422ND MED DET MEMO DIARRHEA OUTBREAK 41OTH EVAC 10 APR 91

File: 092496_aug96_decls24_0001.txt
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Subject: 422ND MED DET MEMO DIARRHEA OUTBREAK 41OTH EVAC 10 APR 91       

Unit: 22D SUPCOM  

Parent Organization: ARCENT      

Box ID: BX005153

Folder Title: HISTORICAL FILE  422ND MED DET                                                                  

Document Number:         22

Folder SEQ  #:         23


















                              DEPARTMENT OF THE ARMY
                          422ND MEDICAL DETACHMENT (VS)
                              TEAM 3, HAFAR AL BATIN
                             APO, NEW YORK, NY 09734



             MEMORANDUM FOR: Commander                  10 April, 1991
                              422nd Med. Det. (VS)
                              HQ, KKMC
                              APO, New York, NY 09734


             SUJECT: Outbreak of Diarrheal Disease in Staff Members of
             the 410th Evac Hospital


             A second outbreak of gastrointestinal disease has been reported
             at the 410th Evac Hospital. This outbreak occurred among staff
             members of the 410th Evac Hospital. The first cases were reported
             Friday night, 5 April and Saturday, 6 April 1991. Symptoms
             lasted 3 to 4 days and included abdomenal cramping, diarrhea,
             and some nausea and vomiting. Generally no high fevers were
             noted in these patients. At the present time approximately
             70 to 80 patients have been examined with symptoms, 2 of these
             have been admitted to the hospital. 40 stool samples from these
             patients have been found to contain Entamoeba histolytica cysts.


             Almost all patients were staff members who worked in the hospital.
             MAJ Browning, the attending physician, reported that a pattern
             had been noted by physicians. The first cases were seen in the
             TMC staff, then in the EMT staff, followed by ICW #1 (primary
             ward for diarrheal disease patients) and Ward # 2 (overflow
             ward for diarrheal cases). Only a few cases have been noted
             in non-hospital staff members, 3 from the dining facility and
             a couple from the motor pool. Therefore, there is some concern
             that the disease may have been transmitted from patients, as
             opposed to foodborne in origin.

        The hospital laboratory did procure some lettuce that had not
             been served by the dining facility. The lettuce was chopped,
             and rinsed with sterile water. The rinse water was then examined
             and found to contain Entamoeaba histolytica cysts. The dining
             facility had originally obtained the lettuce from the 229th
             DSU.

             Dr. Browning also noted 98% of the cases of diarrheal disease

Document 2 f:/Week-34/BX005153/HISTORICAL FILE 422ND MED DET/422nd med det memo diarrhea outbreak 41oth evac :09209615583763
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-34
Box ID = BX005153
Unit = 22D SUPCOM
Parent Organization = ARCENT
Folder Title = HISTORICAL FILE 422ND MED DET
Folder Seq # = 23
Subject = 422ND MED DET MEMO DIARRHEA OUTBREAK 41OTH EVAC
Document Seq # = 63
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 = 20-SEP-1996