Gulf War and Health Treatment for Chronic Multisymptom Illness (2013) / Chapter Skim
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1 Introduction
1 Introduction
Pages 11-20
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From page 11... ...
PRIOR EFFORTS TO ADDRESS CHRONIC MULTISYMPTOM ILLNESS IN GULF WAR VETERANS In efforts to understand CMI and how to treat for it, substantial resources have been devoted to determining its underlying cause. Govern 11
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Those toxicants include a long list of chemical, biologic, and physical agents (Persian Gulf War Veterans Act of 1998, Public Law 277, 105th Cong., October 8, 1998; Veterans Programs Enhancement Act of 1998, Public Law 368, 105th Cong., October 21, 1998)
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From page 13... ...
. The law directs the secretary of veterans affairs "to enter into an agreement with the Institute of Medicine of the National Academies to carry out a comprehensive review of the best treatments for CMI in Persian Gulf War veterans and an evaluation
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Information sources to pursue could include, but are not limited to • Published peer-reviewed literature concerning the treatment of multisymptom illness among the 1991 Gulf War veteran population; • Published peer-reviewed literature concerning treatment of mul tisymptom illness among Operation Enduring Freedom, Opera tion Iraqi Freedom, and Operation New Dawn active-duty service members and veterans; • Published peer-reviewed literature concerning treatment of multi symptom illness among similar populations such as allied military personnel; and • Published peer-reviewed literature concerning treatment of popula tions with a similar constellation of symptoms. In addition to summarizing the available scientific and medical lit erature regarding the best treatments for chronic multisymptom illness among Gulf War veterans, the IOM will • Recommend how best to disseminate this information throughout the Department of Veterans Affairs to improve the care and ben efits provided to veterans.
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From page 15... ...
As discussed above, Gulf War veterans include military personnel who served in the Iraq war and, for the purpose of this report, the Afghanistan war, in addition to those who served in the 1991 war. As of September
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GULF WAR VETERANS' EXPERIENCES WITH DIAGNOSIS OF AND TREATMENT FOR CHRONIC MULTISYMPTOM ILLNESS During the 1991 Gulf War and on returning to the United States after deployment, ill veterans have sought help for the diagnosis of and treatment for their CMI. Many were seen initially by clinicians at VA facilities but became frustrated because VA clinicians diagnosed psychologic conditions (for example, depression, anxiety disorders, stress-related complaints, and somatoform disorders)
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From page 17... ...
. Some ill 1991 Gulf War veterans, believing that they are being given wrong diagnoses and are being inadequately treated by clinicians, view themselves as "victims of an entrenched medical discourse that makes it difficult for many practitioners to recognize new patterns of illness" ( woboda, 2006, p.
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Washington, DC: The National Academies Press.
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From page 19... ...
2011. Longitudinal health study of US 1991 Gulf War veterans: Changes in health status at 10-year follow-up.
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