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File: 082696_doc1_475.txt
Page: 475
Total Pages: 652

               diarrhea in travelers diarrhea;    not tested in
               c:holera, but would probabl'~ work
                 -2 tablets or 2 tablsp p.o.      q.i.d.

           o   ~~car~le~s ~ ~~treatment.          ~rom~t aduou~te'
               +lutd rtplac.mont ~ criti~g~     ~ surv~val.   an~ jA
               s~++icient ~ its*l~     ji gnt~biotics not availa~le
                 - Thin must be~in in the +ield

           o   Untreat~d cholera lasts up to ~~-l2 day~,    depending
               on the strain
                 - Fati.nts should be ~it 4or d~ty within      1-2
                   days a+ter symptoms ends and +ull hydration
                   has been restored

      o  Evacuation

           o   Same as +ield
           o   Mo%t cases can be (nanaged in the +ield

      o  De~initive care

           o   Same as +ield
           o   ~ost canes can be mana~.d in tbe ~i~l~

      o  ~xportable trainin~ packa~~e

           0   Simple handout should su~+ice


      o  Other critical issues

           o   Pluid requirements roay be enormous;    at its most
               severe +luid loss can equal    tOO'/~ 0+ body wei~ht
               over 4-7 days
           o   ~vailabi1ity 0+ adnquate amounts o~ table salt,
               bakin~ soda,   and iu~ar,  plus measuring equipment
           o   Prompt +luid replacement is critical;     severe cases
               die within ie hours to several     days, but shocky
               cases can die within 4-12 hours a+ter sympt~ms begin

M~DtC~L ~EP~NS~

      o  Personal protection

           o   tn general1   none
           o   Standard CW mask should projtect ag~inet aerosoIi~ed
               toxin

      o  Ch.moprophylaxis

           o   Recommend chemoprophylaxis +or     imminent or
               con+irmed attack~ only
                 - ~++icacy unknown,     but based on work With


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