MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0077.txt
Page: 0077
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







           KUWAIT.



          MENINGOCOCCAL M@GMS (2-10 day@ usually 3 to 4 days)
                      Transmission: Direct concac4 including droplets and discharges fmin   and throats of Infected
                      persons.
                      Risk P  @bution: Occurs ycw-round, with a peak Incidence from November tbxough
                      February. Occurs counuywide, with risk greatest in rural areas among lower socioeconomic
                      gmups-
                      Remarks: Endc@c but cyclic. Usually occurs as sporadic @ (10 to 20 annually), but with
                      epidemics every 8 to 12 years. Scrogroup A usually predominates, and an outbreak (estimatcd
                                                                                                             87 H
                      at 100 cases) attributed to Group A occurred following the return of pilgrims from the 19    ajj.
                      Most clinical cases occur in children and young adults, and the overall mw fatality rate is 10 to
                      25 pcrrCnL

           srxuAL-T-Y @S@ DIS @@ES                       (2 days to 3 weeks)
                      Transmission: Sexual contact
                      Risk Perk)d/Distributton. Year-round, countrywide.
                      Remarks: Endemic although undcr-rcportcd. Patterns of STD Isolates appear similar to Western
                      Europe, with a large number of noris@fic urcfliri@ and ram tct)orts of tropical STDs (cliancrold,
                      lymphogmnulomavenercumandgmnuto-@minguinaic).Peniclifinase-prc-ducingNeiss@
                      gonorrhoecw (PPNG) is reported at low levels.
           ARBOVIRAL FEVTPS (3-12 days)
                      C@eaxi-Coi3go I lemorrhagic Fever (CC'Iln cases have not been reported, but antibodies have been
                      detected in a small perrcntage of K@waitt @oul:ni.'nic lick vector (Ilyalomma spp.) Is present In
cm Iraq, the ordy one known in the Middle
                      Eas@ may be accessible to nomadic bedouins.
                      Sandfly Fever may occur, although direct evidence is lacking. Tle virus Is widely distributed in the
                      Middle @4 and Phlebotomuspopotasi, the princilml sand fly vector in the Middle Eu4 Is present.
                      Derigue Fever could or-cur, but no recent cases have been rcportcd.'Me mosquito vector, Acdes aegypti,
                      is prrscn4 and records c)dst of the disease occurring on the castcni coast of Saudi Arabia.
                      West Nile Fever cases have not been reported but the virus may be circulating locally, Limited scrologi-
                      cal tests in 1979-82 found some "suspected" positives among indigenous samples, and several
                      potential mosquito vectors (Culex spp.) arc present.

            CIIOLERA (usually 2-3 days, range of 6 hours to 5 days)
                      Transmission: Ingestion of causative agent, primarily in water contaminated wi.th feces or vomitus
                      of infective humans.
                      Risk Period/D@ribtition: See "Remarks."
                      Remarks: Occasional imported cases (and outbreaks) occur, usually In the summcr, although they.
                      seldom are reported. The most recent ou(bicak rcporw occurred In 1986.

                        (12-14 days)
                      Transm@io@edor Ecology: Bitc of an Infective mosquito (Anopheles spp.). All. stepliensi Is
                      Fmnt in all areas.
                      Risk 1er@istribution: See "Remarks."
                      Remarks: Reported annual incidence increased during the 1980s to about 6W cases, but all were
                      considered imported. No indigenous transmission occurs.
                      DISEASES Wl'nl LONG INCU)3ATION PERIODS (USIJALLY MORE, IIIAN 19 DAYS)

              VIRAL IlLrATrnS (15-180 days)
rson to person by the fecal-omi route. Hepatitis 13 0113V)
                      contact with causative agent through blood transfusions, contaminated needles, sexual contac4 and
                      contaminated pcrineal wounds. Non-A non-B hcpa6tls (NANB)            may be enterically transmitted

                                                                  KIJ-4

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