MEDICAL REPORT 14 AUG 90

File: 123096_may96_decls3_0077.txt
Page: 0077
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







            KUWAIT



            MENINGOCOCCAL MWWGMS (2-10 days, usually 3 to 4 days)
                       Transmission: Direct contac4 including droplets and discharges from noses and throats of Infected
                       persons.
                       Risk P @buwn: Occurs year-round, with a @ Incidence from November through
                       February. Occurs countrywide, with risk greatest in rumi areas among lower socioeconomic
                       groups-
                       Remarks: Endc@c but cyclic. Usually occurs as sporadic @ (10 to 20 mmuntly), but with
                       epidemics every 8 to 12 years. Scrogroup A usually predominates, and aa outbreak (estimated
                       at 100 cases) attributed to Group A occurred following the return of pllgrims from the 1987 Haj).
                       Most clinical cmes occur in children and young adults, and the overall case fatality rate is 10 to
                       25 percent

            SEXU@Y TR"S@ Dis                      gm) (2 days to 3 weeks)
                       Trummission: Scx=l con(acl
                       Risk PerkKVD@button: Year-round, countrywide.
                       Reroarks: Endemic although undcr-rcportcd. Patterns of STD Isolates appear similar to Western
                       Europe, with a large number of nonspmlflc urcuiri@ @ rare reports of tropical STDA (chancrold,
                       lymphogranuloma vcnercu@ and granuloma lnguinale), PenietHinase-producing NeLneria
                       go@hoe4w (PPNG) is reported at low levels.

            AMOVIRAL FEVEPS (3-12 days)
                       Crimean-Congo licinorrhngic Fever (CCIIID cases have not been reported, but antibodies have been
                       detected in a small percentage of Kuwaiti bcdouin's. The tick vector (Ilyalomma spp.) Is present In
                       rural areas of Kuwait, and an cndc@c CCHF focus in norgicrn Iraq, the ordy one known In the Middle
dic bedouins.
                       Sandny Fever may occur, although direct evidence is lacking@'Me virus Is widely distributed In the
                       Kddlc Em4 and Phlebotomuspapatas4 the principal sand fly vector in the Middle Eas@ Is present.
                       Nague Fever could occur, but no recent cases have been rcpo@ Ile mosquito vector, Acdes aebypli,
                       is prcscn@ and records c)dst of the disease occurring on the eastern roast of Saudi Arabia.
                       West Nile Fever cases have not been reported but the virus may be circulating Imally, Limited scrologi-
                       cal tests in 1979-82 found somc "suspected" positives among Indigenous samples, and several
                       potential mosquito vwors (Culex spp.) are present.

             clioLr-RA (usually 2-3 days, range of 6 hours to 5 days)
                       Trnnsraission: Ingestion of causative agent, primarily in water contaminated with feces or vomitus
                       of infective humans.
                       Risk Per!MMls1iibtjtion: See "Remarks."
                       Remarks: Occasional imported cases (and outbreaks) occur, usually In the summer, although they.
                       seldom are reported. The most recent outbreak rcpor(W occuricd In 1986.

              @IA (12-14 days)
                       TransmMon/Vector Ecology: Bitc of an Infective mosquito (Anopheles spp.). Art. stepliensi Is
                       @nt in all areas.
                       Rlsk PcriodM@bution: See 'Remarks."
                       Remarks: Reported annual incidence incr                                          but all were
                                                             cased during the 1980s to about 6M czsca
                       considered imported. No indigenous transmission occurs.
                       DISEASES WI'M LONG INCUJ3ATION PERIODS (USTIALLY MORCIIL&N 15 DAYS)

              VIRAL ]IF-PATMS (15-180 days)
1-@ - person to pcmn by the remi-omi route. liepadlis B OIBV) -
                       contactwithr-ausativcagcntLhrouglibloodtmnsfusions,conts@natwnocdlcs,sexualcontac4and
                       contaminated pcrineal wounds. Non-A non-B hepatitis (NAND)          may be cnterically transmitted

                                                                   KU-4

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