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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
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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