MARADMINS : 465/14
R 182017Z SEP 14
UNCLASSIFIED/
MARADMIN 465/14
MSGID/GENADMIN USMTF,2007/CMC WASHINGTON DC DMCS HS/F002//
SUBJ/EBOLA VIRUS DISEASE FORCE HEALTH PROTECTION//
REF/A/DOC/SECDEF WASHINGTON DC USD (PR)/9OCT2004//
REF/B/MSG/GENADMIN AFRICOM J3/DTG 150850ZAUG14//
REF/C/DOC/MARFORAF POLICY LETTER/28AUG2014//
NARR/REF A IS DOD DIRECTIVE 6200.04, FORCE HEALTH PROTECTION. REF B IS USAFRICOM GENADMIN PROVIDING FORCE HEALTH PROTECTION GUIDANCE IN LIGHT OF WEST AFRICA EBOLA OUTBREAK. REF C IS MARFORAF POLICY ON PROCEDURES TO MITIGATE THE RISK OF EVD//
POC/HOLLIS, EWELL/CDR/HQMC/HS/TEL:703-604-4602/EMAIL: EWELL.HOLLIS(AT)USMC.MIL, DIRECTOR OF PUBLIC HEALTH//
GENTEXT/REMARKS/1. THIS MARADMIN PROVIDES INFORMATION AND GUIDANCE ON THE RECENT OUTBREAK OF EBOLA VIRUS DISEASE (EVD) IN WEST AFRICA FOR PERSONNEL DEPLOYING TO, CURRENTLY OPERATING IN, OR REDEPLOYING FROM THE U.S. AFRICA COMMAND (AFRICOM) AREA OF RESPONSIBILITY (AOR), AND DIRECTS COMMANDERS TO TAKE SPECIFIC ACTIONS AND IMPLEMENT FORCE HEALTH PROTECTION MEASURES TO MITIGATE THE EBOLA THREAT TO PERSONNEL.
2. SITUATION. WESTERN AFRICA IS CURRENTLY EXPERIENCING THE LARGEST OUTBREAK OF EVD TO DATE, AND THE TOTAL NUMBER OF CASES AND DEATHS HAVE ALREADY SURPASSED ALL DOCUMENTED EVENTS SINCE 1976 COMBINED.
3. INFORMATION
A. EVD IS PRIMARILY TRANSMITTED BY DIRECT CONTACT WITH THE BLOOD OR BODILY FLUIDS OF AN INFECTED PERSON OR THROUGH EXPOSURE TO OBJECTS (SUCH AS NEEDLES) THAT HAVE BEEN CONTAMINATED. LESS COMMONLY, EVD CAN BE TRANSMITTED BY CONTACT WITH OR CONSUMING MEAT FROM INFECTED ANIMALS, PRIMARILY BATS AND PRIMATES. EVD IS NOT TRANSMITTED THROUGH THE AIR OR BY WATER.
B. THOSE MOST AT RISK OF CONTRACTING EVD ARE FAMILY MEMBERS AND HEALTH CARE WORKERS TREATING, OR IN CLOSE CONTACT WITH, AN INFECTED PERSON.
C. FOLLOWING EXPOSURE, EVD SYMPTOMS USUALLY APPEAR IN 8-10 DAYS. SYMPTOMS APPEAR SUDDENLY AND MAY INCLUDE FEVER, RASH, HEADACHE, JOINT AND MUSCLE ACHES, WEAKNESS, DIARRHEA, VOMITING, STOMACH PAIN, AND LACK OF APPETITE. LATER MANIFESTATIONS MAY INCLUDE MULTI-ORGAN FAILURE AND BLEEDING. THE CASE FATALITY RATE IS OVER 55 PERCENT IN THE CURRENT OUTBREAK AND DEATH CAN OCCUR 1 TO 2 WEEKS AFTER THE ONSET OF ILLNESS.
D. NO VACCINE IS AVAILABLE AND THERE ARE NO CURRENT FOOD AND DRUG ADMINISTRATION APPROVED TREATMENTS. MEDICAL TREATMENT IS LIMITED TO SUPPORTIVE CARE.
4. ACTION
A. UNIT COMMANDERS
(1) IN ACCORDANCE WITH REFERENCES A THROUGH C, ENSURE ALL SERVICE MEMBERS TRAVELING TO OR FROM THE AFRICOM AOR, WHETHER ON DUTY OR IN A LEAVE/LIBERTY STATUS, ARE AWARE OF MEDICAL THREATS, PREVENTIVE MEASURES AND MITIGATION STRATEGIES.
(2) ENSURE ALL PERSONNEL REVIEW THE APPROPRIATE EBOLA TRAINING PRODUCTS LOCATED AT WWW.MARINES.MIL/EBOLA. ALL PERSONNEL SHALL REVIEW THE VIDEO AND POWERPOINT. LEADERS SHALL REVIEW THE INFORMATION SHEET FOR MARINE LEADERS AND ENSURE MEDICAL PERSONNEL REVIEW THE INFORMATION SHEET FOR CLINICAL PROVIDERS.
(3) ENSURE ALL PERSONNEL UNDERSTAND THE IMPORTANCE OF COMPLIANCE WITH APPROPRIATE PERSONAL PROTECTIVE PRECAUTIONS.
(4) TRACK AND MONITOR THE HEALTH OF ASSIGNED MARINES AND SAILORS FOR 21 DAYS FOLLOWING TRAVEL INTO COUNTRIES WITH ACTIVE OUTBREAKS OF EVD.
B. HEALTH SERVICES
(1) REPORT SUSPECTED, PROBABLE, OR CONFIRMED EVD CASES IMMEDIATELY TO THE U.S. MARINE CORPS FORCES AFRICA COMMAND CENTER IN STUTTGART, GERMANY/TEL: DSN: 314-431-2380 COMM +49-703-115-2380.
(2) REVIEW THE INFORMATION SHEET FOR CLINICAL PROVIDER GUIDANCE ON EBOLA LOCATED AT WWW.MARINES.MIL/EBOLA
C. PERSONNEL
(1) REVIEW THE EBOLA TRAINING VIDEO AND POWERPOINT LOCATED AT WWW.MARINES.MIL/EBOLA
(2) STRICTLY FOLLOW PERSONAL PROTECTION MEASURES TO AVOID EBOLA VIRUS INFECTION. THESE INCLUDE:
(A) AVOID CONTACT WITH PERSONS WHO APPEAR ILL.
(B) ENSURE ALL FOODS ARE DEPARTMENT OF DEFENSE APPROVED.
(C) DO NOT HANDLE WILDLIFE.
(D) WASH HANDS FREQUENTLY.
(3) SEEK MEDICAL ATTENTION AT ONSET OF ANY EVD-LIKE SYMPTOMS, FOLLOWING CONTACT WITH AN INFECTED PERSON, FOLLOWING TRAVEL TO A HIGH THREAT AREA, OR FOLLOWING CONTACT WITH A PERSON WHO HAS VISITED A HIGH THREAT AREA.
5. ADDITIONAL REAL-TIME INFORMATION IS LOCATED AT: HTTP:(DOUBLE SLANTS)WWW.CDC.GOV/.
6. THIS MARADMIN IS APPLICABLE TO THE TOTAL FORCE MARINE CORPS.
7. THIS MARADMIN IS CANCELLED 30 SEPTEMBER 2015.
8. RELEASE AUTHORIZED BY MAJOR GENERAL M. R. REGNER, STAFF DIRECTOR, HEADQUARTERS MARINE CORPS.//