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File: aacbe_02.txtZARAGOZA [(b)(2)] Clinic CC. Only a MAC crew tidbit: Virtually 100% of crews on short deployments to the AOR are getting gastrointestinal symptoms. Two phases-2 to 3 days in country, and again around the 10-14 day point. Except for the numbers of folks involved, little commonality (many different fields visited). Per the early stuff, is our water and food sanitation on the flights going in up to par ? [Excerpted to MAC/SO.] CAIRO WEST [(b)(2)] 1708 PAREFS Clinic (SME). Primary threat- terrorist attack. No ambulance. Working to support the line with an old station wagon. No defibrillator. No oxygen Except green bottles off aircraft. No chest tubes, Foleys, central lines. Given terrorist threat, a legitimate concern. CENTAF and SAC working all the above. Some sand-bag- ging, sand-filled drums about medical site, but too low and not thick enough. No dispersal of tent in living area; all line of sight, line of shot. Strategic concern: How well are we really training our officers and men for the untraditional roles of site protection and perimeter guard duty ? While some medical assets visited were markedly better protected than others, they were in general inadequately disposed. At the very least, are our forward commanders getting their plans cri- tiqued by CE and SP folks on site? Medical Intell: NAMRU has confirmed that at least 75% enterotoxic E. Coli in local area is resistant to standard antibiotics. Experience of Maj Johnson and others is that it is a mistake to treat symptomati- cally, or even with traditional 1st line antibiotics. He and his staff are using Noroxin/a quinolone derivative, with dramatic clinical responses in 4-6 hrs. Passed this on to CENTAF, where similar experience has been forthcoming from some other sites. [(b)(l)sec3.4 (b)(1)]. Tactical concern: With buildup of SAC assets in January, we're planning to augment with another SME. Have discussed with TAC and CENTAF the plus/minus of ATH there [instead]. In my mind, issue partially hinges on aeromedical evacuation flow plan as well as augmented number of people at Cairo West. If needed, capability for SAC to man and TAC to outfit an ATH does exist. JIDDAH NEW [(b)(2)]
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