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NEWS FROM THE FRONT

 APRIL 2018

Medical Preparation and Prevention in 

the Horn of Africa

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INTRODUCTION

There are numerous health risks throughout the Combined Joint Task Force-Horn of Africa (CJTFHOA) area that are potential threats to deployed personnel. 

The information presented will familiarize you with the environment of the Horn of Africa (HOA) 

and will help you recognize your potential “enemies.” As the preponderance of military forces are 

in Djibouti, this news from the front (NFTF) article discusses medical preparations and preventive 

measure leaders and Soldiers should take when deploying to the Horn of Africa, Djibouti City and 

Camp Lemonnier (CLDJ).

In order to maximize a deployment, ensure fulfillment of mission requirements and guarantee a 

positive experience, staying healthy is of the utmost importance. 

Takeaways:

1) It is imperative that leaders ensure that the proper medical preparations, primarily 

immunizations, are adhered to prior to any deployment. This includes making sure the 

inoculations are given at the times required for them to take effect before units deploy.

2) Soldiers and leaders must understand the physical environment they are deploying to in order to 

counter the threats they will meet while operating in the same. Some of these considerations are 

climate, field sanitation, biting bugs and other animals that threaten health, welfare and unit 

readiness.

3) Units must deploy with field sanitation kits and trained sanitation teams. FORSCOM 

Regulation 700-2 lists items, with NSN numbers, for a company-level field sanitation kit. 

Individual issue items such as insect repellent lotions and sprays, waterproof sunscreen, and bed 

nets are also essential. (see appendix A for the complete list of items)

Safeguarding the health of a command is indispensable for the 

success of any campaign. Non-Combat related disease and injuries

can cause an enormous drain on the military's resources manpower 

and unit readiness.
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The Physical Operational 

Environment.

The HOA is a region within 

eastern Africa and is the most 

eastern extension of African land.

There are variations as to which 

countries are considered part of 

the HOA, for this document, 

HOA refers to the countries 

CJTF-HOA oversees – Burundi, 

Djibouti, Eritrea, Ethiopia, 

Kenya, Rwanda, Somalia, South 

Sudan, Sudan, Tanzania and 

Uganda. 

The country DJIBOUTI lies at 

the intersection of the Gulf of 

Aden and the Red Sea between 

Eritrea and Somalia, giving 

access to one of the world’s 

busiest shipping lanes. 

Camp Lemonnier (CLDJ) lies 

within Djibouti City, the capital 

of Djibouti, on the south side of

Djibouti-Ambouli International 

Airport, which serves as both a 

military and civilian airfield. The 

camp is the sole permanent American base in 

Africa and is the primary base of operation for 

U.S. Africa Command (AFRICOM) forces on 

the continent. CJTF-HOA is a tenant of CLDJ. 
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Djibouti is approximately 90% volcanic desert, with very 

small areas of interspersed pastureland and forests. There is 

a series of minor mountain ranges extending from the 

coastal plain to the Ethiopian highlands, peak elevation 

roughly 2000 meters (6600 feet). The coastline is 800 

kilometers long (500 miles). Djibouti City and CLDJ sit on 

the coastal desert plains.

“Torrid”, “scorching,” and “sweltering” are all words used 

to describe Djiboutian weather. The desert climate has two 

seasons. There is a cool season from October to April, with 

low humidity and temperatures averaging from the low 70s 

to mid-80s. The hot season is from May to September with 

high levels of humidity and 

temperatures ranging from the low 

90s to temperatures commonly 

above 110o F. There have been 

recorded daytime highs exceeding 

120o F, but this is less common. 

The Khamsin winds occur during 

the summer months, contributing 

to rise in temperatures. They blow

off from the inland deserts, are 

hot, sand-laden, and can exceed 50 

knots. People have likened the 

Khamsins to a “perpetual hair 

dryer blowing in the face.” The 

powerful winds during the 

summer dry season are also a host 

to sand storms. Extreme high 

temperatures increase the potential 

for heat injuries and dehydration; 

sand and air particulates can 

precipitate respiratory problems.

There is very little rainfall in the 

coastal areas where Djibouti City and Camp Lemonnier lie. The rainy season occurs during the cool 

season with most of the precipitation falling from January through March. The average annual 

rainfall for Djibouti is only about five to six inches per year. Much of the rain falls in quick torrents 

and because the water absorption rate of soil is very poor, water pools at the surface. These standing 

waters become breeding grounds for mosquitos.
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Pre-deployment

During pre-deployment activities at the CONUS Replacement Center (CRC) or at home station

Soldier readiness processing (SRP), medical personnel screen records to ensure all routine medical 

requirements are complete and to identify any additional prerequisites for specific deployment 

areas. 

Immunizations. In addition to the immunizations mandatory for routine medical readiness, the 

meningococcal, typhoid and yellow fever vaccines are added requirements for deployment to 

Africa. Vaccines are never 100% effective, however, vaccinations are still the best practices critical 

for prevention. 

Meningococcal (MCG). Meningococcus bacteria spread 

through the exchange of respiratory and throat secretions like 

spit (e.g., by living in close quarters, kissing). It causes 

infections of the lining of the brain, spinal cord and 

bloodstream. This disease can be treated with antibiotics, but 

quick medical attention is extremely important because 

consequences can be severe. More recently, there have been 

increased outbreaks of a specific MCG strain across Africa to 

include two countries within the CJTF-HOA area. Prevention includes vaccination, maintaining 

healthy practices, and avoiding close contact with people who are sick.

Typhoid Fever. Salmonella Typhi bacteria cause typhoid fever and spread through contaminated 

water and food. Salmonella Typhi only lives in the bloodstreams and intestines of humans and is 

shed in the feces. It is more common in areas of the world where handwashing is less frequent 

and water is likely contaminated with sewage. It can cause very high fevers, weakness, stomach 

pain and rash. This disease can be treated with antibiotics. Prevention includes vaccination and 

avoiding risky food/water.

Yellow Fever (YF). Yellow fever is a virus transmitted through the bite of infected Aedes 

mosquitoes. This mosquito is a daytime feeder. Most infected people have no symptoms or very 

mild symptoms. Symptoms include abrupt fever onset, chills, headache, body aches, nausea, 

vomiting, fatigue and weakness. Severe forms of the disease present with high fever, jaundice 

(yellow skin), bleeding, shock and multi-organ failure. There is no known treatment except 

supportive care and observation.There is low risk for YF in Djibouti, however several countries 

within the HOA area are at higher risk for this disease. Per DoD guidance, the vaccination is 

required for all of Africa except the Comoros, Morocco and Tunisia.

Prevention includes using insect repellent, wearing protective clothing, and 

vaccination.

CDC 731. International Certificate for Vaccination or Prophylaxis (Yellow 

Shot Record). 

All personnel traveling or deploying on official business must carry with them 

a CDC 731 containing an official Yellow Fever Certificate Stamp. It is not a 
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matter of leaving a country but being allowed entry into a country if traveling from or through a 

(YF) endemic area. If you do not receive the CDC 731 from CRC, ask for it when you inprocess the 

camp medical facility.

Deployment

Heat and Dehydration. There are many exotic types of health hazards 

present in Africa, however per the Commander of the Expeditionary 

Medical Facility (EMF) at CLDJ, the most common threat to the health of 

deployed soldiers is HEAT and DEHYDRATION. It is important to 

acclimatize properly and TB MED 507- Heat Stress Control and Heat 

Casualty Management is a good resource to use as guidance. There is a 

cautionary note however, acclimatization DOES NOT reduce the 

requirements of water intake. 

https://phc.amedd.army.mil/PHC%20Resource%20Library/HeatIllness_FS_12-005-0316.pdf. 

AMEDD’s heat illness site does a wonderful job of discussing heat illness, dehydration, personal 

risk factors, and signs, symptoms and actions for heat casualties, temperature risk categories and 

work/rest times and fluid replacement guidelines.

The next sections will review food and waterborne diseases, vector-borne diseases, respiratory 

diseases and will touch very briefly on animal-contact diseases, water-contact diseases and 

aerosolized dust or soil-contact diseases found in the east African area. The purpose is primarily to 

bring attention to the existence of these threats. In depth information is available by disease or by 

geographical location on various open websites such as for the Center of Disease Control and 

Prevention (CDC), the World Health Organization, (just to mention a couple) and a CAC-card 

required website for the National Center for Medical Intelligence, https://ncmi.dietrich.army.mil. 

Food and waterborne diseases. Bottom-line if you’re not sure 

“Boil it, cook it, peel it, or forget it.”

 

Bacterial, viral and parasitic diarrheas are the most common 

afflictions in this category, caused by ingestion of contaminated 

water and food. Bacterial and parasitic infections are treated 

with medication; viral infections are treated with supportive 

care.

Hepatitis A and E are self-limiting viral infections of the liver. Hepatitis A is spread person-toperson through the fecal-oral route or consumption of contaminated food or water. Hepatitis E is 

contracted by ingestion of fecal matter, even in microscopic amounts, and is usually associated with 

contaminated water supply in countries with poor sanitation. Hepatitis E is highly endemic in 

Africa. There is a vaccination for Hepatitis A (part of routine medical readiness), there is no FDA 

approved vaccination for Hepatitis E. Treatment is supportive care.
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Typhoid infection is a bacterial that can be contracted through uncooked food or contaminated 

water and was covered above under Immunizations.

Brucellosis is a bacterial infection most commonly transmitted by eating or drinking 

unpasteurized/raw dairy products and undercooked meat. Less commonly it can be spread by 

inhalation and through wounds in the skin/mucous membranes by contact with infected animals. 

Brucellosis infection can be treated with antibiotics.

General Tip. Good handwashing habits; if soap and water are not available use alcohol-based hand 

sanitizer and consume food, water and ice only from US–approved sources.

Vector-borne diseases. Bottom-line 

use personal protective measures 

daily as shown to the left.

There are an abundance of vectors 

and vector-borne diseases listed in 

medical references, only a few, most 

common to HOA, will be 

highlighted here. 

Mosquitos carry multiple diseases such as Malaria, Dengue fever, Chikungunya, Yellow Fever, Rift 

Valley Fever, O’nyong Nyong, Sindbis, West Nile Fever, Lymphatic Filariasis. Five of them are 

considered high risk in countries within the CJTF-HOA area. Of note, the mosquito population, 

although still present, diminishes during the high temperatures during the summer months.

Dengue Fever is transmitted by mosquitoes of the Aedes family and is endemic to the eastern 

African region. There is no vaccination and treatment is supportive, therefore protection against 

bites is essential. The Aedes are “container breeders,” they like to lay eggs in containers such as 

flower planters, dishes, pet water bowls, vases, water storage containers and standing water indoors. 

Not only does the Aedes family of mosquitos (also transmits Yellow Fever) feed during the day, but 

they also bite at night indoors and out, when lights are on. Dengue is present throughout the 

countries of CJTF-HOA and there have been documented cases in Djibouti and on CLDJ.

Malaria is a parasitic disease endemic to Africa and is transmitted by the Anopheles mosquito; this 

mosquito typically feeds at night. There are four types of malarial parasites depending on regions of 

the world. Two of them, plasmodium vivax and plasmodium ovale (both present in Africa) can be 

recurring if not treated properly. Malaria can be prevented (by prophylactic medication and 

personal protective measures) and active disease can be treated with medication. Doxycycline and 

Malarone are the two medications most commonly used for prophylaxis. There are areas in eastern 

Africa where Malarone is the preferred medication, so if taking Doxycycline and mission travel to 

other countries is necessary, it is imperative to consult with the EMF and the Preventative Medicine 

Section prior to departure. Why do we take Primaquine (P) after leaving the malaria-endemic area? 

Because the malaria cycle brings the parasite into the liver then into the bloodstream where they 

multiply and destroy red blood cells; this is the phase that causes symptoms. Doxycycline and 

Malarone destroy any parasite circulating in the bloodstream only. The P. vivax and P. ovale 
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species can exist in the liver as dormant parasites and weeks, months later may enter the 

bloodstream. Primaquine destroys the dormant liver parasites. Malaria has been diagnosed in 

Djibouti City and neighboring military camps, none on CLDJ.

Rift Valley Fever is considered high risk in Sudan, Somalia, Kenya and Tanzania. Primary 

transmission is through contact with body fluids or tissue from an infected animal. Less frequently, 

infection can occur through bites from an infected mosquito or other biting insects. Extended time 

spent in rural areas or outdoors in regions of outbreaks can increase risk of transmission to humans 

by vectors. There is no vaccination and treatment is supportive.

East African trypanosomiasis (better known as sleeping sickness) is spread by the tsetse fly. The 

fly bites during the day and is found in wooded areas and savannahs. The flies typically are not 

present in urban areas, but those going to game parks can be at risk. This disease is considered a 

high risk in Sudan and Uganda. There is no vaccination, but medication is available and treatment

usually involves hospitalization and extensive follow ups.

Plague is a bacteria transmitted most commonly by infected fleas, on rare occasion it can also 

spread through contact with infected tissue and inhalation of infected droplets. It is considered high 

risk in Uganda and Tanzania. There is no vaccination and treatment of active disease is with 

antibiotics.

General tips. Wear permethrin treated uniforms issued at CRC (dry cleaning removes permethrin); 

wash and inspect body for insects, bites daily; launder uniform regularly; use permethrin treated 

bed net if sleeping outdoors; do not wear aftershave lotion, cologne or perfume in the field; bright 

colors and black attract some vectors so wear neutral colors.

Respiratory diseases. Bottom-line, to prevent spread of disease, DO 

NOT sneeze or cough into your hand.

Meningococcal meningitis, tuberculosis and especially acute respiratory 

disease – such as the common cold and flu, are potential risks during 

deployment. Meningococcal is discussed in the immunization section. 

Tuberculosis (TB) is caused by a bacteria transmitted through the air via 

droplets expulsed from the respiratory tract by an infected person. If 

another person inhales only a few of the bacteria, they too can become infected. There is a vaccine 

for TB, however it is not commonly used in the U.S. TB can be treated with a multi-drug regimen. 

Healthcare workers are probably at highest risk of contracting the disease, but contact with an 

infected person can occur at any time in close quarters. If there are any concerns about exposure, 

and/or depending on deployment location, CRC should place a TB skin test upon return stateside. 

The common cold and other upper respiratory inspections are easily spread in deployed 

environments. The only prevention is to cover your face when sneezing or coughing and to wash 

hands frequently.
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General tips. Cough/sneeze into upper sleeve; wash hands or use an 

alcohol based hand sanitizer frequently and always after sneezing, 

coughing, nose blowing; if possible have three feet between beds and 

sleep head to toe.

There are a wealth of other diseases and hazards that flourish in the 

environment, in water, dust and soil and in other mammals. 

Water. Leptospirosis and Schistosomiasis are organisms found in fresh water that can infect 

through contact with the skin. Doxycycline can be used for prevention of Leptospirosis if high 

exposure is unpreventable. The best prevention measures are to avoid unnecessary contact with 

rivers, lakes, irrigated fields; briskly towel dry wet areas and apply 70% alcohol; shower and wash 

clothes; and change wet socks. Venomous marine life, rough corals, urchins and sharks exist in 

coastal waters. Swim only at approved beaches and never swim alone.

Dust and Soil. Infection by helminths (worms), Lassa virus, Hantavirus occur through aerosolized 

dust or soil contact. Avoid if possible inhalation of dust; report presence of rodents; eat fruits and 

vegetables from U.S. approved sources only; never walk barefoot or allow skin contact with soil. If 

this occurs, immediately wash with soap and water.

Mammals. Many people tend to equate Ebola, Marburg hemorrhagic fever, and monkey pox with 

Africa in general. These diseases are not prevalent in the CJTF-HOA region. Per CDC, the last 

reported case of Ebola in Uganda was in 2012. In general, whether disease is suspected or not, 

always use barrier precautions when in contact with blood or body fluids and avoid close contact 

with any animals. Rabies is the highest risk among the possible animal contact diseases. At CLDJ, 

there is not a visible dog population; however, there are some feral cats sauntering around. Per the 

camp Preventative Medicine OIC, there is also a fox and some mongooses sharing local real estate. 

As precautions, never feed, handle or house wild or stray animals; report presence of rodents; 

maintain a clean working and housing environment; do not handle objects or merchandise made 

from skins or other animal parts such as hides, rugs, drumheads.

Air quality. Overall there is some deterioration of air quality at CLDJ as a result of multiple air 

pollution sources. Dusty conditions throughout the year, burning smoke from a dump outside of 

camp, respirable particulates released by various fuels and emissions contribute to this degradation. 

The Army Public Health organization performs environmental monitoring of air quality and reports 

on levels and thresholds of particulate matter of health concern, airborne metals, volatile and semivolatile organic compounds. These are considered to be low to moderate risks at CLDJ. 

RECOMMENDATION. If you have not already done so following a deployment to Iraq and/or 

Afghanistan, go to the Army Public Health Center website to read about the Airborne Hazards and 

Open Burn Registry - https://phc.amedd.army.mil/PHC%20Resource%20Library/AHOBPR.pdf, or 

go directly to https://veteran.mobilehealth.va.gov/AHBurnPitRegistry/#page/home to register. 
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Venomous snakes and arthropods. Needless to say, the 

list of snakes and arthropods known to inhabit east Africa is

vast. Meet some of the residents of CLDJ 

According to the Preventative Medicine personnel, most of 

the “critters” find their way indoors where it is cool. 

Especially as temperatures rise, they too want to escape the 

scorching heat.

Best practices include maintaining good sanitation; never swat or crush an arthropod on your skin, 

brush it off; shake out boots, bedding and clothing prior to use, especially if kept in a pile on the 

floor; never walk barefoot. Avoid piles of rocks, wood, garbage and debris, darkened spaces and 

corners that provide hiding places. Do not prop doors open. Get immediate medical attention if ever 

stung or bitten.30

Conclusion

Military forces must constantly prepare to fight and win on the battlefield. Intelligence Preparation 

of the Battlefield (IPB) defines the battlefield environment and during this process the commander 

and subsequently the forces learn about the threats. Although medical briefings and preventative 

medicine is not a formal part of the IPB process, it is imperative for all to understand the atypical 

threats in order to reduce the risk of disease and non-battle injury during operations so that forces 

are ultimately victorious on the battlefield. Wartime epidemics of infectious diseases have 

decimated the fighting strength of armies, caused the suspension and cancellation of military 

operations, and brought havoc to the civil populations of the belligerent and nonbelligerent alike. 

Medical preparation and prevention are crucial elements to military readiness and success.

Scorpions Carpet Viper Boom Slang
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APPENDIX A

Field Sanitation Team (FST) Expendable 

Items

(Source: FORSCOM Reg 700-2)

SUPPLY ITEMS FOR PREVENTION OF HEAT INJURIES

ITEM NSN UI AUTH QTY CL REMARKS

Wet Bulb-Globe Temperature 

(WBGT) Kit

6665-00-159-2218 EA 1/unit 9 Inventory component; replace broken

thermometers, clean/replace wick as 

needed.

WBGT Black Globe Thermometer 6685-01-110-4429 EA 1 9 WBGT component replacement as

needed.

WBGT Wet Bulb Thermometer 6685-01-110-4430 EA 1 9 WBGT component replacement as 

needed.

WBGT Dry Bulb Thermometer 6685-01-110-6563 EA 1 9 WBGT component replacement as

needed.

WBGT Wick ÉA 1 9 Use cotton shoestring for replacement.

SUPPLY ITEMS FOR PROVIDING POTABLE WATER

ITEM NSN UI AUTH QTY CL REMARKS

* Calcium Hypochlorite 6 oz jar 6810-00-255-0471 BT 1/50 indv 2 Check expiration dates quarterly. See 

Note 1.

Measuring Spoon 0.5g 6640-01-070-7877 EA 1 2

Test Paper Chlorine 6640-01-502-1866 BT 2 2

Water Purification Tablet, Chlorine 

(10 tablets)

6850-01-352-6129 PG 10/indv 2 Check expiration dates quarterly.

Water Purification Tablet, Iodine, 8 

mg (50 tablets)

6850-00-159-2218 BT 2/indv 2 Check expiration dates quarterly.

Randomly open bottles to inspect that 

tablets are steel grey.

SUPPLY ITEMS FOR PROVIDING FOOD SERVICE SANITATION

ITEM NSN UI AUTH QTY CL REMARKS

Alcohol Swabs, Sgl Pads 500s 6510-01-153-4638 BX 1/150 indv 8

Disinfectant, Food Service (12 

packets)

6840-00-810-6396 BX 1/75 indv 2 Check expiration dates quarterly.

Test Paper, Chlorine Residual

(10/PG)

6630-01-012-4093 PG 1 2 Check expiration dates periodically.

Thermometer, Food 6685-00-444-6500 EA 2 2 Calibrate as per instruction.

SUPPLY ITEMS FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)

ITEM NSN UI AUTH QTY CL REMARKS

Gloves, Chemical and Oil Protective 

(size 9) or (size 11)

8415-01-012-9294

8415-01-013-7384

PR 2/150 indv 2 Maintain cleanliness, replace when 

torn.

Goggles, Industrial Non-vented 4240-00-190-6432 EA 2/150 indv 2 Maintain cleanliness, store to prevent

scratching.
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SUPPLY ITEMS FOR CONTROL OF ARTHROPODS/RODENTS

ITEM NSN UI AUTH QTY CL REMARKS

Chest, #3, 30x18x10 Aluminum 6545-00-914-3480 EA As Reqd to

load

9 See Note 2.

* Insect Repellent, Personal

Application, 2 oz tube (12 tubes/BX)

6840-01-284-3982 BX 4 tubes /indv 9 Visually inspect containers periodically.

* Insect Repellent, Clothing

Application IDA Kit (12 kits/BX) 6840-01-345-0237 BX 4 kits /indv 9 Visually inspect containers periodically.

* Insect Repellent, Clothing & 

Bednet Treatment, Aerosol, 6 oz 

can (12 cans)

6840-01-278-1336 BX 1 can /indv 9 Visually inspect containers periodically.

* Indicates items with special handling requirements

NOTE 1: Pesticides should be properly stored. Additionally, pesticides should be over packed 

in Air-Transportable Over pack containers to facilitate division into teams. Refer to TM 38-

250,”Preparing Hazardous Materials for Military Air Shipment,” 25 November 1994, for 

additional guidance on air transportation of pesticides. The International Air Transportation 

Association’s “Shippers Declaration for Dangerous Goods” form must be used for air transport 

of those pesticides, which are regulated.

NOTE 2: Due to shelf life considerations DO NOT pre-stock. Order on a priority basis prior 

to the anticipated deployment. For emergency procurement: Contact the Defense Supply 

Center, Richmond (DGSCR) Emergency Supply Operations Center (ESOC) at DSN 

695-4865 [commercial (804) 279-4865]. This ESOC is staffed 24 hours, 7 days per week.

NOTE 3: Demand Pestab replaces Chlorpyrifos, 40 ml Btl (Dursban LO), 6840-01-210-3392. 

Dursban LO may be used until stocks are exhausted.

NOTE 4: Three sets of repair parts should be acquired for each sprayer. Repair parts will include 

items such as: check valves, pressure cups, filters, O-rings, four way nozzles with crack & 

crevice tips. Repair parts may be ordered from sprayer manufacturer by part number as Class IX 

repair parts.

ITEM NSN UI AUTH QTY CL REMARKS

* Insecticide, Demand Pestab 10% 

Tablets, Unit Dose (40 tablets / CO)

6840-01-431-3357 CO 1/150 indv 9 Visually inspect containers periodically.

* Insecticide d-Phenothrin 2%

Aerosol, 12 oz

6840-01-412-4634 CN 1/indv 9 Visually inspect containers periodically.

Mouse Trap, Spring Indv 3740-00-252-3384 DZ 4dz / 150 indv 9 Maintain/clean as needed.

Rat Trap, Spring 3740-00-260-1398 DZ 4dz / 150 indv 9 Maintain/clean as needed.

* Rodenticidal Bait Anticoagulant,

0.005% diphacinone (40 blocks/BX)

6840-00-089-4664 BX 1/150indv 9 Visually inspect containers periodically.

* Rodenticidal Bait Anticoagulant,

0.005% brodifacdoum (Talon-G) 11 

lb. can

6840-01-426-4808 CN 1/150indv 9 Visually inspect containers periodically. 

See Note 2.

* Rodenticidal Bait Anticoagulant,

0.005% bromadiolone, (Maki 

Pellets) 11 lb can

6840-01-151-4884 CN 1/150indv 9 Substitute for 6840-01-4808. Visually

inspect container periodically. See 

Note 2.

Sprayer, Insecticide, Manually

Carried, 2 Gal

3740-00-641-4719 EA 1/150indv 9 Maintain/store properly as per manual

instruction. See Notes 4 & 5.

Sprayer, Insecticide, Manually 

Carried, 1-Gal

3740-00-191-3677 EA 1/150indv 9 Substitute for 3740-00-641-4719. See 

Notes 4 & 5.

Swatter, Fly 3740-00-252-3383 DZ 1/150indv 9
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NOTE 5: All sprayers should be equipped with a pressure gauge. If not, order a pressure gauge, 

NSN 3740-01-332-8746 and filter, NSN 4330-01-332-1639, to retrofit the sprayers.

NOTE 6: Stocked only if authorized LIN S45531, Pesticide Dispersal Unit, and Backpack.