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Adequacy of the Comprehensive Clinical Evaluation Program Nerve Agents (1997) / Chapter Skim
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RECOMMENDATIONS
Pages 15-20

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 15...
... No evidence available to the committee conclusively indicated the existence of long-term health effects of low-level exposure to nerve agents. Because firm conclusions about these effects remain elusive, the committee reviewed information about the types of health effects that might exist as a result of exposure.
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From page 16...
... Given the importance of thorough neurological and psychiatric screening, the committee recommends that Phase I primary physicians have ready access to a referral neurologist and a referral psychiatrist. As mentioned earlier, patients are referred to neuromuscular specialists if they have complaints of severe muscle weakness, fatigue, or myalgias lasting for at least 6 months that significantly interfere with activities of daily living.
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From page 17...
... It may be that, if the primary care physician had neurological and psychiatric consultations readily available, referral decisions could be made more easily and appropriately. The committee recommends that physicians take more complete patient histories, particularly regarding personal and family histories, the onset of health problems, and occupational and environmental exposures.
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From page 18...
... Such an approach provides an appropriate public health mechanism for imparting information and addressing concerns and should be made available to all Persian Gulf veterans. Although it is beyond the scope of the charge to this committee to determine whether low-level exposure to nerve agents causes long-term health effects, the committee believes strongly that this is an important research area that ought to be pursued.
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From page 19...
... Active-duty military personnel participating in the DoD health registry may be either more or less healthy than other nonparticipants on active duty. CCEP comparisons on this self-selected group of patients should not be used to draw conclusions about the entire population of Persian Gulf veterans.
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Key Terms

  • persian gulf
  • nerve agent
  • gulf veterans
  • agent exposure
  • neuromuscular specialists

  • daily living
  • neurological screening
  • significantly interfere
  • entire population
  • service personnel

  • primary physicians
  • care physicians
  • myalgias lasting
  • physical examinations
  • psychological conditions

  • predeployment physical
  • ccep primary
  • severe muscle
  • recommends improved
  • ccep patients

  • improved documentation
  • primary diagnoses
  • muscle weakness
  • significant impairment
  • persistent complaint

  • yield insights
  • munitions destruction
  • wartime exposures
  • program administered
  • dod increase


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