TAILIEUCHUNG - Gulf War and Health: Volume 4. Health Effects of Serving in the Gulf War

The 1990-1991 Persian Gulf War was brief and entailed few US casualties in comparison with other wars, and yet it had a profound impact on the lives of many of the troops. Among the 700,000 US military personnel deployed in the battle theater, many veterans have reported chronic symptoms and illnesses that they have attributed to their service in the gulf. Numerous studies have been conducted to characterize the long-term adverse health consequences of deployment to the Persian Gulf. Potential exposures to numerous hazardous substances have been identified in association with the Gulf War. Most alarming are the smoke from oil-well fires that were set by Iraqis. | gulfwar and HEALTH VOLUME 4 Health Effects of Serving in the Gulf War x Preface that more such studies be undertaken for the Gulf War veterans but there would be value in continuing to monitor the veterans for some health end points specifically cancer especially brain and testicular cancers neurologic diseases including Amyotrophic Lateral Sclerosis ALS and causes of death. Therefore despite the serious limitations of the available studies as a group they do point the way to actions that might benefit Gulf War and other combat veterans. I am deeply appreciative of the expert work of our committee members Marcia Angell W. Kent Anger Michael Brauer Dedra S. Buchwald Francesca Dominici Arthur L. Frank Francine Laden David Matchar Samuel J. Potolicchio Thomas G. Robins George W. Rutherford and carol Tamminga. Although our committee developed conclusions independently of input from IOM and its staff we deeply appreciate their hard work and attention to detail and the extensive research that they conducted to ensure that we had all the information that we needed from the outset. It has been a privilege and a pleasure to work with the IOM staff directed by Carolyn Fulco and with our consultant Miriam Davis. Without them this report would not have been possible. Most of all our committee appreciates the veterans who served in the Gulf War and who have volunteered again and again to participate in the health studies that we reviewed. It is for them that we do this work. We hope this report will inform those who have given so much to our nation about what researchers have been able to learn about their health. LYNN R. GOLDMAN MD MPH professor JOHNS HOPKINS UNIVERSITY Gulf War and Health VOLUME 4 Health Effects of Serving in the Golf War Committee on Gulf War and Health A Review of the Medical Literature Relative to the Gulf War Veterans Health Board on Population Health and Public Health Practice INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS .

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