MEDICAL REPORT 14 AUG 90

File: 123096_may96_decls3_0065.txt
Page: 0065
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






            UNITED ARAB EMIRATES



                       among the nonindigcnous work force; a low level of multiple drug resistance @o has been
                       reported. 'nese d@cs may be significant causes of morbidity among tionindigcnous personnel.

            @INGOCOCCAL MENINGrnS (2 to 10 days, usually 3 to 4 days)
                   TrausrnWlon: Direct coritac@ including droplets and discharges from noses and threats or Infected
                       persons.
                   Risk Ileriod/Dlstribution: Cases occur year-round, with a peak Incidence between November and
                       February. Occurs countrywide, with Increased risk among lower socioeconomic gmups.
                   RemtLrks:End@c,causingspomdiccascsandcycl!ccpidemicsovery8tdl2years,oroupAlstho
                       predominant type. The annual reported Incidence rztnges fmrri 50 to 10-0 cases. An epidemic
                       occurred after the ba .. in August 1987, with 248 reported @. To control flio outbreaks
                                           .u
                       government immunized 80 percent of the population of 1.3 million people In Sct)tomber 1917.
                       Most clinical cases occur in children or young adults. The overall c"o fatality rate Is between
                       10and2.5pcrccnL

             SMALLY TRANSMI=. D DISCASES (Ms) (2 ditys to 3 weeks)
                   TransmWlon: @al contacl
                   Risk Period/Dlstribution: 'Year-round; @oun@ide,
                   Remarks: Endcruc, but undcrrcportcd. Patterns of STD occurrence apn-,ir to be similar to those
                       found in Western Europe. Reporting of nonspecific urcdiritis and gonorrhea is Increasing (art
                       estimated IOM to 2,000 cases of each annually). Reporting of tropical SMs (cliancrold,
                       lympliogmnuloma vcncrcum, and granuloma inguinale) is rare. Syphilis Is uncommon (fewer
ortcd pcnicillinasd-producingNeLneriagonarr/iocae
                       (PPNG) is low.

             C]IOLERA (usually 2 to 3 days, range of 6 hours lo 5 days)
                   Transmission: Ingestion of causative agent, primarily In water conltminatcd with feces or vomitus
                       of infective humans.
                   Risk Period/D@ribution: Currently not endemic.
                   Remarks: Tlcre are occasional imported cases, and outbreaks occur, usually in the summcr.
                       Nonindigcnous personnel are at low risk of infection.

             MALAWA (12 to 14 days)
                   Transm@on/Vector Ecology. Bite of an Infective mosquito (Attopiteles spp.). The primary
                       mosquito vector is AIL stepheitsi, butA@L. culicifaciesilso Is reported.
                   Risk Period/Distribution: Transmission occurs from November to April, with an Increased Incidence
                       in December. Transmission occurs at die inland oasis of Al Ayn, and on the cost coast along the
                       Pulfo(Oman(only5pcrccntoftlicl*pulationllvc.sintnalnriousureas).Mostofthecolintty
                       (Abu Dhabi, Dubai, and die west coast) is risk-frce.
                   Remarks: After the climina@o-,i of malaria on the west coast by an active control 1)mgraiii, t@o gnnual'@
                       incidence declined rapidly, from over 22,000 ea= In 1978 to 3,516 cases in 1984, Since 1984,
                       the annual incidence has remained constant ([here were 3,056 cases fit 1988; however, more than
                       thrcc-fou@ of the cases have I>ccn Imported). Indigenous cases are caused by Plasmodiunt ilvax;
                       somc of the imported cases are caused by P. falciparutit. Cases are reported year-round, and Ole
                       incidence increases from May to July.

              ARBOVIRAL FEVI-:RS (3 lo 5 days)
ction
                       wasunknown.'nerchavcbccnnofurilicrstudiestodetcctadditlonaluntelatedcasesorserological
                       tvidenceforcirculaUono(thevirusinhum3nsorlivestack.'nievitusprobablyisnotendemlain
                       the United Arab Erurates.

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