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File: 123096_15170130_91D_0001.txt
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[b.2]


SECTION 001 OF 002


SERIAL: (U) IIR 1 517 0130 91.


/*********** THIS IS A COMBINED MESSAGE ************/
BODY PASS: (U) AFMIC-EPI [b.6.]

COUNTRY: (U) OMAN (MU).

SUBJECT: IIR 1 517 0130 91/MALARIA AND OTHER INFECTIOUS DISEASES AT
THUMRAIT AIRFIELD --DESERT SHIELD-- (U).


WARNING: (U) THIS IS AN INFORMATION REPORT. NOT FINALLY EVALUATED
INTELLIGENCE. 


DEPARTMENT OF DEFENSE

DOI: (U) 901020.


[b.1. sec. 1.5. (c)]

SUMMARY:     AN UNDETERMINED NUMBER OF OMANI TROOPS BASED NEAR
THUMRAIT AFLD, OMAN HAVE CONTRACTED MALARIA. WHILE IT IS BEING
CONTROLLED. OTHER INFECTIOUS DISEASES SUCH AS BACTERIAL
CONJUNCTIVITIS. TUBERCULOSIS AND TYPHOID REMAIN A CONCERN FOR US
MEDICAL PERSONNEL AT THUMRAIT'

TEXT: (U)
1.     INTRODUCTION. NUMEROUS OMANI ARMY TROOPS BASED NEAR
THUMRAIT AFLD //GEOCOORD: 1740N05401E//, OMAN ARE AFFLICTED WITH
MALARIA. REPORT WILL DISCUSS GEOGRAPHICAL AND SEASONAL DISTRIBUTION
OF THE MALARIA (PARA 2); IMPACT OF MALARIA ON OPERATIONAL READINESS
(PARA 3); INFECTIOUS DISEASES ENCOUNTERED BY US PERSONNEL DEPLOYED
TO THUMRAIT AFLD PARA 4); PROFESSIONAL COMPETENCE OF OMANI MEDICAL
STAFF (PARA 5); WATER AND SANITATION STANDARDS (PARA 6); OTHER
INFECTIOUS DISEASES OF MILITARY SIGNIFICANCE (PARA 7).
2.     GEOGRAPHICAL/SEASONAL DISTRIBUTION. GEOGRAPHICALLY, THE
MALARIA IS BEING IMPORTED TO THE THUMRAIT AFLD AREA FROM IRAQ,
YEMEN, AND OTHER RED SEA COUNTRIES. GREATEST NUMBER OF MALARIA
CASES EXIST DURING THE RAINY SEASON, WHICH STARTED IN LATE NOVEMBER
AND LASTS THROUGH SPRING. THERE IS NO RISK TO US PERSONNEL BECAUSE
THE OMANI CAMPS ARE LOCATED APPROXIMATELY 1 3/4 MILES NORTH OF
THUMRAIT AFLD. AND BECAUSE IN OCTOBER US/OMANI TROOP CONTACT WAS
NOT
ALLOWED. FURTHERMORE, THERE IS NO INSECT (MOSQUITO) FACTOR TO
CONTEND WITH. ALL OMANI MALARIA CASES ARE IMPORTED.
3.     IMPACT ON OPERATIONAL READINESS. IN OCTOBER THE OMANI ARMY
WAS ROTATING APPROXIMATELY 100O TROOPS ON A SIX MONTH ROTATION.
NUMBER OF MALARIA CASES AMONG THE OMANI TROOPS IS UNKNOWN. THERE
ARE NO REPORTS OF OMANI AIR FORCE PERSONNEL BEING AFFLICTED. SOURCE
WAS UNABLE TO DETERMINE THE TYPE OF MALARIA CIRCULATING. THE OMANI
MEDICAL STAFF HAS ESTABLISHED A THREE DAY TURNAROUND TREATMENT
PERIOD FOR THE AFFLICTED. THE REGIMEN IS LOTS OF BED REST, PLENTY
OF FLUIDS AND TREATMENT WITH CHLOROQUINE AND PRIMAQUINE. NO MALARIA
RELATED DEATHS HAVE BEEN REPORTED.
4.     INFECTIOUS DISEASES ENCOUNTERED BY US PERSONNEL. THE ONLY
SIGNIFICANT INFECTIOUS DISEASES ENCOUNTERED BY US FORCES WERE THE
RESULT OF POOR SANITATION PRACTICES. WITHIN THE FIRST 24 HRS OF
ARRIVING AT THUMRAIT. 100 US PERSONNEL WERE DIAGNOSED WITH
BACTERIAL
CONGUNCTIVITIS. WITHIN THE FIRST TWO WEEKS THE NUMBER ROSE TO 200.
THE SPREADING AGENTS WERE SAND FLIES. THE FLIES WERE ATTRACTED TO
NUMEROUS UNCOVERED AND OVERFLOWING 55-GALLON TOILET DRUMS. A LACK
OF INSECT CONTROL AND POOR SANITATION PRACTICES CREATED A SPREAD OF
DIARRHEA THAT WEAKENED 80 PERCENT OF ALL US PERSONNEL. SINCE THEN
SANITATION FACILITIES HAVE BEEN CLEANED UP AND INSECT CONTROL
TIGHTENED. US PERSONNEL HAVE RETURNED TO A FULL READINESS POSTURE
WITH ONLY AN OCCASIONAL INCIDENT OF DIARRHEA.
5'     PROFESSIONAL COMPETENCE OF OMANI MEDICAL STAFF. SOURCE DID
NOT VISIT THE OMANI MEDICAL FACILITIES WHILE AT THUMRAIT. HOWEVER.
AN AMERICAN ENVIRONMENTAL HEALTH OFFICER WHO HAD VISITED THE
FACILITIES REPORTED TO SOURCE THAT THE FACILITIES WERE VERY
ADEQUATE
AND THE STAFF WAS MEDICALLY COMPETENT. EVIDENCE OF THE COMPETENCY
OF THE OMANI MEDICAL STAFF IS DEMONSTRATED IN THEIR THREE DAY
TURNAROUND TREATMENT PERIOD. (FIELD COMMENT-- SOURCE INDICATED THE
THREE DAY TREATMENT PERIOD IS A MEDICAL NORM AND IF THE OMANI STAFF
WERE NOT COMPETENT THEN THEY WOULD NOT BE ABLE TO ESTABLISH SUCH AN
EFFICIENT TREATMENT CYCLE.)
6.     WATER AND SANITATION STANDARDS. UPON ARRIVAL AT THUMRAIT
THE ONLY SOURCE OF CLEAN WATER WAS A DEEP WELL. THE WATER IS TESTED
DAILY USING THE TMB MEDIA SYSTEM. BOTTLED WATER FROM THE US AND
SAUDI ARABIA IS ALSO FLOWN IN. THE LATRINES ARE PUMPED OUT TWICE A
DAY BY THE BASE'S LOCAL WORK FORCE. SOURCE WAS NOT SURE WHERE THE
SEWAGE WAS PUMPED TO AND NOTED 1HAT THE IMPROVED SANITATION
PRACTICE
HAS CONTROLLED DIARRHEA OUTBREAKS. MEALS READY TO EAT (MRE'S) WERE
THE ONLY SOURCE OF FOOD ONCE THE US TROOPS ARRIVED AT THUMRAIT'
HOWEVER, NOW THERE ARE THREE CLUBS. A BRITISH ALL RANKS CLUB, AN
OMANI OFFICER'S CLUB AND A US OFFICER'S CLUB. THE OMANI OFFICER'S
CLUB IS REPORTED TO HAVE GOOD FOOD AND IS SPOTLESS' OUT OF THE
CLUBS US PERSONNEL HAVE BEEN ADVISED TO EAT ONLY FRUIT THAT HAVE
OUTER SKINS, IE: ORANGES AND BANANAS. ALL VEGETABLES ARE FLOWN IN
FROM THE US BECAUSE IT IS UNKOWN WHAT THE OMANIS' USE FOR CROP
FERTILIZER.
7.     OTHER INFECTIOUS DISEASES OF MILITARY SIGNIFICANCE. SOURCE
HAS SUBMITTED REQUESTS WITH US MEDICAL PERSONNEL AT THUMRAIT TO
INVESTIGATE POSSIBLE CASES OF THE FOLLOWING--
CUTANEOUS LEISHMANIASIS- THIS IS A PARASITE TRANSMITTED BY SAND
FLIES WHICH IN WORST CASES CAN DEVELOP INTO FUNGATING SORES, SKIN
LESIONS. ULCERS. AND EVEN BLINDNESS.

TUBERCULOSIS- POSSIBLE TUBERCULOSIS PROBLEMS AROUND THE YEMENI
BORDER REGION. ANY DATA ON INTESTINAL TUBERCULOSIS. THE MAIN
CONCERN BEING THE PASTEURIZATION OF MILK PRODUCTS'
TYPHOID- THERE HAVE BEEN A FEW INCIDENTS OF TYPHOID. NO
INFORMA1ION WAS AVAILABLE AS TO THE EXTENT OF SERIOUSNESS OF THE
CASES. HOWEVER, INOCULATIONS HAVE BEEN ADMINISTERED BY BOTH US AND
OMANI MEDICAL CORPS.

      [b.2.]




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