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File: 123096_oct96_decls7_0001.txt
Subject: DISEASE SURVEILLANCE DIARRHEA OUTBREAK 26 AUG 13 OCT
Unit: US NAVY
Parent Organization: US NAVY
Box ID: BX300104
Folder Title: COMUSNAVLOGSUPFOR NAVY MEDICAL MESSAGE FILES 1990-1991 CNA 2910
Document Number: 102
Folder Seq #: 41
PRIORITY UN IFIED I NCOMI NG
ADMINISTRATIVE MESSAGE SUSPENDED ON APPROXIMATELY 26 SEPTEMBER.
8. @ OVER 100 STOOI SPECIMENS WERE ANALYZED BY IRE HAYCENI FORWARD
PRIORITY LAB, WITH IRE FOLLOWING RESULTS:
ENTEROTOXIGERIC E. CDLI (ETECI Ss
P 23ff2lSZ OCT 90 ZYB PSK 927304F24 SHIGETLA MOSTLY SONNEII 20
SALMONELLA 3
FM HAVEMPUNINEDU SIX PEARI HARBOR HI//Bl/f ROTAVIRUS 0
SEVERAL SPECIMENS SHOWED NO GROWTH DUE TO PRIOR ANTIBIOTIC TREATMENT.
TO U$CIHCPAC HONOLULU HI//MED// CIXCPACFTT PEARL HARBOR HIl/MED// SIGNIFICANT ANTIBIOTIC RESISTANCE 10 TRIMEHTAPPIN/SULFA AND
DIRWRAIR WASHIXGTOR DC//SGRD-UWK/l TETRACYCLINES WAS FOUND IN AIL THREE BACTERIAL SPECIES ISOLATED. ALL
ISOLATES HAVE BEEN SENSITIVE TO CIPROFLOXACIN AND MORFLOXACIN.
ETIC 39-40 RESISTANT 10 SEPTRA AND DOXYCYCIINE.
SHIGELLA 70 RESISTANT 10 SEPTRA AND 80 TO DOXYCYCLINE
FM COMUSHAVLOGSUPFOR//Ng// SAIMONETLA I OF 3 SPECIMENS RESISTANT 10 SEPTRA
C. OW INITIALLY, SUPPIIES Of ANTIBIOTICS (SEPTRA AND DOXYCYCLIKE)
TO USCIKCCENII/CCSG// COKUSNAUCERI WERE NOT SUFFICIENT TO TREAT THE LARGE NUMBER OF PATIENTS.
COMUSHARCENTi/SURGII BUKED WASHINGTON DCI/90/024// CIPROFLOXRCIN, IN PARTICULAR, WAS IN VERY SHORT SUPPLY, AND MANY
CC FIRST MARDIU//SURG// CG THIRD HAW//SURG// PATIENTS WERE TREATED ONLY WITH HYDRATION.
CG FIRST FSSG//SURG// DIRWRAIR WASHINGTON DC//JJJ//
MEDIRE FAC COMFORT REDIRE FAC MERCY 3. SPECIFIC SURVEITIANCE DATA (ALL NUMBERS ARE IN PERCENT PER WEEX
S FLEHOSP FIVE NAVENPVHTMEDU TWO NORFOLK VA//JJJ/ OF THE UNIT STRENGTH SEEM AT SICX CALI):
A. -0 GROUP I - UNITS LIVING IN TERI CAMPS IN FIXED LOCATIONS
E /KAVEXPVXTMEDU SEVEN NAPLES II NDEKVIRHLIRCEM NORFOIX VA//JJJ// WEEK or 9/2 9/9 slig 9/23 9/38 10/6
c HAUKEORSCHU THREE CAIRO EG SITE A 3.33 5.99 2.13 0.74 9.74 0.47
HAVENPUNIMEOU FIVE SAN DIEGO CA/IJJJI/ x 5590
HAVENPVNIMEDU SIX PEARL HARBOR HI//JJJ// SITE B 0.12 1.01 1.87 1.21 0.51 8.56
4i N 19ss
0 //ND6440// SITE C 2.52 0.63 11.70 9.13 1.40 0. 77
N N 3900
SECTION OF OF 02 SITE D 3.14 6.18 4.91 3.4S
OPER/DESERT SHIELD// N sso
m AKPNISUBJ: DISEASE SURUEILLMCE - DIARRHEA OUTBREAK ANALYSIS - 26 ANALYSIS - EACH SITE SOW A RISE, PEAK, AND FAIL IN DIARRHEA RATES.
S AUGUST THROUGH 13 OCTOBER TO)// SITE A - SHOWED THE EARLIEST RISE IN DIARRHEA, PROBABLY DUE TO THE
RHKS/1. " THE FOLLOWING ANAIYSIS IS BASED ON SURVEILLANCE DATA FACT THAT THIS UNIT RECEIVED AT IEASI I NEAI A DAY FROM A HOST MATIOX
G GATHERED SINCE THE WEEK OF 26 AUGUST ON USHC FORCES IN DESERT SHIELD. CHOW FACILITY FROM THE OUTSET OF THE DEPLOYMENT (USING NON-APPROVED
TRENDS ARE REPORTED ONLY FOR THOSE UNITS WHERE DATA IS FAIRLY SOURCES). IN ADDITION, LOCAI NATIONALS WERE DOING THE BULK OF FOOD
OVER A PERIOD OF
WEEKS, US PERSONNEL AND PROCEDURES WERE INTEGRATED MORE INTO FOOD
2. 4&r SUMMARY Of OVERALL DISEASE TRENDS: PREPARATION, UNTIL NEAR CDKPLETE CONTROL WAS ACHIEVED. IRIS
A. -M DIARRHEA HAS BEEN THE MOST SIGNIFICANT MEDICAL PROBLEM CORRESPONDED 10 THE FALI IN DIARRHEA RATES.
ENCOUNTERED BY MARINE CORPS FORCES IN DESERT SHIELD. UNIT ATTACK SITE B - THE EPIDEMIC WAS LEAST DRAMATIC Al THIS SITE. HRE'S WERE
RATES HAVE EXCEEDED 50 IN MANY INSTANCES, THOUGH HUY WERE NOT SEEN THE FOOD SOURCE INITIALLY, UNTIL A US RUN FIELD HESS BECAME
IN SICK CAIL. A WELL DEFINED EPIDEMIC CURVE EXISTS FOR VIRTUALLY
EVERY UNIT WHICH RECEIVED FOOD FROM THE MARINE CORPS CENTRAL
RECEIVING POINT FOR LOCALLY PROCURED FOOD. FOODSTUFFS HAD BEEN
OBTAINED FROM IOCAI CONTRACTORS USING NON-APPROUED SOURCES. LETTUCE, DLVR:NAVEMPUNINEOU SIX PEARL HARBOR HILL) ... ORIG
IN PARTICULAR, WAS SHOWN BY CUITURE TO BE HEAVILY CONTAMINATED WITH 3(2) ... ACT FOR CIKCPACFLT PEARL HAR(421 019901 3/8294
FECAL COLIFORKS, BOTH BEFORE 90 AFTER DISINFECTION AT MESS &(I) 62(l) 61 11) 6(21 5(21 47 (4) 4SIl) 43(2) 4IS(l) 414(i) Al (2)
FACIIITIES. THE LOCAI CONTRACTOR HAD OBTAINED LETTUCE FROM COUNTRIES 40111 34 (11 33 (1) 32 11) 31 (1) 38S (1) 30M (1) 2 (1) I (1) 03C (1)
WHICH USE 'NIGHT SOIL' AS FERIIIIZER (EGYPT). THE KOHUT INSPECTION 03 (1) 02H (1) 97G (1) 02 (1) 013 0) 00-01 (3) DOJ (1) FCC (1)
TIAILY NOT ABLE RTD:000-999/COPIES:0043
TO MONITOR THE LARGE NUMBER OF SOURCES UTILIZED BY LOCAL CONTRACTORS.
IRE OUTBREAK, TOTALLING SEVERAL TEDUSAND DIARRHEA CASES, ABATED 927304/296 01 Of 82 MRAD3248 796/19:21Z 191149Z OCT 99
QUICKLY WHEN IRE USE OF LOCALLY PROCURED GROUND-GROWN VEGETABLES WAS CSK:OSIAOOBI7 296/19:211 NAVEMPYNTHEOU
DECLASSIFIED
ON: 04 DEC 96
ON GWDP IAW OPNAVINST 5513. SERIES
5EBREf
UNCLASSIFIED
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Document 3 f:/Week-41/BX300104/COMUSNAVLOGSUPFOR NAVY MEDICAL MESSAGE FILES 1990-1991 CNA 2910/disease surveillance diarrhea outbreak 26 aug 13:12179609575811
Control Fields 17
File Room = oct96_declassified
File Cabinet = Week-41
Box ID = BX300104
Unit = US NAVY
Parent Organization = US NAVY
Folder Title = COMUSNAVLOGSUPFOR NAVY MEDICAL MESSAGE FILES 1990-1991 CNA 2910
Folder Seq # = 41
Subject = DISEASE SURVEILLANCE DIARRHEA OUTBREAK 26 AUG 13
Document Seq # = 102
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 = 17-DEC-1996