MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0028.txt
Page: 0028
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







            BAHRAIN



                      Typhoid and pamtyplioid fevers may be significant causes of morbidity among nonliidlgcnous
                      rsonnet.
                      PC

            MFtqlNGOCOCCAL MENINGI'NS (2 to 10 days, usually 3 to 4 dnys)
                  Trnnsmission: Direct contac4 including droplets and discharges front noses and iliroafs of infected
                      FFcrsons.
                  Risk rerio(-VDistribution: Occurs year-round, with peak Incidence from November through February.,,. @ll.
                      Occurscountrywidc,witliincreasedriskamo,iglowcrsociocconomlcgrou
                                                                                             rs
                  Remarks: Endcraic; causes sporadic cases and cyclic epidemics every 8 to 12 years. Group A Is the
                      predominant type. The average annual reported incidence Is fewer Ilion 10 cases. An epidemic
                      occurred after the haj (pilgrimage) in August 1987, with 25 reported cases. Most clinical cases
                      occur in children or young adults. The overall case fatality rate is between 10 and 25 percent.

            SEXUALLY TRANSMI=-D DiSrASr-S (STDS) (2 days to 3 weeks)
                  TransmMon: Sexual contact.
                  Risk Period/Distribution: Yc3r-round; countrywide.
                  Rcmnrks: Endemic although underrcportcd. Patterns of.STD occurrence appear similar to those found
                      nWestcrnEuropc;nonspccificurctfiritisandgono-rheanrereportcdcommonly(nitestimated
                      1,000 cases per year), and there arc rare reports of tropical STDs (chnncroid, lymptiogranuloma
                      venercum, and granuloma inguinnlc). Sypliiiis is uncommon (fewer Ilion 100 cnses per year).
                      Pcnicillinasc-producing Ncisscria gotiorrhocae ?PNG) is reported at low levels.
            .ClIOLEItA (usually2 to 3 days, mngeof 6]iours lo 5 days)
fcausativeagent, primarily In watcrcontaininated with fecesorvotuitus
                      of infective liumans.
                  Risk Perio(I/Distribiition: Currently not endcmic.
                  Remarks:Tltcrcareoccasionatimportcdca=,andoutbreaksoccur,usunllyintliesununct.'nelast
                      outbreak(causcdbyVibriocholerac,biotypeElTor,scrotypoOgawa)occurrcdlnl978-1979,
                      with946o[ficiallyrcportcdcases,mostlyamongcliildrcn.Nonindigcnouspcrsonnetatcatlow
                      risk of infection.

             MALAITIA (12 to 14 days)
                  Tt-ansmission/Vector Ecology: ]3ite of an infective mosquito (Atioplicles spp.). The primary mosquito
                      vector is Air. stcl)licttsi, but AiL cuticifacies also is reported.
                  Risk Period/Distribtitlon: Transmission does not occur In Bahrain.
                  Remnrks: Although imported cases are reported, the lost indigenous case was reported In 1979. The
                      annual incidence of imported cases is under 200; most r-nscs are timong South Asian employees
                      and arc caused by Plasniodiutyi vivax. The potential mosquito vectors arc found throughout the.
                      country, especially in urban areas.

             AIZBOVIITAL FEVEITS (3 to 12 days)
                  Sandily fever'may be circulating, but there has been no reporting of setological evidence, clinical
                      cases,ortiteprescnceofthepotcntizklsandflyvector,Phlcbotonitispopolasil.
                  Dengue has been reported historically from the eastern cotsini areas, but Is not believed to be
                      circulating. The mosquito vector, Acdcs acgypti, may be present.

                  UISEASR,,S WITII LONG INCU13A'I'ION I'EitIODS (USUALLY MORE'IIIAN 15 DAYS)

              VIRAL lir-IIATI'nS (15 to 180 days)
                                                                                czl-orat route; ltcpati
o-pcrsoii by the fe                       Its B OIBV)-
                      contact with causative agent through blood transfusions, contaminated needles, sexual contact,

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