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File: 123096_sep96_decls23_0014.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
ENTERIC FEVER (TYPHOID)
C.Notes on the diarrhea algorithm: 1. Communicability
1. Oral rehydration: 3.5 gm NaCl, 2.5 gm NaHCO3, 1.5 A. Route: oral ingestion of organisms, typically in con-
gm KC1, 20 gm glucose (or 40 gm sucrose) in I taminated food or water.
liter 112p. Intake should be sufficient to main- 1. Patients excrete organisms in stool, urine, pus and/or
tain 60 to 100 ml urine output per hour. Premixed emesis. Asymptomatic carriage and excretion of or-
salts/glucose are available. ganisms in stool is common.
2. Viable organisms can contaminate food and water via
2. Antimotility agents: spread by hands, flies, fomites, or direct contamin-
a. Use Loperamide (Imodium) 2 mg tablet, 1 or 2 ation.
tablets, 2 to 4 times/day, up to 48 hours
duration. B. Isolation of patients:
b. Kaopectate is ineffective. 1. Enteric precautions while ill and convalescing.
C. Diphenoxylate with atropine (Lomotil) is 2. Disinfection of contaminated articles.
relatively contraindicated in hot desert 3. Since excretion of organisms typically persists for
nment because may cause hyperthermia several weeks after resolution of illness, and persists
secondary to diminution of sweating. more than I year in up to 3% of patients, convalescing
patients should be evacuated rather than returned to
3. Antibiotics: recommended regimens, in order of field setting.
preference, include:
C. Contact prophylaxis:
a. Ciprofloxacin 500 mg BID for 5 days. 1. For household (barracks or tent mate) contacts, ad-
b. Norfloxacin 400 mg BID for 5 days. minister vaccine if this has not been received within
C. TMP/SMX 2 tablets or I DS tablet (for dose of three years.
160/800 mg) BID for 5 days. 2. Household contacts should not be used as food handlers
unless both stool and urine are each negative for sal-
IV. Public health measures: monella on two occasions at least 24 hours apart.
A. Command emphasis on adequate sanitary facilities is II. Incubation:
essential. A. Average: I week,
B. Range: 3 days to 8 weeks.
s associated with briefer incubations.
washing, is essential.
III. Diagnosis:
C. command emphasis on water purification and individual A. Symptoms: insidious onset
water discipline is essential. fever - 75-100%
headache - 59-90%
anorexia - 39-91%
cough - 28-86%
myalgia - 12-91%
constipation - 10-79%
weakness - 10-87%
diarrhea - 37-57%
vomiting - 24-54%
nausea - 23-54%
sore throat - 6-84%
chills - 16-37%
abdominal Pain - 19-39%
sweats - 33%
19
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996