Measles Pathogenesis and Clinical Features Measles Complications Measles Epidemiology Composition Live virus Efficacy 95 (range, 90-98) Duration ofImmunity Lifelong Schedule 2 doses Should be administered with mumps and rubella as MMR, or with mumps, rubella and varicella as MMRV 1941 – 894,134 U.S. cases 1995 – 288 U.S. cases Measles VaccineIndications for Revaccination Vaccinated before the first birthday Vaccinated with killed measles vaccine Vaccinated prior to 1968 with an unknown...

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Department of DefenseLargest Adult Immunization Program DoD Service Members Beneficiaries and Employees MILVAX with Regional AnalystsVHC Network with Regional SitesGlobal Outreach Logistic Clinical Services Challenges in VaccinesMilitary Allergy-Immunology Vaccinia Safety EnhancementWith Increased Surveillance Smallpox VaccineMyopericardits Beyond Immunization Tool KitLearning Management System (LMS) www.VHCINFO.org Quality Improvement Defense Medical SurveillanceSystem (DMSS) Vaccine Safety QuestionsDoD...

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Shielded from the host immune response because resides in the skin epithelium Not all infected persons have antibodies One study showed that 54-69 of infected women had antibodies Laboratory Testing for HPV HPV DNA Testing – NOT A. for men B. to check for HPV in genital warts/other STIs C. to check for HPV in partners of B D. to check for HPV in partners of women with pre-cancerous lesions E. to check for HPV in pregnant women Impact of HPV in Adolescents Young Adults in the U.S. 74 of infections...

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Roger D Polish MAJ MC Gastroenterology Service Overview Virology Epidemiology Pathogenesis Clinical manifestations Diagnosis and management Vaccination Post exposure prophylaxis Hepatitis A Virus Picornavirus Classified as a hepatovirus, formerly enterovirus 72 Naked icosahedral RNA One Serotype, 4 genotypes Single strand 7848 nucleotides Codes for 4 proteins VP1, VP2, VP3 VP4 Biology / Virology Biology / VirologyEpidemiology 1.5 million cases reported each year Under reported due to the amount of...

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