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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
Support for this project was provided by the U.S. Department of Veterans Affairs. The views presented in this report are those of the Institute of Medicine Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides (Third Biennial Update) and are not necessarily those of the funding agency.
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COMMITTEE TO REVIEW THE HEALTH EFFECTS IN VIETNAM VETERANS OF EXPOSURE TO HERBICIDES (THIRD BIENNIAL UPDATE)
Department of Epidemiology, University of North Carolina at Chapel Hill
Margit L. Bleecker, M.D., Ph.D., Director,
Center for Occupational and Environmental Neurology, Baltimore, Maryland
Thomas A. Gasiewicz, Ph.D., Professor of Environmental Medicine and Deputy Director of the Environmental Health Sciences Center,
University of Rochester
Tee L. Guidotti, M.D., M.P.H., Professor and Chair of the Department of Environmental and Occupational Health,
The George Washington University School of Public Health and Health Services
Department of Environmental Health, Harvard School of Public Health
Loren D. Koller, D.V.M., Ph.D., Professor,
Oregon State University, College of Veterinary Medicine
University of Oklahoma
John J. Stegeman, Ph.D., Senior Scientist and Chair of the Biology Department,
Woods Hole Oceanographic Institution
David S. Strogatz, Ph.D., M.S.P.H., Associate Professor and Chair of Epidemiology,
School of Public Health, State University of New York at Albany
David A. Butler, Study Director
Rose Marie Martinez, Director,
Division of Health Promotion and Disease Prevention
Jennifer A. Cohen, Research Assistant
Anna Staton, Research Assistant
The committee benefited from the assistance of several scientists and researchers who generously lent their time and expertise to help give committee members insight on particular issues, provide copies of newly-released research, or answer queries concerning their work. Special thanks are extended to the following individuals, who gave presentations at the October 18, 2001, Workshop on the Review of Health Effects in Vietnam Veterans of Exposure to Herbicides:
Keith Horsley, M.D., Medical Services Adviser, Commonwealth Department of Veterans’ Affairs, Australia
Paul Jelfs, Ph.D., Head, Population Health Unit, Australian Institute of Health and Welfare and epidemiological consultant for the Department of Veterans’ Affairs
Xiao Ou Shu, M.D., Ph.D., Associate Professor of Medicine, Vanderbilt University School of Medicine, Center for Health Service Research, Nashville, Tennessee
Joachim Schüz, Ph.D., Institute for Medical Biometrics, Epidemiology and Informatics, University of Mainz, Germany
This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the NRC’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:
Linda S. Birnbaum, Ph.D., U.S. Environmental Protection Agency
Andrew F. Olshan, Ph.D., University of North Carolina
Gilbert S. Omenn, M.D., Ph.D., University of Michigan
Peter S. Spencer, Ph.D., F.R.C.Path., Oregon Health Sciences University
Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations nor did they see the final draft of the report before its release. The review of this report was overseen by Robert B. Wallace, M.D. of the University of Iowa who was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.