BUMEDINST 6230.16 - Malaria Prevention and Control

Question 1

What is one of the most deadly diseases in tropical and subtropical regions?

Answer 1

Malaria

Question 2

What percent of the world is endemic for malaria?

Answer 2

40%

Question 3

Over how many deaths per year can be attributed to malaria?

Answer 3

one million deaths annually

Question 4

Per which reference has malaria been included as an Armed Services reportable disease due to its high military significance?

Answer 4

BUMEDINST 6220.12C

Question 5

What should direct when and if malaria chemoprophylaxis is required by the operational commander which should also provide preventive medicine guidance directives needed to minimize the malaria risk?

Answer 5

Health Service Support (HSS) Annexes

Question 6

Which website should medical planners or unit medical personnel obtain access to for current DoD risk estimates of the malaria burden in planned area of operations or deployments?

Answer 6

National Center for Medical Intelligence (NMCI)

Question 7

Which reference provides a compact reference for medical support to Navy and Marine Corps operations in malarious zones and is considered the primary source of guidance on malaria prevention and control?

Answer 7

NMCPHC-TIM PM 6250.1, Navy Marine Corps Public Health Center (NMCPHC) Pocket Guide to Malaria Prevention and Control

Question 8

Which website provides general travel, malaria specific travel information by country, prevention (Personnel Protective/Preventive Medicine (PPM) and chemoprophylaxis), and treatment recommendations for malaria not covered by the DoD/DoN?

Answer 8

Centers for Disease Control and Prevention (CDC)

Question 9

What includes information about command-directed personal protective measures, individual chemoprophylaxis, pharmacology of anti-malaria agents, diagnosis and treatment, clinical disease presentation, and management of Glucose-6-Phosphate Dehydrogenase (G-6-PD) deficient personnel?

Answer 9

NMCPHC-TIM PM 6250.1, Navy Marine Corps Public Health Center (NMCPHC) Pocket Guide to Malaria Prevention and Control

Question 10

Guidance on personal protection for health is found in?

Answer 10

U.S. Navy Regulations, Chapter 9, Article 0923

Question 11

The potential adverse impact of malaria on U.S. Forces and auxiliary personnel can be greatly minimized by proper prevention, treatment, surveillance, and vector control activities. T or F?

Answer 11

True

Question 12

Which Navy Regulations article states that commanders are responsible for protecting the health of the persons in their charge and to obtain advice from their medical personnel?

Answer 12

Article 0923

Question 13

Command enforcement is best conducted at the junior officer and petty officer/SNCO level, with the support from who?

Answer 13

Senior enlisted, XO, and CO

Question 14

Which reference must the Commanding Officer along with the Navy and Marine Corps Public Health Center ensure is periodically revised with current information on prevention and treatment of malaria, vector surveillance, and control measures?

Answer 14

NMCPHC-TIM PM 6250.1, Navy Marine Corps Public Health Center (NMCPHC) Pocket Guide to Malaria Prevention and Control

Question 15

How many days of standard malaria chemoprophylaxis supplies may be issued by MTFs for individual travel or small detachment unit travel on a case by case basis (as MTF pharmaceutical funding allows)?

Answer 15

30-60 day supplies

Question 16

In regards to authorized medications for special operations/special duty personnel, medical staff should consult with who?

Answer 16

Cognizant flight surgeons and/or dive officers

Question 17

Who is contacted prior deployment to potentially malarious areas for current area-specific risk assessment, prevention and treatment recommendations?

Answer 17

Cognizant Navy Environmental and Preventive Medicine Unit (NEPMU)

Question 18

Which personnel must be identified and evaluated by the Medical Department prior to deployment to determine their need for special chemoprophylaxis and treatment protocols when traveling, transiting through, or deploying to malaria-risk areas?

Answer 18

Glucose-6-Phosphate Dehydrogenase (G-6-PD) deficient

Question 19

What must be provided by medical providers or their support staff for all suspect or confirmed malaria cases to the Navy and Marine Corps Public Health Center using the Disease Reporting System internet (DRSi) or other authorized methods?

Answer 19

Medical Event Report (MER)

Question 20

Who shall medical providers or their support staff report suspect or confirmed malaria cases to?

By what means will the medical personnel report the cases?

Answer 20

Command Surgeon (numbered fleet, Marine Expeditionary Force, Type Commander, or Joint Force Commander)

Message, E-mail, or telephone

Question 21

Malaria should be considered in all diagnoses of febrile illness when medical history includes travel to malarious areas. A complete history of travel should be obtained for at least how many months prior to the illness?

Answer 21

6 months

Question 22

Individuals that live in malarious areas for several years may develop what immunity?

What will happen if they live outside the malarious areas for prolonged periods?

Answer 22

“Limited” Immunity

They become susceptible and may develop malaria

Question 23

What can cause psychiatric symptoms when it is used for prophylaxis?

Answer 23

Mefloquine

Question 24

What malaria prophylaxis is given after Malarone and Doxycycline have been ruled out?

Answer 24

Mefloquine

Question 25

What malaria prophylaxis is contraindicated for use with people who have a history of seizure disorder and those specific neurologic disorder or behavioral disorders, to include suicidal and homocidal ideation, and post-traumatic stress disorder (PTSD)?

Answer 25

Mefloquine