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File: 123096_sep96_decls23_0049.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
Avoidance by way of physical protection is the most SECTION III
effective approach to biological warfare agent exposure. Clinical recognition of symptoms Collection and Transport or Diagnostic Specimens
and signs in casualties may be the first indication of an attack. Patient specimens (blood, ror Definitive Diagnosis
urine) should not po@ a unique risk to medical personnel, although vegetative @thm,
plague, or tularemia organisms present in blood may be infectious.
A. Specimens to be Obtained.
1. For Routine Clinical Laboratory
a: Anthrax. Blood culture with routine media will readily detect Bacillus
anthracis. Impression smears taken from inf(,td ediasdnal lymph nodes and spleen,
smears from blood, pleural fluid, and abnormal ceebmspinal fluid (CSF) should all be
positive by Gmm or Giemn stains. Positive ,m, and cultures should be retained for
transport to the U.S. Army Medi@ Research Institute of Infectious Diseases (USAMRIID).
b: Botulinum toxin. None appropriate.
c: Staphylocmcal enterotoxins. None appropriate.
d: Clostridium perffingens. Bacteria can be cultured from clinical specimen,
using anaerobic techniques. Positive ultures should be retained for transport to
USAMRIID.
e: Plague. Blood culture with routine media will readily detect Yersinia
@l - Impression smears or aspirates of bubos, and smears from blood, CSF, or sputum all
should be positive by gmm stain. Positive smears and cultures should be retained for
transport to USAMRIID.
f: Tuluemia. Franciselia tullrelsis is a fastidious baterium, generally
requiring Specialized gmwth media. Suspicious isolatm should be retained for transport to
USAMRIID.
2. For Special Diagnostic Laboratories.
a: Anthrax. Acute serum (at least 3 ml) should be collected u early as
possible after onset of symptoms, and shipped frozen to a efere,ce laboratory (SW below).
Convalescent samples should be obtained from survivors and other members of the attacked
unit 3-4 weeks later.
b: Botolinum toxin. Acute serum (at least 20 ml blood) should be collected
as early as possible after onset of symptoms, and shipped fmzen to a reference laboratory
(see below). Exposed persons who are not yet symptomatic should alo be bled (20 ml of
blood).
c: Staphylococcal enterotoxins. Acute semm (3 ml) should he collectd as
soon as possible after onset of symptoms. Exposed persons who are not yet symptomatic
should also be bled (3 ml). Convalescent sera from surivors and nonaffcted unit members
should be obtained 2-4 weeks later. Serum should be shipped frown to a reference
laboratory (@ below).
d: Clostridium perfringens. Same as for staphylmoccal enterotoxins, above.
e: Plague. Acute semm (at least 3 Ml) should be collected as early as
Possible after symptom onset and shipped frozen to a reference laboratory (see below),
88 89
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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