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Appendix A Agendas for the Four Meetings of the TOM Committee on the DoD Persian Gulf Syndrome Comprehensive Clinical Evalua~don Program

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38 EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSL4N GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM Institute of Medicine Meeting of the Committee on the DoD Persian Gulf Syndrome Comprehensive Clinical Evaluation Program Foundry Building, Room 2003 Washington, D.C. October 24, 1995 AGENDA 9:00 a.m. Executive Session Orientation and introduction Bias and conflict of interest discussion Planning for the day's activities 9:30 a.m. DoD Presentations Background and overview Descriptive statistics and findings Regional summaries Overall findings regarding unexplained illnesses 11:55 a.m. U.S. Department of Veterans Affairs Drs. Bailey and Martin (10 min) Dr. Erdtmann (25 nLin) Six clinicians (90 min) Dr. Anders (20 mini Dr. Murphy 12:00 p.m. Working Lunch Discussion of Preliminary Findings 2:00 p.m. Discussion of Plans for the CCEP and IOM Activities 3:00 p.m. Executive Session 5:00 p.m. Adjourn

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APPENDIX A 8:00 a.m. Breakfast 8:30 a.m. Executive Session Institute of Medicine Meeting of the Committee on the DoD Persian Gulf Syndrome Comprehensive Clinical Evaluation Program Foundry Building, Room 2004 Washington, D.C. March 10, 1995 AGENDA Orientation and introduction Bias and conflict of interest discussion Discussion of charge to the CCEP committee Overview of the charge to the MFUA Persian Gulf Committee- Dr. Mundt 10:00 a.m. DoD Presentations Background and overview of the CCEP Clinical approach to CCEP patients CCEP descriptive statistics and findings (includes spouses and children) Infectious diseases in the CCEP Chronic fatigue syndrome/fibromyalgia/ multiple chemical sensitivity 39 Dr. Bailey (10 min) Dr. Matthews (20 min) Dr.O'Donnell (20 min) Dr. Gasser (20 min) Dr. Cooper (20 min)

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40 11:45 a.m. Break EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM Sleep disorders Dr. Matthews (15 min) 12:00 a.m. Working Lunch and Continuation of DoD Presentations Psychiatric diagnoses Stress related disorders in Persian Gulf veterans Description of ill-defined conditions (includes stratified analysis of "other conditions") Typical medical symptoms seen in a military ambulatory care setting Overview of potential Persian Gulf war exposures: physical, chemical, biological and psychological Specialized Care Centers concept and operations DoD closing remarks 2:15 a.m. General Discussion and Questions 3:00 a.m. Executive Session Adjourn Dr. Follansbe (15 min) Drs. Lindquist and Malone (15 min) Dr. Anders (20 min) Dr. Kroenke (20 min) Dr. Hyams (30 min) Drs. Bailey and Blanck (20 rain) Dr. Joseph (10 min)

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APPENDIX A 8:00 a.m. Continental Breakfast 8:30 a.m. Executive Session 9:30 a.m. DoD Presentations Introductory Remarks Institute of Medicine Meeting of the Committee on the DoD Persian Gulf Syndrome Comprehensive Clinical Evaluation Program June 8-9, 1995 Foundry Building, Room 2004 Washington D.C June 8, 1995 AGENDA Overview of CCEP descriptive statistics and findings (includes spouses and children) Psychological conditions in the CCEP Musculoskeletal conditions in the CCEP Digestive conditions in the CCEP Nervous conditions in the CCEP Respiratory conditions in the CCEP 41 Dr. Mazzuchi Dr. O'Donnell (60 min) Dr. Engel (15 min) Dr. Vogelgesang (15 min) Dr. Cheney (15 min) Dr. Dutka (15 min) Dr. Anders (15 min)

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EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM Description of Ill-defined Conditions (including stratified analysis of "other conditions") 12:05 p.m. Lunch in Conference Room Dr. Anders (20 min) 12:30 a.m. Overview of the Department of Dr. Murphy Veterans' Affairs Persian Gulf Registry (30 min) 1:00 p.m. DOD Presentations, Continued Chronic fatigue syndrome in the CCEP Sleep disorders in the CCEP Neurocognitive impairment in the CCEP Spectrum of disability among CCEP patients Patient treatment and follow-up at MTF and RMC levels (including results of patient satisfaction questionnaires) Discussion and interpretation of the results of the CCEP 3:10 p.m. General Discussion and Questions 3:40 p.m. DoD Closing Remarks 4:00 p.m. Executive Session 6:00 p.m. Adjourn Dr. Cooper (20 min) Dr. Matthews (10 min) Dr. Matthews (10 min) Dr. Trump (10 min) Dr. Trump (20 min) Dr. Kroenke (40 min) Dr. Joseph (20 min)

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APPENDIX A Walter Reed Anny Medical Center June 9, 1995 AGENDA 8:30 a.m. Presentation by CCEP physicians about the Specialized Care Centers - including purposes, procedures, logistics, successes and limitations, to date 43 10:00 a.m. TOM Committee Meeting With Small Group of CCEP Patients 11:30 a.m. Executive Session 12:30 p.m. Adiourn v

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44 EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM Institute of Medicine Meeting of the Committee on the DoD Persian Gulf Syndrome Comprehensive Clinical Evaluation Program National Academy of Sciences, Room 150 Washington, D.~. September 6, 1995 AGENDA 9:00 a.m. Continental Breakfast 9:30 a.m. General Discussion of Draft Final Report Committee assessment of the overall goals and procedures of the CCEP Implementation of the CCEP 10:30 a.m. Discussion of the Analysis and Interpretation of the Results of the CCEP Comparison of the CCEP population with other populations Committee comments on the symptoms and diagnoses in the CCEP population Potential relationships of illness in CCEP patients to Persian Gulf service Clinical evidence for a new, unique Persian Gulf syndrome 11:30 a.m. Discussion of the Committee Comments on Specific Medical Diagnoses Psychological conditions Musculoskeletal conditions Signs, symptoms, and ill-defined conditions Infectious diseases 12:00 p.m. Lunch in Conference Room 12:30 p.m. Discussion on Chronic Fatigue Syndrome, Fibromyalgia, and Multiple Chemical Sensitivity 1:30 p.m. Discussion on the Potential Preventive Medicine Lessons from the Persian Gulf War and the CCEP

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APPENDIX A 45 2:30 p.m. Discussion of the Potential Topics for the DoD and the IOM to Consider in Year 2 of the CCEP 3:30 p.m. Discussion of Additional Conclusions and Recommendations to be Included in the IOM Final Report on the CCEP 5:00 p.m. Adjourn

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