Enclosure (1) to COMDTINST 6230.6
REQUIREMENTS FOR TYPHOID IMMUNIZATION
1.
Travelers to the following countries MAY be at risk:
a.
North America - ONLY Mexico and Caribbean Islands
b.
Central and South America - All countries
c.
Africa - All countries
d.
Asia - All countries except USSR, Japan, and Korea
2.
Typhoid tends to be endemic in less well developed areas of the countries listed above where
water and sanitation systems are primitive or non-existent. As a general guideline, risk of
contracting typhoid with short-term (less than three weeks) travel to major tourist
destinations and commercial cities and ports is very low. In such instances, immunization,
unless specifically directed otherwise, is not required. Any travel to smaller cities, villages,
or rural areas of the countries listed above carries a higher risk, and typoid immunization is
required.
3.
Personnel attached to units where they are subject to deploy to high destinations on short
notice should ensure that they are immunized well in advance of potential movement to
typhoid endemic areas.
4.
Personnel assigned to the following units/duties are likely to require typhoid immunization
due to TDY or recurrent travel to the typhoid endemic areas listed in paragraph 1. above:
a.
West Africa Training Crews
b.
International Marine Law Enforcement Training Team
c.
Merchant vessel inspectors who regularly travel overseas or expect to travel to any of
the indicated geographic areas
d.
Drug Interdiction Assist Team
e.
UN/International Training Assistance
5.
Additional information concerning the need for typhoid vaccination in specific geographic
areas can be obtained from:
a.
Centers for Disease Control, Disease Information Hotline (24 hours) at COMM (404)
639-1610
b.
Commandant (G-KOM), FTS 267-0748, COMM (202) 267-0748
c.
U.S. Public Health Service Quarantine Stations:
Chicago
COMM (312) 686-2150
Honolulu
COMM (808) 541-2252
Los Angeles
COMM (213) 215-2365
Miami
COMM (305) 526-2910
New York
COMM (718) 917-1685
San Francisco
COMM (415) 876-2872
Seattle
COMM (206) 442-4519
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