Document
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Page 01
SUBJECT: MALARIA CHEMOPROPHYLAXIS AND MENINGCLCOCCAL VACINATION)
UNCLASSIFIED
ROUTINE
RATUZYUW RHDJGAAIOO9 2890034-UUUU--RHDIXMP.
ZNR UUUUU
R 101528Z OCT 90
FM NGB ANDREWS AFB MD//SGPi/
TO AIG 7301//CC//SG//
AIG 7311//CC//SG//
RUCIRMA/109AEF MINNEAPOLIS ST PAUL IAP MN//CC//
RUVRBMA/118AES NASHVILLE IAP TN//SG//
RUVOBJA/137AEF WILL ROGERS WORLD APRT OKLAHOMA CITY
OK//SG/SGNI//
RUVABIA/139AEF STRATTON ANGA NY//DOCM//
RUVABOA/142AEF MCCA NEW CASTLE DE//DOCM//
RUWFPAA/146AES CHANNEL ISLANDS ANGB CA//SGA//
RUVRBIA/156AEF CHARLOTTE DOUGLAS IAP NC//CC//
RUVRBPA/167AEF EWVRA SHEPPAAD FLD MARTINSBURG WV//SGO//
RUVRBGA/183AEF ALLEN C THOMPSON FLD MS//SG//
RUVHBKA/ 187AEF CHEYENNE MUNI APRT WY//SGO//
ZEN 113TFW ANDREWS AFB MD//SG//
ZEN NGB ANDREWS AFB MD//SGAX//SGAT//
BT
UNCLAS
QQQQ
SUBJECT: MALARIA CHEMOPROPHYLAXIS AND MENINGCLCOCCAL VACINATION)
GUIDELINES FOR OPERATION DESERT SHIELD REFERENCES: DA WASHINGTON
DC//SGPS-PSP-D MSG, 3117OOZ AUG 90. SAME SUBJECT.
B. HQ USAF/SGP LTR, 6 NOV 89. AIR FORCE GUIDELINES FOR MALARIA
PROPHYLAXIS.
C. HO USAF BOLLING AFB DC//SGPA MSG 072000Z SEP 90, SAME SUBJECT.
1. MALARIA CHEMOPROPHYLAXIS INFORMATION PROVIDED BY THE ARMED FORCES
MEDICAL INTELLIGENCE CENTER (AFMIC) AND OTHER SOURCES INDICATE THE
FOLLOWING NOTE THAT THIS IS A CHANGE IN ANG POLICY:
A. NOT ALL INDIVIDUALS OR UNITS DEPLOYED FOR OPERATION DESERT SHIELD
NEED TO BE STARTED ON MALARIA PROPHYLAXIS.
B. NO CURRENT MALARIA TRANSMISSION HAS BEEN IDENTIFIED IN EASTERN
SAUDI ARABIA, BAHRAIN, JORDAN, KUWAIT, QATAR, OR THE UNITED ARAB
EMIRATES. RIYADH, JEODAH, AND DHAHRAN ARE CONSIDERED RISK FREE.
--- INDIVIDUALS DEPLOYING TO THESE AREAS ARE NOT REQUIRED TO CONSUME
MALARIA PROPHYLAXIS--- HOWEVER, A MINIMUM OF A SIX-WEEK SUPPLY (6
TABLETS) OF CHLOROQUINE PHOSPHATE TABLETS QNSN: 6505-00-117-6450), OR
DOXYCYCLINE SHOULD BE ISSUED TO ALL INDIVIDUALS SINCE FUTURE
OPERATIONS MAY INCLUDE TRAVEL TO MALARIA AREAS.
C. INDIVIDUALS DEPLOYING TO UNKNOWN SITES, OR WITH A HIGH RISK OF
DIVERTING, OR DEPLOYING THROUGH, AREAS OF KNOWN MALARIA RISK SHOULD
BE STARTED ON CHLOROQUINE PROPHYLAXIS.
D. IN SAUDI ARABIA, MALARIA TRANSMISSION OCCURS YEAR ROUND BUT IS
LIMITED-TO THE WESTERN PROVINCES, WITH THE MAIN THREAT IN THE
SOUTHWEST. LIMITED MALARIA TRANSMISSION OCCURS IN EGYPT, IRAQ,
TURKEY, AND OMAN. TRANSMISSION IS WIDESPREAD IN NORTH YEMEN, SOUTH
YEMEN, AND IRAN.
E. SUMMARY GUIDELINES FOR MALARIA PROPHYLAXIS:
;I) ALL SHOULD BE ISSUED DOXYCYCLINE OR CHLOROQUINE.
;2) INDIVIDUALS GOING TO HAZARDOUS OR UNKNOWN AREAS SHOULD TAKE THEIR
MALARIA PROPHYLAXIS (A OR B BELOW): -
A) DOXYCYCLINE (DOXYCYCLINE 100 MG PO QD BEGINING 3
DAYS PRIOR, DURING, AND FOR 28 DAYS AFTER TRAVEL TO A MALARIA HAZARD
AREA). DOXYCYCLINE IS PREFERRED DUE TO ADDED COVERAGE OF MANY OTHER
PATHOGENS CAUSING DIARREHA. THIS IS THE RECOMMENDED MALARIA
POPHYLAXIS FOR FLYING PERSONELL, AND MAY BE CONSIDERED FOR USE EVEN
UNCLASSIFIED
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Page 02
ROUTINE UNCLASSIFIED
PAGE 02 OF 02 RHDJGAA 1009 003888 16/0049Z
IN LOW MALARIA THREAT AREAS.
;B) CHLOROQUINE PHOSPHATE 500 MG (300 MG BASE) (ONE BY MOUTH EACH
WEEK STARTED TWO WEEKS PRIOR TO EXPOSURE, CONTINUED WEEKLY DURING
EXPOSURE, AND FOR SIX-TO-EIGHT WEEKS POST EXPOSURE). CHLOROQUINE
RESISTANT MALARIA IS NOT A PROBLEM IN POTENTIAL OPERATIONAL AREAS.
;3) IF NO MALARIA HAZARD AREA WAS ENTERED, INDIVIDUAL SHOULD RETURN
THEIR MALARIA PROPHYLAXIS TO THE ISSUER.
THE MEDICAL PERSONNEL IN THE AOR WILL BE THE AUTHORITY FOR
DESIGNATING A MALARIA HAZARD AREA AND MAY AUTHORIZE INDIVIDUALS TO
STOP (OR START) TAKING MALARIA PROPHYLAXIS.
(4) IF MALARIA HAZARD AREA WAS ENTERED, THEN NORMAL TERMINAL
PROPHYLAXIS OF EIGHT, WEEKLY DOSES OF 45 MG PRIMAOUINE SHOULD BE
ISSUED, IN ADDITION TO CONTINUING DOXYCYCLINE OR CHLOROQUINE,
FOLLOWING RETURN TO CONUS. (OVALE AND/OR VIVAX-MALARIA ARE PRESENT
IN AOR MALARIA AREAS).
2. MENINGOCOCCAL IMMUNIZATION (QUADRAVALENT, A/C/Y/WI35, NSN 6505 01
2865312) SHOULD BE BROADENED TO INCLUDE ALL DEPLOYING PERSONNEL AS
SUPPLIES ALLOW. LACK OF MENINGOCOCCAL IMMUNIZATION WITHIN 5 YEARS
SHOULD NOT BE CONSIDERED A DETRIMENT TO DEPLOYMENT OF NONMEDICAL
PERSONNEL.
3. POINT OF CONTACT IS MAJ PHILIP A. LA KIEN, NGB/SGP DSN 858-8550.
BT
#1009
UNCLASSIFIED
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