Gulf War and Health Volume 11: Generational Health Effects of Serving in the Gulf War (2018) / Chapter Skim
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1 Introduction
1 Introduction
Pages 15-24
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Veterans are understandably concerned that their exposures during their deployments might have caused or might be the cause of adverse health effects in their children and possibly their grandchildren. The National Academies of Sciences, Engineering, and Medicine's (the National Academies')
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THE GULF WAR AND POST-9/11 CONFLICTS In response to the invasion of Kuwait by Iraq in August 1990, the United States led a coalition of 34 countries, including the United Kingdom, Australia, Canada, France, and Denmark, in a buildup of forces in the Persian Gulf called Operation Desert Shield. This multinational effort was followed by Operation Desert Storm, which began in January 1991 and was over by the end of February.
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GULF WAR AND HEALTH AND RELATED REPORTS The National Academies has previously prepared numerous studies on the health of Gulf War and other veterans, including Vietnam veterans. As a result of 1998 legislation, the National Academies has conducted more than 10 studies and updates in the Gulf War and Health series on veterans' exposures and the health effects associated with those exposures: • Volume 1: Depleted Uranium, Pyridostigmine Bromide, Sarin, and Vaccines (IOM, 2000)
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• Volume 10: Update of Health Effects of Serving in the Gulf War, 2016 (NASEM, 2016b) Beginning with volume 1 of the Gulf War and Health series, National Academies' committees developed a process for assessing the evidence for each study and reaching conclusions regarding the weight of the evidence for each exposure or environmental agent and possible health outcomes (see
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Although the first three volumes of the Gulf War and Health series dealt with specific environmental agents, in 2005, VA requested that the National Academies appoint a committee to review the medical literature and to summarize what was known then about the current status of Gulf War veterans' health. The resulting report, volume 4, and two subsequent updates, volumes 8 and 10, summarized the overall health effects in veterans and noted which health outcomes were more evident in veterans who had deployed to the Persian Gulf region than in their nondeployed counterparts, irrespective of the specific exposures experienced by the deployed veterans.
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114-315, VA asked the National Academies to examine the potential health effects of deploymentrelated exposures on veterans and on their children and grandchildren and to provide guidance on a path forward for research in this area. The committee's full statement of task is given in Box 1-2.
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The committee's conclusions concerning the health effects of those exposures, which are based on the strength of the evidence described in these chapters, are summarized in Chapter 8, which also includes a brief discussion of epigenetics and what is being learned from human and animal studies in this area. Chapter 9 addresses the committee's second task of providing VA with a framework for a health monitoring research program to identify any health effects in the descendants of veterans that may be related to the veterans' deployment exposures.
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2009. Contaminated water supplies at Camp Lejeune: Assessing potential health effects.
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Washington, DC: The National Academies Press. Reynolds, G.M., and A
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