Protocol for Epidemiologic Study of the Health of Vietnam

7,81
MB Veterans

257
stron

3750
ID Centers for Disease Control and Prevention

2003
rok

1. Introduction 1

2. Background 3

2.1. Herbicide Usage in Vietnam 3

2.2. Health Effects of Herbicides and Dioxin 4

2.3. Diseases Affecting U.S. Troops in Vietnam 5

2.4. Current Health of Vietnam Veterans 5

2.5. Long-Term Health Status of Servicemen and Veterans 5

3. Study Design Overview 6

3.1. Agent Orange Study 6

3.2. Vietnam Experience Study 8

3.3. Selected Cancers Case-Control Study 8

4. Study Procedures 10

4.1. Selection of Study Subjects 10

4.1.1. Agent Orange Study 10

4.1.2. Vietnam Experience Study 15

4.1.3. Selected Cancers Case-Control Study 16

4.2. Location of Study Subjects 18

4.3. Ascertainment of Health and Exposure Status 19

4.3.1. Agent Orange and Vietnam Experience Studies 20

4.3.1.1. Mortality Information 20

4.3.1.2. Morbidity and Exposure Information 20

A. Health Interviews 21

—Sociodemographic Information 21

—Medical History 22

—Environmental and Occupational

Exposure Information 22

—Military History 22

B. Medical and Psychological

Examinations; Laboratory Tests 23

4.3.2. Selected Cancers Case-Control Study 24

—Sociodemographic Information 25

—Family History of Cancer 25

—Medical History 25

—Environmental and Occupational

Exposure Information 25

—Military History 25

4.4. Sample Sizes, Statistical Power, and Participation Rates 26

4.4.1. Agent Orange and Vietnam Experience Studies 26

4.4.2. Selected Cancers Case-Control Study 28

4.5. Pretests and Pilot Studies

4.5.1. Agent Orange and Vietnam Experience Studies

4.5.1.1. Military Records Pretests

4.5.1.2. Location Rate, Participation Rate, and Instrument Assessments

4.5.2. Selected Cancers Case-Control Study

4.6. Data Analysis and Quality Control

4.6.1. Timing of Analyses

4.6.2. Summary of Analytical Approach

4.6.3. Quality Control

5. Inferences from Possible Study Findings; Study Limitations

6. Report of Study Findings

7. Timetable, Milestones, and Reports

8. Investigators

9. Protocol Review; Study Oversight

10. Tables

Appendices

Cumulative Expected Numbers of Deaths by Cause in a Hypothetical Cohort of 6,000 Men Aged

22 in 1968 and Followed Through 1984 (17 Years)

Power To Detect Various Relative Risks in the Agent Orange and Vietnam Experience Studies, by

Prevalence of Condition in "Unexposed" Group Selected Health Outcomes Reported To Be

Associated with Exposure to TCDD--Animal and Human Literature

Estimated Prevalence of Vietnam Service and Expected Number of Cases of Cancer for the

Selected Cancers Case-Control Study in Males Aged 30-54 in 1986 in the SEER Areas

Power of Selected Cancers Case-Control Study To Detect Increased Relative Risks

Protocol Outline (November 1982)

Literature Review

Topical List of Questionnaire Items for Agent Orange and Vietnam Experience Studies

Topical List for Examination and Laboratory Testing for Agent Orange and Vietnam Experience

Studies

Topical List of Questionnaire Items for Selected Cancers Case-Control Study

12. References

AGENT ORANGE STUDY PROTOCOL REVIEW