Those considerations should be instructive for any future epidemiologic studies of JBB and other burn pit populations or other military personnel serving in Iraq and Afghanistan. In that regard, with awareness of the data gaps and analytic limitations in the studies reviewed here, the committee recommends that the DoD and the VA give special attention to several important aspects of the studies: uncertainties and limitations in exposure assessment, the scarcity of data on the long-term health effects resulting from exposure to relevant combustion products, and differences between the best surrogate populations described in the epidemiologic literature (firefighters and municipal incinerator workers) and military personnel stationed at JBB. Related feasibility and design elements for a future epidemiologic study are discussed in Chapter 8.

REFERENCES

EPA (U.S. Environmental Protection Agency). 2003. Toxicological profile for acrolein. CASRN 107-02-8. Integrated Risk Information System (IRIS) database. http://www.epa.gov/iris/subst/0364.htm (accessed July 12, 2011).

Faulkner, W.M. 2011. Exposure to toxins produced by burn pits: Congressional data request and studies. Memorandum for the assistant secretary of defense for health affairs. Washington, DC: The Joint Staff. March 28, 2011. Enclosure: ASD(HA) Memorandum, 17 Feb 11. Response to ASD(HA) Request for Information.

IOM (Institute of Medicine). 2010. Gulf War and health: Volume 8: Update of health effects of serving in the Gulf War. Washington, DC: The National Academies Press.



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