MEDICAL REPORT 14 AUG 90

File: 123096_may96_decls3_0022.txt
Page: 0022
Total Pages: 79

Subject: MEDICAL REPORT  14 AUG 90                                       

Unit: 24TH ID     

Parent Organization: XVIII CORPS 

Box  ID: BX001433

Folder Title: MEDICAL REPORTING-DIVISION SURGEON                                                              

Document Number:         17

Folder Seq  #:        456






                                                                                                        SAUDI ATIABIA


                     than in(luenza is lacking, but ARDs may be a major source or morbidity affiong these personnel.
                     During the laic 19M, isolates of irfflucnza A(113N2) produhnalod over those forA(IIINI) and S.

                     C RROTOZOAL DISEASF-S (I weak to several months)
                 Transmission- Ingestion of causative agents in fccally contaminated water or food.
                 Rlsk Pe      lst-dbution: Year-round; risk greatest in August and September. Occurs countrywide;
                     incidence highest in the southwest.
                 Remarks: Usually associated with more chmnic infections, some pmtozoans such as Entamocba
                     histolyticc; Giardia taniblia, and Cryptosl)oridhvn spp. can cause acute diarrhea. Moderately
                     endemic, with clinical cases and asymptomadc carriers of giardiasis and amebinsis common.
                     Carrier rates of 5 to 50 percent for giardiasis and amcbiasts have been found in healthy adults,
                     even among higher socio-coc)nomic groups in urban areas. Glardiasls usually is seen In children
                     and is the most common intestinal parasite. Amcbiasis Is die commonest cause otclucal
                     dysentery. Cryptosporidiosis has been reported but its distribution Is undetermined.

           1WI101D AND PARATMIOID FE@ (1-3 weeks)
                 Trunsmission: Ingestion of causative agent in food and water conta@nntcd by feces or urine of
                     infective humans.
                 Risk Per@DiMribution: Occurs year-round, with increased risk from June through AugusL
                     Occurs countrywide, with incidence highest in Eastern Province.
                 Remarks: Moderately endemic. Although relatively few clinic;tl cases (about 8M annually) tire
ity among nonindigcnous personnel. The carrier
                     rate among nortindigctious workers in Riyadh his been csfli-natcd at 2.5 percent. A low level of
                     multiple drug resistance has been reported.

           MRNINCOCOCCAL MENINGMS (2-10 days, usually 3 to 4 dtys)
                 Transm@n: Direct contac4 including droplets and discharges from noses and tluonts.of Infected
                     persons.
                 Risk I'triod[Distribution:.Occurs year-round, with risk clevatcfj from November through February.
                     Countrywide, with risk greenest in rural areas among lower socioeconomic groups.
                 Remarks: Endemic but cyclic, usually occurring as sporadic cases but with epidemics every 8 to 12
                     years. Group A is the prcdominan(scrogroup. T'he avcrugc annual rcpof led incidence Ls 100 to
                     200 cases. An epidemic during the 1987 llnb pilgrimage resulted in more than 1,700 cases. Most
                     clinical cases occur among 16 to 30 year olds, and the overall case fatality rate Is 10 to 25 percent.

            SCXUALLY TRANSMITMD DiSr&SCS (MMn) (2 days to 3 weeks)
                 Transmission: &xual contacl
                 Risk Period[Distribtition: Ycar-round-, countrywide, with reported incidence higher In leddah and
                     Dhahran than in Riyadh.
                 Remarks: Endemic although under-rcporlcd. Patterns of STD isoinics appear similar to western
                     Europe, with a large number of nonspecific urethritis and rare rcl)orts of tropical STDs (clitincrold,
                     lymphogranutoma vcncrcum, and granuloma inguinate). Pcnfcff(inase-producing NeLveria
                     goijorritoca@ (PPNG) has been reported at low levels.

            C]IOLERA (usually 2-3 days, range of 6 hours to 5 days)
                 Transmission: Ingestion of causative agent, primarily in water contaminated with feces of vomitus
                     of infective hilnans.
          Risk Pcr@Digribution: See "Remarks."
                 Remarks: Currently not endemic. Occasional imported cases (and outbt@) occur, usually In the
                     summer, although they seldom arc rcportrd.nia most recent outbreak was during Ilia llaj
                     pilgrimage ii 1997.



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Document 79 f:/Week-22/BX001433/MEDICAL REPORTING-DIVISION SURGEON/medical report 14 aug 90:12179611151420
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 # = 456
Subject = MEDICAL REPORT 14 AUG 90
Document Seq # = 17
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 = 17-DEC-1996