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Veterans at Risk: The Health Effects of Mustard Gas and Lewisite (1993)
Institute of Medicine (IOM)

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. "E. Interim Report and Addendum: Feasibility of Developing a Cohort of Veterans Exposed to Mustard Gas During WWII Testing Programs." Veterans at Risk: The Health Effects of Mustard Gas and Lewisite. Washington, DC: The National Academies Press, 1993.

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Veterans at Risk: The Health Effects of Mustard Gas and Lewisite
II. Naval Research Laboratory (NRL) Tests

A. NRL Lab Log

On February 10, 1992, Mr. Larry Stockmoe of my office and I visited the NRL and met with Mr. Dean Bundy, Navy archivist, and Ms. Maria Lloyd, to review and discuss the available records concerning the WWII mustard gas experiments at the NRL. They made all relevant documents including 10 volumes of laboratory notebooks available to us for our examination. The laboratory notebooks contain meticulous records of each experiment with each subject's name listed as a part of the record. However, the volunteers were mainly identified by only their last names and occasionally their initials (Attachment 2). I reviewed all 10 volumes along with other documents and could not find any full names of participants entered in the materials. The NRL staff has abstracted the names for each experiment and also prepared a combined listing in alphabetical order. These rosters were later given to us by the VA Compensation and Pension Service.

B. Suitland Federal Records Center

During our discussions, Mr. Bundy mentioned that 18 boxes of materials pertaining to the tests were also archived at the Suitland Federal Records Center. He told us it would be highly unlikely that any stored documents would contain personal identification. It was also said that the documents still contain classified information and would therefore be accessible only by individuals with security clearances. We arranged for an inspection of the archived materials by the US Army and Joint Services Environmental Support Group (Attachment 3). During the months of March and April, 1992, Mr. Don Hakenson, Director, ESG, and three members of his staff reviewed the documents and came to the conclusion that none of the materials contain the names of test participants (Attachment 4).

C. National Personnel Record Center (NPRC), St. Louis, MO

One of the documents that I reviewed was a copy of memorandum from Lt. Commander J.H. Heinen, Jr. (MC) USNR to the Chief of the Bureau of Medicine and Surgery dated May 20, 1946. The memo stated that the tests at the NRL for the study of vesicant gases with Navy volunteers were approved by the Secretary of the Navy. Furthermore, the memo went on to describe a file card index of all the men who volunteered to participate in the tests. These men were sent to the NRL from the U.S. Navy Training Center, Bainbridge, Maryland (Attachment

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Front Matter (R1-R20)
Executive Summary (1-8)
1 Introduction (9-13)
2 Methods of Literature Collection and Survey (14-20)
3 History and Analysis of Mustard Agent and Lewisite Research Programs in the United States (21-60)
4 Findings from the Public Hearing Process (61-70)
5 Chemistry of Sulfur Mustard and Lewisite (71-80)
6 Relationship of Mustard Agent and Lewisite Exposure to Carcinogenesis (81-111)
7 Nonmalignant Respiratory Effects of Mustard Agents and Lewisite (112-130)
8 Ocular Effects of Mustard Agents and Lewisite (131-147)
9 Dermatological Effects of Mustard Agents and Lewisite (148-178)
10 Other Physiological Effects of Mustard Agents and Lewisite (179-198)
11 Relationship of Mustard Agent and Lewisite Exposure to Psychological Dysfunction (199-213)
12 Summary of Findings and Recommendations (214-226)
Bibliography (227-330)
A. Scientific and Background Presentations Made to the Committee (331-334)
B. Excerpt from The Residual Effects of Warfare Gases (335-337)
C. Involvement of the National Academy of Sciences Complex in World War II Research Programs: A Summary (338-339)
D. Excerpts from Chamber Tests with Human Subjects I, II, and IX. Naval Research Laboratory Reports Nos. P-2208 and P-2579 (340-369)
E. Interim Report and Addendum: Feasibility of Developing a Cohort of Veterans Exposed to Mustard Gas During WWII Testing Programs (370-377)
F. Summary of the Department of the Army Report: Use of Volunteers in Chemical Agent Research (378-381)
G. Public Hearing Announcement (382-385)
H. Letter from Dr. Jay Katz to Dr. David P. Rall (386-389)
I. Risk Assessment Considerations for Sulfur Mustard (390-398)
J. Examination of the Effects of Certain Acute Environmental Exposures on Future Respiratory Health Consequences (399-416)
List of Acronyms and Abbreviations (417-420)
Index (421-428)