Gulf War and Health Volume 5: Infectious Diseases (2007) / Chapter Skim
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3 Infectious Diseseases Endemic to Southwest and South-central Asia the have Long-Term Adverse Health Outcomes
3 Infectious Diseseases Endemic to Southwest and South-central Asia the have Long-Term Adverse Health Outcomes
Pages 35-60
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From page 35... ...
Also, given the nature and duration of Operation Iraqi Freedom and Operation Enduring Freedom, some of the diseases in Box 2.2 could be diagnosed after a person's deployment or period of military service. The committee decided that the most effective way to give additional information on the diseases listed in Box 2.2 would be to present them in tables containing · A description of the acute syndrome in adults, · A description of the potential long-term adverse health outcomes in adults with clinical disease, · The frequency with which the long-term adverse health outcomes occur in adults with clinical disease, · The delay, if any, between acute infection and onset of long-term adverse health outcomes.
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From page 36... ...
yot years) ot ks ks esm Diseal Betwy In of (wee (wee (week (wee (wee tco Ou Dela Acute Onset No No No No Yes Yes Yes Yes Yes Clinica a )
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From page 37... ...
( urest card hepat, rvous on-it en fectni on-it addeblll scessesbarosn tis ne disease on-it on-it tis; Feal nalre fecni arul enn fecni gastri ulcer ncer fecni fecni nti yelim emlv testinalni ulcer ca sease c,nie atory,r scessesbar ors gea nginemcin ephcneogin voin vasc ors gea gafonoi fectioin ors gea ors gea Pote Di Clinica Osteo spl respi heot ro Sepsi dam Ch men Eye eitis) vu do stinfectio fect En Po Sepsi dam Chronic In stones Focal Atrophic Duodenal Gastric Gastric Sepsi dam Sepsi dam ,yht pa , no y,h stritis verfe ga hyc e,sialam h phademyl opat e ghhi pat to odyobldnah phal oft sser sm ver,fe ug iratory deat he, Adults in cene,n occasionally senon es;don coht resp forci he, pse,al acd wia in colci ome(s)
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From page 38... ...
s ) s (m (m (week (week (week (m Dela Acute Onset No No Yes ontm Yes ontm nknU Yes decade Yes decade No Yes Yes Yes Yes No No Clinica a with ofy nt rare rare rare own Adults Outcomes que in Frequenc Occurrence of Fre Very Very Very nknU onmmoC onmmoC rare rare rare rare rare Very Very Very Very Very reaR onmmoC mes gan tco Ou or,)
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From page 39... ...
shtno ) s (week (wee (week (wee (day (week (week (m (week Dela Acute Onset No No No Yes Yes No No No No No No Yes Yes No No No No No Yes Yes Yes Yes Yes Clinica a with ofy rare rare rare rare rare rare rare rare rare rare rare rare rare rare rare rare rare rare no Adults Outcomes mm in Frequenc Occurrence of Very Very Rare Rare Rare Rare Very Very Very Very Very Very Very Very Very Very Very Very Very Very Very Very Co mes gan e gan n gan tco Ou or,)
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From page 40... ...
on-it Feal fecni emordn sy ectfni ectfni ectfni of with ectfni fecni nti ors mes seasdir ors sease scesses, gea spognsiloy orkc gea orkc gea orkc gea etim orkc gea gea nnse Pote Di Clinica Ab Sepsi dam Reiter's Ank Sho dam Sho dam Sho dam Recurrence so Zi Sho dam Sepsi dam s face; ar doobl non- verfe ills, ot ache;d trunk scul d and hea ies, sis ver;fe tremit vadnanoi he, ghhi ch,e an calini easedr ills, ch ofsld alsose fo time s;ut ach er ngeahcsuta ess, liv subcl illn necrosis; headac re sh,ra, dec,no illary som nniit, eadh edg m Adults sep fectni ve s; ree -stalntem like in n,oi byd ex,kn ness flu ar cellularo se sev n,o r, usea usifn fever,,e ax na alities ach itie state larne, of oratrf followe truno co, usif frosmotp ome(s) hepat ng,iti hytapo eadh abnorm of atsnigeb r,e fev shar, ndryS peeg mentald of symfo etsnot rash sculavde onssieleki vefefo eschar focal a-l setno vom set rash extremotsd deaf,hgu set abrup rrhao al as;i nati liver pt ont a;i ru reaps coevi altere ont ducto easuan,aigl con,hguoc, ngera Acute hem Derm myalg ssemdi omuln leakage; gra Ab a,gialym phadenmyl een dei re;e counts, Abrup myalg and pr causes Abrup mya spl W sev d an and e )
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From page 41... ...
41 b and n es no omes ee fecti Outc Diseal Betwy In of Dela Acute Onset No No No No No No tive No No Clinica a with ofy otec pr rare rare rare nt fully Adults Outcomes or que in Frequenc Occurrence of Rare Rare Very Rare Very Very Fre Rare mes gan gan gan highly gan tco Ou or,) e e(s ordeta ordeta ordeta are ordeta nagro syndrom rel rel )
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From page 42... ...
e(s ordeta nagro nagro ghu vaccines rel related-n co thana ordeta ordeta ordeta rel rel rel noi ordeta ordeta rel rel -Termg and related-n Lonla ndromyS,s) ( urest on-it Feal fecni wjakcol Asila onary, severe disease; on-it on-it on-it fectni on-it on-it ntr pulm tis fecni fecni fecni calof fecni fecni nti ors infectioro infectioro ge,a omfra Ce-ht gea gea ge,a gea ors sease immunized iss gea yelim ors ors orsis ors gea iss gea Sou Pote Di Clinica Sepsi dam Sep dam Traum Orofacial, genitourinary teoso Sepsi dam Sepsi dam Sep dam Sepsi dam Sepsi dam Sep dam werel and , s yro sonne asm ility per sp yr hwesttuoS irat , resp scleumot stabin int sepsi,ai iss military conda fectionin se ic noi sep all Adults yh yh cteremab s palsies,e ess, prevalen s)
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From page 43... ...
( scessban urest sitis ordeta on-it on-it og on-it fectni on-it brain masto ) otofaru Feal a brai bosimorhtsunsi a,m facial fecni fecni ad fecni fecni nti sease onimu sinucin itis, (M ousn -relnoi ngi itis,s infectioro gea gea arthritiscin prdnac gea gea ors calofc ors ro pye is,sobm orsis iss orsis gea gea fect Pote Di Clinica Pne Ch Em caver In Men roth ro etrop Keratitis Sep dam Sep dam Ch Sep dam onirhC onir dam Sepsi dam Ch Sepsi dam s naryo itis pulm card n sepsi,ai )
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From page 44... ...
e(s ordeta ordeta ordeta ordeta ordeta ordeta ordeta ordeta ordeta rel rel rel infections rel rel rel rel rel rel -Termg itisr al itis itis Lonla ndromyS,s) ( urest on-it on-it re on-it on-it on-it on-it on-it on-it on-it Feal fecni fecni eph fev onl tica fecni bacteri fecni fecni cardo end fecni fecni fecni cardo tis end fecni nti ors gea ors gea sease erum ors gea al e, e, yelim mio ors gea ors ag ors gea ors gea ors ag ors gea Pote Di Clinica Sepsi dam Sepsi dam Glo Rheum Sepsi dam Sepsi dam Sepsi amd Sepsi dam Sepsi dam Sepsi amd Osteo Sepsi dam nosoc on m onsi onsi onsi ai cal fo moc , , , , , fectni fectni fectni ai erem a,ino itis, bact nginem, ort tansi scessesba actrtyran scessesba tions scessesba actrtyran scessesba actrtyran scessesba eremct ba Adults in onia,mu umenp -resc oti infections, uri,ai fecni infections, tract infections, uri,ai infections, uri,ai n, ai pne fectionin infections, biti fectioin ome(s)
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From page 45... ...
45 yrlo ses. po;yht cafo %1< paoretne re,ar ryev ousictfeni usio cases;fo 2005.
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From page 46... ...
46 b and n no omes ears) yot es ee fecti Outc hs In of ont es Diseal Betwy (m omc Dela Acute Onset No No No Yes Outht Clinica ofy a with Heal rse Outcomes Adults Frequenc Occurrence of est onmmoC onm onm omC omC reaR Adve in Sta mr mes -Tegn tco Ou or,)
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From page 47... ...
nwonk Dela Acute Onset Yes Yes decade Yes decade Yes decade No No No No No Clinica ofy a noita Yes ontm No Un with pul rare Outcomes Adults Frequenc Occurrence of Rare Very onmmoC rare rare nt Po rare Rare Rare Very Very reaR que Fre USg nwonk Very Rare Un in on mes n-o itis Am tco Ou or,) retin no gea e(s amo a fectiin noi lar essir ai anhTa with nct acu dep -Termg Asila cystitisciga damn ga Lonla ndromyS,s)
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From page 48... ...
48 b and n no omes es ee fecti Outc Diseal Betwy In of Dela Acute Onset No No No No No Clinica ofy a with onm Outcomes Adults Frequenc Occurrence of omC reaR onmmoC rare onm Very omC in mes urel ani e,pl c tco Ou or,) fai n opet e(s ro chroni iss ve -Termg ronichc amxerof( Lonla ndromyS,s)
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From page 49... ...
Rare Rare Rare Ra Rare Very Com onmmoC Ra Ra Rare reaR Very Very Very in mes ion with a agi e ro em tco Ou or,) fectni e(s tract onsi riaunibolg oni creasedin ural rom rod em and pneum rod emor necitu nd litisa sytn syn -Termg Lonla ndromyS,s)
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From page 50... ...
evt Operation an ary r, Man anre ic sease,idhtuo cutea fev: emid tivcn asymp: ngitimov Wa 04; lly mmo ess, noem bness d-m nju Acute Fev ep an pleurodynia, co Usua metimesoS ea,s ns,oisluv prima acutefoe tco 20n nau Unc stiffn con num to tag ou Gulf in an fersren rcenep altheh onnel ymeH; as e rsee 06 pers 20 ndromyS )
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From page 51... ...
mr Adults in Frequenc Occurrence Outc Rare Rare Very Very Rare Rare Very Rare Com unt Rare Rare Rare omC omC Very -Teg mes s in at ,noi hs Lonlaitne tco Ou or,)
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From page 52... ...
(m (m Dela Acute Onset Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes decade Yes decade No No Clinica with ofy of a (if omes Adults in Frequenc Occurrence Outc onmmoC rare reaR Very onmmoC rare rare onm rare rare rare rare reated)
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From page 53... ...
ve itis 50 Ira Feal 199n nti sease unocomm asmpl xo seniynl unocomm orioretin >5-,no athtnioat oniatr tips ilso Pote Di Clinica Reactivation im To (o im Ch mm co years. Opero, W; 04 20 ,ciat itis, ital to en cases; ess.
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From page 54... ...
( itisno ch sr on,ita ermald Feal ctud ritep andrevef of ngi itis,g opatneda infection es yea ent is, ratitisekgnsi nti sease reatitis,c ice, citisidne ic phedem urial itis rpepyh gm atit Pote Di Clinica Biliary ascend anp undaj isod App Pelv Ep anhpmly ymitisdiid in several Lym Persistent Ep Chy Orch Iron-deficienc Sk depi ermd Sclero Cen th- or Soud eral sut ilia oniatr an est associateds riphepd tioncurtsbo urirp ophnsi neal eo penet thw tomp ann al Sou Adults alvral toci in sym periro tica atoryr filtratioin testinin tica alna inaplainm tica ofetsi do ome(s) ptom peri: ab: itis,nedahpmly ptom almr Endem ratitisek Are ndryS spire asym athT ryanomlup philia, ptom tic itis, de asym asym eosinod kage toma atsutir is, atit Acute Largely Transient with oolb ocbl Largely mpyS ngahpm Occasionally Ly Largely Pru Derm d Diseases an e )
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From page 55... ...
ots des Diseal Betwy In of ont ) s ears onths (years (years (m (y (m (years (years (wee (week (deca Dela Acute Onset Yes Yes Yes decade Yes Yes Yes Yes Yes Yes Yes Clinica with ofy of a (if n(i ssedrepp (if omes Adults onm onm rare on onm rare rare rare reated)
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From page 56... ...
ot cases. of Diseal Betwy In of ears (deca (wee (week (years (years (years (week (y (years <1% Dela Acute Onset Yes Yes Yes Yes Yes Yes Yes Yes Yes rare, Clinica ry ve with ofy of a cases; omes rare Adults onm no rare rare rare of in Frequenc Occurrence Outc Very omC mm re Co Rare Rare Ra Very Very Very 5%-1 mes rare, tco Ou or,)
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From page 57... ...
tub rsalis, Asi ova preg infected ralnte -Termg carci fistulae;dna do stag Asila ic es ntr rn h-C Lonla ndromyS,s) ( uret Tha oni ess lized in,ap to re nera ectop Feal Asial ng failu fectnic scba tab scarring ge iclvep as, (tertiary bost outS nti osis cellularo sease Pote Di Clinica andts ntraeC-h Scarri Liver onirhC icn mm ngniem,ainte rtitis Ce-htuoS ro fanin Cirrh Hepat d Genital perirectal Gu dem disease, ao an Ch fertility,in In ut hwe outSotci Sodnat ia, est hyatpo ,y orex ath tic rytoa an s onset ro e)
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From page 58... ...
) Betwy iont ont Asiala ks ks onths ears onths ears ears Diseal (years (m (wee (wee (years (years (m (y (m (y (y Outcomes Dela Infec of Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Clinica South-Centr with ofy of a ni women or fi omes onm que Adults in Frequenc Occurrence Outc Unknown omC reated unt Southwest onmmoC rare nt on rare reated Very Fre unt Comm Rare Rare Very Rare reaR in mes yh tco Ou or,)
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From page 59... ...
e(s cases;fo % -Termg Lonla ndromyS,s) ( uret yr 50 Feal delive >5-,no nti sease mm Pote Di Clinica Preterm co e.
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From page 60... ...
Principles and Practice of Infectious Diseases.
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