Adenovirus Vaccine and Ginkgo

• Generic Name: adenovirus vaccine
• Dosage Forms: n.a.
• Other Brand Names: Adenovirus Type 4 and Type 7 Vaccine Live Oral

Prevention of febrile acute respiratory disease caused by adenovirus type 4 and type 7. Labeled by FDA for use in military populations 17 through 50 years of age; not commercially available for use in other individuals. (See Restricted Distribution under Dosage and Administration.)

Adenoviruses, especially adenovirus type 4 and type 7, commonly cause acute respiratory disease (e.g., runny nose, fever, sore throat, breathing problems, cough, headache, croup, bronchitis). Certain adenovirus serotypes cause other illnesses (e.g., conjunctivitis, keratoconjunctivitis, otitis media, gastroenteritis, cystitis). Disseminated or life-threatening infections can occur (e.g., severe pneumonia, hepatitis, meningitis, encephalitis). Adenoviruses spread person to person via direct contact, respiratory droplet transmission, or food and/or water contaminated with feces. Fomites also may be involved in transmission since adenoviruses survive for long periods outside of the body, including on environmental surfaces, and are unusually stable when exposed to chemical and physical agents or adverse pH conditions.

Military recruits are at increased risk of acute respiratory illnesses during basic training because of several factors, including close sleeping and training environments where transmission of respiratory pathogens is facilitated, congregation of young adults arriving from wide geographic distributions who may enter basic training carrying pathogens capable of being spread to others who are immunologically susceptible, and stressful nature of basic training and military operations. Adenoviruses, especially adenovirus type 4 and type 7, are a well documented cause of acute respiratory illness in military recruits; adenoviruses reportedly cause 50–80% of cases of acute respiratory disease in this population. Outbreaks of adenovirus-associated disease also occur in other populations (e.g., healthcare-associated outbreaks), but the combination of sustained transmission and relatively high and predictable attack rates of adenovirus-associated respiratory disease appears to be unique to military basic trainees.

US Department of Defense (DOD) requires that all enlisted US military recruits 17 through 50 years of age receive a single dose of adenovirus type 4 and type 7 vaccine live oral at the earliest opportunity upon arrival at initial entry training (basic military training), unless contraindicated (see Contraindications under Cautions). May also be recommended for other military personnel at high risk for adenovirus infection, but not required for cadre working at enlisted basic training sites.

• Generic Name: ginkgo
• Dosage Forms: n.a.
• Other Brand Names: Ginkgo biloba, Gingko Biloba

Ginkgo is an herb also known as Ginkgo biloba, Abricot Argenté Japonais, Adiantifolia, Arbre aux Écus, Arbre du Ciel, Arbre Fossile, Bai Guo Ye, Baiguo, Extrait de Ginkgo, Fossil Tree, Graine de Ginkgo, Herba Ginkgo Biloba, Japanese Silver Apricot, Kew Tree, Maidenhair Tree, Noyer du Japon, Pei Go Su Ye, Salisburia Adiantifolia, Yen Xing, Yinhsing, and other names.

Ginkgo has been used in alternative medicine as a possibly effective aid in improving mental function or treating anxiety, dementia, leg pain caused by blood circulation problems, premenstrual symptoms, vision problems caused by glaucoma or diabetes, vertigo (dizziness), or a movement disorder (tardive dyskinesia) caused by taking certain antipsychotic drugs.

Ginkgo has also been used to treat seasonal affective disorder, age-related memory loss, asthma, tinnitus (ringing in the ears), high blood pressure, multiple sclerosis, cocaine addiction, or sexual problems caused by taking antidepressants. However, research has shown that ginkgo may not be effective in treating these conditions.

Research has shown that ginkgo is not likely to be effective in treating heart disease.

Other uses not proven with research have included altitude sickness, macular degeneration (age-related vision loss), attention deficit disorder, dyslexia, vitiligo (discolored skin), migraines, bronchitis, digestion problems, urination problems, skin sores, high cholesterol, Raynaud's syndrome, fibromyalgia, chronic fatigue syndrome, blood clots, stroke, and cancer.

It is not certain whether ginkgo is effective in treating any medical condition. Medicinal use of this product has not been approved by the FDA. Ginkgo should not be used in place of medication prescribed for you by your doctor.

Ginkgo is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

Ginkgo may also be used for purposes not listed in this product guide.