8,~
                 IMMUNIZATION GUIDELINES
                  `1)    80TH ACTIVE DUTY AND RESERVE PERSONNEL WILL BE
           lwMJNIZED   IN ACCORDANCE WITH SERVICE REQUIREMENTS FOR DEPLOYMENT TO
           ""HE DE~LOYMENT AREAS     THE FOLLOWING STANDARD IMMUNIZATIONS ARE
           RE"JMMENDED-    TETANUS/DIPHTHERIA TOXOID      (TD)-BASiC SERIES WITH 10-
           YEAP BOOSTER     POLIOVIRUS VACCINE     (ORAL) -BASIC SERIES PLUS ONE
           BOOTER      YELLOW FEVER-EVERY    10 YEARS     IT IS NOT NECESSARY TO
           UND'RGO HIV SCREENING PRIOR TO RECEIVING ORAL PO'IO OR VELLOW FEVER
           VAC~ INE UNLESS CLINICALLY   INDICATED      TYPHOID-SINGLE DOSE SHOULD BE
           ADM NISTERED UNLESS     IMMUNIZED WITHIN THE PAST 3 ~EARS, RE-
           :MMLNIZATION    IS REQUIRED AT TIME OF DE~LOYMENT TO AOR        IF MORE THAN
           3 rEARS HAS ELAPSED SINCE PREVIOUS DOSE           SMALLPOX, PLAGUE
           CHOLERA,   AND RABIES   (HDCV)  VACCINE ARE NOT RECOMMENDED       CHOLERA
           IMMLNiZATION CERTIFICATE MAY BE REQUIRED BY HOST COUNTRY           IF
            ERr.DNt1EL ARRIVE "ROM ANOTHER AOR COUNTRY WHERE CHOLERA IS PRESENT
                  (2)    MENINGOCOCCAL VACCINE, QUADRIVALENT,       IS RECOMMENDED TO
           ~ER-CkNEL     NOT "ACCINATED WITHIN THE PAST 5 YEARS, WHO EXPECT
           PROLONGED,    CLOSE CONTACT WITH LOCAL NATIONALS,     ESPECIALLY CHILDREN
           OUR'NG THEIP DEPLOYMENT      IT MUST BE UNDERSTOOD THAT OCCASIONAL,
           CASUAL CONTACT IS NOT REPEAT NOT A SUFFICIENT REASON TO VACCINATE
           CURRENT MEDICAL   INTELLIGENCE ANALYSIS     INDICATES THAT RISK OF
           MEN'NG'TIS WILL BE EXTREMEL' LOW TO DEPLOYED SERVICE MEMBERS DURING

`A::? FO~"E       M~~'-9O222~2941   ToR'-go222/1743z    ~A"--qc'22~'1S~~Z  CDSN'-MADCSl
            ME~SA3E'
                                                                                   PAGE 3 OF S
                                                                                         AUG 90
                                   UNCLASSIFIED


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