Document Page: First | Prev | Next | All | Image | This Release | Search

File: 950719_22010094_91r.txt
Page: 91r
Total Pages: 1

IIR 2 201 0094 9I/DESERT SHIELD - DISEASE OCCURRENCE (U).

Filename:22010094.91r
PATHFINDER RECORD NUMBER: 33189
GENDATE:         950504
NNNN
TEXT:            
ENVELOPE CDSN = LGX236 MCN = 90292/43262 TOR = 902922222
PTTCZYUW RUEKJCS3022 2922223-    --RUEALGX.
ZNY 
HEADER P 192223Z OCT 90
FM JOINT STAFF WASHINGTON DC
INFO RUEAHQA/CSAF WASHINGTON DC
RUEDADA/AFIS AMHS BOLLING AFB DC
RUEALGX/SAFE
P 191202Z OCT 90
FM CDR[   (b)(1) sec 1.3(a)(4)   ]USAOPSGP INSCOM ALEX VA //[   
(b)(1) sec 1.3(a)(4)   ]//
TO RUEKJCS/DIA WASH DC//DC-4A/DAH-3/DAH-6/DB-8//
RUEADWD/DA WASHDC //DAMI-POH/DAMI-FII/DALO-ZC//
RUDHAAA/CDRINSCOM FT BELVOIR VA//IAOPS-H-C//
RUFDAAA/CINCUSAREUR HEIDELBERG GE//AEAGB-PD-CURIN/
AEAGB-C-HO//
RHIVHAA/CDRXVIIIABNCORPSFWD//G2//
RHCGSRB/COMUSARCENT FT MCPHERSON GA//AFRD-DSO//
RUDCAAA/ARCENT SPT CMD//J2//
RUHQHQA/CINCPAC HONOLULU HI//J2//
RUDOECA/USAORG LINDSEY AS GE//ED//
RHCGSRB/CDRFORSCOM FT MCPHERSON GA//FCJ2//
RHIUFAA/USCENTAF FWD//IN//
RHIIMAA/COMUSMARCENT//G2//
RHEPAAB/TAC IDHS LANGLEY AFB VA//INPC//
RUKGNBA/HQ AFSAC FT BELVOIR VA//INO//
RUCBSAA/USCINCLANT NORFOLK VA//J24//
RUDHSIC/CDRUSASOIC WASH DC//DI//
RHIHDAA/SOCCENT DEPLOYED//J2//
RUDMNIC/COMNAVINTCOM WASHINGTON DC
RUEBLEA/NAVSENT RIYADH SA
RULKNIS/COMNISCOM WASHINGTON DC
RUENAAA/CNO WASH DC//OP-009//
RHHMBRA/CINCPACFLT PEARL HARBOR HI
RUFGAID/USEUCOM AIDES VAIHINGEN GE
RUCJACC/USCINCCENT MACDILL AFB FL//CCJ2-CH/J2/CCCS-F/SUPR//
RUCJACC/USCENTCOM REAR MACDILL AFB FL//JIC/CCJ2-CH//
RUCJAAA/USCINCSOC MACDILL AFB FL//SOJ2-PP/SOJ2-O/SOJ2-MC//
RUEOFAA/COMJSOC FT BRAGG NC//J2//
RUETIAA/NSACSS FT MEADE MD//T5232//
RUEAIIA/CIA WASH DC
RUEHC/STATE DEPT WASHDC //INR-IC-CD//
RUEKJCS/JCS WASHDC //J33(JOG)/J5//
RUEACMC/CMC WASHINGTON DC
RUEBJFA/CDRUSAOPSGP FT MEADE MD//IAGPC-CM/IAGPC-S//
BT
CONTROLS 
QQQQ
SERIAL: (U) IIR 2 201 0094 91.
X-
BODY OUNTRY: (U) SAUDI ARABIA (SA).
X-
SUBJ: IIR 2 201 0094 9I/DESERT SHIELD - DISEASE OCCURRENCE (U).
X-
WARNING: (U) THIS IS AN INFO REPORT, NOT FINALLY EVALUATED
INTELLIGENCE. REPORT CLASSIFIED 
X - - - - - - - - - - - - - - -
DEPARTMENT OF DEFENSE
X - - - - - - - - - - - - - - -
DOI: (U) 900913.
X-
REQS: (U) T-8C2-2650-0I-90; G-OSG-2520-25-90; (INITIATIVE).
X-
SOURCE:           //OTS 2 20I 0216 90//[  (b)(7)(D)  ]
X-
SUMMARY:           LESHMANIASIS IS BECOMING AN INCREASING
PROBLEM IN SAUDI ARABIA DUE TO CHANGING ECONOMIC AND ECOLOGIC
CONDITIONS.
X-
TEXT: (U)
I.     THERE HAS BEEN AN INCREASE IN THE NUMBERS OF PEOPLE, IN
SAUDI ARABIA, REPORTED AS HAVING CUTANEOUS LESHMANIASIS DUE TO
BETTER RECORD KEEPING AND ALSO THE SIGNIFICANT NUMBERS OF FOREIGN
WORKERS APPEARING AT TREATMENT FACILITIES WHO HAVE CONTRACTED THE
DISEASE. ZOONOTIC CUTANEOUS LESHMANIASIS (CL) IS FOUND IN FOUR
WIDELY SEPARATED GEOGRAPHIC AREAS OF THE KINGDOM.
A.     RIYADH - AL KHARJ AREA//GEOCOORDS 2408N--04724E//. THE
DISEASE VECTOR IS P. PAPATASI WHICH IS NORMALLY FOUND ASSOCIATED
WITH RODENT BURROWS. IN THIS CASE THE RESERVOIR OF THE DISEASE
IS THE GERBIL, PSAMMOMY OBESUS. IT HAS BEEN DETERMINED THAT
THERE IS A CLOSE ASSOCIATION BETWEEN THE GERBIL, PAPATASI, AND A
DESERTIC BUSH KNOWN AS THE HALOPHILUS PLANT. THE GERBILS BUILD
THEIR BURROWS BENEATH THE PLANT, EAT THE PLANT, AND THE PAPATASI
SANDFLY LIVES ON THE PLANT.
B.     BISHA AREA//GEOCOORDS - 2001N--04239E//. THE MAJORITY
OF THE INFECTIONS IN THIS AREA ARE OF THE CLASSICAL TYPE OF CL
KNOWN AS DRY LESHMANIASIS, OR ANTHROPONOTIC CUTANEOUS
LESHMANIASIS. THE PARASITE CAUSING THIS FORM OF CL IS VERY HARD
TO TREAT AND THE CLINICAL PRESENTATION IS TOTALLY DIFFERENT THAN
THAT FOUND 1N ZOONOTIC CUTANEOUS LESHMANIASIS. SCAR RATES FOR
THE POPULATION IN THIS AREA ARE 30 PERCENT. SIX POINT FIVE (6.5)
PERCENT OF THE POPULATION HAVE ACTIVE LESIONS.
C.     TABUK AREA//GEOCOORDS - 2822N--03632E//. TABUK IS ON
THE ROAD THAT RUNS FROM JORDAN TO MEDINA//GEOCOORDS -
2430N--03935E//SAUDI ARABIA. INFECTIONS IN THIS AREA ARE
CHARACTERIZED BY MULTIPLE LESIONS, BUT THOSE INFECTED ALL
RESPONDED TO TREATMENT.
D.     AL HOFUF AREA//GEOCOORDS UNKNOWN//. THIS IS THE CAPITAL
OF THE AL HASSA OASIS IN THE EASTERN PROVINCE OF THE KINGDOM.
THERE HAD BEEN A RECENT OUTBREAK OF CL IN THIS AREA AMONG
EUROPEANS, MOSTLY WORKERS, BUT NO FURTHER INFORMATION IS
AVAILABLE. AMONG THE INDIGENOUS PEOPLE OF THE REGION, OUT OF 171
TESTED WITH THE LESHMANIA SKIN TEST, 65 PERCENT SHOWED POSITIVE
REACTIONS FOR CL. THIS IS AN AVERAGE OF 65 PERCENT OF THE
POPULATION HAVING BEEN EXPOSED TO THE DISEASE AT SOME TIME.
P.PAPATASI IS AGAIN THE VECTOR.
2.     NEARLY ALL CL HAS BEEN ASSOCIATED WITH THE DESERTIC
AREAS OF THE KINGDOM. THE INCUBATION PERIOD FOR THE DISEASE IN
THE AL HOFUF AREA HAS BEEN ANYWHERE FROM SEVERAL WEEKS TO TWO OR
MORE MONTHS. THE AVERAGE HAS BEEN 8 WEEKS. IN ADDITION TO THE
BISHA AREA, ANTHROPONOTIC CL IS ENDEMIC TO THE SOUTHWESTERN PART
OF THE COUNTRY, MAINLY IN ABHA//GEOCOORDS - 1814N--04231E//SAUDI
ARABIA. APPROXIMATELY TWO MONTHS AGO, THERE WERE SIX PEOPLE
TREATED FOR CL FROM THE BORDER AREA BETWEEN SAUDI ARABIA AND IRAQ
CENTERED ON THE TOWN OF NISAB//GEOCOORDS-- 29I4N--04442E//SAUDI
ARABIA. THESE PEOPLE WERE ALL TREATED BY THE SAME DOCTOR AND IT
IS BELIEVED THE OUTBREAK IS VERY LARGE.
3.     VISCERAL LESHMANIASIS IS ENDEMIC IN THE MOUNTAINOUS
AREAS OF THE SOUTHWESTERN PORTION OF THE KINGDOM. THE VECTOR IS
PHLEBOTOMIS ORIENTALIS. THERE HAVE BEEN SPORADIC REPORTS OF THE
DISEASE OCCURRING IN THE CENTRAL PORTION OF THE KINGDOM BUT IT IS
NOT KNOWN WHERE THE ACTUAL CONTRACTION OF THE DISEASE OCCURRED.
4.        THE SAUDIS HAVE A PROGRAM TO STUDY LESHMANIASIS. THE
POINT OF CONTACT IN COUNTRY FOR INFORMATION IS DR. ABDULAZIZ
((AL-KHAWAJAH)), PHARMACOLOGY DEPARTMENT, COLLEGE OF MEDICINE,
P.O. BOX 2114, DAMMAN - 31451, SAUDI ARABIA, TEL.
8577000/8575307. ACCORDING TO SAUDI OFFICIALS, IN 1983 THEY HAD A
TOTAL OF 18,000 CASES OF CL THROUGHOUT THE KINGDOM. OVER THE
LAST FEW YEARS THEY HAVE REPORTED 12,000-17,000 CASES OF CL PER
YEAR AT KING FAHAD HOSPITAL ALONE.
X-
COMMENTS: (U) GEOCOORDS USED WERE FROM THE TIMES ATLAS OF THE
WORLD, SEVENTH COMPREHENSIVE EDITION.
X-
//IPSP: (U) PGW2650; PG 2520//.
//COMSOBJ: (U) 211; 170//.
ADMIN PROJ: (U) 202019.
INSTR: (U) US NO.
PREP: (U) 2-10446.
ACQ: (U) ALEXANDRIA, VA (901018).
DISSEM: (U) NONE FIELD: NONE SENT TO: NONE.
X-
WARNING: (U) 










 



 

 



Document Page: First | Prev | Next | All | Image | This Release | Search