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1. Introduction
Pages 10-16

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From page 10...
... The legislation directed the secretary of veterans affairs to enter into an agreement with TOM to review the literature on 33 agents related to service in the Gulf War and to assess the strength of associations between exposure to those agents and long-term adverse health effects as noted in the published literature. The legislation directs the secretary to consider the [OM conclusions when making decisions about compensation.
From page 11...
... All searches were completed by August 2001; relevant studies published after that date will be reviewed by future TOM committees. After an assessment of those references, the committee focused on approximately 3000 epidemiologic studies that analyzed associations between the relevant insecticides and solvents and long-term adverse health effects in humans.
From page 12...
... Because there were no accounts of military personnel consuming rodenticides, the committee did not believe it necessary to review their adverse health effects. It should be noted, that the charge to TOM was not to determine whether a unique Gulf War syndrome exists or to make judgments regarding whether the veterans were exposed to the putative agents.
From page 13...
... As noted in the OSAGW} report, some of the solvents used to clean painting equipment might have been purchased locally and therefore not identified. COMPLEXITIES IN ADDRESSING GULF WAR HEALTH ISSUES Investigations of the health effects of past wars often focused on narrowly defined hazards or health outcomes, such as infectious diseases (for example, typhoid and malaria)
From page 14...
... The War Experience It has been documented from the Civil War to the Gulf War that the experience of war, with its many physical and psychologic stressors, places military personnel at high risk for adverse health effects. Some of the effects that have been reported are poorly understood multisymptom clusters, including fatigue, shortness of breath, headache, sleep disturbance, forgetfulness, and impaired concentration (Hyams et al., 1996~.
From page 15...
... . The committee looked exclusively at the putative agents as though each one were the only risk factor for adverse health effects.
From page 16...
... Santa Monica, CA: National Defense Research Institute, RAND. Goss Gikoy Inc.


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