Section II. BASIC REFERENCES GOVERNING THE ARMY IMMUNIZATION
Immunization requirements and guidelines change at a very rapid pace as new
scientific information is gathered. It is essential that an active effort be made to keep
current guidelines on hand and stay up-to-date.
PRIMARY SOURCES OF INFORMATION
The primary sources of information about Army immunizations are found in these
documents: AR 40-562; the World Health Organization's Vaccination Certificate
Requirements for International Travel; Morbidity and Mortality Weekly Report (MMWR);
TB MED 114, Immunizations; Report of the Committee on Infectious Disease, "Red
MILITARY IMMUNIZATION PRACTICES
Military immunization practices are reviewed and established by the Armed
Forces Epidemiology Board (AFEB). The Advisory Committee on Immunization
Practices recommends federal policies. Its recommendations are published periodically
in the MMWR. For urgent inquiries, contact the Center For Disease Control, Atlanta,
Georgia. If you have questions concerning immunizations administered by the Army,
consult AR 40-564, Immunizations, or TB MED 114, Immunizations.
Section III. EXEMPTIONS AND WAIVERS FROM IMMUNIZATION
Although immunizations are required for military personnel, it is possible to be
exempt from some immunizations or to have permanent or temporary waiver of certain
immunizations. General information about immunizations must be noted as follows.
a. Precautions Before Giving Immunizations. Before administering any
immunizing agent, make provisions for the immediate first aid and medical care of a
systemic (anaphylactic) reaction which a person might have. A military or civilian
member of the medical department service (preferably an allergist) who is trained and
qualified in emergency resuscitative techniques must be present. There must be on
hand an emergency tray containing materials for immediate treatment of systemic and
other serious reactions. Included in these materials must be a tourniquet and a syringe
containing a 1:1,000 aqueous solution of epinephrine.