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

Page
382
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Veterans at Risk: The Health Effects of Mustard Gas and Lewisite

G
Public Hearing Announcement

PUBLIC HEARING ANNOUNCEMENT

COMMITTEE TO SURVEY THE HEALTH EFFECTS OF MUSTARD GAS AND LEWISITE

Wednesday, April 15, 1992

1:00 PM until 4:00 PM

NATIONAL ACADEMY OF SCIENCES LECTURE ROOM

2101 Constitution Avenue, N.W.

Washington, D.C.

This committee will be holding a public hearing to encourage veterans who participated as subjects in mustard gas and Lewisite tests during their military service, or their families or representatives, to tell the committee their experiences in these tests and subsequent health problems. All information given to the committee will be considered, in addition to the published scientific literature, as part of the committee's overall task to:

  1. Review the published literature on the long-term health effects of mustard gas and Lewisite

  2. Summarize the strength of association between exposure to these chemicals and specific diseases

  3. Identify gaps in the knowledge regarding the long-term health

Page
382
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)

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OCR for page 382
Veterans at Risk: The Health Effects of Mustard Gas and Lewisite G Public Hearing Announcement PUBLIC HEARING ANNOUNCEMENT COMMITTEE TO SURVEY THE HEALTH EFFECTS OF MUSTARD GAS AND LEWISITE Wednesday, April 15, 1992 1:00 PM until 4:00 PM NATIONAL ACADEMY OF SCIENCES LECTURE ROOM 2101 Constitution Avenue, N.W. Washington, D.C. This committee will be holding a public hearing to encourage veterans who participated as subjects in mustard gas and Lewisite tests during their military service, or their families or representatives, to tell the committee their experiences in these tests and subsequent health problems. All information given to the committee will be considered, in addition to the published scientific literature, as part of the committee's overall task to: Review the published literature on the long-term health effects of mustard gas and Lewisite Summarize the strength of association between exposure to these chemicals and specific diseases Identify gaps in the knowledge regarding the long-term health

OCR for page 383
Veterans at Risk: The Health Effects of Mustard Gas and Lewisite effects associated with these chemicals Recommend ways to decrease the gaps in knowledge that may be found. Those interested in giving a brief oral presentation to the committee must respond, giving their name, address, and telephone number, by Monday, March 16th to: Constance M. Pechura, Ph.D. (Staff Director) Institute of Medicine F03036 2101 Constitution Avenue, N.W. Washington, DC 20418 TEL: 202/334-3387 FAX: 202/334-2939 The committee also encourages submission of information in written form to the above address; telephone calls will also be accepted. Attendance at the public hearing is not required for consideration of your experiences by the committee. Please contact the staff director for additional information. VETERANS WHO APPEARED AT THE PUBLIC HEARING Glenn Jenkins, Nokomis, Florida Johnnie H. Ross, Robersonville, North Carolina Richard Snow, West Sunbury, Pennsylvania Nathan J. Schnurman, Charles City, Virginia Richard W. Rawls, Stone Mountain, Georgia Dan Gentile, Scottsdale, Arizona George Avery, Salem, Oregon David D. Fallin, San Antonio, Texas Charles Cavell, Midlothian, Virginia Stanley Weintraub, Washington, D.C. Bernard Klonowski, Arlington, Virginia Frank Kozdras, Port Charlotte, Florida Millard Scudder, Dillsboro, Indiana Russell H. O'Berry, Richmond, Virginia Joseph L. Butash, Scranton, Pennsylvania R. B. Moore, Mechanicsville, Virginia Victor R. Barnhardt, Concord, North Carolina Victor LaBate, Jarrettsville, Maryland Elmer L. Hood, Monroe, North Carolina Walter Langston, Rectortown, Virginia

OCR for page 384
Veterans at Risk: The Health Effects of Mustard Gas and Lewisite SUMMARY OF HEALTH PROBLEMS REPORTED BY VETERANS The following information is included to inform readers of the general types of health problems that were reported to the committee by the veterans. It is important to note, however, that this information was not collected in the rigorous manner required for quantitative analysis. Thus, no conclusions were drawn from the distribution or frequencies of specific diseases listed here by the committee and, likewise, such conclusions should not be drawn by the readers. The total number of respondents represents each individual who contacted the committee through letters, phone calls, or appearances at the public hearing. The numbers indicated with serious injuries represent those veterans who were hospitalized within days following their exposure, whether or not this exposure was due to accidental explosions, normal testing conditions, or, in a very few cases, combat injuries. Some of the veterans also participated in other types of tests. Most often the additional tests were patch or drop tests of liquid mustard gas, but some others included atomic bomb tests and drug tests. Finally, the number with scars still present and the number of veterans who reported no health problems that they attribute to their exposure are also listed. Finally, it should be noted that the disease and health problem categories are arbitrary and in some cases a number of different specific diseases are grouped into one category. For example, heart attacks, congestive heart problems, and angina are all listed under heart problems. Respiratory problems encompass difficulty in breathing, chronic colds and infections, lung collapses, and chronic cough. Esophageal stricture includes complaints of difficulty in swallowing. Total Responses (as of June 29, 1992) Total number of respondents 257 Number with serious injury 53 Number with scars 28 Number in other tests 21 Number reporting no health effects 12 Asthma 45 Chronic bronchitis 63 Laryngitis 25 Emphysema/lung disease 75 Conjunctivitis/opacities/keratitis 10 Skin rashes/blisters 55 Pneumonia (repeated) 16

OCR for page 385
Veterans at Risk: The Health Effects of Mustard Gas and Lewisite Sinus problems 16 Other respiratory problems 42 Cancers   Lung/laryngeal 6 Oral/nasal 1 Skin 20 Bladder 6 Prostate 6 Intestinal 1 Thyroid 1 Pancreas 1 Kidney 1 Leukemia/lymphoma 1 Unspecified 1 Tumors/polyps   Laryngeal 5 Intestinal 3 Brain 1 Heart problems 63 Vascular disease/stroke 15 Blood pressure problems 18 Chest pain 2 Diabetes 11 Cataracts/eye problems 50 Hearing problem 14 Nausea/stomach ulcers 22 Esophageal stricture 11 Hiatal hernia 6 Headaches 19 Arthritis/bone disease 40 Neurological problems 32 Depression/anxiety/post-traumatic stress disorder 52 Chronic pain 3 Alcoholism 3 Allergies 8 Blood/lymphatic disorders 6 Prostate disease 10 Kidney disease 10 Tuberculosis 4 Hepatitis B 1 Liver disease 4 Muscle spasms 2 Hair/tooth loss 4 Impotence/sterility/sexual problems 7 Genital burns and scars 7

Representative terms from entire chapter:

mustard gas