6.17

Question 1

What is the OPNAVINST 6210.2

Answer 1

Quarantinable disease

Question 2

Quarantine regulations are intended to prevent the introduction, dissemination domestically or internationally or disease affecting what?

Answer 2

• Humans, plants animals
• prohibited or illegal taken wildlife
• Arthropod vectors
• Pest of health and agricultural importance

Question 3

What are the quarantinable diseases?

Answer 3

Chlorea
Diptheria
Infectous TB
Plague
Smallpox
Yellowfever
Viral Hemorrhagic fever
SARS
Influenza caused by sources that can cause a potential pandemic

Question 4

Explain Cholera

Answer 4

• Acute diarrheal illness by infection of the intestine by vibrio cholerae
• one in 20 will have severe Sx’s profuse diarrhea, vomiting, leg cramp
• dehydration and shock can lead to death can occur in hours
• Cholerae lives in brackish and coastal water
• does not spread from person to person easily

Question 5

Methods of control for Cholerae

Answer 5

Active immunization with oral vaccines, protection for months
case report required to WHO and MER
disinfecnt linens and articles used by patients
isolation with enter precautions of ill patients

Question 6

Describe the plague

Answer 6

• caused by Yersinia pestis
• gotten by being bitten by a rodent flea carrying the plague
• Modern antibiotics are effective but if not treated correctly patient may die

Question 7

Clinical forms of Bubonic plague

Answer 7

• Lymphadenitis develops in the lymph nodes and drainage from the flea site , may be lesion
• Fever is usually present

Question 8

Clinical forms of pneumonic plague

Answer 8

Extensive involvement of lungs, sputum loaded with causative agent
droplets may serve as a source of propagation

Question 9

Methods of control for the plague

Answer 9

• basic objective to reduce likliehood of people being bitten by fleas
• Education, Casr report to WHO and MER, patient isolation

Question 10

Disease process of Yellow fever

Answer 10

very rare cause of illness in travelers
Human to mosquito Aedes Egyptii
Need vaccination prior to entry into endemic country

Question 11

Method of control for Yellow Fever

Answer 11

Immunization
single dose good for 10yrs or more
adults and children over 9mo

Question 12

Isolation of the yellow fever pts

Answer 12

Bloody and body fluid precautions
Clothing, bednets and repellents
case reported to WHO and MER

Question 13

Describe the disease process for Small pox(Variola Virus)

Answer 13

-last natural occurrence is 1977 and eradicated in 1979
-all known virus stocks in Atlanta Georgia and kotsovo Russia
Sx’s skin eruptions within 2-4 days
Normally respiratory and droplet

Question 14

Method of control for Small pox (variola virus)

Answer 14

immunization with vaccine

if non varicella small pox is suspected immediate teleconference local and state health authority

Question 15

Instructions governing the Quarantine regulations

Answer 15

OPNAVINST 6210.2 (Quarantine regulation of the Navy)
BUMEDINST 6210.4 (Ship Sanitation Certificate program)
NAVMED 6210/1 (US Navy ship sanitation control exemption cert)
NAVMED 6210/2 (30 day extension)
NAVMED 6210/3 (US declaration of health)

Question 16

Foreign port quarantine requirements

Answer 16

foreign official can come aboard with CO approval to checks certifications

They cannot inspect the ship

Question 17

US port quarantine

Answer 17

last 15 days someone has temp 100 or more acommpanied with rash, glandular, swelling jaundice that has persisted for more than 48hr

death due to non battle or physical injury

CO 12-72 hours prior call port and request entry and no response your allowed to berth and carry on