g. Human Diploid Cell Rabies Vaccine, Human Rabies Immune Globulin.
Human Diploid Cell Rabies Vaccine (HDCV), Human Rabies Immune Globulin (HRIG)
products, like those in f, above, differ from most immunizing agents, where others are
not, these are usually used after an exposure to the disease has occurred. Protection
against rabies depends upon active immunization, with the production of antibodies, in
response to an inactivated vaccine. Human Diploid Cell Rabies Vaccine, elicits such a
response; however, several days elapse after injections are started before antibodies
can be detected in the serum. During this period, the virus inoculated by the bite of an
animal may gain entry into nerves. To provide an immediate barrier to the virus,
passive protection may be provided with HRIG. This temporarily slows down or halts
the spread of the virus, allowing time for active immunity to develop. Therefore, the
complete antirabies prophylaxis consists of a single dose of HRIG/antirabies serum (for
temporary, passive protection) followed by five doses of HDCV (to induce active
immunity).
2-7.
RECORDS OF IMMUNIZATION
a. Military Personnel. At the time of initial immunization of a person entering
the Army, two records are prepared: International Certificates of Vaccination (PHS
Form 731) and Health Record Immunization Record (Standard Form 601). All
immunizations administered to an individual are recorded on both of these forms.
(1) The PHS Form 731 (figure 2-2) is the individual's personal "shot record"
and is to be carried when performing international travel and at such other times as
local commanders may direct.
(2) The SF 601 (figure 2-3 and figure 2-4) is the record copy of the
individual's immunization status and is retained in his health record.
b. Nonmilitary Personnel. At the time of initial immunization of nonmilitary
personnel, PHS form 731 is prepared. Entries may also be based upon transcripts of
official records and transcripts from written statements of civilian physicians. The PHS
Form 731 is retained by the individual to be carried when performing international travel
or as needed.
MD0008
2-10
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