What is the OPNAVINST 6210.2
Quarantinable disease
Quarantine regulations are intended to prevent the introduction, dissemination domestically or internationally or disease affecting what?
- Humans, plants animals
- prohibited or illegal taken wildlife
- Arthropod vectors
- Pest of health and agricultural importance
What are the quarantinable diseases?
Chlorea Diptheria Infectous TB Plague Smallpox Yellowfever Viral Hemorrhagic fever SARS Influenza caused by sources that can cause a potential pandemic
Explain Cholera
- 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
Methods of control for Cholerae
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
Describe the plague
- 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
Clinical forms of Bubonic plague
- Lymphadenitis develops in the lymph nodes and drainage from the flea site , may be lesion
- Fever is usually present
Clinical forms of pneumonic plague
Extensive involvement of lungs, sputum loaded with causative agent
droplets may serve as a source of propagation
Methods of control for the plague
- basic objective to reduce likliehood of people being bitten by fleas
- Education, Casr report to WHO and MER, patient isolation
Disease process of Yellow fever
very rare cause of illness in travelers
Human to mosquito Aedes Egyptii
Need vaccination prior to entry into endemic country
Method of control for Yellow Fever
Immunization
single dose good for 10yrs or more
adults and children over 9mo
Isolation of the yellow fever pts
Bloody and body fluid precautions
Clothing, bednets and repellents
case reported to WHO and MER
Describe the disease process for Small pox(Variola Virus)
-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
Method of control for Small pox (variola virus)
immunization with vaccine
if non varicella small pox is suspected immediate teleconference local and state health authority
Instructions governing the Quarantine regulations
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)
Foreign port quarantine requirements
foreign official can come aboard with CO approval to checks certifications
They cannot inspect the ship
US port quarantine
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
