Proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases (Gabès, 2017)

Abstract

The vaccination program and chemoprophylaxis in Tropics

Cite this: Pan African Medical Journal - Conference Proceedings. Nov 2017; 4(4): 12. doi:10.11604/pamj.cp.2017.4.12.390

Submitted: 20 Oct 17   Accepted: 03 Nov 17   Published: 15 Nov 17

Key words: Vaccination, chemoprophylaxis, Tropics

© Taha Khoufi et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/4/12/abstract

Corresponding author: (khoufi_taha@hotmail.fr)

This abstract is published as part of the proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases(TUNISIA, )

The vaccination program and chemoprophylaxis in Tropics

Taha Khoufi1,&, Imed Kanoun1, Riadh Allani1, Ali Mrabet1

 

1Direction Générale de la Santé Militaire, Tunisie

 

 

&Corresponding author
Taha Khoufi, Direction Générale de la Santé Militaire, Tunisie

 

 

Abstract

Introduction: military deployment to a tropical country will expose soldiers to infectious diseases. Some of these diseases can be avoided by immunization before departure. Our objective is to establish an immunization and chemoprophylaxis planning to protect deployed troops.

 

Methods: first step is to gather medical intelligence from institutional website as WHO, Atlanta CDC, to identify preventable infectious diseases frequent in the country of deployment. Second step is to make the list of vaccines. Vaccination can be divided in two groups: mandatory vaccines depending on national policy (boost) and specific vaccine depending on the geographical area of the deployment (complete vaccination). Finally, we create a timeline for vaccination. For malaria, the chemoprophylaxis is required and must be continued for some time after the end of mission.

 

Results: we deploy 5000 Tunisian soldiers in DR of Congo with MONUC from 2000 to 2010 (500 every year). The timeline of vaccination was: boost for mandatory vaccination: Diphtheria-Tetanus, Typhoid, Polio and Meningitis > 3 months before deployment, complete vaccination for specific immunization: Hepatitis A, Hepatitis B and Yellow Fever > 30 to 15 days before deployment, boost at 6 months, in mission, for Hepatitis A and B, chemoprophylaxis: Doxycyline or Mefloquine, begins at day-7 and until 30 days after returning.

 

Conclusion: the results of this vaccination program was satisfying, with a protection of 100% and no lethal case of malaria. Side effects were minor fever and local symptoms, with no immune or neurologic reaction. For chemoprophylaxis, observance was not good, especially for doxycycline.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases ()

Country: TUNISIA

Dates: 23 Oct 16 - 25 Oct 16

Venue:

Organizers:

Secretariat: dgsante_cmed@defense.tn

Contact person: Pr Salem Bouomrani (Salembouomrani@yahoo.fr)