Abstract
During Operation Assured Response in Liberia and Sierra Leone, between May and July 1996, five confirmed cases of falciparum malaria occurred in U.S. Navy personnel. The threat of malaria in west central Africa was recognized from the outset, and preventive medicine guidance was given to all the units participating in Operation Assured Response. The use of personal protective measures as well as drug chemoprophylaxis (daily doxycycline) was stressed. Among these cases, all patients admitted to either not using personal protective measures or not taking the medication as directed. This report serves to review the individual cases and remind the reader of the need to comply with prophylaxis, daily use of doxycycline, when prescribed.
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