ORGANIZATION OF THE REPORT

This report includes the committee’s assessment of the potential long-term health effects of exposure to burn pit smoke in Iraq and Afghanistan along with feasibility and design issues for an epidemiologic study of veterans exposed to the Balad burn pit. Chapter 2 provides information on the current and historical use of burn pits in the military and the history of concerns about possible health risks related to exposure to burn pit smoke. The committee’s approach to the task is described in Chapter 3. An evaluation of air monitoring data from JBB and determinants of exposure are discussed in Chapter 4. The long-term health effects associated with the chemicals identified in the emissions from the burn pit at JBB are discussed in Chapter 5. Chapter 6 summarizes the potential long-term health effects associated with exposure to combustion products for other populations such as firefighters. Chapter 7 summarizes the conclusions reached in Chapters 4 through 6 and synthesizes that information into an evaluation of the long-term health effects that might be associated with exposure to burn pit emissions in Iraq and Afghanistan. Chapter 8 describes feasibility and design issues for an epidemiologic study of veterans exposed to burn pit emissions.

REFERENCES

AFIOH (U.S. Air Force Institute for Operational Health). Undated. Open pit burning general facts and information. Brooks City-Base, TX: U.S. Air Force Institute for Operational Health.

CHPPM (U.S. Army Center for Health Promotion and Preventative Medicine) and AFIOH. 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.

CHPPM. Undated. Just the facts: Balad burn pit. Aberdeen Proving Ground, MD: U.S. Army Center for Health Promotion and Preventive Medicine.

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: Joint Staff. March 28, 2011. Enclosure: ASD(HA) Memorandum, 17 Feb 11. Response to ASD(HA) Request for Information.

Taylor, G., V. Rush, A. Deck, and J. A. Vietas. 2008. Screening Health Risk Assessment Burn Pit Exposures, Balad Air Base, Iraq and Addendum Report. IOH-RS-BR-TR-2008-0001/USACHPPM 47-MA-08PV-08. Brooks City-Base, TX: Air Force Institute for Operational Health and U.S. Army Center for Health Promotion and Preventative Medicine. May.

U.S. Congress, Senate, Committee on Veterans’ Affairs. 2009a. Airway injury in U.S. soldiers following service in Iraq and Afghanistan. 111th Cong., 1st Sess. October 8.

U.S. Congress, Senate, Democratic Policy Committee. 2009b. Are burn pits in Iraq and Afghanistan making our soldiers sick? 111th Cong., 1st Sess. November 6.

USAPHC (U.S. Army Public Health Command). 2010. Screening health risk assessments, Joint Base Balad, Iraq, 11 May–19 June 2009. Aberdeen Proving Ground, MD: U.S. Army Public Health Command. July.



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