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File: 123096_sep96_decls23_0019.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
OLD WORLD CUTANEOUS LEISHMANIABIS
B. Progression to Chronic Hepatitis: occurs rarely if
ever in hepatitis A, in 5-10* of hepatitis B, and in up An ulcerative skin disease caused by Leishmania major in
to 50-70% of hepatitis C. Eastern Saudi Arabia and L. tropics in southwestern Saudi Arabia.
C. Paricreatitis. I. Communicability:
1. Treatment: no specific treatment is available for viral A. Route: promastigote inoculated into skin by the bite
hepatitis. Rest is important; discontinue any nonessential of an infected sandfly.
medications.
B. Isolation of patients: not required.
II. Disposition:
C. contact prophylaxis: not required.
A. Mild cases may be hospitalized in theater as some will
be able to return to duty in 2 to 3 weeks. II. Incubation period: usually 2 to 8 weeks, but may be years
depending on initial inoculum size.
B. Evacuate moderate or severe cases.
III. Diagnosis:
Ill. Prognoses: A. Symptoms/signs: inflammatory papule that slowly
increases in size and ulcerates. Base will crust over
han 1%. but the ulcer spreads under the edge of a firm and
raised border. Lesions are usually on exposed skin and
B. Chronic disease: see complications above. are rarely seen in the scalp or on the palms and soles.
X. Public health measures: B. Demonstration of the parasite is necessary to confirm
diagnosis. A small full thickness skin biopsy from the
A. Hepatitis A and E: lesion-s edge is performed and touch preps made which
1. Administer ISG to population at risk; 2-5 ml IM; can be stained with Giemsa. The biopsy is divided into
protection is roughly 1 month/ml administered. halves for culture and histology. Diagnostic support
2. Command emphasis on proper sanitation. is available at the Navy and Army Forward Laboratories.
3. Proper food preparation/water purification. NOTE: the parasite must be demonstrated for accurate
4. Personal hygiene. diagnosis; diagnosis based on clinical picture or
5. Hepatitis A vaccine, if available. serology will often be erroneous.
B. Hepatitis B, delta, and C: IV. Duration:
1. Vaccinate high risk populations with Hepatitis B
A. Treated: weeks to months.
at 0, 1, and 6 months.
2. Sexual abstinence or use of barrier (condom) S. Untreated: L. major heals spontaneously in 3-5 months;
protection. L. tropics heals spontaneously, but takes 12 months or
3. Screening of blood products for hepatitis B and C. longer.
4. Use of barrier precautions by health workers when
dealing with blood or other body fluids. V. Complications: secondary bacterial infection.
VI. Treatment: ulcers do not necessarily require treatment, but
consider treating if the lesions are large, multiple,
threaten structures like the eye, or limit function. The
diagnosis must be confirmed parasitologically before treat-
ment is offered (see above).
28 29
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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