To the Editor: In the Special Report by Gasser et al. concerning the threat of infectious disease associated with Americans returning from the Persian Gulf (March 21 issue),1 a number of febrile systemic illnesses were considered. Early in Operations Desert Shield and Desert Storm, the U.S. Navy Forward Laboratory was established at a U.S. Marine Corps surgical support facility in Saudi Arabia as a theaterwide reference laboratory. The laboratory was responsible for the investigation of threats of infectious disease and biologic warfare to American forces. Samples from suspected outbreaks were forwarded to the laboratory for evaluation. Serum samples from 37.
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