Immunizations and Chemophylaxix

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croommd
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227912
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Immunizations and Chemophylaxix
Updated:
2013-07-23 20:18:09
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Advancement
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BUMEDINST 6230.15A
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  1. How often are personnel administering immunizations required to receive training?
    Baseline and Annual refresher
  2. The DOD policy concerning immunizations follows the recommendations of what two organizations?
    • Center for Disease Control (CDC)
    • Advisory Committee of Immunization Practices (ACIP)
  3. What is the maximum number of immunizations that can be administered in one day?
    5
  4. What form is the International Certificate of Vaccination?
    PHS Form 731
  5. What form is the Deployable Health Record?
    DD 2766
  6. Breastfeeding women may be immunized in accordance with what guidelines?
    ACIP
  7. How long is a temporary medical exemption from vaccine good for?
    up to 365 days
  8. Cases warranting permanent medical exemption due to a vaccine related adverse event will be reported to whom?
    the Vaccine Adverse Events Reporting System (VAERS)
  9. 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
    • Religious
  10. What form is the Health Record Immunization Record?
    SF 601
  11. What form is the Adult Preventive and Chronic Care Flow Sheet?
    DD 2766C
  12. How long should aviation personnel be grounded for after receiving an immunization?
    12 hours or as specified by their flight surgeon
  13. 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
  14. How long do you have to report an adverse reaction to Med Watch?  What form do you use?
    • 7 days
    • FDA Form 3500
  15. Upon entrance to AD, what are the initial "First Cluster" shots that you receive?
    • Adenovirus (when licensed)
    • Influenza
    • MMR
    • Varicella
  16. Upon entrance to AD, what are the initial "Second Cluster" shots that you receive?
    • Hep A
    • Hep B
    • Influenza (if not already administered)
    • Polio
    • TD
  17. What is the time frame that you must wait in order to administer live vaccines?
    28 days apart
  18. When should you administer Anthrax?
    at risk veterinary and laboratory workers and those at occupational risk of exposure
  19. 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
  20. What is Hepatitis A?
    An acute infection of the liver, acquired by consuming food or water that is contaminated
  21. 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
  22. What is Influenza A and B?
    Acute febrile respiratory viral infections that can cause epidemics within military populations
  23. What is Japanese Encephalitis?
    A mosquito borne viral disease, during deployments and travel to endemic areas in Eastern Asia and certain Western Pacific Islands. 
  24. 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
  25. 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
  26. What is Meningococcal?
    Infection caused by the bacteria Neisseria meningitides
  27. 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
  28. How is Poliomyelitis acquired?
    Person to Person transmission through the fecal oral route.
  29. What are the two disqualifiers for personnel receiving the smallpox vaccination?
    • HIV positive
    • Pregnant
  30. 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
  31. What is Diphtheria?
    an acute disease caused by a cytotoxin of the bacteris Corynebacteriym diphtheria
  32. What is Pertussis?
    an acute illness caused by the bacteria Bordetellsa pertussis
  33. How often is Tdap given?
    • Basic training
    • Q10Y
  34. What is Typhoid Fever?
    a systemic bacterial disease acquired by consuming food or water contaminated with Salmonelssa typhi
  35. What is Yellow Fever?
    a mosquito borne viral disease
  36. What is the recommended chemoprophylaxis for Anthrax?
    • Doycycline or Ciprofloxacin. 
    • For children, consider amoxicillin suspension.
  37. What is the recommended chemoprophylaxis for Group A streptococcal disease?
    • PCN G benzathine (IM, also known as Bicillin LA)
    • PVL (oral)
  38. What is the recommended chemoprophylaxis for Influenza A and B?
    • Amantadine
    • Rimantidine
    • Oseltamivir
  39. What is the recommended chemoprophylaxis for Leprospirosis?
    Doxycycline
  40. What is the recommended chemoprophylaxis for Meningococcal?
    • Rifampin
    • Ceftriaxone
    • Ciprofloxacin
    • Sulfadiazine
  41. What is the recommended chemoprophylaxis for Plague?
    • Tetracycline
    • Doxycline
    • Chloramphenicol
  42. What is the recommended chemoprophylaxis for Travelers Diarrhea?
    Ciprofloxacin or other quinolones
  43. 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?
    Annually
  44. Within how many days of receiving the recommendations of the DOD Exectuive Agent should you start immunizations?
    30 days
  45. 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
  46. Who grants Emergency Use Authorizations?  How long are they good for?
    • FDA
    • Good for 12 months

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