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PRIORITY                                                          PAGE:  2




DEPLOY IS AS FOLLOWS PER NAVY ENVIRONMENTAL  AND PREVENTIVE MEDICINE
UNIT NO 7 (NEPUM-7) NAPLES:  BEHRINGWERKE AG.  POSTSCHLIESSFACH  167,
355 MARBURG, GERMANY MANUFACTURES A POLYVALENT ANTIVENIN THAT
SPECIFICALLY ADDREESES  SNAKEBITES IN AFRICA, AND TO A LESSER  EXTENT.
THE  MIDDLE EAST, WHICH IS LABELLED  SERUM NORDAFRICA CONCENTRATED BUT
NOT LYOPHILIZED.  IT IS PREPARED BY PEPSIN DIGESTION AND AMMONIUM



PAGE 03 RHDJGAA0048 UNCLAS
SULFATE PRECIPITATION RESULTING IN A 16 PERCENT PROTEIN SOLUTION WITH
A SHELF LIFE OF ABOUT 3 YEARS.  IT IS EFFECTIVE AGAINST THE NORTH
AFRICAN SPECIES OF THE EGYPTIAN COBRA (NAJA HAJE), THE DESERT HORNED 
VIPER (CERASTES) AND THE SAHARA SAND VIPER (CERASTEE VIPERA).  THESE 
3 SPECIES WOULD BE EXPECTED TO POSE A POSSIBLE THREAT IN AND AROUND
THE DEPLOYMENT AREA IN ADDITION IT IS EFFECTIVE AGAINST THE PUFF 
ADDER (BITIS ARIETANS) AND THE SAW-SCALED OR CARPET VIPER (ECHIS 
CARINATUS).  THE POLYVALENT PROPERTIES OF THIS ANTIVENIN ADRESS MANY
OF THE IMPORTANT SPECIES OF THE REGION.  POC AT MEPMU-7 IS LT 
LLUBERAS, AV 625-4468/9.

             J.  IMMUNIZATION GUIDELINES.
                  (1)  BOTH ACTIVE DUTY AND RESERVE PERSONNEL WILL BE
IMMUNIZED IN ACCORDANCE WITH SERVICE REQUIREMENTS FOR DEPLOYMENT TO 
THE DEPLOYMENT AREAS,  THE FOLLOWING STANDARD IMMUNIZATION ARE
 RECOMMENDED:  TETANUS/DIPTHERIA TOXOID (TD) - BASIC SERIES WITH 10
YEARS BOOSTER.  POLIO VIRUS VACCINE (ORAL) - BASIC SERIES PLUS ONE
 BOOSTER.   YELLOW FEVER - EVERY 10 YEARS.  IF IS NOT NECESSARY TO
UNDERGO HIV  SCREENING  PRIOR  TO  RECEIVING  ORAL  POLIO  OR  YELLOW  FEVER VACCINE UNLESS  CLINICALLY  INDICATED.  TYPHOID  -  SINGLE  DOSE  SHOULD   BE
ADMINISTERED UNLESS IMMUNIZED WITHIN THE PAST 3 YEARS:



PAGE 04 RHDJGAA0048 UNCLAS
RE-IMMUNIZATION IS REQUIRED  AT  TIME  OF  DEPLOYMENT  TO  AOR  IF  MORE  THAN
3 YEARS  HAS  ELAPSED  SINCE  PREVIOUS  DOSE,  SMALLPOX  PLAGUE  CHOLERA,  AND
RABIES  (HDCV)  VACCINE  ARE  NOT   RECOMMENDED.   IMMUNIZATION   CERTIFICATE
MAY  BE  REQUIRED  BY  HOST  COUNTRY IF PERSONNEL  ARRIVE  FROM  ANOTHER  AOR
COUNTRY WHERE -CHOLERA IS PRESENT
                          (2)   MEINGOCCAL VACCINE QUADRIVALENT  IS RECOMMENDED    TO





P R I 0 R I T Y                                                                     PAGE:  2

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