It's an injection. Typhoid, salmonella, shigellosis, hepatitis, malaria, cholera, meningitis, diphtheria, pneumonia, typhus, paratyphus, tonsillitis, bronchitis, even plague and lice was very common in the Soviet army during Afghanistan, along with other diseases. Something that very few people know is that 75% of everyone in army had at one point had to be hospitalized, and most that had to could only stay for about two days before being kicked out, that's how fast people came in to fill the beds. Whole regiments were out of action for months at a time. The food was crap, the cooks were filthy, the water was unclean, and the rats were everywhere.