BUMEDINST 6230.15B - Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases Flashcards
Who will prescribe specific immunization and chemoprophylactic requirements for their units per requirements established by this publication and additional guidance provided by the appropriate surgeon general or United States Coast Guard (USCG), Coast Guard, Director of Health and Safety (CG-11)?
Command medical authority
The DoD policy concerning immunizations follows what recommendations in addition to the Advisory Committee on Immunization Practices (ACIP) and the prescribing information on the manufacturer’s package inserts, unless there is a militarily relevant reason to do otherwise?
Centers for Disease Control (CDC)
What licensed by the Food and Drug Administration (FDA) or the Department of Health and Human Services (DHHS) may be used, as well as immunizing agents compliant with applicable DoD investigational new drug (IND) or emergency use authorization (EUA) process?
Any immunizing agent
What will not be used beyond the manufacturer’s potency expiration date, unless the appropriate surgeon general or Director of Health and Safety (CG-11), United States Coast Guard (USCG) authorizes extension in exceptional circumstances?
Immunizing agents
Recommended immunization schedules will not be what?
Compressed
Immunizations given at an interval shorter than the recommended interval may not provide adequate immune response and should not be counted as part of a primary series, unless part of what schedules accepted by the Centers for Disease Control (CDC)?
“Catchup”
In general, to minimize injection-site discomfort, not more than how many vaccine injections will be given on the same day?
5 vaccines
Live-virus immunizations typically are given simultaneously or at an interval of how many or more weeks?
4 weeks
What agents are requisitioned in accordance with medical supply procedures?
Immunizing and Chemoprophylaxis
With regard to smallpox (vaccinia) vaccine, a specific pre-immunization screening form that assess the date of last menstrual period is required. For women whose last menstrual period was more than how many days, a pregnancy test is recommended?
28 days
Breastfeeding women may be immunized in accordance with what current guidelines?
Advisory Committee on Immunization Practices (ACIP) Guidelines
There are 2 types of exemptions from immunizations. What are they?
Medical and Administrative
Cases warranting what type of medical exemption due to a vaccine-related adverse event will be reported to the Vaccine Adverse Events Reporting System (VAERS)?
Permanent
Air Force: military members with permanent medical exemptions require a medical evaluation board and/or a flying waiver in accordance with what instruction?
Air Force Instruction (AFI) 48-123
Within how many days before separation or retirement, Service personnel may be exempt from deployment (mobility) immunizations if certain conditions are met?
180 days
Exemptions apply to civilian employees and contractor personnel who will leave a position subject to immunization with how many days or less?
30 days
For Service personnel, immunizations exemptions for religious reasons may be granted according to Service-specific policies to accommodate doctrinal religious beliefs. Whose decision is this ultimately?
Command decision made with medical and chaplain advice
Permanent exemptions for religious reasons will not be granted in what branch?
Air Force
For military personnel, civilian employees, and other health care beneficiaries, the DoD-approved what is preferred record for immunization data, including date, immunization given, dose, and identification of the person administering?
Electronic immunization tracking systems
Electronic Immunization Tracking Systems (ITS) must incorporate DoD-directed levels of security, certification, and redundancy, and the requirements of what act to preclude unauthorized access to personal medical information and to survive hardware or software malfunction?
Health Insurance Portability and Privacy Act of 1986
A printed report from the electronic Immunization Tracking System (ITS), in PHS Form 731, SF 601 (Health Record-Immunization Record), or DD Form 2766C (Adult Preventive and Chronic Flowsheet) (Continuation Sheet) format, accompanied by an official clinic stamp and the authorized signature and printed name of an authenticating official, will qualify as what type of immunization report?
Official paper
What form is prepared upon request for each member of the Armed Forces and for non-military personnel receiving immunizations, including date, immunization given, dose, and initials of person administering. The form contains valid certificates of immunization for international travel and quarantine purposes in accordance with World Health Organization (WHO) international health regulations?
PHS Form 731
Entries based on prior official records will include what following statement?
“Transcribed from official records”
The DoD and United States Coast Guard (USCG) withdrew needle-free multi-use nozzle jet injectors (MUNJIs) capable of 600 or more injections per hour, formerly identified within DoD supply systems as “hypodermic injection apparatus jet automatic: 115 volt or foot operated,” in what year due to safety concerns?
1997
Whenever vaccines are administered, at least how many people present must be trained and current in basic Cardio Pulmonary Resuscitation, oralpharyngeal airway management, and recognition and initial treatment of anaphylaxis with epinephrine?
1
The Advisory Committee on Immunization Practices (ACIP) general recommendations suggest that person be observed for how many minutes after being immunized?
15-20 minutes
Aviation personnel typically will be grounded for how many hours after immunization, or as specified by their flight surgeon?
12 hours
Health care personnel must report adverse events resulting in hospitalization, a life-threatening event (for example, anaphylaxis), time lost from duty more than HOW MANY HOURS, an event related to suspected contamination of a vaccine vial, and an event warranting permanent medical exemption (that is, a contraindicating event)?
24 hours
Military treatment facilities and commands storing health records will review immunization and chemoprophylaxis practices at least how often to ensure compliance with current standards of care and documentation and as a measure of medical readiness and health promotion?
Annually
Military treatment facilities and commands will conduct a review of the adequacy of immunization coverage among supported populations at least how often?
Annually
Enlisted accessions may be scheduled for immunizations in how many or more clusters as long as all appropriate immunizations are administered?
Two
Typhoid and Yellow Fever immunizations are required for alert forces defined by Forces Command (FORSCOM) as division -ready brigades, including attached command and control packages, combat support packages, combat service support packages, and other units approved by the FORSCOM commander for what branch?
Army
Yellow fever immunization is required for all Marine Corps personnel and for all Navy personnel assigned to Marine Operating Forces. Additionally, yellow fever immunization is required for Navy personnel assigned to Navy units subject to deployment within how many days of notification into land areas where yellow fever is endemic?
10 days
In accordance with what instruction, emergency-essential employees will be notified that they may be required to take immunizations as a condition of employment?
DODD 1404.10
Who will receive country-specific immunizations without charge at military activities upon presentation of official orders or authorization?
Federal civilian employees
Immunizations of civilian employees and contracted workers for biological warfare defense are addressed in what instruction?
DODI 6205.4
When what Food and Drug Administration (FDA), licensed vaccines are available, administer to military basic trainees as they arrive to prevent febrile respiratory disease, disease outbreaks resulting from person-to-person transmission, and lost training time?
Adenovirus
What is almost uniformly fatal once symptoms develop?
Inhalation anthrax
Hepatitis A, is an acute infection of the what? Acquired by consuming food and water contaminated with hepatitis A virus during development or travel to areas with poor food, water, and sewage sanitation. Hepatitis A is endemic worldwide.
Liver
Hepatitis B, an acute or potentially chronic infection of the what? Acquired through percutaneous, sexual, and other permucosal exposure to blood and body fluids from people infected with hepatitis B virus.
Liver
Influenza A and B, which are acute viral infections of what type? That can cause epidemics within military populations, especially under conditions of crowding, such as initial entry training, aboard ship, extended air transport, or deployment settings. Influenza A has the potential for pandemic spread.
Febrile repiratory
Japanese encephalitis, which is a viral disease of what type? During deployments and travel to endemic areas in Eastern Asia and certain western Pacific Islands. Japanese encephalitis virus can cause an acute infection of the brain, spinal cord, and meninges with high rates of complications, chronic disability, and death.
Mosquito borne
Administer Japanese encephalitis virus (JEV) to military personnel, civilian personnel, contracted workers, and other beneficiaries who are or will be stationed at least how many days in rural areas of Asia where there is substantial risk of exposure to the virus, especially during prolonged field operations at night?
30 days
Measles, mumps, and rubella (MMR) Persons born in 1957 or earlier are presumed to be immune through infection. Ensure military personnel born after 1957 have received how many lifetime doses of MMR vaccine or have positive serologic test results?
2
