Unexplained Illnesses in Gulf War Veterans

Multiple Chemical Sensitivity (MCS)

Fibromyalgia (FB)

Chronic Fatigue Syndrome (CFS)

Patients with significant disability (%)

12% of Gulf War veterans receive disability from VAu

43% of MCS patients report disabilityv

26.5 % of FB patients report receiving disability paymentsw

Striking disability in role and social functioning and vitality

37% unemployedx

NOTE: CNS = central nervous system; NA = not available.

aJoseph, 1997; Murphy et al., 1999.

bMore than 50% of 90 subjects reported these symptoms in an uncontrolled study (Ziem and McTamney, 1997).

cWolfe et al., 1990; Buchwald and Garrity, 1994.

dBuchwald and Garrity, 1994.

eSee Chapter 2.

fResearch and clinical criteria are reported in Cullen (1987); Nethercott et al. (1993); and Archives of Environmental Health (1999).

gWolfe et al., 1990.

hHolmes et al., 1988; Fukuda et al., 1994. Other criteria are used in the United Kingdom and Australia (Wessely et al., 1998).

iListed as synonym under M79.0 “Rheumatism, Unspecified,” under Diseases of the Musculoskeletal System and Connective Tissue (WHO, 1992).

jListed under G93.3 “Post-Viral Fatigue” under Diseases of the Nervous System, as well as under F48.0 “Neurasthenia” under Mental and Behavioral Disorders (WHO, 1992).

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