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File: 123096_sep96_decls23_0029.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
SANDFLY FEVER
C. Post-exposure prophylaxis: should be given to anyone I. Communicability:
who is bitten by dog, cat, fox or jackal and considered
in any other exposure. A. Route:
1. Cleanse and flush wound ASAP with copious water 1. Sandfly ( hlebotolus Panatasii) bites.
and soap. 2. No direct human to human transmission.
2. Thorough wound cleaning and debridement under
medical supervision, leaving wound open if pos- B. Isolation: not required. Protection of patients from
sible. further sandfly bites will interrupt tra ... issiln.
3. Single dose of human rabies immune globulin Human viremia is present from about 24 hours prior to
(HRIG), 20 l.U./kg, half infiltrated into the bite onset of fever until about 24 hours after fever re-
site and the rest given IM.
4. Give human diploid cell vaccine (HDCV) in five 1.0 solves. Very fine mesh far screens r bed net (10-22
ml doses, IM, on days 0, 3, 7, 14 and 28. mesh/cm) required. Pe@,th,i, treatment of larger mesh
e barriers
VII. Disposition: for sandflies.
A. Exposure: full duty with supervised HRIG and HDCV. C. Prophylaxis of contact: none required.
B. Clinical illness: EVAC 11. Incubation period: 3 - 6 days.
Viii. Prognosis: III. Diagnosis:
A. Treated exposure: excellent. A. Symptoms: fever to 40cb
facial congestion
B. Treated clinical illness: uniformly fatal. neck stiffness
supraorbital pain intense 11 retlo-bulbar
IX. Public Health: pain with eye movement
limb stiffness
A. Capture and sacrifice of any animal implicated; examine malaise/nausea/myalgias
brain for rabies. B. Signs: fever
B. Education of troops to avoid stray or feral dogs, cats conjunctival injection
and wild foxes. papilledema (occasional)
C. Laboratory:
1. Hematologic: leukapenia on day 4 - 5 of fever.
2. chemistries: n/a.
3. Urinalysis: n/a.
4. microbiology: n/a.
5. Serology: paired sera for hemagglutinatio,-
inhibition (HI) and neutralizing antibodies
(retrospective only),
6. Coagulation: n/a.
D. invasive procedures: lumbar puncture shows increased
opening pressure and CSF pleocytosis.
E. X-ray: n/a.
F. Diagnostic confirmation: serologic.
48 49
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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