Adequacy of the Comprehensive Clinical Evaluation Program A Focused Assessment (1997) / Chapter Skim
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Appendix A
Appendix A
Pages 61-66
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From page 61... ...
· VA should direct its Transition Assistance Program workshop benefits counselors to specifically mention DOD and VA programs related to Gulf War veterans' illnesses. This appendix has been excerpted from the Presidential Advisory Committee on Gulf War Veterans' Illnesses report, Presidential Advisory Committee on Gulf War Veterans' Illnesses: Final Report, Washington, D.C.: U.S.
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From page 62... ...
· In an attempt to increase veterans' and the public's awareness and understanding of the full range of the government's commitment to addressing the nature of Gulf War veterans' illnesses, DOD and VA should reevaluate the goals and objectives of their risk communication efforts. DOD and VA should develop effective methods that provide the affected community with comprehensive information concerning possible exposures to environmental hazards, potential health effects from risk factors, and explanations of ongoing and completed clinical and epidemiologic studies.
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From page 63... ...
Interim Final Rule permitting a waiver of informed consent for use of unapproved products in a military exigency is still in effect, DOD should develop enhanced orientation and training procedures to alert service personnel they may be required to take drugs or vaccines not fully approved by FDA if a conflict presents a serious threat of chemical and biological warfare. · FDA should solicit timely public and expert comment on any rule that permits waiver of informed consent for use of investigational products in military exigencies.
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From page 64... ...
Research · The Research Working Group of the Persian Gulf Veterans Coordinating Board should require that any proposals for new, large-scale Gulf War veterans' epidemiologic health research describe a plan to incorporate a public advisory committee into the study design, dissemination of results, or both. The Research Working Group should consider justifying a waiver of such a committee only under rare circumstances.
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From page 65... ...
· Since a number of Gulf War risk factors are potential human carcinogens that could result in increased rates of cancer beginning decades after exposure, VA should continue to monitor Gulf War veterans through its ongoing mortality study for increased rates of lung, liver, and other cancers. · Depleted uranium munitions are likely to be used in future conflicts involving U.S.
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From page 66... ...
All reports of positive M256 kits and Fox detections must be thoroughly investigated. Where unit logs record positive detections by either type of equipment, members of that unit should be notified and encouraged to enroll in VA's Persian Gulf Health Registry or DOD's Comprehensive Clinical Evaluation Program.
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