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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 ARABIA


                    increased to 305 cases in 1988, all in the southwrstem provinces of Asir and Jizin. No animal
                    reservoir for either L tropics or L. dotiovani has been demonstrated In Saudi Arabia.

          SCITIST'OSOMWIS (2 to 6 weeks)
               Transmiss@ector Ecology: Penetration of the skin by wa@rne larval forms (ccmatine) that
                    develop in snails in freshwater impoundments. The primary Intermediate host for S@tosonta
                    mansoni (intestinal) is Bionrplwlaria arabica and for S. hoentalobhon (urinary) Is Ditlimits
                    beccarii.
               Risk Per@6-tributlon: Trans@ssion occurs year-round, with risk elevated during the spring
                    rainy season, March through May. Distribution is focal in the western (in wadis and cisterns)
                    and central (in o@) provinces. Intestinal schistosomiasis foci occur In the central 0 lail, Riyadh),
                    northern (Al JawQ, northwestern (Tabuk, Medina), Midwestern (Makkah, Al Batinii), and the
                    highlands of the Southwestern provinces (Asir, Najran). Urinary schislosorwasis foci occur In
                    the lowlands of the Southwestern (J@n) and Midwestern (Makkah) provinces.
               Remnrks: Although still pcvaicnt (overall infection rate cstimtcj at 2 percent or 20,000 cases) In
                    the 12 identified foci, the annual reported incidence Ocss than 1,000 clinical cases) was decreasing
                    during the late 19M because of the cilccdvcncss of control programs.

                         O'n]E- R DISEASES ENDEMIC IN TIIE INDIGENOUS 1101'ULATION

               Zoonotlc d         - Brucellosis (cnzootic, pardculirly.in goat-; human cases caused by B. melliensis
                    occur in both rural and urban areas, tmiinly in llie.qcntral provinces and especially In the su=er4,
                  usually due to consumption of raw goat milk); cchinomccosis Oiydadd disease; occurs in an
                    estimated 15 percent of stray dogs; clinical cases in humans relatively uncommon, but accounts
                    for -mny surgical procedures); rabies Qitiman cases very sl)or;tdic, tmually In the northern or
                    eastern rural areas; foxcs constitute [lie primary enzoolic reservoir, with some spillover Into the
                    stray dog population); anthrax (very sporadic in rural areas during summer months, usually
                    occupationally related to livestock rcuring); and Q feycr (rarely reported In humnm but cnzooflc
                    in livestock, and human scrologics in rural at= Indicate exposure).
               Vectorborne diseases - Mitrine typhus (nea-bomc, occurs very sntadically), oncliocerciiists (black
                    fly vccto-ed, could occur in the extreme souiliwcs4 may no longer be endemic); plitgite (sylvadc,
                    (Ica-bornc, last reported near the Saudi A-mbin-Ycmen border in 1969, may no longer be endemic).
               Sexually transmitted diseases - AIDS (no officially reported cases through the end of 1989, alfliougli
                    some arc known to have occurred; in-country testing for IUV infection reportedly Is perforated,
                    but no data arc available).
               Other Infectious d          -Truchonin (highly endemic, especially in rural areas; an estimated 6 per
                    ccni of the population have active infections, but control measures reportedly reduced incidence
                    during the 19ft; remains the most common cause ofl)lindncss in Saudi Arabin); soil trnnsnilited
                    helniinthic in@tions (including roundworms, hookworms, and wliipwotms; common In rural
                    areas, infection rates reportedly are low In the central and cwtcm provinces); nonvencrent endcmlc
tes up to 20 lxrccnt among some nomn(lic tribesmen);
                    and tuberculosis (cnde@c, annual incidence reportedly was declining during the late 1980s, but
                    prevalence remained high, especially in rural areas).









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                                                                 SA-7

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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