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Veterans and Agent Orange: Herbicide/Dioxin Exposure and Type 2 Diabetes (2000)

Chapter: Appendix A: Summary of Workshops on the Evidence Regarding a Link Between Exposure to Agent Orange and Diabetes

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Suggested Citation:"Appendix A: Summary of Workshops on the Evidence Regarding a Link Between Exposure to Agent Orange and Diabetes." Institute of Medicine. 2000. Veterans and Agent Orange: Herbicide/Dioxin Exposure and Type 2 Diabetes. Washington, DC: The National Academies Press. doi: 10.17226/9982.
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APPENDIX A

Summary of Workshops on the Evidence Regarding a Link Between Exposure to Agent Orange and Diabetes

PUBLIC WORKSHOP 1

July 23, 1999

Board Room, National Academy of Sciences Building,

Washington, D.C.

Workshop Presentations and Speakers
  • Cancer, Heart Disease, and Diabetes in Workers Exposed to 2,3,7,8-TCDD

    Marilyn A. Fingerhut, Ph.D., Chief of Staff, National Institute for Occupational Safety and Health, Washington, D.C.

  • Diabetes and TCDD in the Air Force Health Study

    Joel Michalek, Ph.D., Air Force Research Laboratory, Brooks Air Force Base, Texas

  • An Evolution of Diabetes Mellitus and Serum Glucose Among U.S. Workers Exposed to 2,3,7,8-TCDD

    Geoffrey M. Calvert, M.D., Medical Officer, Centers for Disease Control, National Institute for Occupational Safety and Health, Cincinnati, Ohio

  • Dioxin and Diabetes in Subjects with Background-Level Exposure

    Matthew Longnecker, Ph.D., Medical Research Officer, National Institute for Environmental Safety and Health, Research Triangle Park, North Carolina

  • Potential Relationship Between TCDD and Diabetes

    Philip Kern, M.D., Associate Chief of Staff, Research, Central Arkansas Veterans Healthcare System, and Professor of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Suggested Citation:"Appendix A: Summary of Workshops on the Evidence Regarding a Link Between Exposure to Agent Orange and Diabetes." Institute of Medicine. 2000. Veterans and Agent Orange: Herbicide/Dioxin Exposure and Type 2 Diabetes. Washington, DC: The National Academies Press. doi: 10.17226/9982.
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PUBLIC WORKSHOP 2

June 9, 2000

Room 180, National Academy of Sciences Building,

Washington, D.C.

Workshop Speaker
  • Dioxin and Diabetes in Ranch Hand Veterans

    Joel Michalek, Ph.D., Air Force Research Laboratory, Brooks Air Force Base, Texas

Discussants' Presentations

Philip Kern, M.D., Associate Chief of Staff, Research, Central Arkansas Veterans Healthcare System, and Professor of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Bonnie LaFleur, Ph.D., Associate Professor, Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, Washington, D.C.

Michael Stoto, Ph.D., Chair, Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, Washington, D.C.; and Member, Ranch Hand Advisory Board

Suggested Citation:"Appendix A: Summary of Workshops on the Evidence Regarding a Link Between Exposure to Agent Orange and Diabetes." Institute of Medicine. 2000. Veterans and Agent Orange: Herbicide/Dioxin Exposure and Type 2 Diabetes. Washington, DC: The National Academies Press. doi: 10.17226/9982.
×
Page 45
Suggested Citation:"Appendix A: Summary of Workshops on the Evidence Regarding a Link Between Exposure to Agent Orange and Diabetes." Institute of Medicine. 2000. Veterans and Agent Orange: Herbicide/Dioxin Exposure and Type 2 Diabetes. Washington, DC: The National Academies Press. doi: 10.17226/9982.
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Page 46
Next: Appendix B: Excerpts from the Discussion of Type 2 Diabetes in Veterans and Agent Orange Update 1998 »
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In response to the concerns voiced by Vietnam veterans and their families, Congress called upon the National Academy of Sciences (NAS) to review the scientific evidence on the possible health effects of exposure to Agent Orange and other herbicides. This call resulted in the creation of the first NAS Institute of Medicine Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides in 1992. The committee published its initial findings in the 1994 report Veterans and Agent Orange: Health Effects of Herbicides Used in Vietnam.

This report is the result of a 1999 request from the Department of Veterans Affairs (DVA) under the aegis of the Veterans and Agent Orange research program. Specifically, DVA asked the committee to examine evidence regarding the association, if any, between Type 2 diabetes and exposure to dioxin and other chemical compounds in herbicides used in Vietnam.

Veterans and Agent Orange: Herbicide/Dioxin Exposure and Type 2 Diabetes reviews the scientific evidence regarding the association, if any, between Type 2 diabetes1 and exposure to dioxin2 and other chemical compounds in herbicides used in Vietnam. This report examines, to the extent that available data permitted meaningful determinations, (1) whether a statistical association with herbicide exposure exists, taking into account the strength of the scientific evidence and the appropriateness of the statistical and epidemiologic methods used to detect the association; (2) the increased risk of the disease among those exposed to herbicides during Vietnam service; and (3) whether there is a plausible biological mechanism or other evidence of a causal relationship between herbicide exposure and the disease.

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