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File: 123096_may96_decls3_0078.txt
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
KUWATT
(A-Ukc) or parentcrally transmitted (B-like).
RLskl'e@@button:Ycar-round,withanincreasedlucidenc4fromOctobcrthroughDocember.:
Occurs coun@de,
Remarks: MgWy endemic, these agents poso major health hazards to nonindigcnous personnel.
Acute viral hcpadus cases account for nearly 50 percent of tcporw Infectious disotlso Co@ and
antibodies to hcpa@Lis A vim (HAV) occur in an estimated 90 percent of children by age 10 and
in almost 100 percent ofadults. Incidence of acute HAV Infections was Increasing In the late 1980s,
likely related to improvements in sanitadon In urban areas dial had reduced risk of childhood
bod
idcctions and thus increased the nonimmune population. And lestobepaOtIsBvirus(IIBV)
occur in an estiumted 40 percent of the population, and the IIBV carrier rate Is esumatod at nearly
4 pcrcenl Tle delta agent Oicpad@ D virus - HDV) has been found In 30 to 40 percent of Acute
HBV @ Parentcr2lly transmitted NANB hepatitis (hcrati@ C vims - HCV) Is reported i
sporadically. EntcricaUy "wtwttcd NANB hepad@ lm not been reported. Over 75 percent of
the approximately 2,500 cases ofacute viral hepatitis reported annually are attributed to RAV
ffifcction, followed by RBV (12 percent) and I ICV (9 percent).
LEISI@IASIS (1 week to many months)
Transmission[V@or Ecology: Bitc of an Infective sand(ly (Plitebotoitua spp.). Most sandilles are
d flight ranges. Tlio primary vector for
cutaneous lcishinaniasis (CL), caused by Lcislimiuiia major, is PlilebotomuspapatasL
Risk Pe@D@butloa: Risk from CL may exist year-round, but links from July fluough
September. Occurs commonly in scmi-rural areas, Including the outskirts of urban areas.
Remarks:Alsocalledzo-onoticor"wet"CL,thcd[seasccauscdbyl-nialoroccursfmlly,based
on the distribution of its primary reservoir, the fat-tailed sand mt (Psammomys obesus). The annual
number of CL cases was decreasing during the late 1980s, related to the reduction of reservoir
habitats. T'he relatively few clinical cases usually are reported from September to March, peaking
in February. Evidence of iafcctiou (scarring) occurs In loan than I percent of the Indigenous
population, but is markedly Idghcr in noniadic herdsmen.
SCIIISTOSOMLASIS (2 to 6 weeks).
Transm@oxt/Vcctor EcoloU: Penetration of the skin by watcrt>ome larval forms (ccrcartac) that
develop in snails in freshwater impoundments.
Risk Ileriod/Dlstribution: See "Rermirks."
Remarks: Numerous imported cases of urinary sc)iistosomlasis (Schistosonia haentatot)lum) reported
annually. Although foci exist in the nctiby Tigris-Euptir,,ttes river basin in Iraq, transmission does
not occur in Kuwait because of an absence of year-round ground water and lack of Intermediate
hosts.
CrrIlER DISEASES ENDEMIC IN TIIE INDIGLNOUSiorULATION
Zo,onoik d - Brucellosts (cnzoouc, particularly In goats;, human cases caused by D. itielitetlsls
occur in both rural and urban areas, especially In the summer, usually due to consumption
w goA['@lk); echinococcosis Qiydadd disease; occurs In an estimated 15 percent of
stray dogs; clinical cases in humans relatively uncommon, but accounts for many surgical pro-
cedurcs); rabies (@urs very sporadically in animals, primarily foxes, in rumi areas, some spillover
into the stray dog population occurs, and approximately 500 humans receive post-exposure mbles
prophylaxis annually); nnthrax (very sporadic in rural areas during sununcr montl@ usually
occupationally related to livestock rc-aring)-, and Q fe'Ver (rarely reported In humans but cumde
in Uvcs@ and human scrologics in rural areas Indicate exposure).
Ycctorborne d - Murine typhus (Oca-bome, very sporadically reported, usually In lower
socio-cconorwc groups with a history of rodent exposure).
Sexually transmitted d - AIDS (I case officially reported through the end of 1989, although
others am known to have occurred; in@untry testing for IUV idection reportedly Is performed,
KU-5
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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