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PREVMED TEST 3 > Quarantinable Diseases > Flashcards

Quarantinable Diseases Flashcards

1
Q

What is the purpose of quarantine regulations in regards to the internationally quarantinable diseases?

A

Movements of Navy vessels, aircraft, and others arriving at or leaving the US or foreign countries may introduce and disseminate communicable diseases and undesirable species.

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2
Q

What are the 9 quarantinable diseases?

A 
Cholera 
Diphtheria
Infectious TB
Plague 
Smallpox
Yellow Fever
Viral Hemorrhagic Fevers
SARS
Influenza caused by novel/reemergent flu
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3
Q

Disease: an acute, diarrheal illness caused by infection of the intestine with the bacterium Vibrio Cholerae

A

Cholera

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4
Q

Disease: Often mild or without symptoms, sometimes severe. 1 in 20 persons profuse watery diarrhea, vomiting, and leg cramps (rapid loss of body fluids, dehydration, and shock, death can occur w/o tx)

A

Cholera

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5
Q

Disease: Contracted by contaminated source usually feces of an infected person or drinking water/food contaminated with this bacterium. Spread rapidly in inadequate tx of sewage/drinking water, brackish rivers and coastal waters.

A

Cholera

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6
Q

T or F: Cholera is likely to spread from one person to another by casual contact with an infected person.

A

F

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7
Q

Methods of control for Cholera:

A
  • Active IMMZ with oral vaccines
  • MER case report required by WHO,
  • isolation of severely ill patients, hand-washing, and fly control
  • Concurrent disinfection of feces/vomitus of linens/articles
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8
Q

Disease: Infectious disease of animals and humans caused by a bacterium named Yersinia pestis,

A

Plague, “The Black Death”

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9
Q

Disease: Usually when bitten by a rodent flea (oriental rat flea) that is carrying this bacterium or handling infected animal.

A

Plague

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10
Q

Disease: millions of people in Europe died from this in the Middle Ages, modern antibiotics are effective but if infected person is not treated promptly disease is likely to cause death.

A

Plague

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11
Q

What are the clinical forms of plague?

A

Bubonic + Pneumonic

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12
Q

Disease: Lymphadenitis develops in lymph nodes receiving drainage from the site of flea bite forming lesions, fever is usually present.

A

Bubonic plague

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13
Q

Disease: Extensive involvement of lungs, sputum loaded with causative agent. Respiratory droplets may serve as source of propagation, leading to outbreaks/epidemics.

A

Pneumonic plague

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14
Q

Methods of control for plague:

A
  • Reduce likelihood of being bitten by fleas or exposure
  • Educate
  • Rat-proof bldgs.
  • Storage/disposal of food/garbage
  • Patient isolation/concurrent disinfection
  • Clothing repellants
  • MER case report required by WHO
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15
Q

Disease: Very rare disease in travelers, but most countries require a vaccine for this illness. Transmitted between humans by mosquito (Aedes egypti).

A

Yellow fever

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16
Q

Methods of control for Yellow Fever:

A
  • Insect repellent, PPE, mosquito netting
  • IMMS of live virus
  • Isolation
  • MER case report required by WHO
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17
Q

What are the immunization requirements for Yellow Fever?

A

Live virus single dose lasting 10yrs

Adults and children >9 months old

18
Q

When is booster dose needed for Yellow fever?

A

If continued risk of yellow fever infection, use booster dose X10yrs

19
Q

Can Yellow fever vaccine be administered with immune globulin?

A

Yes, doesn’t interfere

20
Q

In what locations is yellow fever vaccine administered?

A

@ designated yellow fever vaccination centers given by local health department

21
Q

Disease: Last acquired case in the world occurred in OCT1977 in Somalia, Global eradication was certified by WHO in 1979.

A

Small pox

22
Q

Disease: Infectious agent is variola, systemic viral disease generally presenting with skin eruptions within 2-4 days, infection via respiratory tract (droplet spread) or skin inoculation.

A

Small pox

23
Q

How is Small pox spread?

A 
respiratory tract (droplet spread)
skin inoculation
24
Q

Methods of control for Small pox?

A

IMMZ of live virus vaccine

Immediate telephonic to local + state health authorities is obligatory for non-varicella, smallpox-like cases

25
Q

What is held under security at CDC or Centre of virology/biotechnology in Koltsovo, Russian Federation?

A

variola virus stocks

26
Q

Who certified global eradication of small pox in 1979?

A

WHO

27
Q

Why are variola virus stocks held in Koltsovo, Russian Federation?

A

in response to concerns needed for counter-terrorism research in case clandestine stocks fell into terrorist hands from 1999-2002

28
Q

Who authorized variola virus stocks to be held in US and Russia laboratories?

A

WHA, World Health Assembly 1999-2002

29
Q

Instruction: Quarantine Regulations of the Navy, provides guidance on Navy’s responsibilities, liaisons, foreign quarantine + public health service requirements

A

OPNAVINST 6210.2

30
Q

Instruction: What does OPNAVINST 6210.2 provide guidance on?

A

Navy’s responsibilities, liaisons, foreign quarantine +public health service requirements

31
Q

Instruction: Identifies Navy Medical personnel delegated authority in accordance with WHO/IHRs to inspect and issue a sanitation certificate and provide standard procedures and policy for SSCP.

A

BUMEDNOTE 6210 Shipboard Sanitation Certificate Program

32
Q

Instruction: Navy Entomology + Pest Control Technology

A

NAVMED P-5010 CH.8

33
Q

Form: Navy Shipboard Sanitation Control Exemption/Ship Sanitation Control Certification, good for 6 months

A

form NAVMED 6210/1

34
Q

Form: Notification of 30 day extension for sanitation certificate

A

form NAVMED 6210/2

35
Q

Form: Declaration of Health Certificate

A

form NAVMED 6210/3

36
Q

What are the quarantine requirements for US ships making port in a foreign country?

A
  • Meet requirements of that port
  • Comply with sanitary measures by health authorities
  • Foreign Health officials may be received onboard with CO approval for certification compliance but not to conduct inspections of military vessels
37
Q

How long do CO’s have to notify higher authorities of 1 or more quarantine conditions aboard their vessels prior to arrival in US ports?

A

12-72hrs prior to entering the port, msg/radio with Senior Naval Officer in command of port to be entered

38
Q

What must be messaged/radio in order for US vessels to enter a port for notifying higher authorities of 1 or more quarantine conditions aboard? Who else is notified?

A
  • senior Naval Officer in command of port to be entered

* Military quarantine inspector + PREVMED service in port area

39
Q

What is one or more quarantine conditions that the CO must report to higher authorities before entering a port?

A
  • Temperature of 100F (38C) or greater with rash, glandular swelling, or jaundice >48hrs
  • or patient with diarrhea, X24hrs or 3 or more loose stools
40
Q

How many days prior to arrival to US port do Navy vessels need to report that passengers on board had experienced any quarantine conditions?

A

15 days

41
Q

When can a ship proceed directly to berth and begin normal business activity at a US port?

A

When otherwise indicated and radioed back to Command as circumstances require

PREVMED TEST 3 (4 decks)

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