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5. Specific Medical Diagnoses
Pages 15-23

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From page 15...
... EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN 15 GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM provided in a later section of this report (see Epidemiological Research Relevant to the CCEP)
From page 16...
... 16 EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM Many aspects of military service in wartime can cause significant physical and psychological stress.
From page 17...
... EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN 17 GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM populations, which, in turn, could be contributing to other symptoms (Matthews, 1995)
From page 18...
... These comments about inconsistencies are mainly aimed at the quality control necessary for accurate reporting of summary data rather than at the quality of the medical care itself. Recognition of Psychosocial Stressors in the CCEP Population A brief overview of the psychological stressors faced by the troops who were deployed to the Persian Gulf appears in two section in the DoD report on 10,020 CCEP patients: Potential Health Risks Associated with Persian Gulf Deployment, and Individual and Group Response to Environmental Hazards as a Factor Contributing to Health Consequences Among CCEP Participants (DoD, l995d)
From page 19...
... A wide range of somatic and psychological responses could be expected from individuals deployed to the Persian Gulf area from stress associated with deployment (Wolfe et al., 19931.... A variety of symptoms have been reported by Persian Gulf veterans.
From page 20...
... . It is possible that the DoD will be able to use the results of these epidemiologic studies on psychiatric conditions to revise the CCEP, that is, to revise the standardized questionnaires or to add or delete targeted lab tests or specialty consultations.
From page 21...
... EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN 21 GULF COMPREHENSIVE CLINICAL EVALUATIONPROGRAM The DoD and DVA apparently are not currently performing any epidemiological investigations that are focused on musculoskeletal conditions among Persian Gulf veterans (PGVCB, 1995a)
From page 22...
... 22 EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSL4N GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM infectious causes of acute morbidity were generally mild cases of acute diarrhea and upper respiratory infections, neither of which would be likely to lead to long-term sequelae.
From page 23...
... EVALUATION OF THE U.S. DEPARTMENT OF DEFENSE PERSIAN 23 GULF COMPREHENSIVE CLINICAL EVALUATION PROGRAM an infectious disease, 81% stated that in the previous 90 days they had not missed even one day of work because of illness (DoD, l995c)


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