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File: 123096_sep96_decls23_0017.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
HELMIRTH INFECTRONS VIRAL HEPATITIS
A wide variety of helminths cause human disease. specific 1. communicability:
diagnosis is based upon identification of characteristic or-
ganisms, larvae, or ova in clinical specimens. Specific A. Route:
treatment regimens for specific diagnoses are provided 1. Hepatitis A and hepatitis E (epidemic non-A, non-
below, excluding that for schistosomiasis, which is Covered B hepatitis):
elsewhere in this publication. a. Usually are contracted by oral ingestion of
organisms, typically via infected food or
In the face of diagnostic uncertainty as to the specific water, or after physical contact with an
helminth in a clinical specimen, note that all round worms infected individual (e.g., hand to hand to
except strongyloides respond to mebendazole. Strongyloides mouth, basically fecal-oral).
is distinctive in that only larval forms, worm-like b. Hepatitis A is rarely spread by male homosex-
organisms approximately 220 microns (.2 mm) in length, but ual activity, among IV drug abusers or by
no ova, are seen in stool of infected patients. It responds blood transfusions.
to thiabendazole. Tapeworm infections, regardless of
2. Hepatitis B, hepatitis delta, and hepatitis C are
contracted by exposure to infected blood, blood
Treatment regimens: products, other infected bodily fluids, or by
sexual activity. Hepatitis delta occurs as co-
A. Roundworms (Nematodes): infection with acute hepatitis B or as superinfec-
tion with chronic hepatitis B.
1. Ascariasis: mebendazole (Vermox) 100 mg BID
orally x 3 days. B. Isolation:
1. Hepatitis A, E: stool precautions, hand washing.
2. Enterobiasis (Pinworm): mebendazole 100 mg 2. Hepatitis B, delta, C: needle, blood, and bodily
orally, with a second dose 14 days later. fluid precautions.
3. In case of clinical uncertainty as to specific
3. Ancylostomiasis (Bookworm): mebendazole 100 mg viral etiology, implement both types of precau-
BID orally x 3 days. tions.
during
4. Trichuriasis (whipworm): mebendazole 100 mg BID incubation period and early icteric phase of
orally x 3 days. illness, but may persist with hepatitis B or C for
much longer periods.
5. Strongyloidiasis: thiabendazole 25 mg/kg BID x 2
days. C. Contact prophylaxis:
1. Hepatitis A, E: 2 to 5 ml of immune serum globu-
B. Tapeworms ( a@nia species): lin (ISG) IM as soon as possible post-exposure.
2. Hepatitis B: for needle sticks or high risk
1. Praziquantel 10-20 mg/kg orally, one dose. sexual exposure, 5 ml Hepatitis B Immune Globulin
(HBIG) IM, with simultaneous initiation of hepati-
tis B vaccination.
II. Incubation:
A. Hepatitis A: 30 days (range: 15-45).
B. Hepatitis B: 70 days (range: 30-180).
titis C: 50 days (range: 15-150).
24 25
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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