The National Academies Press

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Pages 7-26

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From page 7... ... , DoD documents, and past IOM reports commissioned by DoD and VA. The Committee conducted 10 case study reviews -- mental disorders, multiple sclerosis, Prisoners of War, amputees and cardiovascular disease, radiation, Mustard Gas and Lewisite, Gulf War, Agent Orange and prostate cancer, Agent Orange and type 2 diabetes, and spina bifida (not a presumption but a VA program area) Read the entire page →
From page 8... ... Prepublication Copy – Uncorrected Proof Read the entire page →
From page 9... ... Military service men and women may have received a number of health-relevant exposures during service in the Persian Gulf, complicating the development of evidence reviews. For Agent Orange, there is one exposure of concern and a more constrained set of health indicators. Read the entire page →
From page 10... ... Across the case studies, the Committee found variable approaches to synthesizing evidence on the health consequences of military service. The inferential target of scientific evidence reviews has not been consistent and varied between causation (e.g., Mustard Gas and Lewisite, Gulf War) Read the entire page →
From page 11... ... These errors have costs. False Prepublication Copy – Uncorrected Proof Read the entire page →
From page 12... ... It would also consider research needs and assist VA with strategic research planning. The Science Review Board would evaluate the evidence for causation and, if Prepublication Copy – Uncorrected Proof Read the entire page →
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From page 14... ... Science Review Board The Committee recommends a two-step process for scientific evaluation by the Science Review Board. The first step would involve a systematic review of all relevant data to decide the strength of evidence for causation, using one of four categories: Prepublication Copy – Uncorrected Proof Read the entire page →
From page 15... ... When such information is available, the board would estimate the service-attributable fraction and its related uncertainty. The purpose of step two is to convey the impact of the exposure on veterans as a whole for the purpose of decision making and planning, but not to serve inappropriately as an estimate of Prepublication Copy – Uncorrected Proof Read the entire page →
From page 16... ... The Committee clearly recognizes that there are social, economic, political, and legal factors beyond the scope of scientific evidence that may influence the presump Prepublication Copy – Uncorrected Proof Read the entire page →
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From page 18... ... The Committee recommends that the goal of the presumptive disability decision-making process be to ensure compensation for veterans whose dis eases are caused by military service and that this goal must serve as the foundation for the work of the Science Review Board. The Committee recommends that the Science Review Board implement its proposed 2-step process. Read the entire page →
From page 19... ... DoD and VA should establish and implement mechanisms to identify, monitor, track, and medically treat individuals involved in research and other activities that have been classified and are secret. Prepublication Copy – Uncorrected Proof Read the entire page →
From page 20... ... . Prepublication Copy – Uncorrected Proof Read the entire page →
From page 21... ... . Prepublication Copy – Uncorrected Proof 1-1 Read the entire page →
From page 22... ... . The Commission asked the Committee to "evaluate the current model used to determine diseases that qualify for service connection on a presumptive Prepublication Copy – Uncorrected Proof Read the entire page →
From page 23... ... . Second, in its statement, the Commis Prepublication Copy – Uncorrected Proof Read the entire page →
From page 24... ... The Committee submitted questions, and VA responded to several but not Prepublication Copy – Uncorrected Proof Read the entire page →
From page 25... ... Chapter 3 describes the current presumptive disability decision-making process, and the roles of Congress, VA, and IOM. The legislative background pursuant to the more current presumptions of Radiation, Agent Orange, and Gulf War is included in Chapter 4. Read the entire page →
From page 26... ... However, the Committee did review, analyze, and report on the available information regarding the presumptive disability decision-making process for veterans. Prepublication Copy – Uncorrected Proof Read the entire page →

From page 7...

... , DoD documents, and past IOM reports commissioned by DoD and VA. The Committee conducted 10 case study reviews -- mental disorders, multiple sclerosis, Prisoners of War, amputees and cardiovascular disease, radiation, Mustard Gas and Lewisite, Gulf War, Agent Orange and prostate cancer, Agent Orange and type 2 diabetes, and spina bifida (not a presumption but a VA program area)