Immunizations and Chemophylaxix
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How often are personnel administering immunizations required to receive training?
Baseline and Annual refresher
The DOD policy concerning immunizations follows the recommendations of what two organizations?
- Center for Disease Control (CDC)
- Advisory Committee of Immunization Practices (ACIP)
What is the maximum number of immunizations that can be administered in one day?
What form is the International Certificate of Vaccination?
PHS Form 731
What form is the Deployable Health Record?
Breastfeeding women may be immunized in accordance with what guidelines?
How long is a temporary medical exemption from vaccine good for?
up to 365 days
Cases warranting permanent medical exemption due to a vaccine related adverse event will be reported to whom?
the Vaccine Adverse Events Reporting System (VAERS)
What are the three reasons why a person would be Administratively exempt from receiving an immunization?
- Separation or Retirement (within 180days)
- 30 days or less of Service remaining
What form is the Health Record Immunization Record?
What form is the Adult Preventive and Chronic Care Flow Sheet?
How long should aviation personnel be grounded for after receiving an immunization?
12 hours or as specified by their flight surgeon
How long should aviation personnel be grounded for after receiving JEV
- 3 days after first dose
- 5 days after second dose
- 3 days after third dose
How long do you have to report an adverse reaction to Med Watch? What form do you use?
Upon entrance to AD, what are the initial "First Cluster" shots that you receive?
- Adenovirus (when licensed)
Upon entrance to AD, what are the initial "Second Cluster" shots that you receive?
- Hep A
- Hep B
- Influenza (if not already administered)
What is the time frame that you must wait in order to administer live vaccines?
28 days apart
When should you administer Anthrax?
at risk veterinary and laboratory workers and those at occupational risk of exposure
When would you administer Haemophilus Influenzae type B (Hib)
- To prevent invasive Haemophilus disease in people who have anatomic or functional asplenia
- people who do not have spleens
What is Hepatitis A?
An acute infection of the liver, acquired by consuming food or water that is contaminated
What is Hepatitis B?
An acute or potentially chronic infection of the liver that is acquired through percutaneous, sexual and other permucosal exposure to blood and body fluids from people infected
What is Influenza A and B?
Acute febrile respiratory viral infections that can cause epidemics within military populations
What is Japanese Encephalitis?
A mosquito borne viral disease, during deployments and travel to endemic areas in Eastern Asia and certain Western Pacific Islands.
What are some side effects of Japanese Encephalitis?
Acute infectin of the brain, spinal cord and meninges with high rate of complications, chronic disability and death
What is the time frame for administering JEV?
- within 10 days of notification to rural areas.
- booster doses every 3 years if still in area
What is Meningococcal?
Infection caused by the bacteria Neisseria meningitides
When will you administer Meningococcal?
- within first 2 weeks of basic training
- when personnel are deploying for more than 15 days to regions with suspected outbreaks
- persons who do not have spleens
How is Poliomyelitis acquired?
Person to Person transmission through the fecal oral route.
What are the two disqualifiers for personnel receiving the smallpox vaccination?
What is the virus Tetanus?
an acute illness caused by an exotoxin of Clostridium tetani, a bacteria that grows at the site of wounds contaminated with its spores
What is Diphtheria?
an acute disease caused by a cytotoxin of the bacteris Corynebacteriym diphtheria
What is Pertussis?
an acute illness caused by the bacteria Bordetellsa pertussis
What is Typhoid Fever?
a systemic bacterial disease acquired by consuming food or water contaminated with Salmonelssa typhi
What is Yellow Fever?
a mosquito borne viral disease
What is the recommended chemoprophylaxis for Anthrax?
- Doycycline or Ciprofloxacin.
- For children, consider amoxicillin suspension.
What is the recommended chemoprophylaxis for Group A streptococcal disease?
- PCN G benzathine (IM, also known as Bicillin LA)
- PVL (oral)
What is the recommended chemoprophylaxis for Influenza A and B?
What is the recommended chemoprophylaxis for Leprospirosis?
What is the recommended chemoprophylaxis for Meningococcal?
What is the recommended chemoprophylaxis for Plague?
What is the recommended chemoprophylaxis for Travelers Diarrhea?
Ciprofloxacin or other quinolones
How often should Combatant Commanders provide the Chairman of the Joint Chiefs of Staffs with their assessment of the biological warfare threats to their theater?
Within how many days of receiving the recommendations of the DOD Exectuive Agent should you start immunizations?
Who has the authority to grant a waiver of the requirement that a military member provide prior consent to receive and IND or a drug unapproved for its applied use?
The President of the United States
Who grants Emergency Use Authorizations? How long are they good for?
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