Document Page: First | Prev | Next | All | Image | This Release | Search
File: 123096_sep96_decls23_0026.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
3. Mefloquine, 250 mg tablets, 1250 mg (5 tablets) as
a single dose.
a. Toxicities of mefloquine: CHS effects KENINGOCOCCAL DISEASE
(psychosis, confusion, and seizures) and
cardiac toxicity may be seen. Avoid concur- 1. Communicability:
rent use of quinine, quinidine, beta-blocking
agents or calcium-channel blockers. A. Route: person to person by respiratory droplets.
Disposition: B. isolation of patients: respiratory isolation for first
A. For uncomplicated cases: local hospitalization for up 24 hours of antibiotic therapy, disinfect nasal and
to 48 hours, with limited duty for several days pharyngeal secretions and material contaminated with
drug therapy is completed). (until them.
C. Prophylaxis of contacts:
B. For complicated cases, including cerebral malaria, 1. intimate and household contacts, including bar-
ARDS, "Blackwater Fever," and renal failure: vacua- racks and tent-mates should receive:
tion to third or fourth echelon facilities will be a. rifampin 600 mg PO Q12h for 4 doses, or
needed. ceftriaxone 250 mg IM, one dose, or
ciprofloxacin 500 mg PO Q12h for 5 days,
b. meningococcal vaccine, unless this has been
A. P. vivax: excellent if treated; mortality low, even if received within two years.
untreated, and complications are rare. 2. casual contacts need not receive prophylaxis.
B. P. falciparum: II. Incubation: 3 to 4 days (range 2 to 10 days).
1. Untreated 25% or more will be fatal.
2. Properly treated uncomplicated cases do well, III. Diagnosis: meningococcal infection may be asymptomatic, or
without sequelae.
on the sequelae), as meningitis, as fulminant septicemia
3. The prognosis for complicated cases depends may present as a self-limited flu-like illness (without
specific complications; however, the potential for (meningococcemia) or as combined meningitis-septicemia.
full recovery exists even for critically ill, Clinical signs and symptoms will vary with the type of
complicated cases who should, therefore, be presentation.
managed aggressively.
Public health measures: A. Symptoms:
1. Meningococcemia: very abrupt onset with fulminant
course:
Command emphasis on Personal protection measures fever
(chemoprophylaxis, repellents and netting) in endemic headache
areas. malaise
B. Mosquito control: elimination of breeding sites, diarrhea (occasionally may be severe)
larvicide applications and insecticide applications to 2. Meningitis: onset may be abrupt or subacute
kill adult mosquitoes. (several days):
headache
fever
malaise
photophobia
nausea/vomiting
back ache
42
43
Document Page: First | Prev | Next | All | Image | This Release | Search
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