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P R I 0 R I T Y                                                                     PAGE:  3







PERSONNEL, NOT VACCINATED WITHIN THE PAST 5 YEARS, WHO EXPECT
PROLONGED, CLOSE,CONTACT WITH LOCAL NATIONALS, ESPECIALLY  CHILDREN,
DURING THEIR DEPLOYMENT.  IT MUST BE UNDERSTOOD THAT OCCASIONAL,
CASUAL CONTACT IS NOT REPEAT NOT A SUFFICIENT REASON TO VACCINATE.
CURRENT MEDICAL INTELLIGENCE ANLYSIS INDICATES THAT RISK OF
MENINGITIS WILL BE EXTREMELY LOW TO DEPLOYED SERVICE MEMBERS  DURING
ANTICIPATED ACTIVITIES.  DISEASE ACTIVITY WILL BE IGNORED UNTIL
DEPLOYMENT AND RECOMMENDATIONS FOR IMMUNIZATIONS MAY BE SSUBJECT TO
CHANGED AS REQUIRED..
                 K. CHEMOPROPHYLAXIS GUIDELIKES
                         (1) CHEMOPROPHYLAXIS SHOULD BE CONSIDERED AS
"SECOND ECHELON" PREVENTI0N.  PERSONAL PROTECTIVE MEASURES OF ALL
TYPES TAKE PRECEDENCE OVER CHEMOPROPHYLAXIS, AND MUST BE PURSUED:
WITH VIGILANCE.


PAGE 05 RHDJGAA0048 UNCLAS
                      (2)  IMMUNE  GLOBULIN (I.S.G. GAMMA GLOBULIN) IS RECOMMENDED
FOR DEPLOYNENT TO ALL COUNTRIES IN THE AOR. IMMUNE GLOBULIN  2.0 CC 
IM  SHOULD BE USED FOR SHORT-TERM TRAVEL OF 3 MONTHS OR LESS:  5.0  CC
IM SHOULD BE USED FOR LONG-TERM TRAVEL (UP TO 5 MONTHS)
                      (3) MALARIA CHEMOPROPHYLAXIS SHOULD OCCUR AS  FOLLOWS:  NO
PROPHYLAXIS NECESTARY FOR UNITS DEPLOYING TO EGYPT.  BAHRAIN  03
U . A . E .
                      (4)  PERSONNEL DEPLOYING TO OMAN SHOULD USEI WEEKLY
CHLOROQUINE PROPHYLAXIS AND TERMINAL WEEKLY PROPHYLAXIS WITH
CHLOROQUINE PROPHYLAXIS (C-P) FOR 2 WEEKS.  THE SAME CHEMOPROPHYLATIC
MEASURES ARE REQUIRED IN SAUDI ARABIA ONLY IN THE RED SEA  COAST
REGION OUTSIDE OF THE URBAN AREAS OF JEDDAH AND TAIF PREGNANT FEMALES
AND G-6-PD DEFICIENT PERSONNEL SHOULD NOT USE PRIMAQUINE, IT  IS  NOT
NECEESARY TO ROUTINELY TEST FOR G-6-PD DEFICIENCY PRIOR TO USE OF
PRIMAQUINE, UNLSSS INDIVIDUALS ARE OF MEDITERRANEAN-ANCESTRY OR  WILL
BE EXPOSED TO REPEATED TREATMENTD (THIS GUIDANCE APPLIES TO  ONE
WEEKLY TERMINAL PROPHYLAXIS WITH PRIMAQUINE ONLY.)
                 L.  SEXUALLY-TRANDMITTED DISEASES (STD)
                      (1) HIV AND HEPATITIS B ARE PRESENT, ESPECIALLY  AMONG
            PROSTITUTES.  STRICT AVOIDANCE IS  RECOMMENDED.  AS3  HETEROSEXUAL







P R I 0 R I T Y                                                                     PAGE:  3

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