MEDICAL REPORT 14 AUG 90

File: 123096_may96_decls3_0027.txt
Page: 0027
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





                                                                                                                    DAtinAIN




                                       DISEASES OF OPERATIONAL IM1'01t'FANCE

               Diseases arc prioritized in descending order of expected impact oii m[Iiinry operations It no preventive
               mcasurcsaretakcn.Tlicorderprovideddoes,iottakeintoaccoutitpussibteextraorditioryovetilssuclias
               periodic cpidcmir-s of highly cyclic diseases, natural disasters, or armed conflict.

                   DISEASES Wl'nl SIlOItT INCUBNRION I'EIUODS (USUALLY LESS TIIAN 15 DAYS)

               ACUTE DIARRIIE&L DISEAS -@ (6 lious to 10 days)
                   Transmission: Ingestion of causative agent- or their toxins fit contaminated food or water.
                   Risk Period/Distribtif !on: Occur year-round, with an overall increased Incidence from July to
                        September. Viral cases increase from December to March, bactcrinl cases from Julie to October.
                        Occur countrywide, although more common in rural areas outside of Manama.
                   Remarks: 1--rcquently occurring patl,.ogcns include cnterotoxigenic &cllcricllia coll (ETP-C), totavirtis
                        (most common in children), Sliigclla spi)., Salitioticlla slip., and Caitil)ylobocter spp.'Me overall
                        incidence of acute diarrlical diseases in Bahrain is reported to be low. Neverilicim, acute diarrheal
                        diseases are the most common cause of Infectious disease morbidity atiiong nonirdigenous
                        personnel. Sitigellosis, usually due to Sliigclla sotitici, Is common, and reporting of salinonellosis
                        is increasing. Multiple drug resistance is common among the Salniottella spi). and Sltigclla spp.
                        isolates.

               ACUTE l@I'lltATORY DisrAsLs (I to 10 diys)
drt)i)lcts.
                   Risk 1'erio(I/Distribiition: Occur year-round, with incrc.@d Incidence In July and August, due to dry,
                        dusty conditions, and from December to February due to Influenza activity. Occur countrywide.
                   Retiinr@: Acute respiratory diseases are the most common cruise of Infectious disease morbidity
                        among [lie local population (approximately 5,OC)O cases per yeir) and could be a major cause of
                        morbidity among nonindigcnous personnel.
               EN'RERIC PROTOZOAL I)I@EASRS (I week to several months)
                   Transni@on: Ingestion of causative agcnt(s) in rcc.-tliy cojitaiiiiiiatcd water or food.
                   Fjslt Period/L)istriL)tition: Year-round, with increased incidence [it August and September. Occur
                        countrywide.
                   Rent-.irlcs: Usually associated with more chronic iii(cctioiis, some protozoans such as Etitaiiioeba
                        histolytica and Giardia lattiblia cin cause acu(c diattlica. Clinical cases of glardinsis and amcblasts
                        arc common, although under,@epotlcd (500 =es par year). Exam[iittion of fecal samples ftom.
                        apparcn(ly lical(liy adults has shown high cirrier rates, especially among noiiindigeiious workers.
                        Approximately 5 percent of children -,itid young people 6 lo 20 years of age are Fritters of Giardia
                        laniblia (tire most common intestinal 1).irositc). Clinical cases of glardiasts usunlly are-seen In
                        children, amcbiasis cases in adults.

               TYPIIOID Ar4D I'ARATYPIIOID FEVEI(S (I to 3 weeks)
                   Transmission: Ingestion of causative agent(s) In food and write- contaminated by Feces or alone of
                        infective liumans.
                   Risk Perio(]/Distribtitioti: Occur year-round, with increased incidence from April to June. Occur
     countrywide.
                   Remarks: Endemic, with annual reported incidence of 100 to 200 cases (104 cases In 1988,307 In
                        1987). The majority of cases have been caused by Salittoiicila typlii. A high carrier rate has been
                        reported among the foreign work force. A low level of multiple drug resistance Is reported.




               revised:        1990

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