could provide an essential peer-review function to lend greater scientific credibility to the investigations. An example is the advisory committee that was established to oversee the conduct of the Ranch Hand Study (IOM 2006).
In conclusion, a study of health effects resulting from exposure to burn pits is feasible but its ability to produce useful and actionable results depends on a well thought-out design, thorough exposure assessment and careful follow-up. The IOM and NRC have recommended several methodologies for investigating and monitoring the health of military service members to the VA and the DoD over the years that, in addition to this report, can provide further guidance on study design and feasibility (IOM 1999, 2000b, 2008b; NRC 2000a,b).
AFHSC (U.S. Armed Forces Health Surveillance Center), the Naval Health Research Center, and the U.S. Army Public Health Command. 2010. Epidemiological studies of health outcomes among troops deployed to burn pit sites. Silver Spring, MD: Defense Technical Information Center.
CHPPM (U.S. Army Center for Health Promotion and Preventive Medicine) and AFIOH (U.S. Air Force Institute for Operational Health). 2009. Addendum 2. Screening health risk assessment burn pit exposures Balad Air Base, Iraq, May 2008. USACHPPM Report No. 47-MA-08PV-08/AFIOH Report No. IOH-RS-BR-TR-2008-0001. Aberdeen Proving Ground, MD: U.S. Army Center for Health Promotion and Preventive Medicine. August.
DoD (U.S. Department of Defense). 2010. Report to Congress on the use of open-air burn pits by the United States armed forces. Washington, DC: U.S. Department of Defense.
Gonzalez, C. A., M. Kogevinas, E. Gadea, A. Huici, A. Bosch, M. J. Bleda, and O. Papke. 2000. Biomonitoring study of people living near or working at a municipal solid-waste incinerator before and after two years of operation. Archives of Environmental Health 55(4):259-267.
Henriksen, G. L., N. S. Ketchum, J. E. Michalek, and J. A. Swaby. 1997. Serum dioxin and diabetes mellitus in veterans of Operation Ranch Hand. Epidemiology 8(3):252-258.