Guide to Gulf War Veterans’ Health

2,93

MB

125

stron

4573

ID

DEPARTMENT OF VETERANS AFFAIRS

2002

rok

Table of Contents

Message From the Under Secretary for Health . i

Independent Study Outline (Background, Purpose, Objectives, Outcome and Target Audience) iv

Content Materials v

Program Development (Planning Committee, Contributing Authors, Program Directors and others) vi

Content Materials

Chapters

Chapter 1. The Health Impact of Service in the Gulf War 1

Chapter 2. Gulf War Health Care 10

2A. VA Gulf War Registry Health Examination Program and Department of Defense

Comprehensive Clinical Evaluation Program 10

2B. Other VA and DoD Health Care Programs: Centers for the Study of War-Related Illnesses;

DoD’s Centers for Deployment Health; DoD’s OSAGWI and the Office of the Special Assistant to

the Under Secretary of Defense (Personnel And Readiness) for Gulf War Illnesses, Medical

Readiness and Military Deployment 17

2C. Spouses and Children Examination Program . 21

2D. Large-Scale Clinical Trials and the ALS Study 23

2E. Clinical Guidelines: Unexplained Symptoms. 26

2F. Clinical Risk Communication: Explaining Causality to Gulf War Veterans with Chronic

Multisymptom Illnesses . 27

Chapter 3. Studies of Gulf War Veterans’ Mortality, Morbidity and Reproductive Health . 34

3A. Mortality Among U.S. and U.K. Gulf War Veterans 35

3B. Morbidity Among Gulf War Veterans . 38

3C. Medically Unexplained Symptom-Based Illnesses Among Gulf War Veterans 48

3D. Reproductive Health Among Gulf War Veterans 53

Chapter 4. Health Risk Factors. 70

4A. Pesticides. 70

4B. Chemical and Biological Warfare Agents. 76

4C. Vaccinations and Pretreatments 82

4D. Depleted Uranium. 89

4E. Infectious Diseases 95

Chapter 5. Disability Compensation and Undiagnosed Illnesses 100

Chapter 6. Outreach and Education.103

Chapter 7. Supplemental Reading and Additional References110

Independent Study Test Questions for CME Credit .111

Independent Study Program Registration/Answers/Participant Form