Do not evacuate across international borders unless authorized by the theater surgeon. Pneumonic plague is highly transmissible person-toperson. Droplet precautions are added to standard precautions for patients with pneumonic plague until sputum cultures are negative. Immediately notify the line and medical chain of command upon diagnosis. Do not evacuate across international borders unless authorized by the theater surgeon.
Strict quarantine is required.
Standard, contact, and airborne isolation precautions are to be observed. However, due to international concerns, do not evacuate hemorrhagic fever patients across international borders unless authorized by the theater surgeon. Evacuate in cohorts of hemorrhagic fever patients only on dedicated AE aircraft. If necessary, patients may be evacuated using standard, contact, plus respiratory droplet isolation precautions. Ensure that appropriate patient care is performed while providing the crew and aircraft with the highest level of protection.