MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0022.txt
Page: 0022
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






                                                                                                  SAUDI ATIABIA


                     than influenza is la@g, but ARDs may I>e a major source of tuorbidity among these personnel.
                     During the late 1980s, isolates of influenza AWN2) predominated over those for A(IIINI) and 13.

           ENTR.PJC PROTOZOAL DISEASES (I week to several monl@)
                Transm@lort: Ingestion of causative agents in fccally contaminated water or
                Risk Pc@istributtou: Year-round; risk greatest in August and September. Occurs countrywide;
                     ir.cidencc highest in the southwest.
                Remarks: Usually associated with more chronic infections, somo protozoans such as Entaniocba
                     histolytici; Giardia lan:blia, and Cryptosporiditvn spp. can cause acute dlaff hca. Moderately
                     endcrwc, with clinical r-ases and asymptonm6c carriers of giardiasts and amcbiasi3 common.
                     Carrier rates of 5 to 50 pcment for giarrjiasts and amcbiasis have been found in hearsay adult-,
                     even among higher socioeconomic groups in urban areas. Giardiasis usually is seen In children
                     and is the most common intestinal parmitc. Anicbiasis Is the commonest cause of clinical
                     dysentery. Cryplosporidiosis @ been reported but its distribution Ls undetermined.

           TyrIlOID AND PARATMIOID F-EVEM (1-3 wccim)
                Transmission: Ingestion of causaavc agent in food and water contaminated by feces or urine of
                     infective humans.
                Risk PerioNDLstribution: Occurs year-round, with incr=cd risk from June through AugusL
                     Occurs countrywide, with incidence highest in Eistcm Province.
                Remarks: Moderately endemic. Although relatively few clinical cases (about 800 annually) fire
tis personnel. Tltc carrier
                     rate among nortindigenous workers In Riyadh has I>cen estimated at 2.5 percent. A low level of
                     multiple drug rcs@ncc has been reported.

           MENINGOCGCCAL MR-NINGMS (2-10 days, usually 3 to 4 dtys)
                TrnnsmLssion: Direct contact including droplets and discharges from noses and tliroals.of Infected
                     persons.
                Rlsk Pertod/Dis(ribution, Occurs year-round, with risk elevated fmm Novcmbtr flitougli February.
                     Countrywide, with risk greatest in rural areas among lower socioeconomic groups.
                Remarks-. Endemic but cyclic, usually occurring as sporadic ctses but with epidemics every 8 to 12
                     years. Group A is the predominant scrogroup.nic average annual reported incidence Is 100 lo
                     200 cases. An epidemic during the 1987 lin@ pilgdmagc rcsxtlted in more than 1,700 cases. Most
                     clinical cases occur among 16 to 30 year olds, and the overall case fatality rate Is 10 to 25 percent.

            SEXUALLY TRANSMITMD DISEASES (Mn) (2 days to 3 weeks)
                'I'ransm@ion: Sexual contacl
                Fisk Period[Distribtition: Year-round; countrywide, with reported incidence higher in Jcddah and
                     Dhahran than in Riyadh.
                Remnrks: Endemic although undcr-rcporicd. Patterns of STD isolates appear similar lo western
                     Europe, with a large number of nonspecirtc uratliritis and rate reports of tmpical SIDs (clionctold,
                     lympliogranuloma vencrcum, and granuloma inguinate). Pcnicillinase-producing Neisseria
                     gotiorritoca@ (PPNG) has been reported at low levels.

            CIIOLERA (usually 2-3 days, range of 6 hours to 5 days)
                Trnnsmission: Ingestion of causa6vcagent, primarily in water contaminated witil feces or vomitus
                     of infective humans.
 See "Remarks."
                Remarks: Currently not endemic. Occasional imported cases (nnd outbreaks) occur, usually In the
                     sur=cr, although they seldom arc reported. The most recent outbreak was during (lie hall
                     pilgrimage in 1987.



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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