MALARIA CHEMOPROPHYLAXIS (AND MENINGOCOCCAL VACINATION)

File: aaaac_01.txt
Page: 01
Total Pages: 2
Subject:  MALARIA CHEMOPROPHYLAXIS (AND MENINGOCOCCAL VACINATION)

ROUTINE				UNCLASSIFIED


PAGE 01 OF 02
HQ TAC LANGLEY AFB VA
DIST:  CSA (01)  SG(02)

DIST:    1AF (02)

ACT/INFO	ACT/INFO 	ACT/INFO 	ACT/INFO	ACT/INFO 
AC		DE		IG		PA		WE
CMS		DO		IN		RF		XP
BS.		DP		INOI		SE		1TFW/CC.
CSA		DR		JA		SC		1AF/CC.
CSP		HC		LRC		SG		TSEE.
DA		HO		LG		SP		SVC.

       RATUZYUW RHDJGAA1009  2890034-UUUU--RHDIXMP.
       ZNR UVULL
       R 10152811 OCT 90
       FM NOB ANDREWS AFB MD//SGP//                                                 -
       TO AIG 7301/********************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************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//
       UNCLAS
      QQQQ SUBJECT:  MALARIA CHEMOPROPHYLAXIS (AND MENINGOCOCCAL VACINATION)
       GUIDELINES FOR OPERATION DESERT SHIELD REFERENCES. DA WASHINGTON
       DC//SGPS-PSP-G MSG. 311700Z AUG 90. SAME SUB JECT.
       B. HQ USAF/SGP LTR, 5 NOV 89. AIR FORCE GUIDELINES FOR MALARIA
       PROPHYLAXIS.
      C . HQ USAF BOLLING AFB DC//SGPA MSG 072000Z SEP 90 SAME SUBJECT.
       1. MALARIA CHEMOPROPHYLAXIS INFORMATION PROVIDED   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, JEDDAH, AND DHAHRAN ARE CONSIDERED RISK FREE.
       ---INDIVIDUALS DEPLOYING TO THESE AREAS ARE NOT REQUIRED TO CONSUME
       MALARIA PROPHYLAXIS--- HOWEVER. A MINIMUM OP A SIX-WEEK SUPPLY (91
       TABLETS) OF CHLOROQUINE PHOSPHATE TABLETS (NSN:  6505-00-117-6405). 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 DR 9 BELOW) -
       A? DOXYCYCLINE (DOXYCYCLINE 100 MG PO QD BEGINNING 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 DIARRHEA. THIS IS THE RECOMMENDED MALARIA
       PROPHYLAXIS FOR FLYING PERSONNEL. AND MAY BE CONSIDERED FOR USE EVEN
                                                                                   I.
                                                                                -�.