CH~NGE IN GUI0~NCE FOR M~L~RI~ CHEMOPROPHYL~XIc FflP

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~MPN/SUBJECT:    CH~NGE IN GUI0~NCE FOR M~L~RI~ CHEMOPROPHYL~XIc FflP
U.S.  FORCES IN IR~O.//
REF/H'/RMG/USCINCCENT CCSG/C)11B1B~M~R91//
RM~:S/1.    THE RISr: OF M~L~RI~ FOR U.S. FORCES IN THE F::Uk~~ITI THE~TER
OF OPER~TIONS IS CONSIflEREt) EXTREMELY LON.     PREVIOUS GUIO~NCE FROM
THIS OFFICEj   8~SEfl ON MEflIC~L RIS~: ~SSESSMENTS, IAIi~S CONSERV~TIVE ~Nfl
RECOMMENIDEE) THHT ~LL U. S.  FORCES ENTERING IR~O BE PL~CE0 ON NEE~:LY
M~L~RI~ CHEMOPROPHYL~XIS       REMSSESSMENT OF THIS ISSUE IN CONJUNCTION
~ITH THE COO, NHO, ~FMIC, ~Nfl OTSG, H~VE RESULTEE) IN ~ CH~NGE IN
PREVIOUS CHEMOPROPHYL~X IS GU I flEL I NES
2.   IT IS CURRENTLY RECOMMENOEfi TH~T PERSONNEL IN THE        lN~ITI THE~TER
OF OPERrTIONS STOP T~F:1ING NEEF::L'Y, CHLOROOUINE PHOSPHMTE


P~GE C)2 RH I PH~~R\ \ \ \ UNCL~S
CHEMOPROPHYLr~~: IS.   TERM I N~L CHEMOPROPHYL~X I S N I TH CHLORODU INE
RHOSPH~TE HNfl PRIM~OUINE PHOSPH~TE ~RE ~LSO NO LONGER RECOMMENEED.
3.   F::EY ISSUES ~FFECTING THIS RECOMMENOED CHH~NGE ~RE:
     ~.    M~L~RI~ TRHNSMISSION IN IR~O.. IS FRIM~RILY FROM M~Y THROUGH
NOVEMBER,   NITH PE~~ TR~NSMISSION IN JULY ~Nfl ~UGUST.
     B.    M~L~RIH~ TR~NSMISSION IS BELIEVEE' TO H~VE BEEN SUCCESSFULLY
INTERRUPTED IN COUTHERN IR~O.
     C.    INTELLIGENCE ~NO MEflIC~L SOURCES H~VE NOT REPORTED ~NY CH~SES
OF MHrL~RIILi IN THE INDIGENOUS POPULHTION OF SOUTHERN IR~C'. OR IN IRHOl
EPNS.
4'.  RE~SSESSMENTS OF THE SITU~TION NILL CONTINUE H"        LONG H'S
U.S.  FORCES HRE STH"TIOI'~ED IN THEH"TER.   IF THE RISr: OF hr'~LHRIH
TRH"NSMISSION INCREH.'.SES  THIS NILL LEHO TO H. FUTURE REDUIREMENT
FOR M~"LH"RI~ PROPHYLH"XTS.
5.   POCS,  CENTOOM SURGEON3S OFFICE, COL B~LES OR MH"J TYNH"N,
COMMERO     L (`(`i-'~66-1-4T.7-815c) OR THE 9-B96-3769#~~r' 
MINIMIE     . c=IDERED

4~2C)4 ~

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