Veterans at Risk: The Health Effects of Mustard Gas and

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National Academies Press

1993

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Front Matter i-xii

Table of Contents xiii-xx

Executive Summary 1-8

1 Introduction 9-13

2 Methods of Literature Collection and Survey 14-20

3 History and Analysis of Mustard Agent and Lewisite Research Programs in the United States 21-

60

4 Findings from the Public Hearing Process 61-70

5 Chemistry of Sulfur Mustard and Lewisite 71-80

6 Relationship of Mustard Agent and Lewisite Exposure to Carcinogenesis 81-111

7 Nonmalignant Respiratory Effects of Mustard Agents and Lewisite 112-130

8 Ocular Effects of Mustard Agents and Lewisite 131-147

9 Dermatological Effects of Mustard Agents and Lewisite 148-178

10 Other Physiological Effects of Mustard Agents and Lewisite 179-198

11 Relationship of Mustard Agent and Lewisite Exposure to Psychological Dysfunction 199-213

12 Summary of Findings and Recommendations 214-226

Bibliography 227-330

Appendixes 331-332

A. Scientific and Background Presentations Made to the Committee 333-334

B. Excerpt from The Residual Effects of Warfare Gases 335-337

C. Involvement of the National Academy of Sciences Complex in World War II Research

Programs: A Summary 338-339

D. Excerpts from Chamber Tests with Human Subjects I, II, and IX. Naval Research Laboratory

Reports Nos. P-2208 and P-2579 340-369

E. Interim Report and Addendum: Feasibility of Developing a Cohort of Veterans Exposed to

Mustard Gas During WWII Testing Programs 370-377

F. Summary of the Department of the Army Report: Use of Volunteers in Chemical Agent

Research 378-381

G. Public Hearing Announcement 382-385

H. Letter from Dr. Jay Katz to Dr. David P. Rall 386-389

I. Risk Assessment Considerations for Sulfur Mustard 390-398

J. Examination of the Effects of Certain Acute Environmental Exposures on Future Respiratory

Health Consequences 399-416

List of Acronyms and Abbreviations 417-420

Index 421-428