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

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. "G. Public Hearing Announcement." 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

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

Page
384
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)