MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0078.txt
Page: 0078
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






                                                                                                                  KUWArr


                        (A-likc) or parenterally transmitted (B-like).
                   Risk Pe       Istxibution: Year-round, with an Increased Incidcacd from October through December.
                        Occurs countrywide.
                   Remarks: HigWy endemic, these agents poso major heattli h=rds to nontudigenous petsatmet.
                        Acute viral hepatitis @ account for neatly 50 perctnt of reported Infections dinuo cam% and
                        antibodies to hepatitis A vim (IIAV) @ in an estimated 90 portent of children by age 10 and
                        in almost 100 percent of adults. Incidence of acute HAV Infections was increasing In the late 1980s,
                        likely related to improvements In sanitation in urban areas that had reduced risk of childhood
                        Wcctions and thus increased the noninunune population. Antfbodf es to hepatitis 13 virus (IIBV)
                        occur in an estimated 40 percent of the population and the IIBV carrier rate Is estimated at nearly
                        4 pcrccnl Ile delta agent @padtis D vinis - IIDV) has boett found In 30 to 40 percent of acute
                        HBV cases. ParcateraNy transmitted NANB hclmd@ (bcrad@ C virus - IIC'V) Is reported                  i
                        sporadically. EntcricaUy transrwttcd NANB hepatitis has not been reported. Over 7i percent of
                        the appro@tcly 2,500 cases of acute vim] hcpatitis reported aanually are atttibutcdto MV
                        Wection, followed by IIBV (12 percent) and I ICV (9 percent).

             LFISI@IASIS (1 week to many months)
                   Transmisston[Vedor EcoloU: )3itc of an infective sandl3y (Plikbotomzts spp.). Most randflies are
                        active from suriset on through the night and have very limited flight ranges. Tlto primary vector for
                    cutaneous Icishmaniasis (CL), caused by Leislirnaitia niajor, is PittebotomuspapalasL
                   Risk Pe       @bution: Risk from CL may exist year-round, but peaks from July through
                        September. Occurs commonly in scmi-rumi arcls, Including die outskirts of urban areas.
                   RexntLrks:Alsocallcdzoonoticor"wct"CL,thcd@asecausedbyLntajoroccursfocally,based
                        on the distribu6oa of its primary reservoir, the tat-lailed sand ml (Pswmomys obcsus). 7le annual
                        number of CL cases was decreasing during die late 1980s, related to the reduction of reset-volt
                        habitats. The relatively few ethnical cases usually arc rcpo@d from September to Matrh, peaking
                        in February. Evidence of infection (scarring) occurs In less than I percent of the Indigenous
                        population, but is markedly higher in nomadic herdsmen.

              sciiisTosomiAsis (2 to 6 weeks),
                   Transmissloo/Vector Ecology: Penetration of the skin by waterbotmo larval forms (ccreatiae) that
                        develop in snails in freshwater impoundments.
                   Risk Period/l)lstribittion: See "Rcmarim."
                   Remarks: Numerous imported cases of urinary scliistosomiasis (Schistosonta haentatol)lum) reported
                        annually. Although foci exist in the nearby Tigris-EuphrtvA rivet basin In Iraq, transmission does
                        not occur in Kuwait because of an absence of year-round ground water and lack of Intermediate
                        hosts.

                             CMIER DISEASES ENDEMIC IN I'@@ INDIGENOUS POPUIATION
                   Zoon@ d                Brucellosts (cnzoofic, particularly In goats@ human cases caused by D. nielifeltsis
                        occur in both rural and urban arca@ especially In the summcr, usually due to consumption
is Qiydadd disease; occurs In an estimated 15 percent of
                        stray dogs; clinical cases in humarts relatively uncommon, but accounts for many Surgical pm-
                        ccdures); rabies (@urs very sporadically in animals, primarily foxcs, In rural areas, some spillover
                        into the stray dog population occurs, and approximately 500 humans receive post-exposure mbles
                        prophylaxis annually); anthrax (very sporadic In rural areas during suounct montll% usually
                        occupationally related to livestock rearing); and Q fcvcr (rarely reported in humans but onzgode
                        in Uves@ and human scrologics in rural areas Indicate exposure).
                   Vectorborne d           - Murine typhus (Ilca-bomc, very sporadically reported, usually In lower
                        wdo-=no@c groups with a history of rodent c@ure).
                   Sexually troamitted d            -AIDS (I case officially reported through the end of 1989, although
                        others are known to have occurred; in-muntry testing for IUV idection reportedly Is performed,

                                                                      KU-5

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