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File: 980404_sep96_sagwi3_0002.txt
Subject = SYNOPSIS OF MAJOR DISEASES IN THEATER OF OPERATION 13 FEB 91
Box ID = BX000284
Folder Title = GENERAL FIELD SANITATION SURVEY 12TH EVAC HOSPITAL
Unit = VII CORPS
Parent Org = ARCENT
transmitted through the bite of an infected sandfly.
d
tribution an Seasonality: Widespread throughout the theater of operations
--chough more prevalent in Iraq. The fever is associated with the presence of
the sandfly vector from April through October.
Prevention:
1. Use of personal insect repellent lotion and repellent clothing spray.
2. Treatment of mosquito netting over sleeping areas with repellent spray
is essential because the sandfly vector can pass through mesh larger
than 12 mesh/cm.
LEISHMANIASIS
Epidemiology: Both cutaneous leishmaniasis (Oriental or Baghdad Sore) and
visceral leishmanasis (kala-azar) occur throughout the theater of operations,
cutaneous leishmaniasis is the most prevalent. This infection is manifested
by an open lesion, usually on the face, neck, or arms. If left untreated, it
is self-healing but may require up to a year or more, depending upon the
pathogen. Visceral leishmaniasis is much more serious but is lower in
incidence and usually affects children. Both categories are transmitted
through the bite of an infected sandfly.
Distribution and Seasonality: Throughout the theater of operations but with a
much greater incidence in Iraq, especially centered near Baghdad. Incidents
of infection correspond with population levels of the sandfly vector;
primarily March through October.
Prevention: Same as for sandfly fever.
",-IDEMIC LOUSE-BORNE) TYPHUS
Epidemiology: This disease is transmitted through the inoculation of
infected body louse feces through skin abrasions. Typically, the bite of the
louse causes irritation and infection occurs when the louse is crushed while
scratching. The disease is initially manifested by flu-like symptoms
including fever, chills, headache, nausea, etc., followed 3-5 days from
initial symptoms with a body rash.
Distribution and Seasonality: Epidemic typhus is normally associated with
colder climates and more northern latitudes. If the disease does occur within
Saudi Arabia, it is currently limi-ted to the northern provinces.
Establishment of EPW camps in Saudi Arabia may increase the potential of the
disease becoming more widespread.
Prevention-.
1. Epidemic typhus is often characterized as occurring in crowded human
populations where personal hygienic conditions are poor. Emphasis
should be placed on personal hygiene.
2. Application of insect repellent spray to uniforms and use of repellent
lotion will minimize infestations.
S. Application of 2 ounces of 1% l'indane powder is used to treat
personnel who experience body louse infestations.
TRACHOMA
@demiology: This disease of the eyes is manifested by pain and lacrimation.
ine severity of the disease is often related to environmental conditions;
exposure to dry winds and dust enhances its severity. It is commonly
mechanically transmitted by flies from person to person. .
Distribution and Seasonality: Widespread throughout the theater of
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