R 132003Z APR 04 ZYB FM BUMED WASHINGTON DC//alt="NEHC Index"// TO AIG 7783 AIG 6947 RTAUZYUW RUEWMCS0600 1042003-UUAA--RHMFIUU. ZNR UUUAA ZUI RUENMED0600 1042003 RAYWOO T COMAUSNAVPBGRP RHMFIUU/COMMARCORBASESLANT//JJJ// RUHEHMS/COMMARCORBASESPAC CAMP H M SMITH HI//JJJ// RHMFIUU/COMMARCORBASESPAC CAMP H M SMITH HI//JJJ// RHMFIUU/CG MCB CAMP PENDLETON CA//JJJ// RHMFIUU/CG MCB CAMP LEJEUNE NC//JJJ// RHMFIUU/CG MCB QUANTICO VA//CG// RUCKALD/COMMARCORLOGBASES ALBANY GA//JJJ// RHMFIUU/COMMARCORLOGBASES ALBANY GA//JJJ// RHMFIUU/COMCABEAST CHERRY PT NC//JJJ// RHMFIUU/COMCABWEST MIRAMAR CA//JJJ// RHMFIUU/MCAS NEW RIVER NC//JJJ// RHMFIUU/MCAS CAMP PENDLETON CA//JJJ// RHMFIUU/MCAS BEAUFORT SC//JJJ// RUEACMC/MARBKS WASHINGTON DC//JJJ// RHMFIUU/MARBKS WASHINGTON DC//JJJ// RUEACMH/HQBN HQMC ARLINGTON VA//CO// RHMFIUU/HQBN HQMC ARLINGTON VA//CO// PAGE 02 RUEWMCS0600 UNCLAS RHMFIUU/MCAS YUMA AZ//JJJ// RHMFIUU/CO MCLB BARSTOW CA//JJJ// INFO RUENAAA/CNO WASHINGTON DC//N931// RUEACMH/HQBN HQMC ARLINGTON VA RHMFIUU/HQBN HQMC ARLINGTON VA RHMFIUU/CMC WASHINGTON DC//IL/HS// RUCBCLF/COMLANTFLT NORFOLK VA//N02M// RHHMHAA/COMPACFLT PEARL HARBOR HI//N02M// RUCOSSA/COMNAVAIRLANT NORFOLK VA//N02M// RUCBKMC/COMSUBLANT NORFOLK VA//N02M// RHMFIUU/COMMARFORRES//JJJ// RUCBTFA/COMNAVSURFLANT NORFOLK VA//JJJ// RUCOGAB/COMNAVREG MIDLANT NORFOLK VA//JJJ// RUEGNER/COMNAVREG NE GROTON CT//JJJ// RHMFIUU/COMNAVREG SE JACKSONVILLE FL//JJJ// RULSADC/COMNAVDIST WASHINGTON DC//JJJ// RUCCNOM/COMNAVRESFOR NEW ORLEANS LA//JJJ// RUCOWCA/COMLANTAREA COGARD PORTSMOUTH VA//JJJ// RHMFIUU/CG MCRD WRR SAN DIEGO CA//JJJ// RHMFIUU/CG MCRD ERR PARRIS ISLAND SC//JJJ// PAGE 03 RUEWMCS0600 UNCLAS RHMFIUU/CG MCB HAWAII KANEOHE BAY HI//JJJ// RHMFIUU/CG MCB CAMP BUTLER JA//JJJ// RHMFIUU/MCAS IWAKUNI JA//JJJ// RULSMJA/MARCORSUPACT KANSAS CITY MO//JJJ// RHMFIUU/MARCORSUPACT KANSAS CITY MO//JJJ// RHMFIUU/HLTHCARE SUPPO NORFOLK VA//JJJ// RHMFIUU/HLTHCARE SUPPO JACKSONVILLE FL//JJJ// RHMFIUU/HLTHCARE SUPPO SAN DIEGO CA//JJJ// RHMFIUU/NAVENVIRHLTHCEN PORTSMOUTH VA//PM// RHMFIUU/NAVENPVNTMEDU TWO NORFOLK VA//JJJ// RUWDXCM/NAVENPVNTMEDU FIVE SAN DIEGO CA//JJJ// RHMFIUU/NAVENPVNTMEDU SIX PEARL HARBOR HI//JJJ// RHMFIUU/NAVENPVNTMEDU SEVEN SIGONELLA IT//JJJ// RHMFIUU/NAVDISVECTECOLCONCEN BANGOR WA//JJJ// RHMFIUU/NAVDISVECTECOLCONCEN JACKSONVILLE FL//JJJ// RHMFIUU/CHPPMDCSOPSOPNSBRCH ABERDEEN PROVING GROUND MD//JJJ// RUCBACM/JFHQ HLS NORFOLK VA//JJJ// BT UNCLAS //N06250// MSGID/GENADMIN/BUMED WASHINGTON DC/alt="NEHC Index"/-/APR// PAGE 04 RUEWMCS0600 UNCLAS SUBJ/MEDICAL SURVEILLANCE PLAN FOR WEST NILE VIRUS-CY2004// REF/A/DOC/CNO/YMD:19980827// REF/B/GENADMIN/SECNAV/271452ZSEP2002// REF/C/DOC/BUMED/YMD:19981021// REF/D/GENADMIN/BUMED/301309ZAUG2001// REF/E/DOC/CDC/-// NARR/REF A IS OPNAVINST 6250.4B PEST MANAGEMENT PROGRAMS. REF B IS SECNAV GUIDANCE ON WEST NILE VIRUS (WNV) SURVEILLANCE AND CONTROL. REF C IS BUMEDINST 6220.12A GUIDANCE FOR MEDICAL EVENT REPORTING. REF D PROVIDES BUMED GUIDANCE FOR REPORTING WNV. REF E IS CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) MANUAL OF 2003, EPIDEMIC/EPIZOOTIC WNV IN THE UNITED STATES: REVISED GUIDELINES FOR SURVEILLANCE, PREVENTION AND CONTROL. REF A CAN BE FOUND AT WEBSITE NEBT.DAPS.MIL/DIRECTIVES/6250.4B.PDF. REFS B AND C CAN BE FOUND AT WEBSITES NEHC.MED.NAVY.MIL/PREVMED/EPI/DESURV2.HTM. REF D CAN BE FOUND AT WEBSITE NEHC.MED.NAVY.MIL/PREVMED/ENTO/WESTNILE.HTM. REF E CAN BE FOUND AT WEBSITE CDC.GOV/NCIDOD/DVBID/WESTNILE/SURV$CONTROL.HTM.// POC/TETREAULT/LCDR/NEHC/LOC:PORTSMOUTH VA/TEL:757 953-0717 /TEL:DSN: 377/EMAIL:GETETREAULT@MAR.MED.NAVY.MIL// PAGE 05 RUEWMCS0600 UNCLAS POC/REMMERS/LTJG/NDVECC JAX/LOC:JACKSONVILLE/TEL:904 542-2424 /TEL:DSN: 942/EMAIL:JLREMMERS@DVECCJAX.MED.NAVY.MIL// POC/SCHOELER/LCDR/NDVECC BANGOR/LOC:BANGOR/TEL:360 315-4450 /TEL:DSN: 322/EMAIL:GEORGE.SCHOELER@NDVECC.NAVY.MIL// RMKS/1. THIS HAS BEEN COORDINATED WITH THE COMMANDANT OF THE MARINE CORPS. THE COMMANDANT HAS AUTHORIZED TRANSMISSION TO MARINE ACTIVITIES. 2. FOLLOWING PROVIDES GUIDANCE ON MEDICAL SURVEILLANCE PLAN FOR WNV FOR CALENDAR YEAR 2004. REF A DIRECTS SURVEILLANCE AND CONTROL OF PESTS WHICH TRANSMIT DISEASES ON NAVY AND MARINE CORPS INSTALLATIONS. REF B DIRECTS SURVEILLANCE ON BASES IN AREAS WHERE WNV HAS BEEN FOUND, AND DIRECTS CONTROL WHERE APPROPRIATE. 3. WNV SURVEILLANCE PROGRAMS ON NAVY AND MARINE CORPS BASES SHOULD BEGIN IN APRIL OR MAY DEPENDING ON LOCATION AND WEATHER. THE COGNIZANT NAVY DISEASE VECTOR ECOLOGY AND CONTROL CENTER (NDVECC) ARE AVAILABLE FOR HELP IN SETTING UP MOSQUITO SURVEILLANCE AND CONTROL PROGRAMS. A. EFFECTIVE WNV SURVEILLANCE INCLUDES PROPER SURVEILLANCE MEASURES AND EDUCATION. B. COOPERATION WITH LOCAL PREVENTIVE MEDICINE AGENCIES IS PAGE 06 RUEWMCS0600 UNCLAS ENCOURAGED. C. EARLY IDENTIFICATION AND ELIMINATION OF MOSQUITO BREEDING SITES, TO INCLUDE LARVAL MOSQUITO CONTROL, SHOULD BE GIVEN PRIORITY. D. SUBMIT SICK AND DEAD BIRDS TO BASE VETERINARY OFFICE FOR VIRUS TESTING. 4. ADULT FEMALE MOSQUITOES SHOULD BE COLLECTED FOR VIRUS TESTING. FOLLOWING COORDINATION WITH NDVECC JAX OR NDVECC BANGOR, ADULT MOSQUITO SPECIMENS SHOULD BE SUBMITTED TO THE COGNIZANT US ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE (CHPPM)-EAST, FT DETRICK, MD; CHPPM-SOUTH, FT-MCPHERSON, GA; OR, CHPPM-WEST, FT LEWIS, WA FOR VIRUS TESTING. CHPPM WILL PROVIDE MATERIALS FOR PRESERVING AND SHIPPING SPECIMENS AND APPROPRIATE TESTING, TO ACTIVITIES SUBMITTING SPECIMENS. ACTIVITIES ALREADY SUPPORTED BY STATE OR LOCAL LABS SHOULD CONTINUE AS DESIRED. 5. FOR MEDICAL TREATMENT FACILITIES (MTFS), RECOMMEND FOLLOWING. WNV SHOULD BE INCLUDED IN THE DIFFERENTIAL DIAGNOSIS, PARTICULARLY WHEN TREATING ELDERLY PATIENTS WITH APPROPRIATE CLINICAL SYNDROMES. MTFS SHOULD NOTIFY NEHC CDO BY TELEPHONE (757) 953-0700 DURING WORKING HOURS, (757) 621-1967 AFTER WORKING HOURS WITHIN 24 HOURS OF PAGE 07 RUEWMCS0600 UNCLAS PRESUMPTIVE OR CONFIRMED DIAGNOSIS USING INFORMATION IN REFS C AND D. STATE HEALTH DEPARTMENT AND CDC SHOULD BE NOTIFIED FOR PROBABLE OR CONFIRMED CASES. 6. HEALTH THREAT ASSESSMENT. WE HAVE FOLLOWED WNV AS IT HAS SPREAD ACROSS THE CONTINENTAL UNITED STATES. USING CRITERIA IN REF E, THE THREAT REMAINS LOW FOR HUMAN WNV DISEASE ON NAVY AND MARINE CORPS BASES. CLOSE MONITORING OF MOSQUITOES, BIRDS, AND POSSIBLE HUMAN CASES IS WARRANTED ALONG WITH APPROPRIATE RISK COMMUNICATION ACTIVITIES.// BT #0600 NNNN