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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







                                                                                                                 KUWAtr.


                                                                                                                                   t
                                        D             OFOPERATIONALMORTANCE


                                                                                      tm operations IC no preventive
               Diseases are priori@ in descending order of c@cted Impact on mill
               M=urcs arc taken. The oryjcr provided does not take into account possible "traoidinmy events such as
               periodic epidemics of highly cyclic disca=, natural disasters, or       conflICL
                    DISW,@ WMI S]IORT INCUBATION PR,,RIODS (USUALLY LESS'NIAN 15 I)AYS)

               ACUTE DLUM@ DISEASE:S (6 hours to 10 days)
                    Transmission: Ingestion of rausativc agents or their to@ In contaminated food or water.
                    Risk Pe       lstribution: Occurs year-round, with an overall Increased Incidence from July to
                        Scptcmt>cr. Risk from viral etiologies is hig)icst from Dccem@r through N4arrh, and risk from
                        bactcrw etiologies is highest from June @u& October. Occurs coun@do, although mote
                        common in rural volagp areas.
                    Remarks: @gWy cnden'u'c; the most c4Dmrnon cause of Infectious disease dcaft, especlad In ln6nis.
                                                                                                              y
                        Although overall incidence reportedly Is decreasing In urban areas, may be tin Important cause of
                        morbidity in noobdigenous personnel. Frequently occurring pathogens include enterotoxigenic
                        &cherichia coli @C), rotavinls (most common In children), Salmonella spp. (the most cothman
ampylobacter spp. SWgcllosis, usually caused by Shigella
                        somiciorS.fl@iscommon.Salmoncilosisincrcasinglyisbeingreported.Approxlmatefy
                        25 to 30 percent of Salmo;tella and Sitigella isolates may exhibit multiple drug resistance,

               ACUTE RFSPIRATORY DIS@ES (ARDS) (1-10 days)
                    Trartsm@n: Direct or indirect contact with infectious droplets.
                    Risk Period[D@butiou: Occurs year-round; influenza cases peak from November through
                        Febmary; incidence of other etiologies Increases from May through October (totaled to dusty
                        environment). Occurs countrywide.                                               1. .
                    Remarks: HigWy endciwc; a major cause of morbidity In the Indigenous population. Risk to
                        no@ndigenous personnel difficult to mm because of lack of detailed Information otispedlic
                        cuologics, but ARDs may be a rm-tjor source of morbidity among these personnel. During the
                        late 1980s, isolat@ of influcim Aoi3N2) predominated over Uioso for A(HIN I) and D.

               @RIC RROTOZOAL DISEASRS (1 week to several months)
                    Transmission: Ingestion of causative agent(s) in f=lly contaminated water or
                    Risk Pe@DWribu@n: Yea'r-rourd, with increased Incidence In August and Sopiernber.'Occurs
                        count"idc, with risk greatest in the southwcstcm areas.
                    Remarks: Usually @c>ciated with more chronic Infections, somc protozoans such as.CIltalltoeba
                        hi,stolyi@ Giordia laniblia, and Cryptosporidiiatt spp. can cause acute diarrhea. Moderately
                        endemic, with clinical @cs and asymptomatic carriers of giartjltsls and amcbia3ls common.
                        Giardiasis usually is seen in children and is the most common Intestinal parasite. Amebtasis Is
mon cause of clinical dysentery. CryptosporidlosLs has been found In 10 percent
                        of stool samples from apparently healthy children, but the clinical significance Is unknown.

               TYPIIOID AND PARATMIOID FEvERs (1-3 weeks)
                    Trnnsin@n: Ingestion of causative agent in food and water contaminated by rcm or urine of
                        infecuvc humans.
                    Risk Per@istribution- Occurs ycar-r(jund, with risk highest from June thmugh September.
                        Occurs countrywide.
                    Remnrks: Moderately endemic; relatively few clinical cases reported, but the carrier rate, especially
                        in the large nonindigenous work force, may be high. A low level of multiple drug resistance has
                        be-en reported. Could be a significant source of morbidity among nonindigenous personnel.


                                                                    KU-3

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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