Navy Medical Department Guide to Malaria Prevention and Control

Chapter 2: Prevention

Department of the Navy
Bureau of Medicine and Surgery

Systematic applications of four tactics are essential to planning and carrying out disease and injury prevention in field and combat operations. Listed in order, they are applicable for prevention of malaria (or any other threat):

1. Determine disease and injury threats in the area of operation before deployment.

2. Identify or develop countermeasures to reduce threats to an acceptable level.

3. Educate personnel regarding threats and train in correct use of countermeasures.

4. Command enforcement of countermeasures.

The next three sections of this chapter review effective malaria countermeasures available. Preventive countermeasures are divided into three sections: Personal Protective Measures, Chemoprophylaxis, and Unit Protective Measures. Medical personnel must seek information to answer the questions outlined below and determine which countermeasures to employ, and make recommendations for the same to commanders:

1. What type(s) of malaria is(are) present?

2. Which countermeasures will be effective in the area and situations the unit will encounter?

3. How will the unit obtain the necessary supplies, personnel, and equipment needed?

4. Do unit personnel know how to apply the countermeasures chosen? Will they apply them? What training is needed?

5. Does the entire chain of command understand its role and accountability in enforcing the countermeasures?

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Operational Medicine 2001

Health Care in Military Settings

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