MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0070.txt
Page: 0070
Total Pages: 79

Subject: MEDICAL REPORTING  14 AUG 90                                    

Unit: 24TH ID     

Parent  Organization: XVIII CORPS 

Box ID: BX001433

Folder Seq #:          5

Document Number:         17






           OMAN




          ENNRIC PROTOZOAL DisEAsrs (I week to several months)
                 Transmission: Ingestion of causative agent(s) In fccally contaminated water at
                 Risk Period/Distribution: Year-round, wifli Increased Incidence from August to September. Occur
                    countrywide, with increased risk in rural areas.
                 Remarks: Usually associated with more chronic infections, same protozoans such asttiwtocba
                    histolyiica and Glardia laniblia can cause acute diarrhea. Clhilcal cases of giardiasis and amebinsis
                    arc repo@ infrequently, but are known to be common, e-qpcdally In rural areas. P-xamlnatlons of
                    fecal saruples from apparently healthy adults have demonstrated the presence of carriers rot
                    giardiasis and amebiasis, even among higher socioeconomic groups In urban areas. (liardiasts
                    usually is seen in children and is the most common Intestinal parasite. Ameblasts Is a common
                    cause of dysentery in adults.

          TYPIIOID AND PARATmiolD FEVERS (I to 3 weeks)
                 Transmission: Ingestion of causative agent(s) in @ and water contaminated by feces or uline of
                    infective humans.
                 Risk Period/Distribtition: Occur year-round, with increased Incidence from June to August. Occur
                    coun@idc, with increased incidence in rural arc-.is.
                 Rcmurks: Reported sporadically (average of 200 cases annually).'Risk of Infection In the capital
                    city of Muscat is very low; most cases are reported from rural areas. A low level of multiple :z
                    drug resistance is reported. These diseases could be signilicant causes of morbidity among
                    nonindigcnous personnel, especially In outlying villige areas.

           MENINGOCOCCAL MRNINGMS (2 to 10 days, usually 3 to 4 days)
 droplets and discharges from tioses and threats at infected
                    persons.
                 Risk Period/Distributlon: Cases occur year-round, with a peak Incidence between November and
                    February. Occurs countrywide, with Increased risk in rurni areas (among lower socioeconomic
                    groups).
                 Remorks: Endemic, causing sporadic cases and cyclic epidemics every 8 to 12 yeart. Cltoup A Is the
                    predominant type. The average annual reported incidence Is fewer than 20 cases. An epidemic
                    with 127 reported cases occurred after [lie 1987 lia'n' (pilgrimage). Most clinical cases occur In
                    children and young adults, and the overall case fatality rate Is between 10 and 25 percent.

           SEXUALLY TRANSMI=- D DiSrASCS (STDS) (2 days to 3 weeks)
                 Transmission: Sexual contact.
                 Risk Period/DLstribution: Year-round; countrywide.
                 Remarks: Endcraic, but undcr-cporlcd. Patterns of STD occurrence appettr similar to those seen In
                    WcVcrn Europe, with a large number of cases of gonorrhea and nonspecific urctilritis, and rare
                    reports of tropical STDs (chancroid, lymphogrunuloma vcnercum, and granuloma lngulnate).
                    Syphilis also is uncoffunon, and the gonorrhr-a-to-sypliiiis ratio Is greater thtin 10:1. Ponlcilllnase-.
                    producing Neisscria goiiorrliocae (PPNG) is reported at low levels.

            ClIOLr,-RA (usually 2 to 3 days, range of 6 hours to 5 days)
                 Transmission: Ingestion of causative agent, primarily In water contaminated with feces or voniflus
                    of infective humans.
                 Risk Peri@@bution: Currently not endemic.
                 Remarks: There are occasional imported cases, and outbreaks occur, usually in the summer.
 i

            ARJ30VIRAL FEVERS (3 to 12 days)
                 Sandfly fever may be circulating at a low level, but no scrological studies or clinical Ca= have been

Document 79 f:/Week-22/BX001433/MEDICAL REPORTING-DIVISION SURGEON/medical reporting 14 aug 90:07199610201768
Control Fields 17
File Room = may96_declassified
File Cabinet = Week-22
Box ID = BX001433
Unit = 24TH ID
Parent Organization = XVIII CORPS
Folder Title = MEDICAL REPORTING-DIVISION SURGEON
Folder Seq # = 5
Subject = MEDICAL REPORTING 14 AUG 90
Document Seq # = 68
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 19-JUL-1996