IIR 6 898 0446 91 / STATUS OF DISEASE AT REFUGEE

File: 950719_68980446_91z.txt
Page: 91z
Total Pages: 1
IIR 6 898 0446 91 / STATUS OF DISEASE AT REFUGEE

Filename:68980446.91z
PATHFINDER RECORD NUMBER: 15178
GENDATE:         950504
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TEXT:            
ENVELOPE CDSN = LGX086 MCN = 91122/22766 TOR = 911221352
PTTCZYUW RUEKJCS5947 1221352---RUEALGX.
ZNY 
RUHGRPG T COMUSNAVCENT
HEADER P 021352Z MAY 91
FM JOINT STAFF WASHINGTON DC
TO AIG 8781
INFO RUEALGX/SAFE
P 021357Z MAY 91
FM [   (b)(2)   ]
TO RUEKJCS/DIA WASHDC PRIORITY
INFO RUEKJCS/DIA WASHDC//DAT-7// PRIORITY
RUFTWSA/CTFPROVIDE COMFORT PRIORITY
RUFGAID/USEUCOM AIDES VAIHINGEN GM PRIORITY
RUSNNOA/USCINCEUR VAIHINGEN GE//ECJ2-ISC// PRIORITY
RUFRMHA/CTF SIX ONE PRIORITY
RUFRSGG/CTF SIX TWO PRIORITY
RHDLOJA/CTF SIX SEVEN PRIORITY
RUEORDF/DIRAFMIC FT DETRICK MD//AFMIC-CR//
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[   (b)(2)   ]



SERIAL: (U) IIR 6 898 0446 91.


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BODY PASS: (U) DIA PASS TO AIG 8781.

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SUBJ: IIR 6 898 0446 91 / STATUS OF DISEASE AT REFUGEE
CAMPS - PROVIDE COMFORT (U)

[   (b)(2)   ]


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DEPARTMENT OF DEFENSE
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DOI: (U) 910501

REQS: (U) [    b.2.    ]

[   (b)(1) sec 1.3(a)(4)   ]

SUMMARY: CHOLERA AND MEASLES HAVE EMERGED AT REFUGEE CAMPS. 
FURTHER INFECTIOUS DISEASES WILL SPREAD DUE TO INADEQUATE WATER 
TREATMENT AND POOR SANITATION.

TEXT: 1.  THE MAIN CAUSES OF INFECTIOUS
DISEASES, PARTICULARLY DIARRHEA, DYSENTERY AND UPPER
RESPIRATORY PROBLEMS, ARE POOR SANITATION AND UNCLEAN
WATER. THESE DISEASES PRIMARILY AFFLICT THE OLD AND
YOUNG CHILDREN. ALTHOUGH THE EXACT PERCENTAGE OF
INFECTIOUS DISEASES IS UNKNOWN FOR EACH CAMP, 
 [      (b)(1) sec 1.3(a)(4)    ] THAT AT LEAST EIGHTY PERCENT OF
THE POPULATION OF CUKURCA HAS DIARRHEA.

2. THE MOST FREQUENT CASE OF NON-INFECTIOUS
DISEASE IN THE CAMPS INVOLVES TRAUMA - USUALLY SOMEONE
STEPPING ON A LAND MINE. THESE TRAUMA INJURIES ARE
ALSO THE MOST LIKELY CASES TO BE EVACUATED FROM THE
CAMP TO A MAJOR MEDICAL FACILITY.

3. CHOLERA, HEPATITIS TYPE B, AND MEASLES HAVE
BROKEN OUT AT THE CUKURCA CAMP. ([      (b)(1) sec 1.3(a)(4)    ] 






 REPORTED NINE POSITIVE CHOLERA
CASES OUT OF TWENTY-TWO SAMPLES SUBMITTED. AMERICAN
SAMPLES FROM CUKURCA ON 910501 INDICATE POSSIBLE
CHOLERA. THE NUMBER OF MEASLE CASES IS UNDETERMINED.

4. THERE HAVE BEEN NO REPORTED DIAGNOSIS OF
TYPHOID AND ONLY ONE SUSPECTED CASE OF MENINGOCOCEAL
MENINGITIS. MEDICAL ANALYSIS ON OTHER INFECTIOUS
DISEASES IS STILL AWAITING COMPLETION OF DATA COLLECTION.

5.  ZAHKO HAS SIMILAR MEDICAL PROBLEMS AS THE
BORDER CAMPS. DURING A DISCUSSION WITH A MEDICAL TEAM
ON 910430, [      (b)(1) sec 1.3(a)(4)    ] WAS TOLD THAT MOST OF 
THE CASES THEY WERE SEEING WERE DIARRHEA AND UPPER
RESPIRATORY INFECTIONS.

 ([   (b)(1) sec 1.3(a)(4)   ]  1. THE WEATHER
HAS BEEN A POSITIVE FACTOR IN KEEPING THE NUMBER OF
CERTAIN KINDS OF INFECTIOUS DISEASES DOWN TO A
RELATIVELY MANAGEABLE LEVEL. HOWEVER, THE CONTINUING
LACK OF CLEAN WATER FOR THE CAMPS AND THE LACK OF
APPROPRIATE SANITATION FACILITIES HAS MANY MEDICAL
PERSONNEL WORRIED. THE APPEARANCE OF CHOLERA AND
MEASLES WAS EXPECTED, UNFORTUNATELY THE SLOW
INTRODUCTION OF MEDICAL SUPPLIES AND ABSENCE OF A COLD
CHAIN FOR PROPER STORAGE OF MEDICAL SUPPLIES ONLY ADDED
TO A POTENTIALLY SERIOUS MEDICAL PROBLEM AT THE LARGER
CAMPS.


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