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File: 110596_oct96_decls12_0001.txt
Page: 0001
Total Pages: 1

Subject: DISEASE SURVEILLANCE  20SEPT90                                  

Unit: US NAVY     

Parent Organization: US NAVY     

Box ID: BX300107

Folder Title: FOLDER MESSAGE CHRONOLOGICAL FILES 20 SEP - 3 NOV 90 1 OF 22                                    

Document Number:          9

Folder SEQ  #:          1


                                                                         t;fdipit-vot!14 m -a-                          ON - n
                                                                                      N A V A L M E S S A G E
                                                                                      0 E P T 0 F              N A V Y
                                                                                      UNCLASSIFIED
                                       PRIORITY                     ZYLIV RUFRZ2796 2b3M9                      8. -* AT AL JURAIL AIRPW,. THERE WAS A CLUSTER Of 50 CASES OF
                                       P 200429Z SEP 90                                                        WATERY DIARRHEA OVER A THREE DAY PERIOD. KANY OTHER CASES APPARENTLY
                                       FM C014USNAVLOGSUPFOR//N9//                                             OCCURRED WHICH DID NOT PRESENT. TO SICK CALL. INFORMAL OUTOREAX
                                       TO USCIRCCEITr//CCSGII       CNO WASHINGTON DP//932//                   IWESTIGAYIDN BY THE SENIOR PHYS
                                       BUKED WASHINGTON DC//24//                                                                             ICIAN ON SITE IMPLICATED A PARTICULAR
                                                                    CWJSNAVCENI                                MEAL SERVED AT THE FIELD NESS. AND A PARTICULAR MENU ITEM (KEAY AND
                                       INFO CIKPACFLT PEARL HARBOR Hllf451f                                    GRAVY). THE BASELINE RATE OF DIARRHEAIGI AT THIS SITE WAS
                                       CINOLANTELT NORFOLK vA//45/i CG I NET FWD                               APPROXIMATELY I PER I(Elt BEFORE ARD AFTER THIS OUTBREAK. FOOD ITEMS
                                                   06200                                                       DELIVERED TO FIELD MESSES AND CHOI( HALLS IN THE THEATER ARE N31
                                                                         CURRENTLY BEING PRDCURED FROM APPRDVED SOURCES. THIS ISS.E IS BEING
                                       6@Ei;DiSig iiIE'LD//"                                                   ADDRESSED AT THE CENTCON LEVEL. LOCAL PKI VIGILAKCE OW FOOD
                                       YMID/SYS.RIM/CXSNAVLOGSUPFOR/-/SEP//                                    PREPARATION IS HIGH.
                                       AKPNIVJBJ: DISEASE SURVEILLANCE FOR OPERATION DESERT SHIELD. WEEK DF    7. I" AT SHAIKH ISA AIR BASE. THE BASE CHOW HALL HAS BEEN FEEDING I
                                       02 TO 08 SEPTEKBER (U)//                                                MEAL A DAY. USUALLY INCLUDING FRESH SALADS. FOOD TIM ARE I KM RON-
                                       FjiK3;1 HE PREVENTIVE KEDICINE TEAM HAS INITIATED A REAL-TIKE           APPROVED SOURCES. AND FODD PREPARATION (IKLMIK SAL
                                       DISEASI SIULZT                                                                                                               JAII 15 CARRIED
                                       ILLA?iCf SYSTEM @HM THE #AVY/Mjof CORPS AOR Fog                                                                               S
                                       DESERT SHIELD. THE SYSTEM FOCUSES 01 MEDICAL PROBLEKS CONSIDERED TO     OUT By SM U.S. AND LOCAL NATIONALS. THE FACIL M           RADUALLY
                                       BE OF GREATEST FORCE                                                    BEING TRANSITIONED TO U.S. CONTRDL. AND PK RECOMMENDATIONS ARE SCING
                                             -DEGRADING Ah3 EPIDEMIC PUTERTIAL.       MD TRACIlro              MADE. FOR THE PAS1 2 WEEKS. OVERALL DIARRHEA RATES HAVE EXCEEDED 3
                                       ALL DIAGNOSES. IRDIVIWAL UNITS EXTREMELY RECEPTIVE TO SURVEILLANCE      PER WEEK.
                              B. = OVERALL ASSESSKENY OF DISEASE TRERDS AND PREVENTIVE EFFORTS:
                                       'I STIMY At EACH BATTALION AID STATION (OAS). DAILY                     A.   HEAT INJURY - HEAT INJURY PREVENTIVE EFFORTS HAVE BEEN
                                       wlY"O
                                       F'KWAJ'DR MEDICAL PROBLEMS MADE FROM THE SICI CALL LOG.                 REMARKABLY SUCCESSFUL IN THIS EXTREKE E WIROWENT.
                                       DIAGNOSES NM FMING MO CATEGORIES LISTED AS MISCELLANEOUS.               B. t% DZARRHEA/Gi - THERE ARE KNOWN PROBLEKS WITH THE FODD
                                       TOTAL NUMBER OF TROOPS SUPPORTED. NLVBER OF SIQ. ARD ADMISSIONS         PRDCUREMENT SYSTEM, AND THESE ARE BEING ADDRESSED.
                                       RECORDED WEEKLY SUMMARY IS PREPARED AT BAS, TO ESTIMATE PERCETITAGE OF  C. NOEPXATOLOGICAL - HOT. HUMID. DIRTY CONDITIONS HAVE CWRIBUTED
                                       THE FORCE AFFECTED EACH WEEK (SUNDAY THROUGH SATURDAYI. WEEKLY          TO   LATIKLY HIGH N'JKBER CE REAT RASH AND FUNGAL OEIRAT[TIS CASES.
                                       SUMMARY DISEASE IMPACT FORWARDED TO HAVCE?fr PREVENTIV MEDICINE         MOSTLY OF A MINOR NATURE.
                                       OFFICER, VIA I NET SURGEON. TREND ANALYSIS PERFORMED AN3 A OVERALL      D.   RESPIRATORY - CROWDED CONDITIONS. BOTH IN TENT CAMPS AND IN
                                       WEEKLY SYNOPSIS PREPARED.                                               Fl;rD FACILITIES. HAVE CONTRIBUTED TO THE RELATIVELY HIGH RATES OF
                                       3.JLIHFTATIONS Or THE SYSTEM:                                           RESPIRATORY DISEASE. ESPICIA'.LY Ay SHAIKH ISA. ANECDOTAL ACCDLWTS
                                       A. EXACT BEKKINATORS AS FOXE STRENGTH CHANGES.                          SUGGEST WERY HIGH ATTACX RATES IN SOME UNITS.
 KEF SURGEON.                                    E.@  INJURY - INJURIES HAVE HAD I ML( IMPACT 04 FORCE READINESS
                                       C. INCOMPLETE LOGGING IN THE KATE $AS SICK CALL LOG.                    S AR.
                                       0. EXACT DEFINITION OF VARIOUS DIAGNOSESISPECIALLY DIARRHEA)            FMI" Ir       I ILCAI - THERE HAVE BEEN FEW CASIS OF
                                       KAY VARY SLIGHTLY FROM M TO M UP FROM P VIDER TO PROVIDER.              C OM 171S@T          FOREIGN BODY VISIT$ AT THE FIXED WING BASE
                                       E. N* DIFFICULT 70 IDEM71FY ALL UNITS 11 THE AREA OF OPERATIONS AND     HAVE BEEN HIGHER THU OTHER SITES POSSIBLY DUE TO SAND STOlots).
                                       ENROLL THEN IN THE SURVEILLANCE SYSTEM.                                 G. " PSYCHDLOGICAL - THERE RAVE BEEN MINIKAL PSYCH CASUALTIES THUS
                                       4. @AREAS BEING MONITORED CAN PRESENTLY 81 DIVIDED INTO 4 MAJOR         FAR.
                                       GEOGRAPHIC LOCATIONS:                                                   H. " UNEXPLAINED FEVER - THERE HAVE BEEN NO SIGNIFICANT FEBRILE
                                       A. 4" JUSAIL IAOUMIAL PORT - REAR AREA PORT FACIL M . BILLETlAfS-       ILLNESSES IN THE UNITS WNTTORED.
                                       GP TENTS AND WAREHOUSES. NESSIMT - 2 KRE'S PER DAY, I HOT NEAL (VAT     1. @ MISCELLANEOUS - RO TRENDS ARE APPARENT
                                       CARS).                                                                  J.       RENOS - VERY FEW LOST YA DAYS HAVE BEEN RECORDED BY THE
                                       B. " TIN MARINE REGIKENT REAR CAMP 15) - REAR BASE CAMP I 0 WHICH       SU        SYS'REK THUS FAR. THE MAJORITY HAVE BEEN DUE TO
                                       INFANTRY UNITS ROTATE. BIL;.E71MG - FIXED DDPXITORIES (AIR-             GASTROINTESTINAL DISEASE AT THE FIXED WING BASE.
        CONDITIONED). KESSING - 2 KRE'S PER DAY. I HDT MEAL (KESS HALL).        2. (-6+ ANECDOTAL INFORMATION FROM OTHER UNITS WHICH HAVE NO-. YET
                                       C. @ AL JUBAIL INTERNATIONAL AIRPORT - HELICOPTER BASE. BILLETING -     REPORTED HAS BEEN CONSISTENT WITH THE ABOVE TRENDS.
                                       GP TENT CAMP. KESSIVO - 2 KRE'S PER DAY, I HDT NEAL (FIELD NESS).       10.@FURT]iER INFORMATION WILL BE REPORTED WHEN AVAILABLE.
                                       D. @ SHAIKH ISA AIRBASE, BAHRAIN - FIXED WM BASE. BILLETING - GP        11. (U) RELEASED BY RADR(SEL) R. SUTTON//
                                       TENTS AND BCQ (AIR-CONDITIONED). MESSING - 2 IIRE'S PER DAY. I CHOW     DECL/OA3R// BI
                                       HALL MEAL PREPARED BY US AND LOCA@ PERSONNEL.
                                       S. "RESULTS FOR THE WEEK OF 02 TO 08 SEPTEMBER: NOTE - POPULATION
                                       USERS AT EACH SITE REPRESENT ONLY THDSE UNITS WHICH HAVE TIPJS FAR
                                       REPORTED WEEKLY @RIES. DATA IS PENDIK FROM OTHER UN17S A. THESE
                                       LOCAT ION& C"IR LOCITIONS).
                                       JUBXIL PTRYM CAMP 15 AL JL'BAIL SHAIKH ISA     TOTAL
                                                                    AIRPORT
                                       N-2787 N-1354                U-2500 1-4930     N-11571
                                       HEAT 0.18 0.07               0.04 0101         0.10
                                       61 0.83 1.11                 2.57 3.33         2.ZO
                                       DEAN 1.83 0.22               1.60 2.88         2.04
                                       RESP 0.87 0.07               1.43 4,Z6         2.35
                                       INUURY 1:26 0.81             1.32 0.77         1.01
                                       EYE 0.11 0.07                0.44 0.41         0.30
                       PSYCH 0.14 O.Co              0.04 0.08         0.07
                                       FEVER 0.00 O.DO              0.04 0.02         0.01
                                       HISC 1.33 1.03               2.60 4.32         2.84
                                       Oslo5       3                UN[  20           28
                                       THE DIARRHEA EXPERIENCE AY   THESE SITES IS SIGNIFICANT FROM A
                                       PREVENTIVE MEDICINE POINT DF VIEW. (SEE FOLLOWING PARAGRAPHS)

                                       CRO WASH D@                                                 ADV 88
                                       ACTION 932(l)
                                       OD( 1) CHO fig"I09(i) 990()) 095 8 08(ii
                                       ol(z) 02(t) 03@2i 07EG(l) 30(l) 35i6i 37(4 39(5)
                                       04(2@ 11@3 42(i 05(5) 50(6) 51(3) 55(2) 6(l)
                                       00(4 61 164@l@ 093(l) 07(t) 70(t) 71(5) 75(2)
                                       73(3 S 1) 74 1)NRC(I         )NCC(L) 092H(3) SC(l)
                                                   MCN-90265/30405                    TOR-90265/1906Z          TAD-90265/1909Z            CDSN-MAP713
   DECLASSIFIED                                                                                                                                        PAGE I OF
   DN: 22 OCT 96                                                           eE)NFIE)EN:Fl@                                                              200429Z SEP go
   3Y: DON GWDP IAW OPNAVINST 5513. SERIES                                                                     UNCLASSIFIED

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Document 1 f:/Week-41/BX300107/FOLDER MESSAGE CHRONOLOGICAL FILES 20 SEP - 3 NOV 90 1 OF 22/disease surveillance 20sept90:11049611395632
Control Fields 17
File Room = oct96_declassified
File Cabinet = Week-41
Box ID = BX300107
Unit = US NAVY
Parent Organization = US NAVY
Folder Title = FOLDER MESSAGE CHRONOLOGICAL FILES 20 SEP - 3 NOV 90 1 OF 22
Folder Seq # = 1
Subject = DISEASE SURVEILLANCE 20SEPT90
Document Seq # = 9
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 = 04-NOV-1996