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1 Introduction
Pages 13-20

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From page 13...
... That war resulted in few injuries and deaths among coalition forces, but returning veterans soon began to report numerous health problems that they believed were associated with their service in the gulf. Those veterans were not exposed to blast but were potentially exposed to numerous biologic and chemical agents, including vaccinations and other prophylactic medications, nerve agents, depleted uranium, pesticides, solvents, combusted and uncombusted fuels, dust exposure, and burning waste.
From page 14...
... For example, VA's request that the IOM consider whether there is an increased risk of amyotrophic lateral sclerosis in all veteran populations resulted in the report Amyotrophic Lateral Sclerosis in Veterans (IOM, 2006a) ; an examination of all health effects in veterans deployed to the 1991 Persian Gulf War irrespective of specific exposures resulted in Gulf War and Health, Volume 4: Health Effects of Serving in the Gulf War (IOM, 2006b)
From page 15...
... . For example, a combination of implosion and spallation forces may cause an air embolus to enter a capillary as a blast wave travels through blood and into a capillary where spalling disrupts the endothelium and implosion causes compressed air to expand (Ho, 2002; Wolf et al., 2009)
From page 16...
... CHARGE TO THE COMMITTEE The charge to the present IOM committee was to examine the strength of the evidence of an association between being exposed to blast and potential long-term health effects. The committee also was asked to make recommendations for future research on the topic.
From page 17...
...  hether a plausible biological mechanism or other evidence of a causal W relationship exists between exposure to blast and long-term systemic adverse health effects; e.  hether type of blast (for example, shaped blast wave vs diffuse)
From page 18...
... Animal models of blast and experimental data are discussed in Chapter 3. Chapter 4 contains the committee's evaluation of the array of human health effects caused by exposure to blast.
From page 19...
... 2006b. Gulf War and Health, Volume 4: Health Effects of Serving in the Gulf War.


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