MEDICAL REPORTING 14 AUG 90

File: 072496_may96_decls9_0065.txt
Page: 0065
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






             UNITED ARAB EMIRATES




                                                                                                           has bee
                         among the nonindigenous work force; a low level of multiple drug resistance also         n
                         reported. These diseases may be signi[ican, causes of morbidity among lionindigenous personnel.
             h@NltqGOCOCCA,L MENiNGrris (2 to 10 days, usually 3 to 4 days)
                    Transmission. Direct coritac@ including droplets and discharges from noses and threats of Infected
                         persons.
                    Risk Period/Distributlon: Cases occur ycar-mund, wlui a peak Incidence Wwecn November and
                         February. Occurs countrywide, with increased risk among lower socioeconomic groupti.
                    Remarks: Endemic, causing sporadic cases and cyclic cpldctmcs every 8 td 12 yen
                                                                                                        rs.0roupAistho
                                                                                                            epideiuic
                         predominant type. The annual reported lncidcrce ranges [mrn 50 to 100 cases. An
                         occurred after die haE in August 1987, with 248 reported @. To control tile outbreak, the
                         government immunized 80 percent of the population of 1.3 rallott people In September 1987.
                         Most clinical cases occur in children or young adults. The overall too fatality rate Ls between
                    \1 10and25pcrrcnt.
              SCXUALLY TRAt4SMI=- D DISF-AST-S (S'Ms) (2 days to 3 weeks)
                    Transmission: Sexual r-ontacl
                    Risk PerioWDistributiDn- Yezr-round; @ouni@de.
                    Remarks: Endemic, but undcrrcportcd. Patterns of STD occurrence appear to be similar to those
specific uredirftis and gonorrhea Is Increultig (an
                         estimated 1,000 to 2,000 =es of each annually). @cporflng of tropical STDs (clioncrold,
                         lympliogranuloma venercum, and granuloma inguinale) Is rare, Syphilis Is u,.iconimon (fewer
                         than 100 cases annually) and die level of reported pcnicillinase-pmducing Neisseria gotiorrhoeac
                         (PPNG) is low.
              CIEO@IRA (usually 2 to 3 days, range of6 hours to 5 days)
                    TransmiWon: Ingestion of causative agent, primarily In water contaminated with rcccs or vomitus
                         of infcc6ve humans.
                    Risk Period/Distribution: Currently not endemic.
                    Remarks: There are occasional imported cases, and outbreaks occur, iisually in the summer.'
                         Nonindigcnous personnel are at low risk of infection.

               MALARIA (12 to 14 days)
                    Transmission/Vector ErotM- Site of an infective mosquito (Atiop[teles spp.). The pritimry
                         mosquito vcctor is AiL stephetzsi, but Art. culicifacies also Is reported.
                    Risk Period/Distril)uflon: Transmission occurs from November to April, with an Increased Incidence
                         in December. Transmission occurs at die inland oasis of Al Ayn, and on (fie cost coast along the
                         Pulf of Oman (only 5 percent of [fie population lives In ttialarious areas). Most of the cobtitty
                         (Abu Dhabi, Dubai, and Oic west coast) Is risk-free.
                    Remorks- After the elimination of malaria on the west coast by an acgvo control I)Mgmm, tile annual
                         incidence declined rapidly, from over')?,OOO cases In 1978 to 3,516 cases in 1984, Since 1984,
                         the annual incidence has remained constant (there were 3,056 cases In 1988; however, more than
tcd).IndigenouscasesorotausedbyP/asinodiunii,lvax;
                         some of the imported cases arc caused by P. falcipanini. Cases arc reported year-round, and the
                         incidence increases from May to July.

                ARBOVI RAL FEVERS (3 to 5 days)
                    Crimeun-Congo hemorrltngic (ever was reported from Dubai in 1979, but the source of the Infection
                         was unknown. There have been no further studies to detect additional unrelated cases or serological
                         evidence for circulation of the virus In lium3ns or Ilvestock.nic virus probably Is not cndemlo In
                         the United Arab E.@raics.

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