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File: 970815_sep96_decls22_0001.txt
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Subject = FACT SHEET FOR WAR COUNCIL                                      

Parent Organization = ARCENT      

Unit = VII CORPS   

Folder Title = WAR COUNCIL 26 MAR 91                                                                           

Document Number =          9

Box ID = BX000296










                                 -information on the prevention of
              ISSUE: To provide
                             -dis6asts..',,-
        41@@?,6:- andf-ly@-:transmitted

          2. POINTS:

              a. sandfly fever is a self-limited, non-respiratory, flu-
          like, viral illness transmitted by the bite of the sandfly.
          sandfly fever has a short incubation period and can be
          debilitating. The disease Is characterized by sudden fever,
          headache, eye pain, body aches and pains, and general fatigue.
          The acute symptoms last only 2 to 4 d.ays, but full recovery may
          take up to two weeks. Historically, sandfly fever epidemics have
          severely affected combat troops in the Middle East. The
          unusually wet weather experienced recently increases the risk for
          our troops.

              b. Cutaneous leishmaniasis (Baghdad Sore) is an ulcerating
          lesion of the skin, also transmitted by the bite of an infected
          sandfly. It begins with an inflammatory lesion that slowly
          increases in size and ulcerates. The disease will not have an
          immediate impact on combat power, but will cause disfigurement
          and loss of the soldier for four to eight weeks of treatment.

              C. Sandflies are tiny (2-3 mm) and breed in protected places
          with high organic matter content, including cracks in walls,
          rodent burrows, privies, and animal shelters. They are nocturnal
          feeders and rest during the day in dark areas around dwellings.
          Sandflies are extremely widespread in the KT6.

              d. Personal protective measures, such as the use of insect.
          repellent on exposed skin, are very effective in preventing
          sandfly-transmitted diseases. Although the mesh size is large
          enough for sandflies to penetrate, mosquito netting sprayed with
          permethrin can provide protection. Vector control can alsa be
          achieved by spraying indoors with pyrethrum. Strict adherence -Lo
          sanitation control measures should be followed tolimit resting
          sites. insecticide spraying of outdoor breeding sites by
          preventive medicine personnel can be accomplished with
          chlorpyrifOS. Do not use on tents as it will remove the water
          repellency of the fabric.

          3. VII CORPS POSITION: Commanders will enforce measures
          designed to prevent sandfly-transmitted diseases.




          PREPARED BY: HENRY P. STIKES, MAJ, MC, ASST CORPS SURGEON

          AUTHENTICATED BY: ROBERT F. GRIFFIN, COL, MC, CORPS SURGEON
          DATE: 25 MARCH 1991'                                          8-3

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