d. Exemptions and Waivers. Exemptions are granted for medical reasons;
waivers are granted for administrative reasons.
(1) Exemptions. A staff surgeon or commanding officer of a medical
treatment facility may issue an exemption from immunizations for a valid medical
reason. A medical exemption may constitute an assignment limitation, and an individual
with such a limitation will not be assigned to a country where the disease is endemic.
(2) Waivers. The Surgeon General may grant waivers of immunization
requirements. Such waivers are usually granted on the basis of legitimate religious
objection to immunization. Such waivers will constitute assignment limitations as in (1),
above. Waivers are subject to revocation when the accomplishment of a military
mission may be compromised. Persons granted waivers must be counseled as to the
(a) The additional risk to health on exposure to disease against which
the individual will not be protected.
(b) The possibility that the individual may be detained at international
borders in accordance with international health regulations.
(c) The possibility that the waiver may be revoked in the interest of
military necessity, and that he may be immunized involuntarily--by force, if necessary.
e. Delineation of Specific Geographic Areas and Their General
Immunization Requirements. Immunization requirements for travel to or through, or
duty in specific geographic areas, are given in succeeding paragraphs. In Area II
(designated on the map (figure 2-1) by numbers), the letter symbolizes the
immunizations required for that area in addition to those designated for Area I.
(1) Area I. Area I includes the United States, Canada, Greenland, Iceland,
Kwajalein Atoll (Marshall Islands), Guam, and all Pacific Ocean Islands east of the
180th Meridian, the North and South Polar Regions including the Antarctic continent,
Bermuda, the Bahama Islands, Baja, California, the area in Mexico north of a line 50
miles south of the US-Mexico border and the Naval Base, Guantanamo Bay, Cuba.
(2) Area II. Area II includes Areas IIP, IIY, and all other areas outside Area
I. Immunizations and reimmunizations required for all persons subject to this regulation
traveling to or through, or residing in Area II, are those listed in Table 2-1.