MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0076.txt
Page: 0076
Total Pages: 79

Subject: MEDICAL REPORTING  14 AUG 90                                    

Unit: 24TH ID     

Parent  Organization: XVIII CORPS 

Box ID: BX001433

Folder Seq #:          5

Document Number:         17






                                                                                                                           KUWAtr.



                                           D              OFOPIMA'NONALBUORMCE


                Disca=arepriori@indcscendingorderofexpe@impacton@litaryopcmdonstruopreveTlave
                m=urcsarctaken.Tleordcrprovidodd@nottakointoaccountpossiblocxtraordinatyovotiL,tsuchas
                pcri@c epidemics of highly cyclic disca=, natural disasters, or @ conflicl

                     DISEASES WMI SIIORT INCUBA'NON PERIODS (USUALLY LOS -NIAN IS DAYS)

                ACUTE DUM@ DISFASES (6 hours to 10 days)
                     Transw@n: Ingestion of causative agents or their toxins In contaminated                  or water.
                     RiskPc@istribution:Occursycar-round,withanovemilincrcasedincidcncotrom3ulyto
                         September. Risk from viral etiologies Is highest Emm December through March, and risk from
                         bacterial etiologies is highest fmm June through October. Occurs countrywide, although more
                         common in rural vulagg areas.
                     Re m ar ks: I li ghl y code a'u'c; the most commo n ea use o t Infectious disease den ths, especially In Infants.
                         Althoughoverallincidcncereportedlyisdocrcasinginurbnnams,tmyboanimporLantcatmof
                         morbidity in noedndigcnous personnel. Frequently occurring pathogens Include enteroloxlgcnio
                         Escherichia coli (EMC), rotavirus (most conunon In children), Salmonella 5
                         etiology ift adults), Shigella spp., and Canipylobacter spp. Slilgellosls, usuall,
                         sontici or S. J7=wr4 is common. Salmonellosis Increasingly Is being reportea
                         25to3OpcrcentotSaLmottellaandShigellaisolatcsmaycxhibltmultipledrugte tatico.

                AC@ RJ---SPIRATORY DisEAsrs (ARDS) (1-10 days)
ntact with infectious droplets.
                     Risk Period[Distribution: Occurs year-round; influenza cases peak from November through
                         February; incidence of other etiologies Increases from May through October (related to dusty
                         environment). Occurs countrywide.
                     Remarks: Highly endctwc; a major cause of morbidity In the Indigenous population. Risk to
                         nonindigenous personnel difficult to a=ss @usc of lack of dcwfed Information on specific
                         cfiologics, but APDs may be a major source of morbidity among these personnel. During the
                         laic 1980s, isolat@ of influen7a A(R3N2) predominated over those for A(IIIN 1) and B.

                VMRIC PROT070AL DISEASCS (I week to several months)
                     Transmission: Ingestion of causative agcnt(s) in focally contaminated water or fee
                     RiskPer@Distxibution:'Yea'r-@und,withincrcascdfncidenceinAugustandSeplember.'Occurs
                         countrywide, with risk greatest in the southwestcm tireas.
                     Remarks: Usually associa(cd with more chronic infections, some protozoans such as Eittantoeba
                         histolyiici; Giardia laniblia, and Cryptosporidiimt spp. can cause ncuto diarrhea. Moderately
                         endemic, with clinical cases and asymptomatic carriers of giardi.@s and anicbiasis common.
                         Giardiasis usually is seen in children and is the most common lntcsflnal para.-Ile, Amebinsis Is
                         the most common cause of clinical dysentery. Cryplosparidlosts has been found In 10 percent                 ......
                         of stool samples from apparently healthy children, but the clinical significance is unknown.

                TYPI[OID AND PARATmioiD FEvERs (1-3 weeks)
                     Transm@lon: Ingesdoz of causative agent in food and water contaminated by Feces or name of
          L-ifccdve humatis.
                     Risk re@@bution: Occurs year-mund, with risk highest from June through SePtemter-
                         Occurs countrywide.
                     Remarks: Moderately endemic; relatively few clinical cases reported, but the carrier rate, especially
                         inchclargenonindigcnousworkfome,maybehigh.Alowlevelofmuldpledtugtcslslancohas
                         been reported. Could be a significant source of morbidity among nonbldlgcnous personnel.


                                                                          KU-3

Document 79 f:/Week-22/BX001433/MEDICAL REPORTING-DIVISION SURGEON/medical reporting 14 aug 90:07199610201768
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 # = 5
Subject = MEDICAL REPORTING 14 AUG 90
Document Seq # = 68
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 = 19-JUL-1996