MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0027.txt
Page: 0027
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





                                                                                                                      BAlinAIN




                                         DISEASES OF OI'ERATIONAL IMI'ORTAt4CE

                Diseases arc prioritized in descending order or expected Impact oli military operations IC no preventive
                nicasurcsarcLakcn.'nicordcrprovideddoesnottakcintoaccouiitpussiblccxtmorditiorycvettissuctias
                periodic cpidcmcs of highly cyclic diseases, natural disas(crs, or armed conrlict.

                    DISRASES Wl'nl SIlOItT INCUBATION I'EIUODS (USUALLY LESS TIIAN 15 I)AYS)

                ACUTE DIARRilrAL DISrASrS (6 hours to 10 days)
                    Transmission: Ingestion of causative agents or their toxins in contaminated food or imater.
                    lusk 1'erio(I/Distribti(ion: Occur year-round, with an ovcrnif ]ncronsed Incidence from July to
                         September. Viral cases increase from December to March, bacteria[ cases from June to October.
                         Occur countrywide, although more common in rural nreas ouwde of Manama.
                    Remnrks: Frequently occurring patl,.ogcns include enicroloxigcnic &clicricjiia coli (PTEC), totavittis
                         (most common in children), Sliigclla spi)., Saiiiioiielia spp., and Cayttl;ylobactcr spp. 'Me overall
                         incidence of acute diarrhea[ diseases in Bahrain is reported to be low. Nevertheless, acute diarrlical
                         diseases arc the most common cause of Infectious disease ttiorbidity among nonindigenous
                         personnel. Sliigellosis, usually due to Sliigcllasoiitici, Is common, and reporting of solitionellosis
                         is increasing. Multiple drug resistance is common -,imoitg [lie Salniotiella spli. and Slit'gella spp.
                         isolates.

                ACUTE ITLSI'IRATORY DISRAS,@ (I to 10 diys)
ict witli Infectious dn)I)IcLq.
                    lusk Perio(I/D@ribtiiion: Occur year-round, witti increased Incidence III July and August, due to dry,
                         dusty conditions, and from December to February due to lnflucn7.a activity. Occur countrywide.
                    Reiiiar@: Acute respiratory diseases are the most common cniise of Infectious disease morbidity
                         among the local population (appoxiinitcly 5,000 cases per yeir) and could be a major cause of
                         morbidity among nonitidigcnous personnel.
                EN'rrRIC PROT07.OAL I)I@srs (I week to several months)
                    TransniMoii: Ingestion of causative agcni(s) in fccnily cotitaiiiiiiatcd water or food.
                    lusi@ 1eriod/Distribtitic)n: Year-round, witli increased iticid(:ncc la August and September. Occur
                         countrywide.
                    Iteniart(s: Usually associated wit[i more chronic Infectious, some protozoans such us Etitatitoeba
                         histolytica and Giar&a laniblia cin ctuse acute diatilica. Clinical cases of glardinsis and amcbiasls
                         are common, although undcrtcporlcd (500 cases per year). Examination of fecal samples from.
                         apparently ficalifty adults has shown high cnrricr rate.-;, especially among notiindigesious workers.
                         Approximately 5 percent of children and young people 6 to 20 years of age are carriers of Giardia
                         laniblia ([lie most common intestinal pirosite). Clinical cases of glardiasis usually are-seen In
                         ciiildrc,i, amebiasis cases in adults.

                TYPIIOID AND PARATYPIIOII) FEVEITS (1 to 3 weeks)
                    Transmission: Ingestion of causative ngent(s) in food nnd water contaminated by foecs or lidno of
                         infective liumans.
to June. Occur
                         country-wide.
                    Remarks: Endemic, with annual reported incidence of 100 to 200 cases (104 cases In 1988, 307 In
                         1987). The majority of cases have been caused by Saltiroiiella typlii. A high cnrfler relo II-,is been
                         r@rtcd among the Corcign work force. A low level of multiple drug resistance Is reported.




                revised: Aoril 1990

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