The committee did not find sufficient evidence to justify causal inference for any health effects it reviewed. However, some effects were identified from a review of the collective evidence from epidemiologic and toxicologic investigations as being relevant health outcomes to consider in future studies of exposures at Camp Lejeune, including kidney cancer, renal toxicity, hepatic toxicity, neurotoxicity, and autoimmune disease. Although other health end points with less support from the existing literature should not be excluded from consideration, such findings are more likely to reflect random error if not supported by additional contexts in the literature.