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From page 533...
... See Air Force Health Study Aflatoxin, I: 453; IV: 267 Africa, sub-Saharan, II: 181; III: 282; IV: 267 Age and aging acute lymphocytic leukemia incidence, data for selected age groups, III: 384; IV: 9, 378 533 acute myeloid leukemia incidence, data for selected age groups, III: 384; IV: 378 bone cancer incidence, data for selected age groups, III: 302; IV: 288 brain cancer incidence, data for selected age groups, III: 356; IV: 351 breast cancer incidence in US women, data for selected age groups, III: 324; IV: 314 cancer age-specific incidence, I: 436-438 chronic lymphocytic leukemia incidence, data for selected age groups, III: 384; IV: 378 chronic myeloid leukemia incidence, data for selected age groups, III: 384; IV: 378 diabetes prevalence, data by age, III: 492 epidemiologic studies, control of aging effects, II: 261-262; III: 409; IV: 3, 13, 23 female reproductive system cancer incidence, data by type, for selected age groups, III: 329, 330; IV: 321 gastrointestinal tract cancer incidence, data by type for selected age groups, III: 267; IV: 250 Hodgkin's disease incidence, data for selected age groups, III: 372; IV: 365
From page 534...
... 534 immune system, IV: 31, 79 laryngeal cancer incidence, data for selected age groups, III: 292; IV: 277 latency and, II: 261-262, 273, 275; III: 409, 414-415, 425, 428, 430; IV: 254, 256, 264, 265 leukemia incidence, data by type, for selected age groups, III: 384; IV: 378 liver/intrahepatic bile duct cancers incidence, data for selected age groups, III: 282; IV: 267 lung cancer incidence, data for selected age groups, III: 296; IV: 281 melanoma incidence, data for selected age groups, III: 313; IV: 300 multiple myeloma incidence, data for selected age groups, III: 377 nasal/nasopharyngeal cancer incidence, data for selected age groups, III: 289; IV: 273 non-Hodgkin's lymphoma age of onset, I: 436 non-Hodgkin's lymphoma incidence, data for selected age groups, III: 362; IV: 356 prostate cancer incidence, data for selected age groups, III: 334; IV: 10, 327 renal cancers incidence, data for selected age groups, III: 352; IV: 346 reproductive disorders, IV: 51-52, 59, 63, 66, 71, 80, 200 soft-tissue sarcoma age of onset, I: 436 soft-tissue sarcoma incidence, data for selected age groups, III: 306; IV: 292 TCDD half-life, IV: 24, 28, 45 testicular cancer incidence, data for selected age groups, III: 343; IV: 335 urinary bladder cancer incidence, data for selected age groups, III: 347; IV: 340 See also Demographic data, Vietnam veterans Agent Blue, I: 27, 89-90, 93, 97, 100; III: 136, 137; IV: 118 volume used in Operation Ranch Hand, data, III: 136 Agent Green, I: 27, 90, 92, 114; III: 136, 137, 140, 146; IV: 118 volume used in Operation Ranch Hand, data, III: 136; IV: 123 Agent Orange, II: 308; III: 130, 159, 315, 344, 359, 389, 407, 444, 460, 462, 489, 491; IV: 117-118, 150, 156 INDEX Air Force research activities, II: 31-32; III: 28-29 birth defects association, II: 298, 300; III: 435; IV: 400 cancer latency issues, II: 260-276; III: 407431; IV: 284 chemical composition, I: 27; II: 102; IV: 119 chloracne association, II: 317, 318; III: 479; IV: 138, 463 congressional hearings, II: 27-28; III: 25 defoliant effectiveness, I: 90 Department of Veterans Affairs activities, II: 29-31, 153, 156-157; III: 27-28; IV: 15 Environmental Protection Agency research activities, II: 32; III: 29-30 exposure opportunity index (EOI) , II: 290291; III: 146, 147, 148; IV: 124, 405 federal government action/research, I: 4560; II: 27-32; III: 27-32; IV: 13 health effects of, concerns, I: 2; II: 19-23, 26-27; III: 19-20, 236, 237, 240, 242, 243 International Agency for Research on Cancer research activities, III: 30 legislation, I: 47-52; II: 28-29; III: 26-27; IV: 1, 15 Orange II formulation, I: 90; III: 137; IV: 119 product liability litigation, I: 34-35 spontaneous abortion, II: 283; IV: 399-400, 409-412 suspension of use, I: 92-93; II: 26 TCDD as contaminant of, I: 91, 114, 126127; II: 102; III: 140; IV: 133-135 Vietnam amount used, I: 1, 27, 74, 90, 9798, 106; II: 1, 26; III: 136; IV: 115, 118-119 Vietnam military application, I: 1, 3, 27, 74, 84-85, 90, 92-93, 97-107, 543-545; II: 1, 26-27; III: 1, 25, 136, 137, 138, 140; IV: 125-126 Vietnam surplus disposal, I: 93-94 Vietnam veterans' concerns, I: 32-34; II: 26-27 Vietnam veterans' increased disease risk, II: 22-23; III: 22-23, 272; IV: 8-9, 12, 256, 270, 275, 279, 284, 290, 296, 305, 311, 318, 323, 332, 338, 343, 348, 353, 359, 367, 374, 381, 388
From page 535...
... See Agent Orange Agent Pink, I: 27, 90, 92, 114; III: 136, 137, 140, 146; IV: 118, 122-123 volume used in Operation Ranch Hand, data, III: 136; IV: 123 Agent Purple, I: 27, 89, 92, 114; III: 136, 140, 146; IV: 118, 122-123 Operation Ranch Hand, IV: 123 TCDD in, I: 126; IV: 122 volume used in Operation Ranch Hand, data, III: 136 Agent White, I: 27, 90, 92-93, 97, 115, 189; III: 136, 137; IV: 118-119, volume used in Operation Ranch Hand, data, III: 136 Agricultural/forestry workers brain tumors, I: 320, 523; II: 136 Canadian Farmer Cohort, II: 135- 136 cancers, I: 13, 37, 320-323, 443, 447, 454; II: 133-137, 179 case-control studies, I: 326-341, 486-488; II: 118-122, 138-140; III: 185-195, 228232 cohort studies, I: 318-323; II: 118- 120, 135137, 197-198; III: 178-185, 224-228; IV: 197-202 535 epidemiologic studies, I: 37, 318-323; II: 118-120, 135-137, 232-234, 238-239, 241-243; III: 178-195, 224-232, 284285, 335, 364-365, 379-380, 387-388; IV: 134, 141-142, 145, 257, 260, 263, 265, 271, 285, 290, 296, 306, 312, 318, 324, 333, 338, 349, 353, 360, 368, 374, 381, 401 female reproductive and breast cancers, I: 510-511; IV: 324-325 hepatobiliary cancer, I: 454; II: 183- 184; III: 284-285; IV: 271 herbicide exposure assessment, I: 265-266; III: 154-157; IV: 202 Hodgkin's disease, I: 550-553; II: 135 Irish agricultural workers study, II: 136- 137 kidney cancer, I: 515 leukemia, I: 332-335, 566-568; II: 136; III: 387-388 malignant lymphoma in, IV: 201 multiple myelomas, I: 11-12, 558-561; II: 138-139, 238-239, 241-243; III: 379-380 non-Hodgkin's lymphoma, I: 9, 256-257, 530-540; II: 138, 139, 232-234; III: 364-365; IV: 359-361 prostate cancer, I: 11, 518, 519, 575; II: 89; III: 335; IV: 327-329 reproductive outcomes, I: 510-511, 598 respiratory cancer, I: 11, 466; II: 197-198 soft-tissue sarcomas, I: 37, 326-328, 479481, 486-488 sperm dysfunction, I: 632 suicide, I: 650 See also Forests; Professional pesticide/ herbicide applicators Agricultural Health Study, IV: 142 See also Iowa Agricultural herbicides, I: 24, 35, 39, 174-175, 181; II: 137-139 See also Herbicides Agriculture. See Agricultural/forestry workers; Agricultural herbicides; Food crops; Forests Ah receptor (AhR)
From page 536...
... , I: 62-63, 260, 272, 622; II: 284, 293-295, 336; III: 23, 25, 29, 239, 438-439, 495, 505, 514; IV: 13, 232, 233, 234, 235 appropriation for, I: 51 autoimmune disease in, I: 698 basal/squamous cell skin cancer in, III: 318, 321, 322; IV: 309 baseline mortality studies, II: 151 birth defects in offspring, II: 286, 293-295; III: 436, 438, 439; IV: 402 bone cancer in, III: 303; IV: 289 cancer and latency in, III: 423, 424, 425, 427 circulatory disease in, I: 703-705, 706; II: 336; III: 514, 517; IV: 508-509 data sources, I: 385-386; II: 150- 151 diabetes mellitus in, I: 684; II: 330; III: 495, 498-500, 502; IV: 485-487 epidemiological studies, II: 31, 32, 149, 150-152, 154-156, 293-295; III: 28-29, 206-207, 218, 237-240, 303, 309-310, 313-314, 318, 321, 322, 339, 340, 385, 436, 438, 439, 446-447, 449, 452-453, 457-458, 481, 486, 495, 498-500, 502, 505, 506, 507, 510, 513, 514, 517; IV: 291, 294-295, 298, 301, 305-306, 308311, 313, 327, 329, 331, 334-36, 342, 345, 347, 350, 352, 355, 357, 362, 366, 370, 373, 376, 380, 383 exposure assessment in, I: 279-280, 281, 386; II: 4-5, 101, 103, 109; III: 6, 146147, 157-158, 162; IV: 123-124 gastrointestinal ulcers in, I: 691; III: 510, 513 immune system disorders in, I: 696 infertility in, II: 280; III: 446-447, 449 lipid abnormalities in, I: 689; II: 333; III: 505, 506, 507; IV: 494 liver toxicity in, II: 332; III: 510, 513; IV: 502 low birthweight in, I: 626, 627; III: 457-458 melanoma in, III: 313-314; IV: 303-304 methodology, I: 230-231, 385-386, 445, 757-762 multiple myelomas in, I: 562; II: 244, 245; IV: 373
From page 537...
... See Alanine aminotransferase AL-type primary amyloidosis See Amyloidosis American Association for the Advancement of Science, I: 29, 92 Herbicide Assessment Commission, I: 30-31 American Cancer Society, I: 334; II: 177, 181, 189, 191, 204, 205, 209, 211, 217, 223, 228, 231, 239, 245; III: 267, 282, 289, 292, 295, 296, 302, 304, 312, 322, 324, 329, 334, 343, 347, 351, 356, 362, 371, 377, 383; IV: 250, 267, 273, 277, 281, 287,291,299,300,314,320,326,335, 339, 345, 350, 355, 364, 371, 377 Cancer Prevention Study, II: 239; III: 229 American College of Epidemiology, II: 25 American Diabetes Association (ADA) , III: 492, 493, 502 American Industrial Hygiene Association, II: 25 American Journal of Epidemiology, II: 281 American Legion, I: 60, 278-279, 399, 601602, 626, 633; II: 113, 157; IV: 133, 158 Vietnam veterans' epidemiological studies, III: 212-213, 243 American Public Health Association, II: 25 American Thoracic Society Epidemiology Standardization Questionnaire, II: 136 d-Aminolevulinic acid synthetase, I: 153-154 Amitrole, I: 323 AML.
From page 538...
... 538 INDEX 2,4-D mechanism of action, II: 47-48; III: 44; IV: 33 2,4-D mechanism of toxicity, II: 48-49; IV; 28, 37 2,4-D neurotoxicity, II: 48; III: 45-46, 473; IV: 30, 35 2,4-D pharmacokinetics, I: 175 2,4-D reproductive toxicity, I: 124, 180, 181; III: 46; IV: 29, 36 2,4-D toxicity profile update summary, II: 46; IV: 33 2,4-D toxicokinetics, II: 46-47; III: 43-44; IV: 24, 27 2,4,5-T acute toxicity, I: 184 2,4,5-T carcinogenicity, I: 118, 119, 182184; III: 396 2,4,5-T chronic exposure, I: 184 2,4,5-T developmental/reproductive toxicity, I: 124, 185; II: 49-50 2,4,5-T genotoxicity, I: 184 2,4,5-T immunotoxicity, I: 123 2,4,5-T mechanism of action, III: 47-48 2,4,5-T mechanism of toxicity, II: 49-50; IV: 37 2,4,5-T pharmacokinetics, I: 182 2,4,5-T toxicity profile update summary, II: 49; IV: 37 characteristics of, I: 111- 114; IV: 48 epidemiologic studies, IV: 359, 361, 369, 381 evidentiary role, I: 228; IV: 85, 106, 385, 515-516 generalizability, I: 112, 113, 114, 118, 122 123, 160; IV: 26, 85, 426, 459 hepatic abnormalities, I: 124-125, 688; IV: 25, 57, 59-60 human health relevance of toxicology, III: 35-36; IV: 26, 48 male-mediated disorders, I: 593-594 nonhuman primates, I: 151 picloram in, I: 118, 119, 125, 190-192; III: 51 squamous cell carcinomas, IV: 284 TCDD acute toxicity, II: 75-76 TCDD and bladder cancer in; IV: 342 TCDD and bone cancer in; IV: 290 TCDD and Hodgkin's disease in; IV: 367 TCDD and leukemia disease in; IV: 380 TCDD and multiple myeloma in; IV: 374 TCDD and nasal and nasopharyngeal cancer in; IV: 275 TCDD and non-Hodgkin's lymphoma in; IV: 358 TCDD and prostate cancer in; IV: 332 2,4,5-T toxicokinetics, II: 49; III: 47; IV: 37 TCDD and soft-tissue sarcoma in; IV: 279 Ah receptor, I: 3, 123, 134; II: 3-4, 51-53, TCDD carcinogenicity, I: 3, 116, 138-142; 54-56, 57-62; III: 54-58, 129; IV: 4, 30, II: 3, 65-68; IV: 26, 305, 311 386 TCDD cardiovascular toxicity, I: 171; II: amyloidosis, IV: 512 76; III: 74-75 blood abnormalities, I: 125; IV: 496 TCDD dermal toxicity, I: 173-174; II: 76 breast cancer, IV: 29, 317-318 TCDD developmental toxicity, I: 123- 124, cacodylic acid acute toxicity, I: 188 156-157, 159-160; II: 3, 71, 72-73; III: cacodylic acid carcinogenicity, I: 118, 119, 92-105; IV: 58 187; IV: 5, 387 TCDD disease outcomes, II: 3; III: 39-43, cacodylic acid chronic exposure, I: 188-189 cacodylic acid developmental toxicity, I: 189 cacodylic acid genotoxicity, I: 187-188 cacodylic acid mechanism of action, II: 50; III: 49-50 cacodylic acid mechanism of toxicity, II: 50-51; IV: 24 cacodylic acid pharmacokinetics, I: 186-187 cacodylic acid renal toxicity, II: 50-51 cacodylic acid reproductive toxicity, I: 189 cacodylic acid toxicity summary, II: 50; IV: 38 cacodylic acid toxicokinetics, II: 50; III: 48; IV: 24, 27, 38 71-105; IV: 3, 23 TCDD endocrine effects, III: 83-84 TCDD gastrointestinal toxicity, I: 169-170; IV: 256 TCDD hepatotoxicity, I: 124- 125, 151 - 156; II: 3, 73-75; III: 76-79 TCDD immunotoxicity, I: 119- 122, 146151; II: 3, 68-71; III: 85-92; IV: 3, 26 TCDD-induced diabetes, IV: 488 TCDD-induced wasting syndrome, I: 162166; II: 76-77; III: 80-83; IV: 57, 76 TCDD lethality, III: 71-73; IV: 76 TCDD mechanism of action, II: 3, 54-65; III: 51-53, 54-58, 62-63, 67-69; IV: 3, 24
From page 539...
... Asthma, I: 708, 711, 713; IV: 199 See also Respiratory disorders 539 Ataxia, I: 658 See also Motor/coordination dysfunction; Neurobehavioral toxicity Atlanta Congenital Defects Program, I: 387 Atlanta, Georgia, II: 241, 296; III: 229 CDC Birth Defects Study, II: 9; III: 438; IV: 237 Atlantic Ocean, III: 108 Australia, I: 61, 91, 340, 406, 418, 444, 470, 488-489, 537, 546, 614-615, 633, 702, 710; II: 113, 132, 149, 160, 202, 293; III: 216-217, 218, 237, 244-245; IV: 8, 10, 144, 150, 159, 210, 304 Air Force veterans, III: 244 Army veterans, III: 244, 245; IV: 159 Australian National Service Vietnam veterans, III: 273, 286 Bureau of Statistics Health Interview Survey, 1989-1990, III: 245, 485, 511, 517 Department of Defense, III: 244, 245 Department of Veterans Affairs, III: 244, 245 Electoral Commission rolls, III: 245 Health Insurance Medicare, III: 245 herbicide use by forces, III: 137-138 lung cancer mortality in Vietnam veterans, III: 424 National Death Index, III: 245 Navy veterans, III: 244 Victorian Cancer Registry, III: 232; IV: 144 Vietnam veterans epidemiologic studies, III: 9, 273, 285-286, 290, 294, 295, 298, 299,303,310,311,314,315,327,329, 339, 340, 343, 346, 349, 353, 355, 359, 365, 380, 389, 469, 486, 489, 500, 506, 512-513, 517; IV: 244-247, 255, 259, 262, 264, 266, 272, 276, 280, 283, 287, 295, 298-299, 305-308, 310, 313, 319, 323-326, 332, 334-335, 337, 339, 345, 350, 355, 362-363, 371, 376, 380, 383, 404-405 See also Tasmania Austria, IV: 138-139, 189, 467-468, 500 Autoimmune disease, I: 697-699; IV: 475-481 See also Immune system disorders; Systemic autoimmune disease; Systemic lupus erythematosus Autoimmunity, I: 693, 697-699; II: 7, 21, 327, 329; III: 487-488; IV: 476-477 See also Immune system disorders
From page 540...
... Bias, methodological. See Methodological bias Binghamton, New York, III: 234; IV: 149 Biochemical warfare, I: 29, 45 Biologic plausibility, II: 88, 92; III: 2, 124, 128; IV: 2-3, 16, 20-22, 26, 29, 106107, 249, 385-388 Ah receptor-TCDD interaction, I: 3, 133137, 439, 452-453; III: 129; IV: 48, 86 altered sperm parameters, I: 634; III: 451 animal studies, I: 228; II: 176; III: 460-462, 474-475; IV: 431-435 basal/squamous cell skin cancer, III: 322 birth defects, II: 298; III: 444; IV: 403 bladder cancer, III: 351; IV: 342-343 INDEX bone cancer, I: 474; III: 304; IV: 290 brain tumors, I: 525; III: 362; IV: 352 breast cancer, II: 217; III: 327, 329; IV: 317-318 carcinogenicity, I: 116-118, 119, 146, 176178, 182-184, 187, 190-191, 439, 451; II: 176; III: 394-397; IV: 385-387 childhood cancer, I: 630; II: 300; IV: 426 chloracne, I: 678; II: 320-321; III: 480; IV: 466 circulatory disorders, I: 708; III: 518; IV: 510 diabetes mellitus, I: 692; II: 335; III: 502503; IV: 488 endometrial cancer, IV: 322 evidentiary role of, I: 111, 114, 223-224, 240-241, 434; II: 88, 92, 176; III: 23, 106-107 female reproductive system cancers, I: 512; III: 334; IV: 323 fetal/neonatal/infant death, I: 624; III: 453 gastrointestinal tract cancers, III: 281-282; IV: 256 gastrointestinal ulcers, III: 513-514 genitourinary tract cancers, I: 521-522 genotoxicity, I: 178-179, 184, 187-188, 191 hepatobiliary cancer, I: 453, 457; III: 286, 288; IV: 270 Hodgkin's disease, I: 557; III: 377; IV: 367 hyperlipidemia, I: 692 immunotoxicity, I: 122, 146-151, 181, 192, 699; III: 491 infertility, I: 634; II: 282; III: 451 laryngeal cancer, III: 295; IV: 279 leukemia, I: 571; III: 390; IV: 380-381 liver disorders, I: 691-692; II: 335; III: 513514; IV: 270 low birthweight outcomes, I: 628; III: 458 lung cancer, III: 302; IV: 284 male-mediated reproductive outcomes, I: 593-595; III: 451; IV: 413, 416-417, 426 melanoma, III: 317; IV: 305 motor/coordination dysfunction, I: 661; III: 475; IV: 448 multiple myeloma, I: 12, 563; III: 383; IV: 374 nasal/nasopharyngeal cancer, I: 460; III: 292; IV: 275 neurobehavioral disorders, II: 314; III: 474475
From page 541...
... See Birth defects; Low birthweight; Perinatal death; Preterm delivery (PTD) Bladder cancer and disorders biologic plausibility, III: 351; IV: 342-343 epidemiologic studies, I: 515-517; II: 225227; III: 347-351; IV: 19, 339-347, 385, 387 epidemiology; II: 223; III: 347 herbicide association in, I: 12, 521, 576; II: 7, 12, 21, 225-227, 250; III: 3, 10, 21, 132, 347-351; IV: 19, 31, 40 herbicide environmental exposure and, III: 349, 350-351; IV: 341 herbicide occupational exposure and, III: 348, 350; IV: 340-341 histopathology, I: 513 incidence, I: 513 incidence, data by age/gender/race, for selected age groups, III: 347; IV: 340 risk factors, I: 513-514 scientific literature update, II: 226-227; III: 348-349; IV: 340 TCDD, association with, IV: 19, 24 Vietnam veterans' risk, I: 513, 517, 522; II: 223, 226; III: 349, 351 See also Genitourinary cancers Body mass index (BMI)
From page 542...
... 542 epidemiologic studies, III: 303-305 epidemiology, I: 472-473; II: 204; III: 302 herbicide association in, I: 13, 473-474, 577; II: 6, 11, 20, 204-205, 249-250; III: 7, 10, 303-305 herbicide environmental exposure and, III: 303, 305; IV: 289 herbicide occupational exposure and, III: 303, 305; IV: 288 incidence of, data by gender/race, for selected age groups, III: 302; IV: 288 scientific literature update, II: 204-205; III: 303; IV: 288 Vietnam veterans' risk, I: 473, 474; II: 204; IV: 290 Vietnam veterans' studies, III: 303, 305; IV: 289 Boston Hospital for Women, II: 291-292 Brain tumors, I: 339; IV: 350 2,4-D exposure and, I: 119, 176-177 agricultural workers and, I: 320; II: 136 biologic plausibility, III: 362; IV: 352 clinical features, I: 522 epidemiologic studies, II: 136, 229-230; III: 356-361; IV: 198 epidemiology, I: 522-523; II: 228-229; III: 356 herbicide association in, I: 12, 525, 576; II: 7, 12, 21, 229-230, 250; III: 8, 12, 21, 356-362; IV: 19 herbicide environmental exposure and, III: 358, 361; IV: 351 herbicide occupational exposure and, III: 357-358, 360; IV: 351 incidence, data by gender/race, for selected age groups, III: 356; IV: 351 scientific literature update, II: 229-230; III: 357-359; IV: 351 TCDD, association with, IV: 19 Vietnam veterans' risk, I: 525; II: 228-229, 230; IV: 353 Vietnam veterans' studies, III: 358-359, 361; IV: 352 Breast cancer agricultural workers and, I: 510; IV: 140 biologic plausibility, II: 217; III: 327, 329; IV: 318 epidemiologic studies, II: 214-216, 217; III: 324-328; IV: 318-320 epidemiology, I: 505, 506-507; II: 213-214; III: 322, 324; IV: 144 INDEX herbicide association in, I: 13; II: 6, 11, 12, 20, 89, 213-217, 249-250; III: 7, 10, 324-329; IV: 24, 29, 38, 73 herbicide environmental exposure studies, I: 511, 512; III: 328; IV: 315 herbicide occupational exposure studies, II: 214-216; III: 324-326, 328; IV: 315 histopathology, I: 505-506 incidence in US women, data by race, for selected age groups, III: 324; IV: 314 risk, estimated, II: 218 risk factors, I: 507 scientific literature update, III: 326-327; IV: 315 Vietnam veterans' risk, I: 213, 216-217, 505, 511; III: 329; IV: 318 Vietnam veterans' studies, III: 326, 328; IV: 316 See also Reproductive system cancers, women British Columbia, Canada, III: 10, 227-228, 338, 439-440, 447-448, 449, 452, 453, 457; IV: 419 Cancer Incidence File, III: 227 Death File, III: 227 Division of Vital Statistics, III: 452, 457 Health Surveillance Registry, III: 227, 439 Bronchitis, I: 708, 711, 713 See also Respiratory disorders Bronchus cancer. See Lung cancer Brown, Jesse, II: 24; III: 24, 25 Bureau of Census, III: 231 Bureau of Labor Statistics, I: 79, 80 n-Butyl esters, I: 27; IV: 117-119 C Ca Mau peninsula, I: 100, 104 Cacodylic acid, I: 88-89; II: 4; III: 5, 19, 32, 135, 136, 137, 218; IV: 22, 117-118, 133 acute toxicity, I: 188 animal studies, I: 185-189; II: 50-51; III: 34, 38, 48, 49-50, 396; IV: 5 carcinogenicity, I: 118, 119, 187; II: 40; III: 396 chemical properties/structure, I: 111, 114, 186; II: 38; III: 32 chronic exposure, I: 188-189 developmental toxicity, I: 124, 189
From page 543...
... INDEX Cancer 543 dimethylarsenic radical formation and, II: 4 disease outcomes, III: 34, 50; IV: 25, 31 domestic use, I: 185- 186 genotoxicity, I: 119, 187-188 kidney toxicity, I: 125; II: 42 mechanism of action, II: 50; III: 38, 49-50 mechanisms of toxicity, II: 50-51 metabolism, I: 115, 116 Operation Ranch Hand, use in, IV: 117 pharmacokinetics, I: 186- 187 renal toxicity, II: 50-51 reproductive toxicity, I: 124, 189; II: 42; IV: 403 toxicity update summary, II: 50; IV: 23, 33, 38 toxicokinetics, II: 50; III: 32-33, 48; IV: 24, 27-29 Vietnam formulations, I: 186 volume used in Operation Ranch Hand, data, III: 136 Calcium, homeostasis of and 2,4,5-T, II: 4 California, I: 341; III: 232 See also Irvine, California Camp Drum, New York, I: 25-26, 89 Canada, I: 11, 319-320, 323, 374-375, 443, 467-468, 537-539, 620, 650; II: 8, 132, 135-136, 140, 219-220, 243, 248; III: 226, 232, 303, 309, 335, 344, 348, 353; IV: 141, 199, 209, 257, 296, 333, 353, 360, 374, 381 Census of Agriculture, 1971, II: 135 Census of Population, 1971, II: 135 Central Farm Register, 1971, II: 135 Central Farm Register, 1981, II: 135 Mortality Data Base, II: 135; III: 227 Mortality Study of Canadian Male Farm Operators, II: 135-136; III: 224; IV: 140, 198-200 Saskatchewan Cancer Foundation, II: 139 Saskatchewan Hospital Services Plan, II: 139 Statistics Canada, III: 227 See also Alberta, Canada; British Columbia, Canada; Manitoba, Canada; New Brunswick, Canada; Ontario, Canada; Saskatchewan, Canada age-specific incidence, I: 436-438; IV: 250, 267, 273, 277, 281, 288, 292, 300, 314, 321, 327, 335, 346, 351, 356, 365, 372, 378 agriculture workers and, I: 320-323, 443; II: 136, 137-138 biologic plausibility, I: 116-118, 119, 434; II: 176; III: 394-397; IV: 249, 256, 270, 275, 279, 284, 290, 296, 305, 311, 318, 322, 323, 331, 332, 337, 342, 343, 348, 352, 358, 359, 367, 374, 380, 381, 385 children and, I: 14, 594-595, 628-631; IV: 345, 399, 400, 417-429 clinical features, I: 433-436 epidemiologic studies, I: 45, 317, 320-323, 325-326, 367, 383-384, 391-393, 443445; II: 133-138, 147-148; IV: 182, 251-255, 268-269, 274-275, 277-278, 282-283, 288-289, 292-295, 302-304, 309-310, 315-316, 321-323, 327-329, 336-337, 340-342, 346-347, 351-352, 356-358, 365-367, 372-373, 379-380 epidemiology, I: 433, 435-438, 442, 525; II: 175; III: 265-266 herbicide association, insufficient evidence for determining, I: 13-14, 577-578; II: 249-250; III: 393; IV: 268, 270, 274, 279,286,302,305,311,314,318,321, 323, 336, 337, 338, 340, 342, 346, 348, 374, 378, 380, 384 herbicide association, limited/suggestive evidence of, I: 10-12, 574-576; II: 247249; III: 393; IV: 256, 278, 279, 283, 331, 373, 384, 385 herbicide association, no evidence of, I: 1213, 576-577; II: 250; III: 393-394; IV: 254, 256, 269, 289, 317 herbicide association, sufficient evidence of, I: 8-10, 572-574; II: 175, 176, 247; III: 390, 392; IV: 295, 358, 367, 384 herbicide environmental exposure epidemiologic studies, I: 444, 469; II: 147-148; IV: 254, 269, 274, 278, 282, 289, 293, 302, 309, 315, 321, 329, 336, 341, 347, 351, 357, 366, 372, 379 herbicide exposure measures, II: 175, 176; III: 265-266 herbicide occupational exposure studies, I: 443-444; II: 133, 134; IV: 251, 268, 274, 282, 288, 292, 302, 309, 315, 321, 327, 336, 340, 346, 351, 356, 365, 372, 379 herbicide/pesticide applicators and, I: 320321, 323, 325-326, 443, 447, 466-468, 488, 491; II: 137-138; IV: 276
From page 544...
... 2,4-D as, I: 118-119, 176-178; II: 40, 48; III: 47, 396; IV: 5 2,4,5-T as, I: 118, 119, 182-184; II: 40; III: 396 cacodylic acid as, I: 118, 119, 187; II: 40; III: 396; IV: 29, 31 herbicides as, I: 3, 40; II: 273, 275; III: 426, 428, 430; IV: 10, 17, 267, 270, 341, 345, 511 mechanism of action, I: 434 INDEX picloram as, I: 118, 119, 190-191; II: 40; III: 396 TCDD as, I: 3, 116-118, 434, 439; II: 3, 3940, 65-68; III: 394, 396; IV: 3, 82-83, 134, 256, 274-275, 279, 284, 290, 296, 305, 311, 318, 330, 332, 337, 342, 348, 352, 358, 367, 374, 380, 385-387, 477 See also Cancer Cardiovascular system disorders cardiomegaly, I: 703 circulatory disorders, I: 699-709; IV: 182 lipid abnormalities in, I: 688 TCDD in, I: 171; II: 76; III: 74-75; IV: 76, 135, 156-157; IV: 23-26, 135, 156-157 See also Circulatory disorders; Myocardial infarction Case-control studies agriculture/forestry workers, I: 326-341; II: 138-140; III: 185-195, 228-232 evidentiary role of, I: 234-235, 727; II: 9495, 178, 179, 180, 188; III: 130; IV: 105, 108 herbicide environmental exposure, II: 144146, 148-149, 184, 186, 190, 193, 241; III: 201-204; IV: 227-231, 322 herbicide exposure assessment for, I: 256257, 727; IV: 9, 137, 144-146, 207-221, 336, 369, 401, 418-420, 428, 444-445, 447 herbicide occupational exposure, II: 122127, 138-140, 183, 184, 186, 188, 190, 193, 200, 222, 240; III: 173, 175, 185196; IV: 133, 136, 187, 192, 207-221, 328 paper/pulp workers, II: 126-127, 200; IV: 147, 221-223 Vietnam veterans, II: 155-157, 159-160, 187, 223; III: 208-217; IV: 124, 236245, 247, 420, 423-425, 427 Causality statistical association vs., I: 7, 227, 239, 246; II: 5, 19, 97, 247; III: 6, 20, 132133, 390; IV: 6 CDC. See Centers for Disease Control and Prevention CDDs.
From page 545...
... Study, I: 610; II: 289-290 Cerebrovascular disease, I: 702 stroke, I: 658, 659, 660 Cervical cancer, I: 13, 505, 509, 510, 512; II: 6; III: 329, 330, 332; IV: 320-21, 324, 385 Chemical production. See Chemicals and chemical industry; Herbicides; Industrial accidents; Production workers Chemicals and chemical industry Agent Orange product liability litigation, I: 34-35 hexachlorophene production, I: 40; II: 128; IV: 134-135, 138, 148 production workers exposure studies, I: 303-318; II: 114-118, 128-135, 171-175, 182-183, 191, 193-197, 206-207, 232, 237-238, 273-274, 275; III: 170-178, 218, 219-224, 284, 363-364, 378-379, 386-387, 420, 423, 426, 429; IV: 133545 140, 194-197, 252, 257, 258, 260, 262, 263, 265, 266, 271, 276, 280, 285, 286, 293,296,297,301,306,307,318,319, 325, 327, 333, 334, 338, 343, 344, 348, 349, 353, 354, 360, 368, 374, 381, 382 TCDD contamination in production, I: 91, 126 See also Herbicides; Industrial accidents Che more cep ti on characteristics of, I: 133- 134 dioxin-responsive enhancers in, I: 135-136 estrogen-mediated, I: 145 TCDD dose-response linearity, I: 137- 138 TCDD hepatotoxicity and, I: 154-155 TCDD-induced wasting syndrome and, I: 164 See also Ah receptor Child mortality studies, II: 147 See also Deaths; Mortality studies Children spine bifida in Vietnam veterans offspring, II: 9-10, 296, 298, 309; III: 7, 8, 9-10, 21, 24-25, 437-438 See also Child mortality studies; Children, cancer In Children, cancer in, I: 14, 594-595, 628-631; II: 7, 11, 20; IV: 399-400, 417-420, 422, 425-426, 427, 428, 432 epidemiologic studies, II: 299 epidemiology, II: 298; IV: 422-425 herbicide association in, II: 299-300 scientific literature update, II: 299-300; IV: 418-422 Seveso, Italy, study, II: 299; IV: 428 Vietnam veterans' offspring, II: 299; IV: 426, 429 See also Wilm's tumor China, I: 458; II: 188, 320; III: 159, 289; IV: 273 See also Shanghai, China Chloracne, I: 39 animal studies, I: 173-174; III: 480 biological plausibility, II: 320-321; III: 480; IV: 466 chemical production workers and, I: 308, 310, 316; IV: 464, 466 clinical features, I: 672-673 diet and, I: 174; IV: 463-464 epidemiologic studies, I: 674-678; II: 318320; III: 479-480; IV: 135- 136, 138139, 147, 152, 186, 189, 194, 233 epidemiology, II: 317-318; III: 478-479
From page 546...
... See U.S. Coast Guard Cognitive/neuropsychiatric disorders epidemiologic studies, II: 148, 307-308; III: 468-469 herbicide association in, I: 657-658; II: 7, 11, 20, 307-309; III: 468-469; IV: 441-443 herbicide environmental exposure studies, I: 651-653; II: 148 herbicide occupational exposure studies, I: 649-651 scientific literature update, II: 307-308; III: 469; IV: 441-442 Vietnam veterans' risk, I: 653-656; II: 308 See also Encephalopathy; Neurasthenia; Neurobehavioral toxicity; Neurological disorders; Posttraumatic stress disorder (PTSD)
From page 547...
... See 2,4-Dichlorophenoxyacetic acid Data sources Agent Orange Registry, I: 20, 53, 56, 729; II: 153 agricultural/forestry worker studies, I: 265266, 318-341; IV: 140-142 animal studies, I: 111-114, 228 biological stored samples as, I: 20-21, 729730 Cancerlit, IV: 253 case reports, I: 235-236 Centers for Disease Control studies, I: 387391; II: 113, 155-156; III: 207-209, 218, 240; IV: 133, 156-157 chemical production workers, I: 303-318; IV: 134-140 computerized data bases, I: 735-736; II: 2425, 31 Department of Veterans Affairs epidemiologic studies, I: 393-399; II: 152, 153; III: 209-212, 218, 240-243; IV: 151, 157-158 epidemiologic controlled studies, I: 228237; II: 150-153 epidemiologic studies as, I: 737-738 herbicide environmental exposure studies, I: 267-269, 372-375, 383-384; IV: 147150 herbicide exposure reconstruction model, I: 725-726 herbicide non-military exposures, I: 4-5, 222-223, 241-242 herbicide/pesticide applicators, I: 266-267, 323-326; IV: 142-143 HERBS tapes, I: 20, 62, 85, 96-98, 273279, 287, 291, 602, 725; III: 146, 148; IV: 123, 125 International Register of Workers Exposed to Phenoxy Herbicides and Their Contaminants, I: 313-314; IV: 137 mandated efforts, I: 20-21 Medline, IV: 252 organization of, I: 737 paper/pulp mill workers, I: 341, 364; IV: 114, 134 presentations/reports to committee, I: 739756; II: 343-348; III: 533-536 randomized controlled trials, I: 227-228 reproductive outcomes, I: 593-595
From page 548...
... , IV: 120 Demographic data, Vietnam veterans, I: 79, 8084 DEN. See Diethylnitrosamine Denmark, I: 317, 443, 444, 454, 463, 477, 480, 509, 510, 537, 553, 565, 567; II: 131134, 139-140, 183, 194-195, 207, 209210, 212, 215, 232, 238; III: 223, 224, 307, 313, 318, 325, 330-331; IV: 199200, 209, 252, 406, 408 Cancer Registry, III: 232 Central Population Register, II: 133, 139, 224; III: 352 Danish National Institute for Social Research, II: 140 National Cancer Register, II: 133, 139, 215, 224; III: 325, 352; IV: 144 Deoxyribonucleic acid (DNA)
From page 549...
... Depressive disorders, I: 650, 651 See also Cognitive/neuropsychiatric disorders; Neurobehavioral toxicity Dermal toxicity TCDD and, II: 76; III: 73-74; IV: 76 Desiccant herbicides, I: 88-89; III: 136 See also Herbicides Detroit, Michigan, II: 241; III: 229 549 Developmental disorders 2,4-D in, I: 180- 181; II: 42; III: 46 2,4,5-T in, I: 185; II: 42, 49-50 cacodylic acid in, I: 189; II: 42 neurological, I: 660 picloram in, I: 192; II: 42 TCDD in, I: 123-124, 149, 156-157, 159160, 185; II: 3, 41-42, 71, 72-73; III: 92- 105 See also Low birthweight Diabetes mellitus, I: 683-685, 691, 692, 698; II: 7; IV: 481 biologic plausibility, III: 502-503; IV: 488 diagnostic criteria, III: 493, 494 epidemiologic concerns, III: 494 epidemiologic studies, II: 330-331; III: 494502; IV: 182, 232 epidemiology, II: 330; III: 491-492, 493 herbicide environmental exposure and, III: 497; IV: 484-485 herbicide exposure and, II: 332-333; III: 2, 11-12, 125, 494-503; IV: 152 herbicide occupational exposure and, III: 496; IV: 483-484 pathogenetic diversity of, III: 494 peripheral neuropathy and, relationship, III: 471 -472 prevalence, data by age/race/gender, III: 492 scientific literature update, II: 330-331; III: 496, 497; IV: 483 Type 2 (adult-onset) , IV: 1, 8, 16-18, 21, 150-151, 182-183 Vietnam veterans and, II: 330; III: 2, 11-12, 495, 497, 498, 500, 502; IV: 154-156, 485-487 Diamond Shamrock Corporation, I: 34, 35 Diazinon, I: 91 Dibenzofurans, I: 126; IV: 41, 64, 138 Dibromochloropropane (DBCP)
From page 550...
... See Metabolic and digestive disorders Dimethylarsenic radical bladder hyperplasia and tumors associated with, IV: 31, 40 cacodylic acid and formation of, II: 4 Dinoxol, I: 91; III: 137; IV: 119 Dioxin. See Dioxin congeners; Dioxinresponsive enhancers; Dioxin toxic equivalent factors (Teq factors)
From page 551...
... 551 Environmental herbicide exposure accidental exposures, I: 364-365, 368-370; II: 141-143, 144, 148; IV: 114-116 acute and subacute transient peripheral neuropathy and, II: 312-313 agricultural areas exposure, I: 372-375 Alsea, Oregon, I: 39, 42-43, 372-373, 598; II: 149 assessment strategies, I: 262-263, 267-270; III: 144-145, 156-157 basal/squamous cell skin cancer and, III: 323 birth defects and, I: 608-609; II: 140, 287288; III: 437 birthweight, low, and, III: 459 bladder cancer and, I: 516-517; III: 349, 350-351 bone cancer and, III: 303, 305 brain tumors and, I: 523; III: 358, 361 breast cancer and, III: 328 breast cancer estimated risk, II: 218 cancer risk factor, I: 442 cancer studies, I: 442, 444, 454-455, 469; II: 147-148, 179-180, 184 chloracne and, I: 676-677 circulatory disorders and, I: 701-702 diabetes and, III: 497 epidemiologic studies, I: 3, 301, 365-384, 469; II: 3, 6-7, 140-149; III: 197-205, 218, 232-236, 271-272, 275, 277, 279281, 283, 285, 287-288, 290, 291, 297298, 301, 303, 305, 309, 316, 323, 328, 333, 336, 338, 342, 344, 345, 349, 350351, 353, 354, 358, 361, 365, 369, 373, 375, 380, 382, 388-389, 392, 437, 454, 455, 456, 459, 467, 497, 520; IV: 147150, 224-231, 254 evidentiary role of research on, I: 4-5, 222223, 241-242 female reproductive system cancers and, I: 511; III: 333 gastrointestinal tract tumors and, II: 179180; III: 271-272, 275, 277, 279-281; IV: 254 hepatobiliary cancers and, I: 454-455; II: 184, 185, 186; III: 283, 285, 287-288; IV; 269 Hodgkin's disease and, II: 236; III: 373, 375; IV; 366 immune modulation and, I: 693-694 infant death and, III: 456
From page 552...
... , II: 32; III: 29 TCDD cancer potency estimate, I: 138 Times Beach, Missouri, I: 41; III: 234; IV: 148 INDEX Vietnam military use of herbicides, response, II: 32; III: 29-30, 136 Enzyme induction liver, I: 155-156 lung, I: 170 porphyria, I: 153-154 TCDD and, II: 3, 66-67 EPA. See Environmental Protection Agency Epidemiologic studies acute and subacute transient peripheral neuropathy, II: 312-314 aging effects control, II: 261-262; III: 409 agricultural/forestry workers, I: 318-323, 326-341; II: 118-120, 135-137, 183, 197-198, 232-234, 238-239, 241-243; III: 178-195, 224-232, 335, 364-365, 379-380, 387-388; IV: 134, 140, 144145, 197-206 Air Force personnel involved in herbicide spraying, II: 31-32; III: 28-29; IV: 232235 altered sperm parameters, I: 632; III: 445449, 450 amyloidosis, IV: 512 autoimmunity, I: 697-698; II: 7; III: 488491 basal/squamous cell skin cancer, III: 317322, 323 birth defects, I: 607-618; II: 7, 140, 286296; III: 436, 437-438, 443; IV: 400405 bladder cancer, I: 515-517; II: 7, 225-227; III: 7, 10, 347-351; IV: 340-342 bone cancer, I: 472-473; II: 6, 204-205; III: 7, 10, 303-305; IV: 288-289 brain tumors, I: 523; II: 7, 136, 229-230; III: 8, 12, 356-361; IV: 351-352 breast cancer, II: 6, 176, 213-217, 218; III: 7, 10, 324-328; IV: 315-316 cancer, I: 45, 59, 317, 320-323, 367, 383384, 391-393, 401, 402-403, 435-445, 574; II: 133-138, 147-148, 175, 176; III: 265-266 cancer latency issues, II: 260-276; III: 407431 case-control studies, I: 326-341; II: 94-95, 118-127, 138-140, 144-146, 148-149, 155, 157, 159-160, 183-184, 186-187, 188, 190, 193, 200, 222-223, 240-241; III: 173, 175, 185-195, 201-204, 208217, 228-232; IV: 143-146, 207-220, 227-231, 236-245, 247
From page 553...
... INDEX cervical cancer, III: 332 chemical industry production workers, I: 303-318; II: 114-118, 128-135, 191, 193-197, 206-207, 232, 237-238; III: 170-178, 218, 219-224, 363-364, 378379, 386-387; IV: 134-140, 182-197 childhood cancer, I: 628-630; II: 7, 299-300 chloracne, I: 674-678; II: 5, 6, 318-320; III: 6, 7, 479-480 chronic persistent peripheral neuropathy, II: 310-311 circulatory disorders, I: 700-707; II: 7, 335337; III: 8, 514-518; IV: 510 cleft lip/palate, I: 373-374, 375 cognitive/neuropsychiatric disorders, II: 7, 307-308; III: 468-469 cohort studies, I: 229-232; II: 105- 109, 135138, 141-147, 154-160, 178, 179, 180, 182-183, 186, 187, 190, 192-193, 204, 218, 222, 240; III: 170-185, 196, 197200, 206-208, 217; IV: 140-143, 182206, 222-230, 232-247 colon cancer, I: 12, 328-329, 576-577; II: 7; III: 8, 276-278 congressionally mandated, I: 50; II: 5 controlled observational, I: 228 cost of, I: 727 cross-sectional studies, IV: 187, 188, 196, 197, 199, 204, 226, 228, 229, 238, 242 cytogenetic studies, III: 365-366 developmental studies: 196, 227, 229, 231, 242 diabetes mellitus, I: 684-685; II: 7, 330331; III: 494-502; IV: 482, 488-492 ecological design studies, IV: 231 evaluation of, I: 300-301, 591-592, 737738; II: 5, 93-94; III: 129- 130 evidentiary role of, I: 224-225, 228-237, 300, 305; II: 175, 176; III: 265, 266; IV: 104-105 female reproductive system/breast cancers, I: 508-511; II: 6, 211-213; III: 7, 10, 330-334 gastrointestinal tract cancers, I: 446-447; II: 7, 177-181; III: 8, 12, 268-281 gastrointestinal ulcers, I: 691; II: 334; III: 510-513; IV: 505 hepatic enzyme disorders, I: 686-688 hepatobiliary cancers, I: 453-455; II: 6, 176, 181-187; III: 7, 10, 282-288 553 herbicide environmental exposures, I: 365384; II: 140-149, 189, 190, 193, 200201, 207-208, 218, 221, 222, 234, 236, 241, 243, 287-288, 297, 306, 312-313; III: 197-205, 218, 232-236, 275, 277, 279-281, 283, 285, 287-288, 290, 291, 297-298, 301, 303, 305, 309, 316, 323, 328, 333, 336, 338, 342, 344, 345, 349, 350-351, 353, 354, 358, 361, 365, 369, 373, 375, 380, 382, 388-389, 392, 437, 454, 455, 456, 459, 467, 497, 520; IV: 147-149, 224-231, 255, 269, 274-275, 278, 282-283, 289, 293, 294, 302-303, 315-316, 321-322, 329, 336, 341, 347, 351-352, 357, 366, 372-373, 379 herbicide exposure assessment for, I: 251259; II: 99- 109; III: 142- 146 herbicide exposure indices development, II: 107-109 herbicide exposure levels, II: 175 herbicide exposure reconstruction model and, I: 725, 726-728 herbicide occupational exposure studies, II: 107-108, 112, 113-140, 188-189, 190, 191-199, 206-207, 214-216, 218, 219220, 222, 232-234, 235-236, 237-243, 286-287, 297, 306, 312; III: 170-196, 218, 219-232, 274-280, 282-283, 284, 287, 290, 291, 293-294, 296-297, 300301, 303, 305, 308-309, 312, 316, 317, 321, 323, 324-326, 328, 332-333, 335336, 337, 338, 341, 344, 345, 348, 350, 353, 354, 360, 363-365, 367-369, 372373, 374-375, 378-380, 381-382, 386388, 391-392, 437, 450, 454, 455, 456, 459, 467, 483-485, 489, 491, 496, 510512, 515-516, 520; IV: 134-143, 182223, 251-254, 268-269, 274, 277-278, 282, 288-289, 292-293, 302, 321, 327329, 336, 340-341, 346, 351, 356, 365366, 372, 379 herbicide/pesticide applicators, I: 323-326; II: 31-32, 120-122, 137-138, 198-200; III: 182-185, 226-228; IV: 202-206 Hodgkin's disease, I: 9, 329, 331, 335-336, 341, 384, 391, 393, 549-556, 574; II: 5, 6, 138, 235-236; III: 6, 7, 372-376 immune modulation, I: 693-696 immune system disorders, II: 7, 327-329; III: 488-491; IV: 480-481 infant death, III: 456
From page 554...
... 554 INDEX infertility, I: 632-633; II: 7, 280-282; III: 445-449, 450 kidney cancer, I: 515; II: 7, 139-140, 224225; III: 352-355 laryngeal cancer, II: 202-203; III: 293-295 latency (cancer) issues, II: 260-276; III: 407-431 leukemia, I: 13, 332-333, 334-335, 564571, 577-578; II: 7, 136, 245-247; III: 7, 10, 385-390, 391-392; IV: 379-380 limitations, I: 4, 223 lipid abnormalities, I: 688-690; II: 7, 333334; III: 504-506, 520-521; IV: 493, 495 liver cancer, I: 13, 329, 391, 393 liver toxicity, II: 332-333; III: 510-513; IV: 499 low birthweight, I: 626-627; II: 7; III: 456457, 459 lung cancer, III: 296-298, 300-301; IV: 282-283 melanoma, III: 313-317 meta-analysis, I: 225, 237-238, 242-243, 244 metabolic and digestive disorders, II: 7, 330-337 motor/coordination dysfunction, I: 658-661; II: 7, 309-310; III: 469-470 multiple myeloma, I: 11-12, 331, 334, 335, 336, 341, 557-563, 576; II: 6, 138-139, 176, 237-244; III: 7, 8, 9, 377-383 nasal/nasopharyngeal cancer, I: 459; II: 6, 176, 187-189; III: 7, 10, 290-291 neonatal death, III: 455 neural tube defects numbers, II: 297 neurobehavioral disorders, II: 305-308, 309311, 312-314; III: 457 neurological disorders, I: 365-366, 642-648; II: 141 neuropsychiatric disorders, I: 649-657; II: 7, 148; III: 468-469 non-Hodgkin's lymphoma, I: 9, 328, 329, 330, 331, 333-334, 335-338, 383, 384, 391-393, 401, 528-548, 573-574; II: 5, 6, 134-135, 136, 138, 139, 231-234; III: 6, 7, 362-371, 428-430; IV: 356-358 NRC Commission on Life Sciences, I: 63 ovarian cancer, III: 333 pancreatic cancer, III: 280-281 paper/pulp workers, II: 126-127, 200, 243; III: 196, 232; IV: 134, 252 perinatal death, I: 620-624; II: 7, 285-286; III: 451-453, 454, 455, 456 peripheral nervous system disorders, I: 662666; II: 6, 7, 310-311, 312-314; III: 7, 8, 470-471, 473 porphyria cutanea tarda, I: 680-682; II: 5, 6, 129, 321-323; III: 7, 8, 481-482 proportionate mortality studies, I: 232-233 prostate cancer, I: 11, 518-519, 575-576; II: 6, 176, 219-223; III: 7, 8, 9, 335-342, 426-428; IV: 327-329 Ranch Hand cohort, II: 31, 32, 109, 150152, 154-156, 201, 209, 280, 283-284, 286, 293-295, 321-322, 330, 332, 336; III: 28-29, 218, 206-207, 237-240, 309310,313-314,318,321,322,339,340, 385, 436, 438, 439, 446-447, 449, 452453, 457-458, 481, 486, 495, 498, 502; IV: 13, 232-235 rare diseases in, I: 231, 499 recommendations, I: 15-20, 721-725, 731; II: 24-25; III: 23 rectal cancer, III: 278-279 reproductive outcomes, I: 41-42, 311-312, 321, 364-365, 368, 370, 371-375, 387388, 389-390, 591-592; II: 280-282, 283-284, 285, 286-296; III: 436, 437438, 443, 445-449, 450, 451-453, 454, 455, 456-457, 459; IV: 401-402, 406407, 410-411 resolution in, I: 242-243; IV: 513 respiratory cancers, I: 10-11, 364, 461-472, 575; II: 6, 176, 189-203; III: 7, 8, 9, 418, 420-426; IV: 273, 278, 282, 284 respiratory disease, I: 709-713; II: 7, 324326; III: 483-486; IV: 475 Seveso, Italy, population studies, I: 44-45, 365-368, 444, 454-455, 469, 491-492, 503, 511, 517, 523, 540, 568-570, 571, 598-599; II: 141-143, 148, 200-201, 206, 207-208, 209, 210, 211-212, 213, 216, 221, 225, 226-227, 228, 230, 234, 236, 243, 245, 246, 287, 299-300, 312313; III: 197-200, 218, 232-233, 283, 285, 290, 296, 297-298, 299, 303, 307, 309, 314, 318, 324-326, 327, 330, 331, 332, 336, 338, 344, 348, 349, 352, 353, 356, 358, 363, 365, 372, 373, 380, 385, 386, 388-389, 390, 408, 414, 420, 422, 427, 436, 449, 495, 505; IV: 114-115, 464, 468, 472-475, 484, 487, 491, 501, 507, 509
From page 555...
... INDEX skin cancer, I: 502-503; II: 7, 209-211; III: 8, 10, 312-313; IV: 302-303 soft-tissue sarcoma, I: 8, 311, 326-328, 329330, 335-336, 337, 339-340, 384, 391, 393, 395-396, 401, 403, 476, 477-500, 572-573, 574; II: 5, 6, 132, 134-135, 205-208; III: 6, 7, 306-311; IV: 116, 292-296 sperm abnormal parameters, II: 7; III: 445449, 450 spine bifida, II: 6; III: 7, 8, 9-10, 437-438; IV: 404-405 spontaneous abortion, I: 42, 336-337, 372373, 405-406, 596-605; II: 7, 283-284; IV: 410-411 state-sponsored, I: 399-405, 495-496, 546; II: 153, 158-159, 161, 202, 292; III: 213-215, 243-244 stillbirth, III: 454 stomach cancer, III: 274-275; IV: 251-255 strength of evidence in assessment of, I: 238-241 TCDD biomarkers, I: 259-262; II: 101- 105, 318 testicular cancer, I: 405, 519; II: 7, 153, 227-228; III: 7, 10, 343-346; IV: 336 Times Beach, Missouri, I: 368-370; II: 144; III: 200-201, 218, 234, 283; IV: 115116, 133, 148 usefulness of, IV: 103-108 uterine cancer, III: 333; IV: 321-324 Vietnam environmental herbicide exposure, II: 144-145; III: 201-202, 218, 234, 283 Vietnam veterans in, I: 50, 57-59, 62-63, 384-418; II: 149-161, 189, 190, 201202, 204, 205, 208, 209, 212, 213, 216, 217, 218, 221, 223, 224, 226, 227, 228, 229, 230, 231, 234, 235, 236, 244, 245, 246, 278, 283, 285, 286, 288-296, 299, 300-301, 305, 306, 308, 309, 310, 311, 313, 314, 317, 318, 321-322, 323, 330, 332, 333, 336; III: 206-217, 236-245, 275, 277-278, 279, 281, 283, 285-286, 288, 290, 291, 294-295, 298, 301, 303, 305,309-310,312,316,317,323,326, 328, 333, 336, 338, 339, 340, 342, 343344, 345-346, 349, 351, 353, 355, 358359, 361, 363, 365, 370-371, 372, 373, 376, 380, 382, 385, 386, 389, 392, 435, 436, 437-438, 445, 446, 450, 454, 456, 457, 459, 467, 468, 469, 470, 473, 475, 555 479, 480, 481, 482, 485-486, 489, 491, 495, 497, 498, 500, 502, 505-506, 512513, 516-518, 523; IV: 150-160, 232247, 255, 269, 275, 278, 282-283, 289, 294-295, 303-304, 309-310, 316, 322323, 329, 336-337, 342, 347, 352, 357358, 366-367, 373, 380 Vietnamese in, I: 370-372, 599-601; II: 108-109, 144-145, 148, 287-288; III: 217, 245, 283; IV: 116-117, 227-228 See also Epidemiology; Exposure assessment Epidemiology acute lymphocytic leukemia, III: 383 acute myeloid leukemia, III: 383-384 birth defects, I: 606; II: 286; III: 435-436 bladder cancer, II: 223; III: 347 bone cancer, I: 472-473; II: 204; III: 302 brain tumors, I: 522-523; II: 228-229; III: 356 breast cancer, I: 505, 506-507; II: 213-214; III: 322, 324 cancer, I: 433, 435-438, 442, 525; II: 175; III: 265-266 children, cancer in, II: 298 chloracne, II: 317-318; III: 478-479 chronic lymphocytic leukemia, III: 384-385 chronic myeloid leukemia, III: 385 circulatory disorders, III: 514 diabetes mellitus, II: 330; III: 491-492, 493 female reproductive system cancers, I: 505, 506-508; II: 211; III: 329-330 gastrointestinal (GI) tract cancers, I: 445447; II: 177; III: 267-268 gastrointestinal ulcers, II: 334; III: 508-509 hepatobiliary cancers, I: 452-455; II: 181182; III: 282 Hodgkin's disease, I: 526, 527-528; II: 231; III: 371-372 Immune system disorders, II: 326-327; III: 487-488 infertility, II: 279; III: 444-445 kidney cancer, I: 513, 514; II: 223; III: 351352 laryngeal cancer, III: 292 leukemia, I: 564; II: 245; III: 383-385 lipid abnormalities, II: 333; III: 503-504 liver disorders, II: 331-332; III: 509-510 low birthweight, I: 625-626; III: 454, 455, 456 lung cancer, III: 295-296
From page 556...
... , I: 153, 155; II: 52, 59, 60, 62, 63, 64, 65, 67, 69, 74; III: 40, 42, 51, 52, 53, 68, 69, 71, 72, 74, 75, 77, 91, 96; IV: 386 Europe, III: 108, 308, 471 European registry, II: 197 Evidence of herbicide association. See Herbicide association, insufficient evidence for determining; Herbicide INDEX association, limited/suggestive evidence; Herbicide association, limited/ suggestive negative evidence; Herbicide association, sufficient evidence Executive Order 11850, II: 27; III: 25 Experimental studies, evaluation of, II: 92-93 Exposure assessment.
From page 557...
... tract cancers biologic plausibility, I: 451; III: 281-282; IV: 256 epidemiologic studies, III: 268-273, 274281; IV: 251-255 epidemiology, I: 445-447; II: 177; III: 267268 herbicide association in, I: 12, 447-451, 576-577; II: 7, 12, 21, 177-180, 250; III: 8, 12, 21, 268-282 herbicide environmental exposure and, II: 179-180; III: 271-272, 275, 277-278, 279, 280-281; IV: 254 herbicide occupational exposure and, II: 178-179; III: 268-271, 274-275, 276277, 278-279, 280; IV: 251 incidence, data by type/gender/race/selected age group, III: 267; IV: 250 pancreatic cancer, epidemiologic studies, III: 280-281; IV: 250-254, 256, 385-386 557 rectal cancer, epidemiologic studies, III: 278-279; IV: 250-251, 255-256, 262n, 264n, 385 scientific literature update, II: 178-180; III: 268-273; IV 251-255 Vietnam veterans and, I: 446, 452; II: 177, 180, 181; III: 272-273, 275, 277-278, 279, 281; IV: 255 See also Colon cancer; Colorectal cancer; Gastrointestinal (GI) disorders GBDS.
From page 558...
... General Services Administration, I: 77 Genetic alteration 2,4-D in, I: 119, 178- 179 2,4,5-Tin,I:119,184 cacodylic acid in, I: 119, 187- 188 cancer mechanism, I: 433-434 picloram in, I: 191 reproductive outcomes, male-mediated, I: 593-594 TCDD in, I: 118, 142, 143- 144, 439 Genetic factors Ah receptor-mediated events and, I: 134 cancer risk and, I: 10; IV: 249, 273, 300, 364, 386 porphyria cutanea tarda and, I: 10, 679 Genetics. See Cytogenetics; Genetic alteration; Genetic factors Geneva Protocol, I: 45; II: 27; III: 25 Genitourinary cancers, II: 223-224 See also Bladder cancer; Kidney cancer; Prostate cancer; Testicular cancer Georgia.
From page 559...
... , II: 63, 75-76, 77; III: 71, 72, 82 Hepatitis B infection, I: 453 Hepatitis B virus (HBV) , II: 182, 183 Hepatitis C infection, I: 453 Hepatitis C virus, II: 182 Hepatobiliary cancers biologic plausibility, III: 286, 288 epidemiologic studies, III: 282-288; IV: 268-269 epidemiology, I: 452-455; II: 181-182; III: 282 herbicide association and, I: 13, 577; II: 2, 6, 11, 12, 20, 89, 182-187, 249-250; III: 7, 10, 282-288 herbicide environmental exposure and, II: 184; III: 283, 285, 287-288; IV: 269 herbicide occupational exposure and, II: 182-184; III: 282-283, 284, 287; IV: 268-269 incidence, data by gender/race, for selected age groups, III: 282; IV: 267
From page 560...
... 560 risk estimates, II: 186- 187 scientific literature update, III: 284-286; IV: 268 TCDD and, IV: 77 Vietnam veterans and, II: 181, 185, 187; III: 283, 285-286, 288; IV: 269 See also Liver cancer Hepatocellular carcinoma, II: 148; IV: 149 Hepatotoxicity TCDD and, II: 3, 73-75; III: 76-79; IV: 23, 71,77 Herbicide application methods military early research, I: 25-26 Operation Ranch Hand use, I: 85-87; III: 135, 136, 137, 138, 139 Vietnam use, I: 1, 3, 24, 27, 74, 85-87, 9496; III: 135-142 See also Aerial spraying; Ground/perimeter spraying; Herbicides; Professional herbicide/pesticide applicators Herbicide association, insufficient evidence for determining altered sperm parameters and, I: 14, 634; II: 7, 20; III: 449, 458; IV: 7 amyloidosis, IV: 7 basal/squamous cell skin cancer and, III: 322, 393; IV: 311 basis for finding of, I: 13, 247, 577; II: 6-7, 11-12, 20-21, 22, 97, 249-250; III: 7-8, 10-12, 21, 133, 393 birth defects and, I: 14, 605; II: 7, 20, 298, 300; III: 444, 458; IV: 7 bladder cancer and, III: 7, 10, 132, 349, 351, 393; IV: 7, 19 bone cancer and, I: 13, 473-474, 577; II: 6, 20, 205; III: 7, 10, 304, 393; IV: 7 breast cancer and, II: 217; III: 7, 10, 327, 393; IV: 7 chronic persistent peripheral neuropathy, II: 311, 314; IV: 7 circulatory disorders and, I: 14, 708; II: 7, 21, 337; III: 518, 522; IV: 7 cognitive and neuropsychiatric disorders and, I: 14, 657-658; II: 7, 20, 308-309, 314; III: 473-474; IV: 441 diabetes mellitus and, I: 14, 691; II: 7, 21, 335; III: 503, 522 female reproductive system/breast cancers and, I: 13, 14, 512, 577; II: 6, 20, 213; III: 7, 10, 332, 334, 393; IV: 7 gastrointestinal tract ulcers and, I: 14, 691; II: 335; III: 513, 522 INDEX genitourinary tract cancers and, I: 13, 521, 577 hepatic enzyme abnormalities and, I: 14, 691 hepatobiliary cancers and, I: 13, 577; II: 6, 20, 187; III: 7, 10, 286, 393; IV: 7 immune system disorders and, I: 14, 699; II: 7, 21, 329; III: 491, 522; IV: 7 infertility and, I: 14, 634; II: 7, 282, 300; III: 449, 458; IV: 7 leukemia and, I: 13, 571, 577-578; II: 7, 20, 247; III: 7, 10, 390, 393; IV: 7, 198 lipid abnormalities and, I: 14, 691; II: 7, 21, 335; III: 507, 522 liver cancer and, I: 13, 457, 577 liver toxicity and, II: 335; III: 513, 522 low birthweight and, I: 14, 627; II: 7, 20; III: 458; IV: 7 melanoma and, III: 316 metabolic and digestive disorders and, II: 334-335; IV: 7 motor/coordination dysfunction and, I: 14, 661; II: 7, 21, 310, 314; III: 474; IV: 7 nasal/nasopharyngeal cancer and, I: 13, 460, 577; II: 6, 20, 189; III: 7, 10, 292, 393; IV: 7 neonatal/infant deaths and stillbirths, IV: 7 neurobehavioral disorders, II: 314; III: 473474 neuropsychiatric outcomes and, I: 14, 657, 666; II: 7, 20, 308-309, 314; III: 473474; IV: 7 perinatal death and, I: 14, 624; II: 7, 20, 285-286, 300; III: 453, 458 peripheral nervous system disorders and, I: 14, 666; II: 21; III: 474 renal cancer and, I: 13, 521, 577; II: 7, 20, 225; III: 7, 10, 355, 393; IV: 7 research recommendations, I: 19, 727 respiratory disorders and, I: 14, 713; II: 7, 21, 325; III: 486, 522; IV: 7 skin cancers, II: 210-211; III: 8, 10, 21, 393; IV: 7, 19 spontaneous abortions and, I: 14, 605; II: 7, 20, 284, 300; IV: 7 testicular cancer and, I: 13, 521, 577; II: 7, 20, 228; III: 7, 10, 346, 393; IV: 7 Vietnam veterans' children, cancer in, I: 14, 630; II: 7, 20, 300; IV: 7 Herbicide association, limited/suggestive evidence
From page 561...
... limitations, I: 14- 15, 290-291 definition of, methodological issues, II: 4-5; III: 5-6; IV: 16, 20 Department of Veterans Affairs mortality studies, II: 101; IV: 151, 157-58; IV: 123 difficulties in, I: 14-15, 222, 247-248, 284, 286-287 dioxin congeners, recent literature, II: 106107; III: 158-159 environmental studies use, I: 262-263, 267270; III: 156-157; IV: 111, 114-116 epidemiologic studies evaluation and, II: 99-101; III: 142-146 evidentiary role of, I: 4, 15, 250-253 exposure-dose relationship, I: 252-253 ground spraying, I: 288-289; III: 138-140 historic exposure reconstruction, I: 17- 18, 19-20, 254, 255-256, 725-726, 728; III: 143
From page 562...
... See Professional herbicide/pesticide applicators Herbicides action of, I: 88 acute and subacute transient peripheral neuropathy and, II: 2, 312-313; III: 7, 8, 473; IV: 441, 457 agricultural role of, I: 24, 35, 39, 174-175, 181 Air Force research activities, II: 31-32; III: 28-29 basal/squamous cell skin cancer association, III: 317-322, 323; IV: 311 biologic plausibility, II: 88, 92, 176, 217, 282, 298, 300; III: 2, 23, 124, 128, 281282, 286, 288, 292, 295, 302, 304, 311, 317, 322, 327, 329, 334, 343, 347, 351, 356, 362, 366, 377, 383, 390, 444, 451, 453, 458, 460-462, 467, 480, 482, 486, 491, 502-503, 507, 513-514, 518, 522525; IV: 22, 26, 29, 48, 85, 86, 249, 256, 270, 275, 279, 284, 290, 296, 306, 311,318,322,323,331,332,337,342, 343, 348, 352, 358, 359, 367, 374, 380381, 385 birth defects association, II: 286-298; III: 436-444; IV: 403 bladder cancer association, II: 225-227; III: 7, 10, 132, 347-351; IV: 342 bone cancer association, II: 204-205; III: 7, 10, 303-305; IV: 289 brain tumors association, II: 229-230; III: 8, 12, 356-362; IV: 352 breast cancer association, II: 213-217; III: 7, 10, 324-329; IV: 318 cancer latency issues, II: 2, 13-14, 175, 260-276; III: 3, 12-14, 407-431; IV: 289
From page 563...
... 184, 186, 189, 190, 193, 200-201, 221, 222, 234, 236, 241, 243, 287-288, 306, 312-313; II: 271-272, 275, 277, 279281; III: 197-205, 218, 232-236, 283, 285, 287-288, 290, 291, 297-298, 301, 303, 305, 309, 316, 323, 328, 333, 336, 338, 342, 344, 345, 349, 350-351, 353, 354, 358, 361, 365, 369, 373, 375, 380, 382, 388-389, 392, 437, 454, 455, 456, 459, 467, 497, 520; IV: 249, 254-255, 258, 261, 263, 266, 269, 271, 274, 276, 278, 280, 282, 286, 289, 291, 293, 297, 302. 305-306, 309, 312, 314-316, 319, 321, 323, 325-326, 328-329, 334, 336, 338, 341, 344, 347, 349, 351, 354, 356357, 361, 366, 369, 372, 375, 379, 382383 563 Environmental Protection Agency research activities, II: 32; III: 29-30 evidence insufficient for determining association in health outcomes, I: 13-14, 19, 247, 457, 460, 473-474, 512, 521, 571, 577-578, 605, 618, 624, 627, 630, 634, 657, 666, 691, 699, 708, 713, 727; II: 7, 11-12, 20-21, 22, 97, 181-187, 189, 205, 210-211, 213, 217, 225, 228, 247, 282, 284, 285-286, 298, 300, 308309, 310, 311, 314, 325, 329, 334-335, 337; III: 7-8, 10-12, 21, 132, 133, 286, 292, 304, 316, 322, 327, 332, 334, 346, 349, 351, 355, 390, 393, 444, 449, 453, 458, 473-474, 486, 491, 503, 507, 513, 518, 522; IV: 268, 270, 274, 275, 279, 288,289,302,305,308,311,314,318, 321, 323, 329, 336, 337, 342, 348, 374, 380, 384, 400, 403, 406, 407, 410-414, 416, 418, 424, 425, 426, 430-432, 441443, 448, 454-457, 475, 480, 495, 500, 505,506,510,512,514 evidence limited/suggestive of association in health outcomes, I: 10-12, 19, 247, 472, 519-521, 563, 574-576, 727; II: 6, 8-10, 20, 22, 97, 203, 223, 244, 298, 300, 314, 323; III: 7, 8-10, 20-21, 133, 295, 299, 340, 342, 383, 393, 444, 458, 474, 482, 519; IV: 7 evidence of no association in health outcomes, I: 12-13, 224, 247, 447-451, 503, 521, 525, 576-577; II: 7, 12-13, 21, 22, 97, 181, 227, 230; III: 8, 12, 21-22, 133, 268, 273, 282, 359, 393-394, 522; IV: 251, 256, 340, 351, 352, 385, 514 evidence sufficient of association in health outcomes, I: 8-10, 246-247, 500, 548, 556-557, 572-574, 678, 682; II: 5, 6, 8, 19, 20, 21, 97, 208, 234, 236, 320; III: 6, 7, 8, 20, 132-133, 311, 366, 373, 374, 390, 392, 480, 519; IV: 6 exposure assessment issues, II: 4-5, 99-109; III: 5-6, 135-162 federal government response to concerns over military use of in Vietnam, II: 2732; III: 25-30 female reproductive cancers association, II: 211-213; III: 7, 10, 330-334 gastrointestinal tract cancers association, II: 177-181; III: 8, 12, 268-282; IV: 256
From page 564...
... 564 INDEX gastrointestinal ulcers association, II: 334335; III: 510-514 hepatobiliary cancer and, II: 2, 176, 181187; III: 7, 10, 282-288; IV: 270 Hodgkin's disease association, II: 235-236; III: 6, 7, 372-376; IV: 367 immune system disorders and, II: 327-329; III: 3, 488-491; IV: 480 immunotoxicity, I: 122-123 infertility association, II: 280-282; III: 445451; IV: 407 International Agency for Research on Cancer research activities, III: 30; IV: 17, 133, 137-139, 252 laryngeal cancer and, II: 202-203; III: 292295; IV: 279 latency and cancer risk, II: 13-14, 175, 260276; III: 3, 12-14, 265, 407-431 leukemia association, II: 245-246; III: 7, 10, 385-390, 391-392; IV: 380 lipid abnormalities association, II: 333-335; III: 504-508, 520-521; IV: 495 liver toxicity association, II: 332-333, 334335; III: 510-514; IV: 505 low birthweight and, III: 456-458, 459; IV: 416 lung cancer and, III: 296-302, 421, 422, 423, 424; IV: 284 mechanism of action, II: 36; III: 33, 38, 44, 47-48, 49-50, 53-71 mechanisms of toxicity, II: 37 melanoma association, III: 313-317; IV: 306 metabolic and digestive disorders association, II: 330-335; III: 3 military research and development, I: 25-26 military (U.S.) use ban, I: 32, 45 motor/coordination dysfunction and, II: 309-310; III: 469-470 multiple myeloma assocation, II: 237-244; III: 7, 8, 9, 377-383; IV: 512 nasal/nasopharyngeal cancer and, II: 2, 176, 187-189; III: 7, 10, 290-292; IV: 275 neural tube defects associated with herbicides, numbers, II: 297 neurobehavioral disorders and, II: 305, 306, 314; III: 3, 467, 468, 473-476; IV: 457 non-Hodgkin's lymphoma association, II: 231-234; III: 6, 7, 362-371, 428-430; IV: 358 occupational exposure settings, I: 36-38; III: 150-156 occupational exposure studies, II: 113-140, 182-184, 186, 188-189, 190, 191-200, 214-216, 219-220, 222, 232-234, 235236, 237-243, 286-287, 306, 312; III: 170-196, 218, 219-232, 268-271, 274281, 282-283, 284, 287, 290, 291, 293294, 296-297, 300-301, 303, 305, 308309, 312, 316, 317, 321, 323, 324-326, 328, 332-333, 335-336, 337, 338, 341, 344, 345, 348, 350, 353, 354, 357-358, 360, 363-365, 367-369, 372-373, 374375, 378-380, 381-382, 386-388, 391392, 437, 450, 454, 455, 456, 459, 467, 483-485, 489, 491, 496, 510-512, 515516, 520; IV: 114, 249, 251, 253, 255257, 259, 262, 265, 268, 270-271, 273274, 276-282, 285, 288-290, 292, 296, 300-303, 305-307, 309, 312, 315, 317318, 321, 324-325, 327-329, 331-333, 336, 338, 340-342, 346-348, 351, 353, 356, 358-361, 364-365, 368-369, 371374, 377, 379, 381, 383 Operation Ranch Hand volume use, data by herbicide type, III: 136 ovarian cancer association, III: 333 perinatal death association, II: 285-286; III: 451-454, 455, 456; IV: 413 porphyria cutanea tarda association, II: 321323; III: 7, 8, 481-482; IV: 468 preterm birth and, III: 456-458, 459 prostate cancer association, II: 2, 176, 217223, 273-275; III: 7, 8, 9, 335-343, 426428; IV, 10 renal cancer association, II: 224-225; III: 7, 10, 352-356; IV: 348 reproductive toxicity, I: 124; II: 278-301; III: 434-435 research recommendations, II: 23-24; III: 23; IV: 13 respiratory cancers and, II: 189-203, 268273; III: 7, 8, 9, 418, 420-426 respiratory disorders association, II: 335337; III: 3, 483-486 skin cancers association, II: 209-211; III: 8, 10, 312; IV: 305 soft-tissue sarcomas association, II: 205208; III: 6, 7, 306-311; IV: 384 spontaneous abortions association, II: 283284; IV: 411
From page 565...
... ; 2,4,5-Trichlorophenoxyacetic acid (2,4,5-T) HERBS tapes, I: 20, 97-98, 602, 725; II: 108109; IV: 123, 125 contents, I: 96-97, 273 deficiencies, I: 97, 104-105 exposure assessment use, I: 273-279, 287, 291; III: 146, 148 source of, I: 62, 85, 96 Hercules, Inc., I: 35 2,2',4,4',5,5'-Hexachlorobiphenyl (HxCB)
From page 566...
... See International Labor Organization Immune system disorders 2,4-D toxicity, I: 181; II: 41; III: 46, 524; IV: 197 cell-mediated immunity, II: 69-70 cellular immunity, I: 147 endocrine system and, I: 150-151 epidemiologic studies, II: 327-329; III: 488491; IV: 79, 195 epidemiology, II: 326-327; III: 487
From page 567...
... , I: 8, 12-13, 246, 264-265, 270, 313-314, 478, 479, 499, 565, 573, 577, 731; II: 101, 107, 131-135, 178-179, 196, 206, 212, 215, 220, 226, 232, 269; III: 20, 151, 175-177, 218, 222-223, 268, 269, 284, 290, 293, 296, 303, 306, 307,308,310,311,314,319,325,326, 331, 337, 344, 348, 353, 357, 364, 378, 379, 386, 422-423, 424, 425, 429, 484, 511, 516; IV: 17 herbicide exposure assessment in occupational studies, III: 151-152, 154; IV: 111, 137-139; IV: 189-194, 252, 257, 259-260, 262-263, 265, 271, 276, 280, 290, 293, 296-297, 300, 306, 312, 318-319, 324-325, 333, 338, 341, 343, 348-349, 353, 359-360, 368, 374-375, 381 Vietnam military use of herbicides, response, III: 30 International Classification of Diseases (ICD) , II: 325; III: 265; IV: 248, 249 ICD.9 cancer codes, SEER program site groupings for, III: 537-539; IV: 524-526 International Labor Organization (ILO)
From page 568...
... See Intrauterine growth retardation IV Corps, I: 81, 98, 542 J Japan, II: 237; IV: 414 Job exposure matrix, I: 256 Johnston Island, I: 93 K Kansas, I: 9, 37, 335-336, 487, 490, 550; II: 231; III: 363; IV: 215, 260, 297, 361, 369, 446 Kaposi's sarcoma, I: 338, 487, 695; IV: 144, 214 See also Soft-tissue sarcoma Khe Sanh-Thonh Son Lam area, I: 96; III: 140; IV: 121 Kidney cancer biologic plausibility, III: 356; IV: 348 children and, I: 628; IV: 417, 420, 428 INDEX epidemiologic studies, I: 515; II: 224-225; III: 352-355; IV: 346-348 epidemiology, I: 513, 514; II: 223; III: 351352; IV: 345-346 herbicide association in, I: 13, 521, 577; II: 7, 11, 20, 139-140, 224-225, 249-250; III: 7, 10, 352-356; IV: 342, 346-348, 385 herbicide environmental exposure and, III: 353, 354; IV: 347 herbicide occupational exposure and, III: 353, 354; IV: 346 histopathology, I: 513 incidence, data by race/gender, for selected age groups, III: 352; IV: 345-346 risk factors, I: 514; IV: 342, 345 scientific literature update, II: 224-225; III: 353, 355; IV: 346-347 Vietnam veterans' risk, I: 522; II: 223, 224, 225; III: 353, 355; IV: 348 See also Genitourinary cancers; Wilm's tumor Kidneys 2,4-D toxicity in, I: 125, 179-180; II: 42; IV: 28, 37, 42, 43, 66, 68, 73, 76 arsenic toxicity in; IV: 39 cacolydic acid toxity in, II: 42; IV: 387 Korea, III: 240; IV: 156 Korean War, II; 150; III: 237; IV: 150 L Laos, I: 106 Laryngeal cancer, I: 461, 470-471; II: 202-203; IV: 277-280 biologic plausibility, III: 295; IV: 279 epidemiologic studies, III: 293-295; IV: 277-278, 280-281 epidemiology, III: 292; IV: 277 herbicide exposure and, III: 293-295; IV: 9, 277-278 herbicide occupational exposure studies, III: 293-294; IV: 277-278 incidence, data by race/gender, for selected age groups, III: 292; IV: 277 larynx, IV: 6, 8, 9 scientific literature update, III: 293-294, 295; IV: 277-278 Vietnam veterans studies, III: 294-295; IV: 278 See also Respiratory cancers
From page 569...
... receptors Leather tanners, I: 486, 514 Legal issues Agent Orange manufacturers' liability, I: 34-35 569 federal government liability, I: 34 South Korean Vietnam veterans, I: 62 Times Beach, Missouri, I: 41; IV: 133 Legislation epidemiologic studies on Agent Orange, II: 28; III: 26 federal, I: 45-60; III: 26-27 health care associated with Agent Orange, II: 28 Public Law 91-441, I: 47, 62 Public Law 96-151, I: 50, 52, 57; II: 28; III: 26, 240 Public Law 97-72, I: 50; II: 28; III: 26 Public Law 98- 181, I: 51 Public Law 98-542, I: 50-51; II: 28-29; III: 26-27 Public Law 99-272, I: 50; II: 28; III: 26 Public Law 100-687, I: 51 Public Law 101-239, I: 51 Public Law 102-4, I: 2, 7, 20, 21, 51, 572, 721, 728-730; II: 1, 5, 17, 19, 29, 97, 247; III: 1, 6, 14, 17, 20, 124, 132, 390, 397, 462, 475, 519, 525; IV: 1, 2, 6, 15, 103, 132, 388 Public Law 102-585, II: 28; III: 26 Public Law 103-452, II: 28; III: 26 Public Law 104- 110, III: 26 Public Law 104-204, III: 24, 26 Public Law 104-262, III: 26 Public Law 105- 114, III: 25 Veterans' Health Programs Extension and Improvement Act of 1979, III: 240 Vietnam veterans' compensation, I: 47, 5051, 55-56; II: 28-29; III: 26-27 Leiomyosarcomas, I: 475 See also Soft-tissue sarcoma Lethality. See Deaths Leukemia acute lymphocytic leukemia, III: 383, 384; IV: 377 acute myelogenous leukemia, IV: 417-429, 432 acute myeloid leukemia, III: 383-384; IV: 9, 377 agricultural workers and, I: 13, 332-333, 334-335, 566-568; II: 136; III: 387-388; IV: 140,143-144, 216 children and, I: 628; IV: 18, 417-424 chronic lymphocytic leukemia, III: 384385; IV: 208, 211, 377, 417, 422
From page 570...
... 570 chronic myeloid leukemia, III: 384, 385; IV: 377-378, 417 epidemiologic studies, I: 564-572; II: 136, 245-247; III: 385-390, 391-392; IV: 149, 198; IV: 379-380, 381-383, 418 422, 427-429 epidemiology, I: 564; II: 245; III: 383-385; IV: 377-378 herbicide association in, I: 13, 571, 577 578; II: 7, 11, 20, 245-247, 249-250; III: 7, 10, 385-390, 391-392; IV: 379-380, 385, 418-422 herbicide environmental exposure and, III: Listeria 388-389, 392; IV: 379, 419-420 herbicide occupational exposure and, III: 386-388, 391-392; IV: 379, 418-419 incidence, data by type/race/gender, for selected age groups, III: 384; IV: 377 378 production workers and, I: 564-566; III: 386-387; IV: 379 pulp/paper workers and, I: 568; IV: 379 risk factors, I: 564 scientific literature update, II: 245-246; III: 386-389; IV: 379-380, 418-422 Seveso, Italy, studies, I: 13, 568-570, 571, 577; III: 385, 386, 388-389, 390; IV: 379 TCDD biologic plausibility in, I: 571; III: 390; IV: 380-381, 426 Vietnam veterans' risk, I: 564, 570, 571 572; II: 245, 246; IV: 381, 426 Vietnam veterans' studies, III: 385, 386, 389, 392; IV: 373, 380, 420-422 Leydig cells, II: 71, 279; III: 445; IV: 405 LH. See Luteinizing hormone Lindane, I: 91 Lipid and Lipoprotein Disorders, I: 688-690, 692; IV: 492-497 biologic plausibility, III: 507; IV: 495 epidemiologic studies, I: 45; II: 333, 334; III: 504-506, 520-521; IV: 479, 493 494, 496-497 epidemiology, II: 333; III: 503-504; IV: 492-493 herbicide environmental exposure and, III: 520; IV: 493-494 herbicide exposure association with, II: 7, 21, 333-334; III: 504-508, 520-521; IV: 493-494 INDEX herbicide occupational exposure and, III: 520; IV: 493-494 scientific literature update, II: 334; III: 504506, 520, 521; IV: 493-494 TCDD in, I: 152-153, 259-260; II: 333, 334; III: 505, 506, 507; IV: 471, 474, 493-495 Vietnam veterans and, II: 333; III: 505-506, 521; IV: 494 See also Hypercholesterolemia; Hyperlipidemia; Liver disorders; Metabolic and digestive disorders TCDD exposure and, II: 68 Liver cancer background, IV: 267 biologic plausibility, IV: 270 children and, I: 628 epidemiologic studies, I: 453-455; IV: 268270 herbicide association in, I: 13, 457, 577; IV: 143, 157, 385 picloram in, I: 190 research recommendations, I: 19, 727 risk factors, I: 453 Seveso, Italy, studies, I: 454-455; IV: 269 TCDD in, I: 116, 138-139, 142, 143; IV: 267, 386-387, 515 Vietnam veterans and, I: 391, 393, 455, 457; IV: 269 See also Hepatobiliary cancers Liver disorders 2,4-D in, I: 179; III: 524; IV: 505 2,4,5-T in, II: 42; III: 524; IV: 500, 505 arsenic and, IV: 39-41 biologic plausibility, III: 513-514, 524; IV: 505 enzyme activity, I: 155-156, 685-687, 691692 epidemiologic studies, I: 45; II: 332-333; III: 510-513; IV 500-504 epidemiology, II: 331-332; III: 509-510; IV: 498-500 herbicide occupational exposure and, III: 510-512; IV: 500-501 herbicides in, I: 125; II: 332-333; III: 510514; IV: 135, 139, 141, 500-505 picloram chronic toxicity, I: 191-192; II: 42; III: 524 scientific literature update, II: 332-333; III: 510-513; IV: 500-504
From page 571...
... receptors, I: 154-155; II: 333, 334; III: 503; IV: 489, 492 Ludwigshafen, Germany; III: 153, 154, 269, 297, 484, 511 Lumber industry sawmill workers herbicide exposure, III: 10, 156, 227-228, 338, 439-440, 447-448, 449, 452, 453, 457; IV: 114, 142, 290, 296, 306, 307, 312, 333, 338, 343, 368, 404, 408, 418, 419, 422, 427 See also Forests Lung cancer 2,4-D in, I: 177 agricultural/forestry workers and, I: 466; IV: 142 biologic plausibility, III: 302; IV: 284 cacodylic acid and, I: 187; IV: 24 environmental exposure studies, III: 297298, 301; IV: 282-283 571 epidemiological studies, II: 139; III: 296298, 300-301; IV: 157, 210, 278, 282284, 285-287, 473 epidemiology, III: 295-296; IV: 281 herbicide association in, I: 472; II: 6; III: 296-302; IV: 282-284 herbicide/pesticide applicators and, I: 326, 466-468; II: 139; IV: 142 incidence, data by gender/race, for selected age groups, III: 296; IV: 281 latency and, III: 421, 422, 423, 424 occupational exposure studies, III: 296-297, 300-301, 421, 423; IV: 142, 144, 282 paper/pulp mill workers and, I: 364, 468 production workers and, I: 461-466; III: 421, 423; IV: 282 Ranch Hands, IV: 9, 283 scientific literature update, III: 296-298; IV: 282-284 Seveso, Italy, studies, I: 469; III: 296, 297298, 299, 422; IV: 278, 282-283 Vietnam veterans and, I: 469-470, 472; III: 298, 301, 424; IV: 283, 284 See also Respiratory cancers Luteinizing hormone (LH) , II: 182, 279, 280, 281; III: 41, 72-73, 444-445; IV: 34, 399, 405 Lymphocytic leukemia.
From page 572...
... , IV: 253, 265, 267n Metabolic and digestive disorders biological plausibility, II: 335; III: 513-514; IV: 505 epidemiological studies, II: 330-331, 332335; III: 510-513; IV: 500-504 epidemiology, III: 508; IV: 498-500 herbicides association in, II: 7, 11, 21, 330331, 332-335; III: 3, 510-514; IV: 500505 herbicides occupational exposure and, III: 510-512; IV: 500-501 scientific literature update, III: 510-513; IV: 500-504 Vietnam veterans and, III: 510, 512-513; IV: 502-504 INDEX See also Diabetes mellitus; Hyperthyroidism; Hypoglycemia; Lipid abnormalities; Liver toxicity; Ulcers, gastrointestinal Methodological bias biological stored samples, analysis, I: 2021, 729-730 cancer studies, I: 436 controlling for, I: 33, 226-227, 234-235, 242-246; IV: 105, 108-09 healthy worker effect, I: 230 herbicide exposure assessment, I: 17, 257259, 286-287, 291, 724 latency studies, II: 263-264; III: 408-412 proportionate mortality studies, I: 233 recall bias, I: 256, 601 reproductive outcome studies, I: 591-592, 601 self-reports, I: 270-271; II: 109, 150 See also Methodology Methodology Agent Orange Study, I: 58-59, 63-64; II: 2 Agent Orange Working Group, I: 19, 728 Alsea, Oregon, investigation, I: 372-373, 598 American Legion Agent Orange study, I: 602 assessment of strength of evidence, I: 238241; II: 88-97; III: 124-133 BASE study, I: 312-313 biologic plausibility, II: 88, 92; III: 124, 128 burden of proof approach, I: 226-227, 245 cancer expected incidence, I: 439-440 cancer studies, I: 435-440, 442-443, 445; II: 175, 176; III: 265-266 case-control studies, I: 234-235, 256-257, 326-341; II: 94-95; III: 130; VI: 9 case reports, I: 235-236 Centers for Disease Control Birth Defects Study, I: 611-612 Centers for Disease Control epidemiologic studies, I: 19, 387-393, 498, 728 circulatory disease studies, I: 699-700, 705706, 707; II: 335; IV: 11, 463, 502, 506 cohort studies, I: 229-232, 254-256, 318323; IV: 8-13, 28, 43, 46, 111, 114, 123-161 passim, 182-247 passim, 251253, 256-388 passim, 402, 409, 418422, 425-431, 473-474, 478-479, 483, 486-492, 500-509
From page 573...
... INDEX confidence intervals, I: 244; IV: 19, 43, 251, 278, 342, 385, 419, 445, 472, 483, 515 controlled observational studies, I: 228 Department of Veterans Affairs studies, I: 393-399, 494-495; IV: 1, 15, 133, 151, 157-158, 255, 284, 399, 421 disease latency effects, I: 231-232, 434, 436-438, 494, 495, 727; II: 351-357 dose-response relationship, I: 239-230, 252; II: 89; IV: 40 Dow studies, I: 307-312 epidemiologic studies evaluation, I: 300301; II: 93-94; III: 129-130; IV: 103109, 132-161, 182-247 evidence categories, I: 227-237; III: 132; IV: 103-109passim experimental studies evaluation, II: 92-93 health outcome categories for herbicide association, I: 5-8, 223-225, 246-247; II: 97; III: 132; IV: 6-12 herbicide environmental exposure assessment, I: 262-263, 269-270; III: 156-157 herbicide exposure assessment strategies, I: 251-259, 270-287; III: 144-145 herbicide exposure reconstruction model evaluation, I: 18, 289-290, 726; II: 25 herbicide exposure, statistical association with diseases, II: 88, 90-91; III: 1-2, 6, 126-127; IV: 103 herbicide occupational exposure assessment, I: 262-264, 269-270; III: 150-156 immune system research, I: 692 indirect adjustment, I: 229 information management, I: 735-738 judgment in, I: 245-246; II: 96; III: 131-132 latency and cancer studies, II: 261-266, 351; III: 407-416 meta-analysis, I: 225, 237-238, 242-243 neurological assessment, I: 14, 641-642, 649 neuropsychiatric studies, I: 657 new evidence integration, II: 96; III: 132 NIOSH studies, I: 303-305; II: 350-351, 356, 357; IV: 111, 136 Nitro, West Virginia, industrial accident studies, I: 305-307 NRC Commission on Life Sciences, I: 63 573 odds ratio determination, I: 234, 239; II: 90; III: 126-127; IV: 105 Office of Technology Assessment, I: 19, 728 paper/pulp mill worker studies, I: 341, 364 publication bias, II: 95-96; III: 131; IV: 108 Ranch Hand study, I: 230-231, 385-386, 498, 757-762 random misclassification and latency, II: 263-264; III: 411-412 relative risk assessment, I: 229, 239, 258; II: 90, 351, 356; III: 126, 127; IV: 105 reproductive outcome studies, I: 591-592 respiratory disease studies, I: 708-709, 712713; II: 324 risk assessment, I: 225-226; II: 89; III: 127128 sample size and disease frequency, I: 231, 242-243, 440, 499 Selected Cancers Study, I: 234-235, 498 self-reports, I: 270-271; II: 109; IV: 9, 113, 122, 125-126, 135, 141, 154-157, 159, 255, 262, 287, 297, 299, 304, 308, 310, 313, 320, 324, 325, 326, 335, 336-337, 339, 364, 380, 383, 402, 406, 418-419, 421-425, 484, 487, 492, 503-504, 507509 soft-tissue sarcoma studies, I: 482-490, 497500 standardized mortality ratio, I: 229-230 statistical significance/power, I: 226-227, 243 TCDD biomarkers, I: 259-262 Times Beach studies, I: 368-370 toxicologic studies evaluation, III: 128-129 type I error, I: 243 type II error, I: 243 Vietnam veterans disease risk estimation and latency, II: 349-357 Vietnam veterans serum TCDD mean maximum estimation, II: 349-350 See also Data sources; Literature review; Methodological bias; Research needs; Risk assessment methodology 2-Methyl-4-chlorophenoxyacetic acid, I: 700 6-Methyl- 1,3,8-trichlorodibenzofuran, I: 153 Michigan, I: 374, 375, 383; II: 113, 153, 161, 202, 308; III: 159, 160, 218, 221, 234, 235, 243, 270, 357-358, 363, 373, 387, 388, 484, 511, 516; IV: 133, 136, 149, 158, 231, 266, 335, 350, 355, 363, 368, 370, 381, 383, 414
From page 574...
... models Monsanto Company, I: 34, 35, 38, 305-307, 444, 674, 700; II: 114-115, 179, 182, 193, 204, 207, 220, 236; III: 152, 171172, 220, 348; IV; 136, 185-186, 257, 260,271,371,290,301,333,343 Montagnards, I: 31, 371, 599 Montana, II: 268; III: 420; IV: 149, 344, 349, 354, 362, 369, 375, 382 Mortality. See Child mortality studies; Deaths; Mortality studies; Perinatal deaths Mortality of Vietnam Veterans: The Veteran Cohort Study, III: 273, 285-286 Mortality studies, II: 130; IV: 140, 141, 144, 146, 149, 156, 157, 159, 184-194, 252, 253 basal/squamous cell skin cancer, III: 319, 321 cancer, I: 442-445; II: 133, 134, 136, 137, 185; IV: 137, 140, 142, 143, 150, 199200-206
From page 575...
... See Military occupation specialty code 31 Motor/coordination dysfunction epidemiological studies, II: 309-310; III: 469-470; IV: 445-447 herbicide association in, I: 661-662; II: 4, 7, 11, 21, 309-310; III: 469-470; IV: 443447 herbicide environmental exposure studies, I: 658-659; IV: 445-447 herbicide occupational exposure studies, I: 658; IV: 445-447 scientific literature update, II: 309-310; III: 470; IV: 445-447 Vietnam veterans' risk, I: 662; II: 309, 310 See also Ataxia; Dystonia; Neurobehavioral toxicity; Neurological disorders; Parkinsonism; Stroke Motor/sensory/coordination problems, I: 14, 658-662 575 MPTP, I: 661; IV: 445, 448 MRR. See Meta risk ratio Multiple myeloma, I: 331, 334, 335, 336, 341; IV: 6, 8, 10, 144, 149 agricultural/forestry workers and, I: 558561; II: 138-139, 238-239, 241-243, III: 379-380; IV: 140 biologic plausibility, I: 563; III: 383; IV: 374 epidemiologic studies, I: 331, 334, 335, 336, 341, 557-563; II: 138-139, 237244; III: 377-383; IV: 199, 209, 211, 212, 215, 372-373, 374-376 epidemiology, I: 526, 528; II: 236-237; III: 377; IV: 371-372 herbicide association in, I: 10, 11- 12, 563, 574, 576; II: 6, 8, 20, 89, 236-244, 247; III: 7, 8, 9, 20, 24, 377-383, IV: 18, 143 herbicide environmental exposure and, II: 241, 243; III: 380, 382; IV: 372-373 herbicide occupational exposure and, II: 237-243; III: 378-380, 381-382; IV: 372 histopathology, I: 527 incidence, data by race/gender, for selected age groups, III: 377; IV: 371-372 paper/pulp workers and, II: 143 production workers and, II: 237-238; III: 378-379; IV: 373 risk estimates, II: 240-241 scientific literature update, III: 378-380; IV: 372-373 Vietnam veterans' compensation, II: 24, 30, Vietnam veterans' risk, I: 563; II: 231, 244; IV: 374 Vietnam veterans' studies, III: 380, 382; IV: 373 See also Malignant lymphomas Myeloid leukemia.
From page 576...
... See Perinatal death Netherlands, I: 316-317, 323, 325-326, 443, 464, 468, 477, 558; II: 132-133, 179, 196, 199, 220, 226, 232, 238, 243, 269; III: 10, 223, 226, 230, 236, 348, 441442, 490; IV: 252-253, 256-257, 259260, 262, 265, 293, 295-296, 302, 306, 333, 340, 343, 346, 348, 351, 353, 356, 358-360, 365, 368, 372, 374-375, 379, 381, 404-405 Central Bureau of Statistics, II: 133 herbicide exposure assessment, III: 150-151 National Institute of Public Health and Environmental Protection, II: 132- 133 See also Rotterdam, Netherlands Neural tube defects, II: 297; III: 437-438; IV, 18, 400-405 See also Birth defects; Reproductive disorders; Spina bifida Neurasthenia, I: 649; IV: 440 See also Cognitive/neuropsychiatric disorders
From page 577...
... ; Stroke Neuroblastoma, I: 594 children and, I: 628; IV: 422, 425 Neurologic disorders 2,4-D in, I: 179; II: 48; III: 45-46, 473, 474 assessment issues, I: 14, 641-642; IV: 440441 biologic plausibility, III: 474-475; IV: 457459 childhood cancer, I: 628 classification of, I: 640; II: 304-305 cognitive and neuropsychiatric effects, I: 649-658; III: 468-469; IV: 441-443 epidemiologic studies, I: 44-45, 643-648; II: 141, 305, 307, 309; III: 467-473; IV: 441-459 herbicide association in, I: 14, 657, 661, 666; III: 467-476; IV: 441-459 herbicide occupational exposure studies and, I: 649-651, 658, 662-663; III: 467 motor/coordination dysfunction, I: 14, 658662; III: 469-470; IV: 443-448 peripheral nervous system disorders, I: 662666; III: 470-473; IV: 454-459 577 Seveso, Italy, studies, I: 365-366, 523; II: 141; IV: 227 TCDD in, I: 160-166; II: 3, 75; III: 84-85, 469, 470-471, 474, 475; IV: 441-443, 445 Vietnam veterans' compensation, I: 55 Vietnam veterans' offspring and, I: 609, 660 Vietnam veterans' risk, I: 658, 662, 666; III: 475-476; IV: 459 See also Cognitive/neuropsychiatric disorders; Motor/coordination dysfunction; Neurobehavioral toxicity; Peripheral nervous system (PNS) disorders Newark, New Jersey, II: 128-129; III: 219, 220; IV: 134-135 New Brunswick, Canada, III: 234; IV: 149 New Hampshire, I: 341, 364; III: 232; IV: 146, 222 New Jersey, I: 656, 695; II: 280; III: 243, 500; IV: 158, 483, 487, 493 Agent Orange Commission, I: 60, 280-281, 401-402, 741; II: 292 See also Newark, New Jersey New Mexico, I: 60, 402; III: 243; IV: 159 New York, I: 60, 364-365, 402-403, 444, 470, 495, 626; II: 202; IV: 149, 159, 230, 291, 298, 355, 364, 371 See also Binghamton, New York; Camp Drum, New York New Zealand, I: 329-331, 373, 486, 490, 535536, 552, 560-561; II: 132, 134, 242; III: 226, 229; IV: 113, 142, 143, 149, 206,215,216,297,361,369,375,404 See also Northland, New Zealand NHANES III.
From page 578...
... See Basal/ squamous cell skin cancer; Skin cancer North America, II: 197; III: 510 North Carolina, IV: 202 See also Agricultureal Health Study North Dakota, IV: 149, 344, 349, 354, 362, 369, 375, 382 INDEX Northeast Pharmaceutical and Chemical Corporation, I: 40 Northland, New Zealand, III: 234; IV: 149 Norway, III: 10, 225, 442-443; IV:197, 209, 404 Central Population Register, III: 225, 442 Medical Birth Registry, III: 225, 442 Population Registry, III: 236 See also Frierfjord, Norway Null hypothesis, I: 225 o Occupational herbicide exposure, I: 5, 303 acute and subacute transient peripheral neuropathy and, II: 312; IV: 10 agricultural/forestry workers, II: 183- 184, 197-198, 232-234, 238-239, 241-243; III: 178-195, 224-232, 284-285, 335, 364-365, 379-380, 387-388; IV: 112113, 140-142 basal/squamous cell skin cancer and, III: 321, 323; IV: 309 birth defects and, II: 286-287; III: 437; IV: 404 bladder cancer and, III: 348, 350; IV: 341342 bone cancer and, III: 303, 305; IV: 288-289 brain tumors and, III: 357-358, 360; IV: 351 breast cancer and, II: 214-216; III: 324-326, 328; IV: 317 breast cancer estimated risk, II: 218 cancer mortality, I: 443-444; II: 133, 134, 136, 137 cancer risk factor, I: 442; II: 133-135 cervical cancer and, III: 332 childhood cancer, IV: 418-419, 427 circulatory disorders and, III: 515-516; IV: 506-507 diabetes mellitus and, III: 496; IV: 483-484 epidemiologic studies, I: 303-365; II: 3, 67, 113-140; III: 170-196, 218, 219-232, 268-271, 274-280, 282-283, 284, 287, 290, 291, 293-294, 296-297, 300-301, 303, 305, 308-309, 312, 316, 317, 321, 323, 324-326, 328, 332-333, 335-336, 337, 338, 341, 344, 345, 348, 350, 353, 354, 357-378, 360, 363-365, 367-369, 372-373, 374-375, 378-380, 381-382, 386-388, 391-392, 437, 450, 454, 455, 456, 459, 467, 483-485, 489, 491, 496,
From page 579...
... See Oral glucose tolerance test 363-365, 367-369, 429; IV: 356 ovarian cancer and, III: 333 production workers, II: 182-183, 191, 193 197, 206-207, 232, 237-238; III: 170workers; Highway workers; Leather tanners; Paper/pulp industry workers; Production workers; Professional herbicide/pesticide applicators; Railroad workers; Tannery workers Odds ratio, I: 224, 234; II: 90; III: 126-127; IV: 105 Ohio, I: 336, 550 See also Hancock County, Ohio Olshan, Andrew, III: 25 Ontario, Canada, II: 199
From page 580...
... Operational Report Lessons Learned, IV: 125 Oral glucose tolerance test (OGTT) , III: 498,500 Oregon, I: 336-337, 341; II: 149; III: 230, 232, 234; IV: 149, 231 See also Alsea, Oregon Outreach activities Vietnam Veterans and, II: 31; III: 28 Ovarian cancer, I: 338-339, 506, 510-511; III: 333 herbicide association in, I: 13, 512; II: 6; III: 333; IV: 320-323, 326, 385 See also Reproductive system cancers, women INDEX p P450, I: 130, 144-145, 170, 709; II: 56, 70, 72, 74, 76; III: 220; IV: 27, 41-42, 47-48, 50-52, 54-55, 58-60, 63, 65, 67-69, 7276,78 PACER HO, I: 93 PAI-2.
From page 581...
... See Professional herbicide/pesticide applicators Pesticides. See Agricultural herbicides; Desiccant herbicides; Fungicides; Herbicides; Insecticides; Phenoxy herbicides; Selective herbicides Pharmacokinetics 2,4-D, I: 175 581 2,4,5-T, I: 182 cacodylic acid, I: 186- 187 picloram, I: 190 TCDD, I: 127-133, 260-261, 284; II: 53-54; III: 161; IV: 41, 42, 47 TCDD-induced wasting syndrome, I: 162166 Phenoxy herbicides, I: 8, 9, 10, 11, 27; III: 150, 151, 154, 222, 223, 422, 423, 429 action of, I: 27; IV: 16 IARC registry and, IV: 137 See also Herbicides Phenoxyenolpyruvate carboxykinase, I: 172 Phenoxypropionic acids, I: 327 Phytar 560-G, I: 89 Picloram, I: 88, 90, 91; II: 4; III: 5, 19, 135, 136, 137, 218; IV: 5, 117-119, 133 acute toxicity, I: 191 animal studies, I: 189-192; III: 50, 396, 460 biologic plausibility, III: 460, 524; IV: 426 carcinogenicity, I: 118, 119, 190-191; II: 40; III: 396 chemical properties/structure, I: 111, 115, 189; II: 38; III: 32 chronic exposure, I: 191-192 developmental/reproductive toxicity, I: 192; II: 42; III: 460; IV: 416, 426, 431, 434435 domestic use, I: 189 genotoxicity, I: 191 immunotoxicity, I: 122-123, 192; II: 41 liver toxicity, I: 125; II: 42; III: 524 metabolism, I: 115, 116 pharmacokinetics, I: 190; IV: 27-28 toxicity profile update, II: 51; III: 50; IV: 22-24, 31, 33-34, 40-41 volume used in Operation Ranch Hand, data, III: 136; IV: 117 PKC.
From page 582...
... See Pentoxyresorufin-O-dealkylase Production workers bladder cancer, I: 513-517; IV: 341-342 brain cancer, I: 523; IV: 351 INDEX cancer mortality, I: 443-444; II: 133, 134, 270, 273, 274; III: 423, 426, 429; IV: 251, 268 chemical industry production workers studies, I: 303-318; II: 114-118, 128135, 171-175, 182-183, 191, 193-197, 206-207, 232, 237-238, 273-274, 275; III: 170-178, 219-224, 363-364, 378379, 386-387, 422, 423, 426, 429; IV: 270, 292 chloracne, I: 674-676 circulatory disorders, I: 700-701; IV: 506507 diabetes mellitus, I: 684; IV: 483-484 epidemiologic studies, I: 36-37, 303-318; II: 113, 114-118, 128-135, 182-183, 191, 193-197, 232, 237-238; III: 170-178, 219-224, 284, 363-364, 378-379, 386387; IV: 182-197, 300, 312 female reproductive/breast cancer, I: 508510; IV: 317, 321 gastrointestinal tract cancers, I: 447; IV: 251 -254 gastrointestinal ulcers, I: 691 German herbicide employees, exposure assessment, II: 4-5, 105, 108; III: 423, 429 hepatic enzyme dysfunction, I: 686, 687 hepatobiliary cancers, I: 453-454, 455; II: 182-183; III: 284; IV: 268-269 herbicide exposure assessment, I: 264-265; II: 103, 105, 107-108; III: 150-154 Hodgkin's disease, I: 9; IV: 365-366 immune system disorders, I: 697-698 international register of workers exposed to phenoxy herbicides, II: 131-135; III: 175-177, 222-223 latency and cancer, II: 269, 270, 272, 273274, 275; III: 422, 423, 426, 429; IV: 284, 293, leukemia, I: 564-566, 570-571; III: 386387; IV: 379 lipid abnormalities, I: 688-689; IV: 493 multiple myeloma, I: 557-578; II: 237-238; III: 378-379; IV: 372 nasal/nasopharyngeal cancers, I: 458, 459; IV: 274 neurologic/neuropsychiatric disorders, I: 649, 650-651, 662-663 non-Hodgkin's lymphoma, I: 9, 529-530, 548; II: 134, 135, 232; III: 363-364, 429; IV: 356
From page 583...
... , I: 232233; II: 161, 180, 185, 208, 225, 230, 234, 236, 242, 246; III: 417-418, 428; IV: 253, 369 Prostate cancer biologic plausibility, III: 343; IV: 332 epidemiologic studies, I: 518-519; II: 6, 219-223; III: 335-342; IV: 202, 327329, 330-331, 333-335 epidemiology, I: 513, 514-515; II: 217, 219; III: 334; IV: 326-327 evidence of association for, IV: 18 herbicide association in, I: 10, 11, 519-521, 575-576; II: 2, 6, 8-9, 20, 89, 217-223, 247; III: 7, 8, 9, 20, 335-343; IV: 6, 8, 10 583 herbicide environmental exposure studies, II: 221, 222; III: 336, 338, 342; IV: 329 herbicide occupational exposure studies, II: 219-220, 222; III: 335-336, 337, 338, 341; IV: 202, 327-329 histopathology, I: 513 incidence, data by race, for selected age groups, III: 334; IV: 249, 326-327 latency issues, II: 13, 14; III: 426-428 mortality and latency, II: 273, 274, 275; III: 426, 427 research recommendations, I: 19, 727 risk, estimated, II: 222-223 scientific literature update, III: 336-339; IV: 74, 327-331 Seveso, Italy, male mortality and latency, II: 275, III: 336, 338, 427; IV: 329 Vietnam veterans' risk, I: 11, 518, 519, 522; II: 221, 223; III: 343, 431; IV: 332 Vietnam veterans' studies, III: 336, 338, 339, 340, 342; IV: 329 See also Genitourinary cancers Protein kinase C (PKC) , II: 4, 52, 59, 60, 61, 62; III: 65-67, 105; IV: 69-71, 72 Psychiatric disorders assessment for, I: 641 epidemiological studies, I: 649-657 herbicide association in, I: 14, 657; IV: 135, 151 posttraumatic stress disorder, I: 397-398, 653-656, 658; IV: 440 PTD.
From page 584...
... models, III: 106; VI: 84 Questionnaires, II: 109, 136, 150, 292; IV: 111, 124 R RA. See Retinoic acid Race/ethnicity acute lymphocytic leukemia incidence, data by race, III: 384; IV: 378 acute myeloid leukemia incidence, data by race, III: 384; IV: 378 bladder cancer incidence, data by race, III: 347; IV: 340 bone cancer incidence, data by race, III: 302; IV: 288 brain tumor incidence, data by race, III: 356; IV: 351 breast cancer incidence, data by race, III: 324; IV: 314 cancer studies and, II: 179, 180, 181, 183, 214, 219, 227, 237; IV: 249-250 cardiovascular disorders, adjusted by, IV: 494, 507 chronic lymphocytic leukemia incidence, data by race, III: 384; IV: 378 chronic myeloid leukemia incidence, data by race, III: 384; IV: 378 diabetes prevalence, data by race, III: 492; cancers IV: 484-486, 492 INDEX female reproductive system cancer incidence and other effects, data by race, III: 330; IV: 321, 414, 421, 423, 429 gastrointestinal tract cancer incidence, data by race and cancer type, III: 267; IV: 250 Hodgkin's disease incidence, data by race, III: 372; IV: 365 laryngeal cancer incidence, data by race, III: 292; IV: 273 leukemia incidence, data by type and race, III: 384; IV: 378 liver/intrahepatic bile duct cancer incidence, by race, III: 282; IV: 267, 502 lung cancer incidence, data by race, III: 296; IV: 281 melanoma incidence, data by race, III: 313; IV: 300 motor dysfunction, adjusted by, IV: 444 multiple myeloma incidence, data by race, III: 377; IV: 372 nasal/nasopharyngeal cancer incidence, data by race, III: 289; IV: 273 non-Hodgkin's lymphoma incidence, data by race, III: 362; IV: 356 prostate cancer incidence, data by race, III: 334; IV: 326-327 renal cancers incidence, data by race, III: 352; IV: 346 risk adjusted by, IV: 135, 150-152, 154-156 soft-tissue sarcoma incidence, data by race, III: 306; IV: 292 testicular cancer incidence, data by race, III: 343; IV: 335 Vietnam veterans, I: 81, 82, 83, 84; II: 180 See also Alaskan natives; Asian Americans; Demographic data, Vietnam veterans Radiation exposure, I: 564, 595 Radon daughters respiratory cancer and latency, II: 268; III: 418 Railroad workers, I: 323-324, 467, 486, 649650, 658; IV: 206 Ranch Hand study.
From page 585...
... ; Reproductive system cancers, women; Sperm parameter disorders; Spontaneous abortion Reproductive system cancers, women, I: 13, 14, 505-512, 577; II: 6; IV: 320-326 biologic plausibility, III: 334; IV: 323 epidemiologic studies, I: 508-512; II: 211213; III: 330-334; IV: 321-326 epidemiology, I: 505, 506-508; II: 211; III: 329-330; IV: 320-321 herbicide association in, I: 13, 14, 512, 577; II: 6, 11, 20, 211-213, 249-250; III: 7, 10, 330-334; IV: 7, 11, 323, 385 herbicide environmental exposure and, III: 333; IV: 321-322, 325, 326-329, 334 herbicide occupational exposure and, III: 332-333; IV: 321 histopathology, I: 506 incidence and mortality statistics, II: 211; III: 329-330; IV; 321 scientific literature update, II: 212; III: 331332; IV: 321-324 Vietnam veterans' risk, I: 512; II: 211, 213; III: 334; IV: 323-324 Vietnam veterans' studies, III: 333; IV: 322-323 See also Breast cancer; Ovarian cancer; Reproductive disorders; Uterine cancer Request for Proposals (REP) , II: 25, 26; III: 6, 126, 150; IV: 5, 126-127 Research Department of Veterans Affairs efforts, II: 29-30; III: 27-28; IV: 151, 157-58 experimental studies update, II: 43-45 herbicide exposure and cancer latency, literature review, II: 266-275; III: 416431
From page 586...
... , II: 73; III: 53, 73, 98 Retinoic acid receptor b (RARb)
From page 587...
... , II: 55, 58, 59, 62, 74, 75; III: 80, 82, 99, 101, 102, 103, 104 Risk assessment methodology, I: 5, 221, 246 EPA dioxin research, I: 59-60 predisposing factors, I: 731 relative risk determination, I: 224, 229, 258; II: 351, 356; IV: 105 standardized mortality ratio in, I: 229-230 strength of association in, I: 239 terminology, I: 224 Vietnam veterans' disease risk estimation, II: 349-357; IV: 17 Vietnam veterans' TCDD concentrations with time after exposure, II: 356-357 Vietnam veterans' TCDD serum levels back-extrapolated to measure dose, II: 357 Vietnam veterans' TCDD serum levels linear extrapolation, II: 356 Vietnam veterans' TCDD serum levels use to estimate disease risk, II: 350-357; IV: 182 Risk assessment, Vietnam veterans, I: 5, 14-15, 221, 225-226, 246, 247-248, 578; II: 14, 22-23, 91; III: 14-15, 22-23, 127-128, 475-476, 525; IV: 388, 517 amyloidosis, IV: 513 birth defects, I: 618; II: 298, 300-301 bone cancer, I: 474-475; IV: 290 breast cancer risk, II: 218; III: 329; IV: 318 cancer, I: 440, 442-443, 578; II: 251, 276; III: 397, 430-431 cancer in offspring, I: 630-631; IV: 426 chloracne, I: 678-679; II: 321; IV: 466 circulatory disorders, I: 708; IV: 510 diabetes mellitus, I: 692; III: 503; IV: 489 disease risk methodology, II: 349-357 female reproductive system cancers, I: 512; III: 334; IV: 323 fetal/infant death, I: 625; IV: 413 gastrointestinal cancers, I: 452; IV: 356 genitourinary tract cancers, I: 522 hepatic enzyme disorders, I: 692; IV: 505 hepatobiliary cancers, I: 457; II: 187; IV: 270 Hodgkin's disease, I: 557; IV: 367 immune system disorders, I: 699; III: 491; IV: 481 leukemia, I: 571-572; IV: 381 linear extrapolation of exposure and risk, II: 356 587 lipid abnormalities, I: 692; III: 507-508; IV: 495 low birthweight outcomes, I: 628; IV: 417 motor/coordination dysfunction, I: 662 multiple myeloma, I: 563; IV: 374 nasal/nasopharyngeal, I: 460; IV: 275 neuropsychiatric outcomes, I: 658 non-Hodgkin's lymphoma, I: 549; IV: 359 peripheral nervous system disorders, I: 666; II: 314; IV: 459 porphyria cutanea tarda, I: 682-683; II: 323; IV: 468 prostate cancer risk, II: 223; III: 343; IV: 332 reproductive outcomes, I: 634; II: 300-301; IV: 407, 431 respiratory cancer, I: 472; II: 190, 192-193; IV: 279, 284 respiratory disorders, I: 713-714; IV: 475 skin cancer, I: 505; IV: 305-306, 311 soft-tissue sarcoma, I: 500; IV: 17, 296 spine bifida in offspring, II: 298, 301; IV: 403 spontaneous abortion, I: 605; IV: 411 TCDD concentrations with time after exposure, II: 356-357 TCDD serum levels back-extrapolated to measure dose, II: 357 TCDD serum levels linear extrapolation, II: 356 TCDD serum levels use to estimate disease risk, II: 350-357 RNA. See Ribonucleic acid Ronnel, II: 128; III: 219; IV: 134 Rotterdam, Netherlands, III: 236 Rung Sat Special Zone, I: 100, 104, 105, 106 Russia, II: 319 See also USSR S Salmonella, TCDD exposure and, II: 68 Saskatchewan, Canada, II: 135-136, 200, 232, 242, 246, 325; III: 232 Sawmills.
From page 588...
... program Selected Cancers Study exposure assessment use, II: 101; III: 146, 231, 240 goals, I: 59, 387, 391 hepatobiliary cancers, II: 185; III: 283 Hodgkin's disease in, I: 554-556 liver cancer in, I: 455 methodology, I: 57, 234-235, 243, 258, 391-393, 440, 527 nasal/nasopharyngeal cancer, I: 459; II: 189 non-Hodgkin's lymphoma in, I: 9, 541-543, 573; II: 231; IV: 17 soft-tissue sarcoma in, I: 493, 498 Selective herbicides, I: 24, 88 See also Herbicides Self-Report Symptom Inventory, I: 641 Senate Committee on Veterans Affairs, II: 24, 27-28; III: 23-24, 25 Serontonergic system, I: 166 Serum levels, TCDD, I: 4, 19, 21, 261, 281285, 289, 290, 725, 728, 729, 742-743; II: 4-5, 104-106; III: 140-142, 146-147; IV: 37, 46, 112, 114, 125-126, 252, 293, 331 back-extrapolated serum TCDD as measure of dose, II: 357; IV: 154 Centers for Disease Control validation study, I: 281-284; II: 103, 104 concentrations of TCDD with time after exposure, II: 356-357; III: 159-161 estimated mean maximum levels, II: 252255 latency results, linear extrapolation from long exposure, II: 356 measurement technique, I: 260; II: 349-350 pharmocokinetics, I: 259-261 recommendations, I: 20-21 significance of, I: 4, 19, 261, 284-285, 289, 290, 725, 742-743; II: 4-5, 102-106, 108-109 testing, mandated, I: 728, 729 Vietnam veterans disease risk estimation, use for, II: 350-357 Services HERBS tapes. See HERBS tapes Seveso, Italy; III: 9; IV: 8-9, 147-148 accidental contamination in, I: 43; II: 140141; III: 232-233; IV: 147 birth defects, II: 287; III: 436 INDEX bladder cancer, I: 517; II: 226-227; III: 348, 349; IV: 341 bone cancer, III: 303; IV: 289 brain tumors, I: 523; II: 230; III: 356, 358; IV: 351-352 breast cancer, II: 216; III: 324-326, 327; IV: 315 cancer incidence, II: 141, 148 cancer mortality, I: 444; III: 422, 424 childhood cancer, II: 299-300; IV: 425 child mortality study, II: 147 chloracne, I: 267, 676-677; IV: 464 circulatory disorders, I: 701-702; IV: 507509 diabetes mellitus, III: 495; IV: 11, 484 epidemiologic studies, I: 44-45, 63, 365368; II: 113, 141-143, 148; III: 130, 197-200, 232-233, 283, 285, 290, 296, 297-298, 303, 307, 309, 314, 318, 325326,327,330,331,332,336,338,344, 348, 349, 352, 353, 356, 358, 363, 365, 372, 373, 380, 385, 386, 388-389, 390, 436, 449, 495, 505; IV: 224, 225, 226, 227, 258-259, 261, 263-264, 266, 271272, 276, 280, 286-287, 291, 297-298, 306-307, 313, 319, 325-326, 334, 338, 344, 349, 354-355, 361-362, 369-370, 375-376, 382-383, 428, 430-431, 491 exposure assessment, I: 267-268, 285, 598599; II: 4-5, 103, 105-106; III: 150, 156, 158, 160-161, 162; IV: 111, 114-115, 126 female reproductive cancers, I: 511; II: 211212, 213; III: 330, 331, 332; IV: 321322 gastrointestinal tract tumors, II: 177, 180; III: 271, 273; IV: 254 gastrointestinal ulcers, I: 691; IV: 501-502 hepatic enzyme disorders, I: 686-687 hepatobiliary cancers, II: 184; III: 283, 285; IV: 269 Hodgkin's disease, II: 236; III: 372, 373 immune modulation, I: 695 infertility, III: 449 latency and cancer risk, II: 271, 272, 273, 274, 275; III: 13, 408, 414, 420, 422, 424, 425, 426, 427, 428, 430 leukemia, I: 13, 569-570, 571; II: 245-246; III: 385, 386, 388-389, 390; IV: 379, 425 lipid abnormalities, I: 689; III: 505
From page 589...
... Shanghai, China, II: 188 Silvex, I: 309, 324; II: 128; III: 219; IV: 134 Skaraborg, Sweden, III: 234; IV: 149 Skin cancer animal studies, I: 141, 142-143; IV: 5, 24, 31,40 biologic plausibility for TCDD, I: 503; IV: 305, 311 clinical features, I: 501, 502 epidemiologic studies, I: 502-503; II: 209211; III: 312-313; IV: 19, 149, 154, 232, 302-305, 306-308, 312-313 epidemiology, I: 501-502; II: 209; III: 312, 313; IV: 299-300 589 herbicide association in, I: 12, 576; II: 7, 11-12, 21, 209-211, 249-250; III: 8, 10, 21, 312; IV: 7, 11 herbicide occupational exposure and, III: 312; IV: 302 TCDD in, I: 141, 142-143, 502-503; II: 209-211; III: 313-316, 317, 319, 320, 322; IV: 19 Vietnam veterans and, II: 209; III: 312; IV: 303-304, 305, 309-311 See also Basal/squamous cell skin cancer; Melanoma 2,4-D and, I: 181 picloram and, I: 192 Ranch hands, IV: 8 TCDD and, I: 172-174 See also Chloracne; Porphyria cutanea tarda Sleep disorders, I: 650; IV: 442 SMRs. See Standardized mortality ratios Social Security Administration, II: 130, 152, 153 Society for Epidemiologic Research, II: 25 Soft-tissue sarcoma (STS)
From page 590...
... See u.s. Special Forces Sperm parameter disorders altered sperm parameters, I: 631, 632, 633634; II: 7, 11, 20; III: 444-451; IV: 200, 405-406, 433 See also Reproductive disorders Spinabifida, I: 609, 611, 612; II: 6, 295-296 Vietnam veterans offspring, II: 9- 10, 296, 298, 309; III: 7, 8, 9-10, 21, 24-25, 437438; IV: 7, 10, 18, 404-405 See also Birth defects; Neural tube defects Spontaneous abortion, I: 592 agricultural/forestry workers and, I: 336337; IV: 197, 410-411 Alsea, Oregon, case, I: 42-43, 372-373, 598 definition, I: 595-596; II: 282; IV: 409 epidemiologic data, quality of, I: 603-605 epidemiologic studies, II: 283; IV: 410-411 epidemiology, II: 282-283 herbicide association in, I: 14, 605; II: 7, 20, 278, 283-284; 411-412 herbicide environmental exposure and, I: 598-599; IV: 410-411 INDEX herbicide occupational exposure and, I: 596-598; IV: 410 maternal risk factors, I: 596 Ranch Hand participants, II: 283-284 risk factors, I: 594; IV: 409 scientific literature update, II: 283-284; IV: 410-411 Vietnamese civilians and, I: 599-601 Vietnam veterans' increased risk, II: 283; Vietnam veterans' wives and, I: 405-406, 601-603 See also Reproductive disorders Standardized fertility ratio (SFR)
From page 591...
... See TCDD biologic plausibiltiy; Serum levels, TCDD; 2,3,7,8Tetrachlorodibenzo-p-dioxin TCDD biologic plausibility, IV: 2, 3, 11-12, 107, 110, 385-387, 432-435, 515-517 Ah receptor in, I: 133-138; IV: 25-27, 2930, 42, 47-58, 85-86, 458 animal carcinogenicity studies, I: 138- 146, 439; III: 394, 396 brain tumors and, I: 525; IV: 352 cancer, II: 176; IV: 248-388 passim carcinogenesis, I: 116-118, 434, 439; III: 394, 396; IV: 279, 385 cardiovascular toxicity, I: 171; IV: 510 childhood cancer and, I: 630; IV: 426 chloracne and, I: 172-174, 678; II: 320-321; III: 480; IV: 8, 17-18, 135; IV: 466 cognitive/neuropsychiatric disorders and, II: 314 diabetes mellitus, III: 502-503; IV: 488 fetal/infant death and, I: 624; IV: 413 gastrointestinal toxicity, I: 169-170, 451; III: 513-514 genitourinary tract cancers and, I: 521-522 hepatobiliary cancers and, I: 457; IV: 270 Hodgkin's disease and, I: 557; IV: 8, 367 immune system disorders and, I: 122, 146151, 699; III: 523-524; IV: 481 lethality, IV: 76, 137 leukemia and, I: 571; IV: 380 lipid abnormalities, III: 507; IV: 495 liver disease, III: 522-524; IV: 10, 505 motor/coordination dysfunction and, I: 661; II: 314 multiple myeloma and, I: 563; IV: 374 nasal/nasopharyngeal cancer and, I: 460; IV: 275 neurological disorders and, I: 160-166; III: 474, 475; IV: 441-443, 445, 457-459 non-Hodgkin's lymphoma and, I: 549; IV: 8, 116, 358 peripheral neuropathy and, II: 314; IV: 457459 porphyria cutanea tarda and, I: 682; II: 323; IV: 468 reproductive disorders and, I: 123-124, 156159, 605, 618, 634; II: 282; III: 460461, 462; IV: 323, 403, 407, 411, 431
From page 592...
... See Dioxin toxic equivalent factors Teratogenicity, I: 57, 62, 606-607 2,4-D, I: 180-181 2,4,5-T, I: 185, 373-374; II: 4 cacodylic acid, I: 189 picloram, I: 192 TCDD, I: 28, 30, 123, 159-160, 185, 368, 370, 372; III: 461; IV: 29, 53 viral potential, I: 607 See also Birth defects Testicular cancer, I: 405 biologic plausibility, III: 347; IV: 337 epidemiologic studies, I: 519; II: 153, 227228; III: 343-346; IV: 336-337, 338-339 epidemiology, I: 515; II: 223-224; III: 343; IV: 335 herbicide association in, I: 13, 521; II: 7, 11, 20, 227-228, 249-250; III: 7, 10, 343-347; IV: 7, 11 herbicide environmental exposure and, III: 344, 345; IV: 336 herbicide occupational exposure and, III: 344, 345; IV: 336 histopathology, I: 513 incidence, data by race, for selected age groups, III: 343; IV: 335 scientific literature update, II: 227-228; III: 344, 346; IV: 159, 336-337 Vietnam veterans' risk, I: 519, 522; II: 153, 223-224, 227, 228; IV: 338 Vietnam veterans' studies, III: 343-344, 345-346; IV: 157, 159, 336-337 See also Genitourinary cancers Testimony, I: 739-756; II: 343-348; III: 533536 Testosterone, I: 123, 157-158; II: 280, 281, 282; IV: 183, 399-400, 405, 407-408, 429, 433 Tetrachlorobenzene, I: 28 INDEX 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) , III: 5, 19; IV: 16, 132 acute toxicity, II: 75-76 Ah receptor interaction, I: 3, 114, 118, 122, 123, 133-138, 150, 151, 152, 159-160, 439, 452-453, 457; II: 3-4, 51-53, 5456, 57-62, 176; III: 33, 34, 35, 53, 54, 58-61, 62-69, 129; IV: 25, 26, 30, 32, 47-53, 58, 60 animal studies, I: 111-114, 138-142, 477; II: 3-4, 12, 51-77; III: 4-5, 33, 34-36, 37, 40-43, 54-58, 62-63, 67-69, 74-105, 128, 129, 130, 394, 396, 460-461, 474, 475, 482, 501, 522-523; IV: 26, 53-57, 59, 270, 284, 305, 311, 416, 426, 432435, 458-459, 512 anti-estrogenicity and, I: 512; II: 62; III: 6769 apoptosis of, II: 3, 67 autoimmunity and, I: 697-699 bioavailability, I: 128-129 biological consequences of activation, II: 57; III: 61-62 biomarkers, I: 4, 17, 259-262, 725; II: 101104; III: 146-147 bladder cancer association, II: 225-227; III: 347-348; IV: 341-342 body burdens, III: 107-108; IV: 478 body temperature regulation and, I: 169 bone cancer association, II: 204-205; III: 303; IV: 289 brain distribution, I: 160- 161 brain tumors association, II: 229, 230; III: 357, 358; IV: 351 breast cancer association, II: 215-217; III: 327, 329; IV: 316-317 carcinogenesis promoter capability, I: 116, 142-143, 434, 439 carcinogenicity, I: 28-29, 116-118, 138-146, 439, 451; II: 3, 39-40, 65-68, 175, 176; III: 265, 394, 396, 430-431; IV: 60-66, 270, 279 cardiovascular toxicity, I: 171; II: 76; III: 74-75 cell proliferation capability of, I: 145; II: 3, 67; IV: 60 chemical properties, I: 28, 114, 127 chemical significant interactions, II: 64-65; III: 69-71 chemical structure, I: 125-126; II: 38 chloracne and, I: 4, 10, 28, 172-173, 262;
From page 593...
... INDEX II: 3, 5, 6, 317-321; III: 479-480; IV: 135, 464 circulatory disorders and, I: 701-708; II: 336337; III: 514, 515-516, 518; IV: 506-507 cognitive/neuropsychiatric disorders and, II: 308 concerns about, I: 1, 2, 23-24, 28-32, 35-36; II: 2, 17, 18, 19, 26-27; III: 3-5, 12, 13, 14 corticosteroids and, I: 168, 171-172; cytochrome P4501A2 and, I: 130, 144- 145, 170, 709; IV: 274, 386 dermal toxicity, II: 76; III: 73-74 developmental toxicity, I: 123-124, 149, 156-157, 159-160, 185; II: 3, 41-42, 71, 72-73; III: 92-105 diabetes mellitus and, I: 683; II: 330-331; III: 494, 495, 500-501, 502; IV: 483, 489 dietary significant interactions, II: 64 dioxin categorization, I: 23n, 125 DNA binding capability and transcription activation and, II: 56-57; III: 58-61 dose-response relationships, I: 111-114, 122, 128-129, 130, 137-138, 445, 673, 696; II: 318 endocrine effects, III: 83-84 environmental exposure assessment, I: 262263, 267-270; II: 140-149, 179-180, 184, 186, 190, 193, 200-201, 221, 222, 234, 236, 243; III: 156-157, 232-233, 234, 235-236, 297-298, 303; IV: 114116, 147-150, 254, 269, 274-275, 278, 293, 296, 336, 347, 351, 357, 379 environmental persistence, I: 288 enzyme induction of, II: 3, 66-67 estrogen-mediation of carcinogenesis, I: 144-145 excretion, I: 132- 133 exposure assessment issues, II: 4-5, 104106; III: 140-142, 144, 157-158, 159161; IV: 122-127, 132 exposure sources, I: 127 fatty acid biosynthesis and, I: 168-169 female reproductive system/breast cancers and, I: 512; II: 211-213; III: 331, 332; IV: 315, 316, 322 free radicals, II: 59; III: 64-65 gastrointestinal toxicity, I: 169-170, 447452, 690-692; II: 177-181; III: 268-272, 511; IV: 251-254, 499-501 593 gastrointestinal ulcers and, II: 334-335; III: 510 genotoxicity, I: 118, 143-144; II: 3 growth factor and, II: 59 H4IIE-luc cells and, III: 107 half-life, I: 129, 260-261; II: 104-105; III: 157-158; IV: 24, 27 hepatic enzyme disorders and, I: 155-156, 685-688, 691-692 hepatobiliary cancers and, I: 457; II: 181187; III: 283-285 hepatotoxicity, II: 3, 73-75; III: 76-79 herbicide contaminant capacity, I: 2, 3, 27, 91-92, 114, 126-127; II: 2, 3, 26; III: 1, 3,5,6, 140-142 hexachlorophene manufacture and, I: 40; IV: 134-135, 138, 148 Hodgkin's lymphoma and, II: 5, 6, 235, 236; III: 372-373; IV: 366 hypoglycemia and, I: 166-168 immune modulation and, I: 694-696; II: 328-329; III: 488, 489, 490, 491; IV: 26 immunotoxicity, I: 119- 122, 146- 151, 338, 477; II: 3, 40-41, 68-71; III: 85-92; IV: 478-480 infertility association, II: 282 inflammatory responses and, I: 148 interactions, significant, III: 69-71 intracellular communication of, II: 3, 67-68 latency issues, II: 13-14, 269, 270, 272; III: 420, 421, 423, 424, 425, 426, 429, 431 lethality, III: 71-73 leukemia association, II: 246; III: 386-388, 390; IV: 379, 426 lipid abnormalities and, I: 688-690; II: 333334; III: 505, 506, 507 liver toxicity, I: 115-116, 124, 138-139, 142, 143, 151-156, 165-166; II: 42, 331333; III: 509; IV: 27, 268, 269, 499 lung cancer and, III: 297-298, 299, 421, 423; IV: 282-283 mechanism of action, animal studies, II: 3, 54-65; III: 54-58, 62-63, 67-69; IV: 2830 mechanisms of toxicity, II: 65-77; IV: 6776, 426 metabolism, I: 115-116, 131-133, 155 multiple myeloma association, II: 237-238, 243, 244; III: 378-380, 383; IV: 372373
From page 594...
... See Transforming growth factor T-H Agricultural & Nutrition Company, I: 35 Thailand, I: 26, 90 Thompson Chemicals Corporation, I: 35 Thyroid TCDD effects, I: 168-169; IV: 135, 386-387 thyroiditis, I: 697, 698 Times Beach, Missouri, I: 40-42, 268, 368-370, 693-694; II: 113, 144, 184; III: 200-201, 234, 283; IV: 115-116, 133, 148 Tissue distribution, TCDD, I: 129-131, 259
From page 595...
... ; II: 4, 18; III: 5, 19, 218, 219, 220, 223, 224, 226, 234; IV: 2, 22, 110, 251, 268, 292, 474, 478, 479 acute toxicity, I: 184 Agent Orange and, I: 27; II: 26 animal studies, I: 181-185; II: 49-50; III: 47-48, 396, 462; IV: 34, 426, 434-435, 458, 459, 512, 517 birth defects and, II: 287; III: 462; IV: 404, 405n calcium homeostasis and, II: 4 carcinogenicity, I: 37, 118, 119, 182-184; II: 40; III: 396; IV: 387 chemical properties, I: 114, 182; II: 38; III: 32 chemical structure, I: 111, 114 chloracne and, I: 36; IV: 135, 500 chronic exposure, I: 184 circulatory disorders and, I: 700-701 development of, I: 24, 26, 35, 181; III: 135, 136, 137, 138, 140 developmental toxicity, I: 185; II: 42, 49-50 disease outcomes, III: 48 domestic use, I: 181 environmental exposure events, I: 42-43 genotoxicity, I: 119, 184 half-life of, II: 4 infertility and, II: 280-282 liver toxicity, I: 125; II: 42; III: 524 mechanisms of action, III: 33, 38, 47-48 mechanisms of toxicity, II: 49-50 metabolism, I: 115, 116 military applications, I: 26, 88; II: 26
From page 596...
... See UDP glucuronyl transferase Ulcers, gastrointestinal, I: 690-692 epidemiologic studies, II: 334; III: 510-513; IV: 500-504 epidemiology, II: 334; III: 508-509; IV: 498-499 herbicide exposure association with, II: 334; III: 510-514; IV: 505 herbicide occupational exposure and, III: 510-512; IV: 500-501 scientific literature update, II: 334; III: 510513; IV: 500-504 Vietnam veterans and, III: 512-513; IV: 502-505 See also Metabolic and digestive disorders Umea, Sweden, III: 228, 229 Uniroyal Inc., I: 35 INDEX United Kingdom, I: 315-316, 340, 382, 444, 462-463, 464, 477, 479, 537, 565, 595, 689; II: 194, 196, 269; III: 223, 224, 420 England National Cancer Register, III: 232; IV: 144 herbicide exposure assessment, III: 151; IV 139 Parkinson's Disease Society Brain Bank, IV: 445 See also Yorkshire, England United Nations, I: 45 United Paperworkers International Union, III: 232 Update 1996. See Veterans and Agent Orange: Update 1996 (Update 1996)
From page 597...
... Veterans and Agent Orange: Health Effects of Herbicides Used in Vietnam (VAO) , II: 1,2,5,8, 10, 11, 12,35,45,63,65,71, 89, 90, 91, 96, 97, 99, 101, 102, 104, 107, 112, 132, 176, 179, 180, 181, 187, 190, 196, 207, 209, 210, 214, 218, 225, 228, 232, 236, 237, 246, 247, 249, 250, 266, 271, 278, 279, 286, 293, 296, 300, 305, 312, 323, 328, 357; III: 1, 2, 3, 5, 12, 32, 43, 85, 124, 125, 126, 132, 150, 157, 169, 220, 221, 223, 286, 303, 311, 320, 359, 389, 390, 416, 434, 435, 519, 522; IV: 5, 156-159 background, II: 17-19; III: 17-23; IV: 15, 103-104, 110, 132, 137, 249, 268, 351 basal/squamous cell skin cancer studies summary, III: 317-318, 321, 323; IV: 308, 312-313 birth defects studies summary, III: 436-439; IV: 400-401, 404, 435 bladder cancer studies summary, II: 225226; III: 347-348, 350-351; IV: 340, 343-345 bone cancer studies summary, II: 204; III: 302, 305; IV: 288, 290-291 brain tumor studies summary, II: 229; III: 356-357, 360, 361; IV: 351, 353-355 breast cancer studies summary, III: 324326, 328; IV: 314-315, 319-320 childhood cancer studies summary, II: 299; IV: 418, 429 chloracne studies summary, II: 318; III: 479-480; IV: 465 chronic persistent peripheral neuropathy studies summary, II: 310; IV: 454 circulatory disorders studies summary, II: 335-336; III: 514; IV: 506
From page 598...
... 598 INDEX cognitive and neuropsychiatric disorders studies summary, II: 307; III: 468-469; IV: 441-442 congressional hearings on Agent Orange, II: 27-28; III: 25 Department of Veterans Affairs Task Force, II: 4-26; III: 24-25 diabetes mellitus studies summary, II: 330; III: 496-497; IV: 482, 487, 488, 490, 492 federal government response to concerns over military use of herbicides in Vietnam, II: 27-32; III: 25-30 female reproductive cancers studies summary, II: 211-212; III: 330-331, 332, 333; IV: 321, 324-325 gastrointestinal tract tumors studies summary, II: 177-178; III: 268, 274281; IV: 251, 256 gastrointestinal ulcers studies summary, II: 334; III: 510; IV: 500 health outcomes conclusions, II: 19-23; III: 19-20; IV: 11, 18-19, 20, 21, 384, 385, 414,465,467,471,513,514 hepatobiliary cancers studies summary, III: 282-283, 287-288; IV: 268, 269 herbicide environmental exposure studies, II: 142-143, 144, 145-146; III: 197-202, 203-205, 275, 277, 279, 281, 283, 288, 291, 301, 316, 323, 328, 336, 342, 345, 350-351, 354, 369, 382, 392, 437, 454, 455, 456, 459, 479, 520; IV: 147-149, 261, 264, 266-267, 271-272, 276, 286, 291 herbicide occupational exposure studies, II: 114, 115-116, 117-118, 119-120, 121126; III: 170-174, 176-178, 180-182, 183-185, 188-196, 274-275, 276-277, 278-279, 280, 282-283, 286, 291, 294, 300-301,305,310,312,316,317,321, 323, 324-326, 328, 332, 333, 335-336, 345, 350, 354, 360, 367-369, 374-376, 381-382, 391-392, 454, 455, 456, 459, 496, 520; IV: 137, 139, 140-142, 144146, 257-261, 263, 265-266, 271, 276, 280, 285, 290 Hodgkin's disease studies summary, II: 235; III: 372, 374-375, 376; IV: 365, 368 immune system disorders, studies summary, II: 327; III: 488-489; IV: 477 impact of report, II: 24-26; III: 23-25 infertility studies summary, II: 280; III: 445-446, 450; IV: 406, 409 laryngeal cancer studies summary, III: 293, 294; IV: 277, 280 legislation on Agent Orange, II: 28-29; III: 26-27 leukemia studies summary, II: 245; III: 385386, 391-392; IV: 378-379, 381, 383 lipid abnormalities studies summary, II: 333; III: 504, 520, 521; IV: 483 liver toxicity studies summary, II: 332; III: 510; IV: 500 low birthweight studies summary, III: 456457, 459; IV: 399, 400, 412 lung cancer studies summary, III: 296, 300301; IV: 281, 285-286 melanoma studies summary, III: 313-314, 316, 317; IV: 302, 306 metabolic and digestive disorders, studies summary, II: 330, 332, 333, 334; IV: 500 motor/coordination dysfunction studies summary, II: 309; III: 469-470; IV: 443444 multiple myeloma studies summary, III: 377-378, 381-382; IV: 372, 375-376 nasal/nasopharyngeal cancer studies summary, III: 290, 291; 274; IV: 274 non-Hodgkin's lymphoma studies summary, II: 231-232; III: 362-363, 367-369, 370371; IV: 356, 360-363 perinatal death studies summary, II: 285; III: 451, 454, 455, 456; IV: 412 peripheral neuropathy studies summary, III: 470-471, 473; IV: 454 porphyria cutanea tarda studies summary, II: 321-322; III: 481-482; IV: 467 prostate cancer studies summary, III: 335336, 341, 342; IV: 327, 333-335 renal cancer studies summary, II: 224; III: 352-353, 354, 355; IV: 346, 349-350 research recommendations, II: 23-24; III: 23; IV: 21 respiratory disorders studies summary, II: 324-325; III: 483; IV: 471 sex ratios of offspring, IV: 429-430 skin cancer studies summary, III: 312; IV: 299-314 soft-tissue sarcomas studies summary, II: 205-206; III: 306-308; IV: 292, 297-299
From page 599...
... ; III: 1, 2, 3, 6, 8, 10, 32, 37, 43, 44, 50, 85, 106, 109, 125, 126, 132, 150, 157, 159, 169, 220, 221, 222, 223, 266, 286, 295, 298, 303, 309, 311, 319,320,339,349,359,389,390,416, 417-418, 424, 426, 428, 434, 435, 444, 458, 519, 522, 533; IV: 1 background, III: 17-23; IV: 15-21, 110, 132, 137, 247, 251 basal/squamous cell skin cancer studies summary, III: 317-318, 321, 323; IV: 308-314 birth defects studies summary, III: 436-439; IV: 400-401, 435 bladder cancer studies summary, III: 347348, 350; IV: 330-345 bone cancer studies summary, III: 302, 305; IV: 287-291 brain tumor studies summary, III: 356-357, 360, 361; IV: 350-355 breast cancer studies summary, III: 324326, 327, 328; IV: 314-320 childhood cancers, IV: 418 chloracne studies summary, III: 479-480; IV: 465 circulatory disorders studies summary, III: 514; IV: 506 cognitive/neuropsychiatric disorders studies summary, III: 468-469; IV: 441-442 congressional hearings on Agent Orange, III: 25 Department of Veterans Affairs Task Force, III: 24-25 diabetes mellitus studies summary, III: 496; IV: 482-483, 490 federal government response to concerns over military use of herbicides in Vietnam, III: 25-30 female reproductive system cancers studies summary, III: 330-331, 332, 333; IV: 321-326 599 gastrointestinal tract tumors studies summary, III: 268, 274-281; IV: 257264 gastrointestinal ulcers studies summary, III: 510; IV: 500 health outcomes conclusions, III: 19-20 hepatobiliary cancers studies summary, III: 282-283, 287-288; IV: 267-272 herbicide environmental exposure studies, III: 197, 201, 203, 275, 277, 279, 283, 288, 323, 328, 336, 342, 345, 354, 369, 375, 382, 392; IV: 147, 149 herbicide occupational exposure studies, III: 170, 172, 174, 175-176, 179, 183, 186187, 274, 276, 278, 280, 282-283, 286, 291,294,300,305,316,317,321,324326, 328, 332, 333, 335-336, 345, 350, 354, 360, 367, 374, 381, 391, 496; IV: 135-137, 140-142, 144 Hodgkin's disease studies summary, III: 373, 374, 375, 376; IV: 364-371 impact of report, III: 23-25 infertility studies summary, III: 445-446; IV: 406-408 laryngeal cancer studies summary, III: 293, 294; IV: 277-281 legislation on Agent Orange, III: 26-27 leukemia studies summary, III: 385-386, 391, 392; IV: 377-383 lipid abnormalities studies summary, III: 504; IV: 493 liver disorders studies summary, III: 510; IV: 500 low birthweight studies summary, III: 456457; IV: 412 lung cancer studies summary, III: 296, 298, 300; IV: 281-287 melanoma studies summary, III: 313-314, 316, 317; IV: 302-308 motor/coordination dysfunction studies summary, III: 469-470; IV: 444 multiple myeloma studies summary, III: 377-378, 381, 382; IV: 371-377 nasal/nasopharyngeal cancer studies summary, III: 290, 291; IV: 273-276 non-Hodgkin's lymphoma studies summary, III: 362-363, 367, 369, 370; IV: 355364 pancreatic cancer, IV: 264-267 perinatal death studies summary, III: 451; IV: 412
From page 600...
... See Public Law 97-72 Veterans' Health Programs Extension and Improvement Act of 1979, III: 240 Vietnam, III: 533 herbicide latency issues, methodology, II: 13; III: 12-14 herbicide targeting in, I: 99-106; IV: 116117 herbicide use in, concerns about, I: 29-32, 45; II: 1, 2, 4, 11, 17, 18, 26; III: 1, 2, 5, 12, 13, 17, 18, 25 research in, I: 30-31 troop movements in, I: 52-53, 96, 287 U.S. casualties in, I: 82-83 U.S.
From page 601...
... INDEX See also Ca Mau peninsula; Con Thieu province, Vietnam; Hanoi, Vietnam; Ho Chi Minh City, Vietnam; Khe SanhThonh Son Lam area; Mekong Delta; Rung Sat Special Zone; Vietnamese Vietnam Experience Study (VES) , III: 26, 240, 512 birth defects in offspring, II: 288, 289, 290; III: 436, 438, 439, 445 cancer mortality in, I: 444-445 childhood cancer in, I: 629; II: 300 chloracne in, I: 677 circulatory disorders in, I: 702 exposure assessment use, II: 101; III: 146 hepatobiliary cancers, II: 185; III: 283 Hodgkin's disease in, I: 556 immune system disorders in, I: 696 infertility in, II: 280 liver cancer in, I: 455 low birthweight outcomes in, I: 626 lung cancer in, I: 469 methodology, I: 57-58, 281, 284, 389-391 multiple myeloma, II: 244 neonatal death in, I: 622 neurologic/neuropsychiatric outcomes in, I: 656 non-Hodgkin's lymphoma in, I: 542-543 origins, I: 50 reproductive outcomes in, I: 601, 609, 610611, 626, 632 respiratory cancer in, II: 201 respiratory disorders in, I: 710-711 spine bifida in offspring, II: 9; IV: 8 Vietnam herbicides use by military, II: 26-27 Vietnam Veteran Agent Orange Health Study, I: 741 Vietnam veterans, I: 1; II: 2 acute and subacute transient peripheral neuropathy, II: 313; III: 473; IV: 6, 459 advocacy groups, I: 60-61 Air Force research activities, II: 31-32; III: 28-29; IV: 13, 42-43, 150-156, 160-161 altered sperm parameters in, I: 632, 634; III: 445, 446, 450; IV: 7 amyloidosis, IV: 7 Australian, I: 61, 91, 406, 418, 444, 470, 496-497, 546, 614-615, 633, 702, 710; II: 113, 149, 160, 202, 293; III: 9, 216217, 218, 237, 244-245, 273, 285-286, 290, 294, 295, 298, 299, 303, 310, 311, 314, 315, 327, 329, 339, 340, 343, 346, 601 349, 353, 355, 359, 365, 380, 389, 413, 424, 425, 469, 486, 489, 500, 506, 512513, 517; IV: 9, 10, 159-160, 322-333, 402, 421-422 autoimmune disease in, I: 698, 699 basal/squamous cell skin cancer in, III: 323; IV: 309-310 birth defects in children of, I: 609-615, 618; II: 288-296, 298, 300; III: 435, 436, 437-438; IV: 7, 402 bladder cancer in, I: 517; II: 223-224; III: 349, 351; IV: 7, 342 bone cancer in, I: 473, 474-475; II: 204; III: 303, 305; IV: 7, 289 brain tumors in, I: 522, 523, 525; III: 358359, 361; IV: 7, 352 breast cancer in, II: 213, 217, 218; III: 326, 328, 329; IV: 7, 316 cancer expected incidence, I: 439-440, 442, 446, 452, 461, 501, 505, 513, 522, 526, 564; II: 176-177; III: 266-267, 430-431; IV: 249-250 cancer in children of, I: 629, 630-631; II: 299; IV: 7, 420-422 cancer mortality, I: 444-445 cancer studies, I: 391-393, 401, 402-403, 405, 436-438; II: 176-177; III: 266-267, 430-431 chloracne in, I: 677-679; II: 317, 318, 321; III: 479-480; IV: 6, 135, 485 chronic persistent peripheral neuropathy in, II: 311; IV: 7, 456 circulatory disorders in, I: 702-705; II: 336; III: 516-518; IV: 7, 508-509 class action suit, I: 34-35 cognitive/neuropsychiatric disorders in, II: 318; III: 469; IV: 7, 443 compensation for, I: 34-35, 47, 50-51, 5556; II: 28-29, 30-31; III: 26-27, 28 congressional responses to concerns of, I: 46-52; II: 27-29; III: 25-28 defining, I: 78 demographics, I: 79, 80-84 developmental toxicity, II: 72 diabetes mellitus in, I: 684, 685, 698; II: 330; III: 495, 497, 498, 500, 502; IV: 6, 485-487 disabilities discharges, I: 32 disease increased risk for, I: 14-15, 221, 225-226, 247-248, 578; II: 14, 22-23, 88,89,91,218,223,251,276,298, 300-301, 314, 321, 323; III: 14-15, 22
From page 602...
... 602 INDEX 23, 124, 127-128, 329, 334, 343, 397, 430-431, 444, 462, 475-476, 491, 503, 507-508, 525; IV: 12, 256, 270, 275, 279, 284, 290, 296, 305-306, 311, 318, 323-324, 332, 338, 343, 348, 353, 359, 367, 374, 381, 403, 407, 411-412, 413, 417, 426, 466, 468, 475, 489, 495, 505, 510, 513 distribution by branch of service, I: 81 Environmental Protection Agency research activities, II: 32; III: 29-30 epidemiologic studies, I: 50, 57-59, 62-63, 384-418; II: 3, 6-7, 28, 113, 149-161; III: 26, 206-217, 236-245, 272-273, 275, 277-278, 279, 281, 283, 285-286, 288, 290, 291, 294-295, 298, 301, 303, 305, 309-310, 312, 316, 317, 323, 326, 328, 333, 336, 338, 339, 340, 342, 343-344, 345-346, 349, 351, 353, 355, 358-359, 361, 363, 365, 370-371, 372, 373, 376, 380, 382, 385, 386, 389, 392, 435, 436, 437-438, 445, 446, 450, 454, 455, 456, 457, 459, 467, 468, 469, 470, 473, 479, 480, 481, 482, 485-486, 489, 491, 495, 497, 498, 500, 502, 505-506, 512-513, 516-518, 521; IV: 150-160, 255, 269, 275, 278, 283, 294-295, 303-304, 309310, 316, 322-323, 329, 336-337, 342, 347, 357-358, 366-367, 373, 380, 402, 411, 420-422, 474, 485-487, 494, 502504, 508-509 federal government activities/research on military use of herbicides, II: 27-32; III: 25-30 female reproductive system cancers in, I: 505, 511-512, 577; II: 211, 212; III: 333; IV: 7, 322-323 gastrointestinal tract cancers in, I: 446; II: 177, 180-181; IV: 7, 255 gastrointestinal ulcers in, I: 691, 692; III: 512-513; IV: 502-504 genitourinary tract cancers in, I: 513, 518, 522; II: 223-224; III: 272-273, 275, 277-278, 279, 281; IV: 7, 342 health care of, II: 28, 29; III: 26, 27 health concerns of, I: 1, 32-34, 46-47; II: 17-24, 26-27; III: 17-30 hepatic enzyme disorders in, I: 687 hepatobiliary cancers in, I: 455, 457; II: 181, 185, 187; III: 283, 285-286, 288; IV: 7, 269 herbicide exposure assessment issues, II: 45, 14, 17-24, 26-27; III: 2, 5-6, 142, 143, 146-150; IV: 122-127 herbicide exposure assessment strategies for, I: 270-284; II: 99-109; III: 144-145 Hodgkin's disease in, I: 526, 554-556, 557; II: 235, 236; III: 372, 373, 376; IV: 6, 366-367 Immune modulation in, I: 695-696, 699; III: 489, 491 infertility, I: 632, 633, 634; II: 280; III: 445, 446, 450; IV: 7 International Agency for Research on Cancer research activities, III: 30 laryngeal cancer in, III: 294-295; IV: 6, 9, 278 latency relevance for assessing herbicides effect on cancer risk in, II: 276; III: 1213, 430-431 legislation concerning herbicide exposure and health of, II: 28-29; III: 26-27 leukemia in, I: 13, 564, 570, 571-572; II: 245, 246; III: 385, 386, 389, 392; IV: 7, 380 lipid abnormalities in, I: 689, 692; II: 333; III: 505-506, 521; IV: 7, 494 liver toxicity in, II: 332; III: 512-513; IV: 502-504 low birthweight outcomes for, I: 626, 628; III: 457, 459; IV: 7 lung cancer in, III: 298, 301; IV: 6, 283 melanoma in, III: 316, 317; IV: 303-304 military experiences, I: 75, 82, 272, 286, 399 motor/coordination dysfunction in, I: 659660, 662; II: 309, 310; III: 469, 470; IV: 7, 448 multiple myeloma in, I: 526, 562, 563; II: 244; III: 380, 382; IV: 6, 10, 373 nasal/nasopharyngeal cancer in, I: 459, 460; II: 189; III: 290, 291; IV: 7, 275 National Personnel Records Center listing, I: 17 neural tube defects in offspring, numbers, II: 297; IV: 7, 18, 404-405 neurobehavioral disorders in, II: 305, 308, 309, 310, 311, 313, 314; III: 467, 468; IV: 457-459 neuropsychiatric outcomes, I: 653-656, 658; II: 308; III: 469; IV: 443 non-Hodgkin's lymphoma in, I: 526, 541
From page 603...
... INDEX 548, 549; II: 234; III: 363, 365, 370371; IV: 6, 357-358 number of, I: 3, 4, 74, 75-80 outreach activities; II: 31; III: 28 Parkinson's disease in, II: 309-310 perinatal deaths in offspring, II: 285; III: 454, 455, 456; IV: 7 peripheral nervous system disorders in, I: 665, 666; II: 311, 313; III: 473, 475; IV: 6, 7, 456 porphyria cutanea tarda in, I: 681, 682-683; II: 321-322, 323; III: 481, 482; IV: 6, 8 prostate cancer in, I: 513, 518, 519, 522; II: 9, 217-218, 221, 223; III: 336, 338, 339, 340, 342; IV: 6, 8, 10, 329 records-based exposure assessment, I: 271280; IV: 121-126 records identification, II: 24-25 renal cancers in, III: 352, 353, 355; IV: 7, 347 reproductive outcomes, I: 405-406, 418, 601-603, 609-615, 618, 620-622, 625; II: 71, 278, 300-301; III: 435, 436, 437438, 445, 446, 450, 454, 455, 456, 457, 459; IV: 7, 402 research recommendations, II: 23-25; III: 23 respiratory cancers in, I: 469-470, 472; II: 190, 201-202, 203; IV: 6, 283 respiratory disorders in, I: 710-712, 713714; III: 485-486; IV: 7, 474 risk assessment for, I: 14-15, 221, 225-226, 247-248, 578; II: 14, 22-23, 89, 91, 251, 276, 298, 300-301, 314, 321, 323, 349357; III: 14-15, 22-23, 124, 127-128, 430-431; IV: 20, 105-108 serum testing, I: 20-21 skin cancer in, I: 501, 505; II: 209; III: 312; IV: 7, 301 soft-tissue sarcoma in, I: 475, 492-498, 500; II: 205, 208; III: 309-310; IV: 6, 294295 South Korea, I: 61-62 spine bifida in offspring, II: 9-10, 296, 298, 301; III: 7, 8, 9-10, 21, 24-25, 437-438; IV: 7, 10, 18, 402 spontaneous abortions in, I: 601-603, 605; II: 283; IV: 7, 411 state-sponsored studies of, II: 152-153, 158159, 161, 202, 292; III: 213-215, 243244; IV: 158-159 suicide incidence, I: 655-656 603 testicular cancer in, II: 153; III: 343-344, 345-346; IV: 7, 336-337 twin studies, I: 398-399, 406, 703, 711 Vietnamese veterans, Vietnamese studies of, III: 245 women, I: 50, 83-84; II: 152-153, 180, 181, 190, 201, 204, 205, 209, 211, 212, 213, 216-217, 218, 223, 226, 228, 229, 231, 245, 278, 280; III: 326-329, 333, 434435; IV: 316 See also Air Force Health Study (AFHS) ; Compensation, veterans; Demographic data, Vietnam veterans; Operation Ranch Hand; Risk assessment, Vietnam veterans Vietnam veterans' exposure studies, II: 154, 156-157, 158-159; III: 206-209, 210217,275,278,279,281,283,288,291, 305,310,312,316,317,323,326,328, 336, 342, 345-346, 351, 355, 370-371, 376, 382, 437-438, 450, 454, 455, 456, 459, 497, 521; IV: 150, 156-158, 262, 264, 272-273, 276-277 Vietnam veterans' increased disease risk, II: 22-23; III: 22-23 Vietnam Veterans of America, I: 60 Vietnamese birth defects and herbicide exposure, II: 287-288 cancer in, II: 148; III: 283 epidemiologic studies, I: 599-601; II: 113, 144-145, 148, 184, 287-288; III: 202, 234, 283 herbicide environmental exposure, II: 144145, 148, 287-288; III: 283 herbicide exposure assessment, I: 269, 370372; II: 4-5, 108-109; III: 156-157; IV: 116-117 herbicide exposure indices development, II: 107-108 reproductive outcomes, I: 599-601, 608609; IV: 148-149 research recommendations, I: 731 scientists in, studies of Vietnamese veterans, III: 245 Vietnamese Veterans, IV: 160 Viral infection immune system response, I: 692-693 TCDD-enhanced susceptibility, I: 149 teratogenic potential, I: 607 See also Immune system disorders
From page 604...
... See Breast cancer; Cervical cancer; Demographic data, Vietnam veterans; Gender; Ovarian cancer; Reproductive system cancers, women; Reproductive system disorders; Uterine cancer; Women veterans Women veterans, I: 79; II: 30 breast cancer estimated risk, II: 218; III: 329; IV: 318 INDEX breast cancer expected incidence, I: 440, 461, 501, 505, 513, 522, 526, 564; II: 213; IV: 314 breast cancer in, II: 213, 216-217; III: 322. 324-328, 329; IV: 314-320 circulatory disease in, I: 702 epidemiologic studies, I: 50, 81; II: 28, 152153, 180, 181, 190, 201, 204, 205, 209, 211, 212, 213-217, 218, 219-223, 226, 228, 229, 231, 245, 278, 280; III: 324328, 333; IV: 314-320 mortality studies, I: 394-395, 470, 545; II: 152-153, 180, 201 reproductive outcomes, III: 434-435; IV: 399-400 reproductive system cancers in, II: 211, 212; III: 333; IV: 320-326 research recommendations, I: 728 statistics, I: 83-84 See also Reproductive system cancers, women Women Veterans Health Programs Act of 1992.


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