Review of VA Clinical Guidance for the Health Conditions Identified by the Camp Lejeune Legislation (2015) / Chapter Skim
Currently Skimming:
1 Introduction
1 Introduction
Pages 11-20
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 11... ...
Drinking water was made from treated groundwater supplied by a rotating combination of multiple wells so that not all wells were providing water to a system at any given time. It was in the 1980s that volatile organic compounds -- including chlorinated solvents such as PCE and TCE and their degradation products, aromatic solvents such as benzene, and other organic compounds such as vinyl chloride -- were detected at Camp Lejeune in two separate water systems -- Hadnot Point and Tarawa Terrace -- that served base housing areas.
|
From page 12... ...
From 1991 to 1997, the Agency for Toxic Substances and Disease Registry (ATSDR) , which is part of the Centers for Disease Control and Prevention, conducted a public health assessment at Camp Lejeune that included a reconstruction of the estimated contaminant levels in the drinking water systems.
|
From page 13... ...
released Contaminated Water Supplies at Camp Lejeune: Assessing Potential Health Effects in response to a request from Congress to independently assess potential health outcomes associated with past exposure to contaminated water at Camp Lejeune. The committee focused its attention on the toxicologic and epidemiologic literature regarding the effects of TCE, PCE, and solvent mixtures
|
From page 14... ...
Limited/suggestive evidence of an association: Evidence is suggestive of an association between exposure to combustion products and a health outcome in humans, but this is limited because chance, bias, and confounding could not be ruled out with confidence. Inadequate/insufficient evidence to determine whether an association does or does not exist: The avail able studies are of insufficient quality, consistency, or statistical power to permit a conclusion regarding the presence or absence of an association between exposure to combustion products and a health outcome in humans.
|
From page 15... ...
BOX 1-2 Health Conditions Associated with Camp Lejeune Drinking Water in NRC (2009)
|
From page 16... ...
." DEPARTMENT OF VETERANS AFFAIRS CAMP LEJEUNE PROGRAM In August 2012, VA took a series of steps to implement the Janey Ensminger Act. Since inception, eligible veterans have been enrolled in VA services as Priority 6, that is, veterans who are 0% service connected for a health problem.4 VA experts from the Veterans Health Administration (VHA)
|
From page 17... ...
The committee followed the path of the 2009 NRC committee and concentrated on the adverse effects associated with the primary solvents found in the drinking water at Camp Lejeune -- TCE and PCE. It also considered studies of mixed solvents where appropriate.
|
From page 18... ...
The committee also recognized that given the number of factors that may contribute to the etiology of a condition, it may be impractical to determine the likelihood of a condition resulting from exposure to Camp Lejeune drinking water alone and exclude other well-defined contributory factors such as diabetes and chronic kidney disease, particularly in a clinical setting. The committee notes that for the most part, the effects of synergistic, additive, inhibitory, and other interactions between the contaminants found at Camp Lejeune and other risk factors and the health outcomes listed in the legislation are unknown.
|
From page 19... ...
2014b. Mortality study of civilian employees exposed to contaminated drinking water at USMC Base Camp Lejeune: A retrospective cohort study.
|
From page 20... ...
Undated. Marine Corps Base Camp Lejeune: About.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.