EPIDEMIOLOGY

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80-00809A000600200034-3
• Release Decision: RIPPUB
• Original Classification: R
• Document Page Count: 4
• Document Creation Date: December 22, 2016
• Document Release Date: June 29, 2011
• Sequence Number: 34
• Publication Date: May 22, 1948
• Content Type: REPORT

Sanitized Copy Approved for Release 2011/06/29: CIA-RDP80-00809A000600200034-3
tLi ?~?t~l,nItvrv lc?,..;tttiUTru ,-~
ENTRAL INTELLIGENCE AGENCY REPORT
IN FO ATA66TW T
P %;E
ACQUIRED USSR
DATB OF
IHFOT*(ATIOI
Oo11T~lti ItloQ6,1nON AfKLTIOO mt IIMnoEU O47xNS[
nilt ?W60 0T
DATF pISTR 2t May 1.345
NO. OF PAGES 4
NO. OF ENCLS.
(LIsTEU BELOW)
SUPPLEMENT TO
REPORT NO?
?.LTnt Opnao 6BnYN, Oltmltilo{ mt 0"MR0 or fit tMONAOt Act S.
Inl aMlKmttlox OR me tovt0ATtot THIS IS UNEVALUATED INFORMATION FOR THE RESEARCH
i. . C.. 7l l.YO 7t. 0.
OY ,A o,MIf o. ill ttf mc1 o a, N o14U o 0ttic ttofol IS s0Y
I.stlar. Ti0Y uttotumall tmlludco 1P ov cam nna or TO mT ro t OnS 1 SOT te. troA' USE OF kAINEO INTELLIGENCE ANALYus
cwl
it mean
... SS
W ....tM s.evMl.M R? 1LY O[[[ILt11o..0LCCT. ..
SOURCE Russian Periodical, Boyenno NeditsinakiX_ahurnal No 9, 194i. (Translation
specifically requested ;T
CHARACTER OF EU.ANTHEMATOUS TYPIE'J IN KWANTUNG PENINSULA
Lt Col (Med) h. I, Zamyshlayayev and.Maj '(Lod) I. F. Prikhed'ko
and in congested conditions. A patriarchal family of 10-20 people lives
Madi.al and epideniological surveys in c14lee and ?illages of the
Kwantnng ?eninsula after the Soviet Amy occupation showed that the
Chinese are 100 percent pedieulous. The population lives very poorly
Medical Pe. rtment, No 3, Sep 1945)
went statedt '%_xanthemetous typhus seldom occurs in Japan, but is ex-
ceptionally common in Korea. Manchuria, and t4,rth Ching. FAanthanatous
typhus is foltnd in South China and in so?ttheaatern ;.sla and is probobly
spread by :leas in the majority of cases;: It (Bulletin of the US Ari
In September 1945, tam Sanitary Corps of the US Army Medical Os;:9tt-
ul6,r- on exanthometous typhus in China and Japan.
Prior to the liberation of Manchuria by the Soviet Army, the ''edical
Service of our units had no exact data on epidemic diseases, and in pnrti.;'
There are no specific hospitals for communicable diseases and the
Chinese population has no medical help,
The Japanese population consists of colonizers, traders, and indus-
trialists, living in well-built houses under satisfactory sanitary con-
ditions.
huts and the outer clothing is sp-end on the floor to ba slept on.
The clothing, with rare exceptions, is ragged and is neither taXen
off nor laundered, from the m.-)ment it is put on. There are .to 'reds in the
in a but c o ~ro ard;%, of 15-20 square meters.
STAT
Sanitized Copy Approved for Release 2011/06/29: CIA-RDP80-00809A000600200034-3
 Sanitized Copy Approved for Release 2011/06/29: CIA-RDP80-00809A000600200034-3
RESTRICTED
piosaever, it is impossible to logy ate enyeee *;i.th gevc?e lnfentlon 'n
the Chinese area for the local population is afraid of the Japanese over-
lords, and their cruel treatment of severe cases, and willfully hide any
infection,
Exanthematous and relapsing typhus rage in the Kwantung Peninsula
every year, but no attempt is made to control these diseases due to lack
of doctors and also because those pr..aent are occupied with their private
practices end have no i...erest in eradicating contagious diseases.
According to data of the tal'niy health Department, cases o. exanthema-
tous typhus officially registered in the city were as follows: 1943 ?.2,940
cases, 1944 - 2,502 cases, 1945, - 2,571 cases, and in 1'46 - 6,320 easoa.
In 1946, the epidemic of exanthematous typhus reached a naximam in Septemr-
ber and October.
The personnel of our units in the Kwantung Peninsula wore completely
free from exanthematous typhus. Considering the Intense epidemic situation,
the military authorities established a regime enforcing a maximum limitation
of contact of the military personnel with the local population. Nevertheless.
it was impossible to completely avoid contact. Military personnel frequently
used the services of Chinese barbers.
Those quartered outaido the unit compound were compelled to use local
means of` transportation, streetcars and trains, which were crowded with
Chinese. The local population attended the motion pieture`thestrc a. Due to
these conditions some case?c cf exanthematous typhus began to appear. The
first cases appeared in August, continued to appear through September and
Cct.ober, but stopped completely in November.
Three locales - the city at Dal'niy and points D and C, all having
direct connections with each other rare the focal points of infection of
the disease.
Personnel and members of military families in those locales were not
given specific prop!...?=.ctic treatment against eranthematoua typhus.
The physical condition of the patients prior to becoming ill was good.
Soar of the patients generally denied that lice had been present; some ad-
mitted that af_erN ride on a etree:car or a visit to a Chinese barber or
market, they found lice on their underwear or in their bade. Chen asked if
they had ever aeon a flea an them while they were in the Kwantung Peninsula,
all answered nag'+tively.
The cases of exanthematous typhus which we stuCied belong in the general-
iy accepted classifications, based on the quantitative and qualitative analyses
of their outstanding symptoms. The condition was either slight or mild in
the majority of the petientel three ware severe. Because of the absence of
sharply defined "clinical" gmptoms of exanthematous typhus and some modera-
tions and obliterations of the "leading" symptoms in a significant number of
p.tiente, doctors of the ,mite made some erroneous diagnoses in the first
cases of this disease. This gave us occasion to speak of the "etypicalnesae
of the course of vpidemio oxar:themetous typhus and the possibility of its
;+rwraamce in a given ease of Xanahtu.-ian :et exanthemntous typ;:ua or other
ricket`ailoeia.
The following characteristic clinical symptoms were noted: shorter
period of pyretic condition; a considerable percentage of the patients (38)
bad favor for 9-10 days; the temperature curve remained ,,t 38.5-39.7 degrees;
frequently there were morning remissions up to subfebrile figures. In the
majority of cases the temperature dropped sharply, leaving a temperature
2
RESTRICTED
RESTRICTED
STAT
Sanitized Copy Approved for Release 2011/06/29: CIA-RDP80-00809A000600200034-3
 Sanitized Copy Approved for Release 2011/06/29: CIA-RDP80-00809A000600200034-3
STAT
limit for 1-6 day-,.
In 78 .,ercent. Of U-3 patiertc, the rash had a predomiro tly pol;r;.orphic
and roseolu.t character. 7owever, a rose.'us-papule character tray frjquent,
and in 10 percent of th, patients, he rash was of a petech:.a1 is tt:?a~ The
rash broke out on the f: ,'ah -? ss?.venth day after the. onset of ttee di:,:asc; in
some cases :ire rash cosh=,tely covered th! surface of the body, irte:?s iea rrc
rash in 22 percent of tt cases.
cases. Tho sac?iue:ntatV.-,grate, ae, ,; rule, increased ap to the limit:i of from
2t~ tv 60 o per hour; it was normal in only four cases,
The more common sui ective complaints were: genere.l denility enmoi.a-
tion, malaic-e, het.d.rehe, hypcrt:iophy end hfparen_-ia of t :e face. .r. 3c1. 9.t:i,,
opleuomegal; rwae ,resenl in 20 parccnt of the castes. / degonaration ii:; the
cardiovascu:.sr ayatem wr> indicated in a moderas degree: dull;iea:' o:" the
heart tones: slight hypet nia (withjn the limits of i05j50 and L.0/5 ), pulse:
The t':e;.l-Fe?.ix reap J.o ass positive in a dilution of .:200 _:4;,G to
1:3,200. lte four eases the initial i'eil-Felix reactions rare :regattas al-
though they Indicated pr :itive cliniccl symptoms confirming exrnther:.rtocs
typhus, 1h,, blood picti raa of our patients did not completely fit firs. the
pattern of '.he ehtirnote: '.stic degeneration of th a leukocyte. '? oevera ieukoc,i '.o--
sin, neutroi:hilir frith , shift to the left, and nr_eouinophilio? Tho 1eakocy',
count varied quits wide. ?: for example; loukopenia (from 3.(00 to 4,000 in
one ot1.-Mm), he normal It akocyte count, and moderate leukocyi.osia -Erich a :raxi.
mum count o l., 13,00