MEDICAL REPORT 14 AUG 90

File: 123096_may96_decls3_0028.txt
Page: 0028
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







              BAtiRAIN



                        Typhoid and paratyplioid fevers may be significant causes ol' morbidity among nonlitdigcnous
                        lxrsonnel.

             M.CNINGOCOCCAL MENINGI-NS (2 to 10 days, usually 3 to 4 days)
                    Trnnsmission: Direct contac@ inci ud I ng droplets and discharges front noses nnd iliroa Ls or I nrected
                        persons.
                    lusk Perio(VDistribution: Occurs year-round, wiili peak Incidence from November through February... li
                        Occurs countrywide, with increased risk among lower socioeconomic groups.
                    Remnrks: Endemic; causes sporadic Cases and cyclic cpidemir-s every 8 to 12 years. Group A Is the
                        predominant typc.nic average annual reported incidence Ls fewer than 10 eases. An epidemic
                        occurred after the haA (pilgrimage) in August 1987, with 25 reported cases. Most clinical caSC3
                        occur in children or young adults. The overall case fatality rate is between 10 and 25 percent.

             SEXUALLY TRANSMI=,D DISCASES (STDS) (2 days to 3 weeks)
                    Transmission: Sexual contact.
                    lusk Period/Dimribution: Yc3r-round; countrywide.
                    Remark5: Endemic although underrcporlcd. P2iicrns ar.STD occurrence appear similar to @.ose found
                        in Western Europe; nonspecific urctli-itis and go;iorriiei are reported commonly (an estimated
                        1,OW cases per year), and there arc rare reports of tropical STDs (chnncroid, lympilogranuloma
                        vcncrcum, and granuloma inguinnic). Sypliiiis is uncommon (fewer than 100 cnses per year).            c,
                        Pcnicillinasc-producing Ne@cria goiior-rhocae PPNG) is reported at low levels.
              clioLritA (usually 2 to 3 days, range of 6 hours to 5 days)
ntaminated with feces or voinitus
                        of infective liumans.
                    lusk Perio(VD@ribiition: Currently not cndchc.
                    Remarks: There are occasional impor(cd cases, and outbreaks occur, usunlly in the summcr. 710 last
                        outbrcak(causcdbyVibriochoterac,biotypeElTor,scrotypeOgawa)occurrcdlnl978-1979,
                        witli946o[ficiallyrcportcdcascs,mostlyamongcliildrcn.Nonindigcnouspcrsonnclarcatlow
                        risk of infection.

              MAL.AltIA (12 to 14 days)
                    Ti-ansmissiotVVector Ecology: Bite of an infective mosquito (Aiioplicies spp.).nic primary mosquito.
                        vector is AIL S(cpliciisi, but A)L ciilicifacies also Is reported.
                    lbsk Pcriod/D@ribittion: Transmission does not occur in Bahrain.
                    Rem.irks:Altliougiiimporlcdcascsarc-cporlcd,iticlostiiidigcnouscasawasrcportcdlnl979.Tlie.
                        3nnualincidenccolimportcdcascsisundcr2GO;mosLcnscsoreamongSoutliAsinnemployces
                        and arc caused by Plasniodiuiti vivax. The potential mosquito vectors arc found throughout the,
                        country, especially in urban arc-as.

               AltBOviltAL FR-VEIZS (3 to 12 days)
                    Sandny fever'may be circulating, but there has been no reporting ofscrological evidence, clinical
                        cases, or the presence of the potential sand fly vector, Plilebolofl)ljspapalasil.
                    Dengue has been reported historically from the cistcrn constil areas, but Is not believed to be
                        circulating. The mosquito vector, Acdes aegypii, may be present.

                    DISEASES WITII LONG INCU13ATION PEIZIODS (USUALLY MORE'NIAN 15 DAYS)

               VIPAL IIEPA-n-ns (15 to 180 days)
                    Trnnsmission: hepatitis A(liAV)-pcrson-to-pcrson by the fccal-orat routc; hepatitis B OIBV)-..,
ough blood transfusions, coiitamin@ltcd needles, sexual contact,

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