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Transmittal Notice 82-9


TN 82-9
12/15/82

BACKGROUND:

This transmittal forwards revised pages to Appendix II (page 1) and Appendix III (pages 1 and 2) to Part 4, Chapter 3, Section 1 of the Indian Health Manual.  This is effective immediately.

The revision requires the following specific diseases, Genital herpes, oral herpes (Herpetic gingivostomatitis) and ocular herpes (herpes simplex with ophthalmic complications) to be recorded as write-in entries on the Ambulatory Patient Care Report Form and modifies the write in Notifiable Disease List.  The Centers for Disease Control, PHS/DHHS has published a report supporting the contention that the epidemic of genital herpes infection occurred in the United States from 1966 to 1979.  (Morbidity and Mortality Weekly Report, March 26, 1982, Vol. 31, No. 11, CDS, PHS, DHHS).  This revision will permit the Indian Health Service to monitor ambulatory visits for these three varieties of herpes simplex now identified separately.

/Everett R. Rhoades, M.D./
Everett R. Rhoades, M.D.
Assistant Surgeon General
Director, Indian Health Service


MATERIAL TRANSMITTED:

Appendix II, Page 1.
Appendix III, Pages 1 and 2.


MATERIAL SUPERSEDED:

Appendix I, Page 1.
Appendix II, Pages 1 and 2.

DO NOT REMOVE APPENDICES I AND IV.


MANUAL MAINTENANCE:

Remove superseded material transmitted September 10, 1981, under TN No. 81.5 and file the attached pages in their proper sequence.


Distribution:  PHS 110-129 Tab d
Date:  December 15, 1982


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