Chronic Multisymptom Illness in Gulf War Veterans Case Definitions Reexamined (2014) / Chapter Skim
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1 Introduction
1 Introduction
Pages 15-22
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From page 15... ...
Gulf War veterans have consistently shown a higher level of morbidity than the nondeployed, in some cases with severe and debilitating consequences. BACKGROUND On August 2, 1990, Iraqi armed forces invaded Kuwait; within 5 days, the United States had begun to deploy troops to Southwest Asia in Operation Desert Shield.
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, anthrax and botulinum toxoid vaccines, and infectious diseases -- in addition to psychologic and physiologic stress. In the more than 20 years that have passed since the Gulf War, veterans of that war have suffered numerous health consequences that might be related to exposure to those agents, conditions, and circumstances, although none of them has been causally linked to the Gulf War veterans' symptoms.
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Kerosene, diesel, and leaded gasoline were used in unvented tent heaters, cooking stoves, and portable generators. Petroleum products, including diesel fuels, were used to suppress sand and dust, and petroleum fuels were used for burning waste and trash.
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However, as noted in a 2004 General Accounting Office report (GAO, 2004) , epidemiologic studies that use the DOD models incorporate substantial exposure misclassification because of errors in estimation of troop locations combined with uncertainty regarding plume locations.
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• Evaluate the terminology currently used in referring to CMI in Gulf War Veterans and recommend appropriate usage. 4 The committee uses the term chronic multisymptom illness throughout the report, as defined in the statement of work, when referring to the symptom complex in Gulf War veterans.
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The committee members divided the work by reading papers related to their expertise. The papers that were reviewed included all health outcomes that have been noted in Gulf War veterans, for example, mortality, hospitalization, neurologic symptoms, respiratory symptoms, gastrointestinal symptoms, pain, birth defects and fertility, cancer, mentalhealth conditions, and overlapping syndromes.
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1997. A comprehensive clinical evaluation of 20,000 Persian Gulf War veterans.
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