MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0024.txt
Page: 0024
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 ARABIA


                    increased to 305 cases in 1988, all in the southwestcm provinces of Asir and Jiznn. No animal
                    reservoir for either I- tropics or L. dotiovaiii has been demonstrated In Saudi Arabia.

           SCITISTOSOM@S (2 to 6 weeks)
                Trnasmiss@ector Ecology: Penetration of the skin by waterborne larval forms (ccmadae) that
                    develop in snails in freshwater impoundmcnts.Dic primary Intermediate host for Schistosotiia
                    mansoni (intestinal) is Bioniplialaria arabica and for S. liaentaloblum (urinary) Is Ditlitnits
                    bcccarii.
                Risk Per@istributton: Transmission occurs year-round, with risk elevated during the spring
                    rainy season, March through May. Distribution is focal In the western (in wadis nnd cisterns)
                    and central (in oascs) provinces. Intestinal sch@ccoralasis foci occur In the central 0 loll, Riyadh),
                    northern (Al Jaw[), northwestern (Tabuk, Medina), Midwestern (Makkah, Al Doliali), and the
                    highlands of Uic Southwestern provinces (Asir, Najmn). Urinary schistosorniasis foci occur In
                    the lowlands of the Southwestern (Jizan) and Midwestern (Makkah) provinces.
                Rcmnrks- Although still prevalent (overall infection rate estimated at 2 percent or 20,000 cases) In
                    the 12 identified foci, the annual reported incidence O= than 1,000 clinical cases) was decreasing
                    during the late 19M because of the cffccdvcnm of control programs.

                          UNIER DISEASES ENDEMIC IN TIIZ INDIGLi'NOUS POI'ULATION

                Zoonotic d         - Brucellosis (cnzootic, pardcularly.in go-,iLs; human cases caused byu. melliensis
n the summer;
                    usually due to consumption of raw gott milk); ectilnococcosis Otydadd d@so; occurs In an
                    estimated 15 pc=nt of stray dogs; clinical cases In liumans relatively uncommon, but accounts
                    for many surgical procedures); rabies Qittman cases very sporadic, usually in die northern or
                    eastern rum[ areas; foxcs constitute the primary cnzootic reservoir, with some spillover Into the
                    stray dog population); nnthrax (very sporadic in rural arm during summer monl@, usually
                    occupationally related to livestock tcaring); and Q fcvcr (rarely reported In liumans but enzoodc
                    in livestock, and human scrologics in rural arcis indiratc exposure).
                Vectorl>orne d@s - Mtirine typhus (nea-borne, occurs very sporadically), oncliocerclasls (black
                    fly vectored, could occur in the extreme souiliwcs4 may no longer be endemic); plitgxto (sylvauc,
                    tlc.a-bornc, last reported near the Saudi Ambin-Ycmcn border fit 1969, may no longer be endemic).
                Sexually transuaitted diseases - AIDS (no officially reported cises through the cud of 1989, although
                    some arc known to have occurred; in-country testing for IIIV infection reportedly Is perforated,
                    but no data arc available).   -
                Other Infectious d          -Trachoma (highly endemic, especially in rural arm; sit estimatcd 6 per
                    cent of the population have active infections, but control measures reportedly reduced incidence
                    during (tic 1980s-, remains tire most common cause of blindness in Saudi Arabia); soft frnnsrttitted
                    helminthic infedlons (including roundworms, hookworms, and wliipwornis; common In rural
                    areas, infection rates reportedly arc low In die central and =tcm provinces); nonvenereal endemic
eas, infcc@oq rates up to 20 percent amongsome nomadic tribesmen);
                    and tuberculosis (cnd@c, annual incidence reportedly was declining during tire late 1980s, but
                    prevalence remained @gt4 especially in rural areas).










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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