6.17 International Quarantinable Diseases

Question 1

Quarantine Regulations of the Navy

Answer 1

OPNAVINST 6210.2

Question 2

Ship Sanitation Certification Program

Answer 2

BUMEDINST 6210.4

Question 3

Purpose of quarantine regs

Answer 3

movement of DOD personnel and equipment entering or departing the United States or foreign countries/ports may introduce undesirable non-native species and disseminate communicable diseases

Question 4

Quarantinable diseases

Answer 4

cholera
diphtheria
infectious tuberculosis
plague
smallpox
yellow fever
viral hemorrhagic fevers
SARS
influenza

Question 5

Cholera

Answer 5

diarrheal illness caused by infection of the intestine with the bacterium Vibrio Cholerae
* bacteria may also live in brackish rivers and coastal waters

Question 6

Methods of control for Cholera

Answer 6

Imms
case report required by WHO and Medical Event Report
Isolation w/ hand washing and fly control
concurrent disinfection of feces and vomitus of linens and articles used by patient

Question 7

Plague

Answer 7

disease of animals and humans caused by a bacterium named Yersinia Pestis
comes from being bitten by rodent flea
millions died in europe in middle ages

Question 8

Bubonic plague

Answer 8

lymphadenitis develops in lymph nodes

fever is usually present

Question 9

Pneumonic Plague

Answer 9

extensive involvement of lungs, sputum loaded with causative agent
respiratory droplets may serve as source of propagation

Question 10

Methods of control of Plague

Answer 10

education
rat proofing of buildings/ships
storage and disposal of food and garbage
patient isolation and concurrent disinfection
clothing repellants
case reported to WHO and MER

Question 11

Yellow Fever

Answer 11

very rare, a viral disease transmitted between humans by mosquito (Aedes Egypti)

Question 12

Methods of control of Yellow Fever

Answer 12

insect repellent, protective clothing, and mosquito netting
imms - 9months and older
single dose every 10 years

Question 13

Small Pox

Answer 13

last naturally acquired case Oct 1977 in Somalia
- global eradication certified in 1979 by WHO
stocks held in CDC Atlanta and Centre of Virology and Biotechnology, Russia
infection occurs via respiratory tract or skin inoculation
skin eruption within 2-4 days

Question 14

Methods of control of Small Pox

Answer 14

Imms - vaccinia virus

Non-varicella, small pox like case suspected, immediate comms with local and state health agencies

Question 15

OPNAVINST 6210.2

Answer 15

Quarantine Regulations of the Navy

- provides guidance on Navy’s responsibilities, liaisons, foreign quarantine and public health service requirements

Question 16

NAVMED P-5010, CH 8

Answer 16

Navy Entomology and Pest Control Technology

Question 17

BUMEDINST 6210.4 Series

Answer 17

Ships Sanitation Certificate Program

Question 18

NAVMED 6210/1

Answer 18

US Navy Ship Sanitation Control Exemption / Ship Sanitation Control Certificate

Question 19

NAVMED 6210/2

Answer 19

Notification of 30 day Extension

Question 20

NAVMED 6210/3

Answer 20

US Declaration of Health Certificate

Question 21

Foreign Port Quarantine Requirements

Answer 21

Foreign health officials may be received onboard for certificate compliance with approval from CO
must follow sanitary reqs
foreign officials can not conduct inspections on military vessels

Question 22

US Port requirements

Answer 22

in last 15 days - temp of 100F+ with rash, glandular swelling, jaundice. diarrhea (3+ loose stools in 24 hours)
death due to illness
quarantine conditions - CO will notify between 12-72 hrs prior to entering port, calls senior naval officer
copy of message sent to
- military quarantine inspector
- prev med service
unless otherwise specified, ship is permitted to continue with berthing and porting