research recommendations, 313

respiratory effects, 272(n.3), 276–277, 282, 283

short-term malaise, 15, 281, 283, 284, 285

squalene, 309–310

surveillance, 269

veterans, studies of Gulf War veterans, 285, 286, 293

visual and ocular effects, 286

Antibodies

adverse reactions to vaccines, 17, 272, 298

anthrax vaccines, 279, 285, 306

botulinum toxoid vaccines, 288(n.11), 290, 293, 306

lymphocytes, 158, 272, 278, 301, 302

squalene, 309, 311

uranium, 152, 156–157, 312

see also Autoimmune diseases;

Vaccines

Anticholinesterase, 9, 170, 174, 189, 190, 199, 328, 372

age factors, 190

genetic factors, 31

see also Cyclosarin;

Sarin

Antidotes

cyclosarin, 186

sarin, 170, 179

see also Pyridostigmine bromide

Antigens, 271–272, 273

anthrax vaccines, 15, 54, 274–277 (passim), 279–280

botulinum toxoid vaccines, 290

human leukocyte antigen (HLA), 273

toxicity of, 271–272, 273

see also Vaccines

Anxiety, 49, 57, 171, 196, 226, 350, 354

Armed Forces Epidemiologic Board, 295

Armor, depleted uranium, 5, 91–92

Army Center for Health Promotion and Preventive Medicine, 93–94

Army Medical Corps, 9

Army Medical Research Institute of Infectious Diseases, 284, 285–286, 292

Arthritis, 299–300, 302, 309

Asbestos, 34, 78, 79

Asthma, 45, 49, 215, 231, 236, 237

Atropine, 11, 208, 228, 237

ATSDR, see Agency for Toxic Substances and Disease Registry

Attention deficits, 27, 51

sarin, 171

Autoimmune diseases, 273

arthritis, 299–300, 302, 309

diabetes mellitus, 298–299

fibromyalgia, 45, 46, 48, 49, 62, 343, 352, 355–360 (passim)

systemic lupus erythematosus, 157, 284, 311

see also Myasthenia gravis

AVIP, see Anthrax Vaccine Immunization Program

B

Baltimore cohort, Gulf War veterans, 21, 93, 326

Beneficiary Identification and Records Locator Subsystem, 54–55

BEIR, see Committee on the Biological Effects of Ionizing Radiation

Biological warfare agents, general, 1, 34, 35, 48, 325

see also Anthrax vaccines;

Botulinum toxoid vaccines;

Nerve agents;

Vaccines

Birth defects, 56–57, 61(n.25), 62, 104–105

Bladder, see Genitourinary system and urinalysis

Blood, see Cardiovascular system;

Hematologic effects

Blood-brain barrier

pyridostigmine bromide (PB), 11, 207, 219–220

sarin, 177

Bone cancer, 19, 109, 143, 146, 159

Bones, see Musculoskeletal effects

Bosnian conflict, 39, 50–51, 250, 303, 304, 358

Botulinum toxoid vaccines, vii, 1, 2, 4, 14, 16–17, 19, 21, 28, 34, 287–294, 297–298, 301, 306

acetylcholine (ACh), 288(n.10), 289

acute effects, 16, 17, 19, 290, 291, 293–294, 313

animal studies, 21, 288, 289–291, 330



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