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TOE SECRET 4 APPENDIX A DISEASE IN THE KOREAN AREA rate was reported to be 50 percent. In April, 1951, the NKF and CCF disease victims were 1. Available intelligence does not indicate the reported to equal battle casualties. present incidence of typhus, cholera, small- pox, typhoid, and other diseases in North Ko- 4. In November, 1951, GHQ, FECOM, concluded rea. Because of the poor diagnostic compe- that "lack of an effective lousicide, together tence of the Chinese Communist and North with the apparent neglect of universal typhus Korean medical services, it is doubtful whether immunizations and the high louse infestation factual information on the incidence of each of enemy troops will inevitably result in many disease will ever be available. Consequently, cases of typhus." In March, 1952, one covert true current incidence of any given disease in report stated that 30 percent of the 8th Corps, the North Korean (and China/Manchuria) NKA, were bedridden with typhoid fever or area is likewise not known by the Commu- typhus, with about 60 percent mortality. nists. However, the area contains the natu- 5. There have been several recent reports of ral conditions causing many diseases to be an unusual disease in both the NKF and the endemic and epidemic. CCF. The disease is characterized by an acute 2. Diseases historically follow the movement onset with headache, chills, and fever; nose- of armies, and there is every reason to believe bleed, vomiting, and abdominal pains were this happened in the case of the Chinese mili- reported in some instances. While there was tary movements into North Korea. Moreover, no mention of conjunctival hemorrhage (or hygiene and sanitary conditions in the NKF "red eye") in connection with these reports, a and CCF have become progressively more pro- large percentage of PW's were found to be suf- pitious for disease outbreaks as the Korean fering from some form of conjunctivitis at the conflict has continued. Exhausting forced time of capture. No estimate of incidence of marches and inadequate food and shelter have the malady in enemy troops can be obtained. lowered the resistance of the troops. Dirty 6. There was one covert report of a smallpox- mess-gear has been commonplace. Lack of like disease epidemic in North Korea during medical equipment and non-utilization of November-December 1951; no confirming in- sanitation personnel, even in rear areas, re- telligence is available. flect negligent preventive-medical practices. The absence of an effective lousicide is an- 7. CCF Immunization. There are indications other factor contributing to the generally of extensive inoculation of CCF troops, al- primitive sanitary condition in the field. though the degree of protection received is (DDT is ineffective against certain types of not known due to doubtful efficacy of im- Korean and Manchurian lice.) munization. Prior to CCF intervention in 3. During 1951 cholera, smallpox, and typhus 1950, vaccines were plentiful in China and Manchuria, and were also available for revac- were reported to be widespread among North Korean and Chinese Communist troops. Ty- cination of CCF troops in Korea during the phus fever had a high incidence among enemy spring of 1951 (except for tetanus toxoid). Vaccines were made in China and Manchuria troops during the spring, but the rate fell sharply early in July. It was reported that in at any of a number of centers such as the Peking Central Epidemic Prevention Bureau some areas of North Korea 50 percent of all civilian communities contracted the disease, and the Dairen Municipal Sanitation Center. with a resulting 30 percent mortality. In Intelligence does not indicate use of Soviet or March, 1951, there were reports that typhus, US made vaccines by the CCF. typhoid, and smallpox had affected a large a. Smallpox: Vaccination universal in 1950. proportion of civilians and North Korean In 1951 about 90 percent coverage of military troops in the Ch'unch'on area; the mortality forces, 10 percent being omitted because of TOP SECRET NARA CONFIDENTIAL

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    "ocrText": "TOE\nSECRET\n4\nAPPENDIX A\nDISEASE IN THE KOREAN AREA\nrate was reported to be 50 percent. In April,\n1951, the NKF and CCF disease victims were\n1. Available intelligence does not indicate the\nreported to equal battle casualties.\npresent incidence of typhus, cholera, small-\npox, typhoid, and other diseases in North Ko-\n4. In November, 1951, GHQ, FECOM, concluded\nrea. Because of the poor diagnostic compe-\nthat \"lack of an effective lousicide, together\ntence of the Chinese Communist and North\nwith the apparent neglect of universal typhus\nKorean medical services, it is doubtful whether\nimmunizations and the high louse infestation\nfactual information on the incidence of each\nof enemy troops will inevitably result in many\ndisease will ever be available. Consequently,\ncases of typhus.\" In March, 1952, one covert\ntrue current incidence of any given disease in\nreport stated that 30 percent of the 8th Corps,\nthe North Korean (and China/Manchuria)\nNKA, were bedridden with typhoid fever or\narea is likewise not known by the Commu-\ntyphus, with about 60 percent mortality.\nnists. However, the area contains the natu-\n5. There have been several recent reports of\nral conditions causing many diseases to be\nan unusual disease in both the NKF and the\nendemic and epidemic.\nCCF. The disease is characterized by an acute\n2. Diseases historically follow the movement\nonset with headache, chills, and fever; nose-\nof armies, and there is every reason to believe\nbleed, vomiting, and abdominal pains were\nthis happened in the case of the Chinese mili-\nreported in some instances. While there was\ntary movements into North Korea. Moreover,\nno mention of conjunctival hemorrhage (or\nhygiene and sanitary conditions in the NKF\n\"red eye\") in connection with these reports, a\nand CCF have become progressively more pro-\nlarge percentage of PW's were found to be suf-\npitious for disease outbreaks as the Korean\nfering from some form of conjunctivitis at the\nconflict has continued. Exhausting forced\ntime of capture. No estimate of incidence of\nmarches and inadequate food and shelter have\nthe malady in enemy troops can be obtained.\nlowered the resistance of the troops. Dirty\n6. There was one covert report of a smallpox-\nmess-gear has been commonplace. Lack of\nlike disease epidemic in North Korea during\nmedical equipment and non-utilization of\nNovember-December 1951; no confirming in-\nsanitation personnel, even in rear areas, re-\ntelligence is available.\nflect negligent preventive-medical practices.\nThe absence of an effective lousicide is an-\n7. CCF Immunization. There are indications\nother factor contributing to the generally\nof extensive inoculation of CCF troops, al-\nprimitive sanitary condition in the field.\nthough the degree of protection received is\n(DDT is ineffective against certain types of\nnot known due to doubtful efficacy of im-\nKorean and Manchurian lice.)\nmunization. Prior to CCF intervention in\n3. During 1951 cholera, smallpox, and typhus\n1950, vaccines were plentiful in China and\nManchuria, and were also available for revac-\nwere reported to be widespread among North\nKorean and Chinese Communist troops. Ty-\ncination of CCF troops in Korea during the\nphus fever had a high incidence among enemy\nspring of 1951 (except for tetanus toxoid).\nVaccines were made in China and Manchuria\ntroops during the spring, but the rate fell\nsharply early in July. It was reported that in\nat any of a number of centers such as the\nPeking Central Epidemic Prevention Bureau\nsome areas of North Korea 50 percent of all\ncivilian communities contracted the disease,\nand the Dairen Municipal Sanitation Center.\nwith a resulting 30 percent mortality. In\nIntelligence does not indicate use of Soviet or\nMarch, 1951, there were reports that typhus,\nUS made vaccines by the CCF.\ntyphoid, and smallpox had affected a large\na. Smallpox: Vaccination universal in 1950.\nproportion of civilians and North Korean\nIn 1951 about 90 percent coverage of military\ntroops in the Ch'unch'on area; the mortality\nforces, 10 percent being omitted because of\nTOP\nSECRET\nNARA\nCONFIDENTIAL"
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