Researchers say the findings strengthen the case for granting presumptive service-connected benefits to veterans diagnosed with the disease decades after military service. |
a place for up to date information on the health consequences of military service...
Researchers say the findings strengthen the case for granting presumptive service-connected benefits to veterans diagnosed with the disease decades after military service. |
WASHINGTON — The Department of Veterans Affairs intends to propose adding certain rare respiratory cancers to the list of presumed service-connected disabilities in relation to military environmental exposure to particulate matter.
VA determined through a focused review of scientific and medical evidence there is biologic plausibility between airborne hazards, specifically particulate matter, and carcinogenesis of the respiratory tract, and that the unique circumstances of these rare cancers warrant a presumption of service connection.
Based on these findings, VA’s Secretary is proposing a rule that will add presumptive service connection for several rare respiratory cancers for certain Veterans. The cancers under consideration include:
“This is the right decision. The rarity and severity of these illnesses, and the reality that these conditions present a situation where it may not be possible to develop additional evidence prompted us to take this critical action,” said VA Secretary Denis McDonough. “We’ll continue to hold ourselves accountable to Veterans to provide more care, more benefits and more services to more Veterans than ever before.”
VA intends to focus its rule on the rare respiratory cancers above in Veterans who served any amount of time in the Southwest Asia theater of operations and other locations. VA will invite and consider public comments as part of this process.
Once rulemaking is complete, VA will conduct outreach to impacted veterans and survivors to inform them about potential eligibility.
GULFPORT, Miss. (WLOX) - If you drive 28th Street in Gulfport, you probably have wondered what has been going on in the northwest corner of the Seabee Base.
The area, known as Site 7, is being cleared and cleaned to
remove any remaining Dioxin. It’s a dangerous chemical found in Agent Orange, a
tactical herbicide used during the Vietnam War that has since been linked to
certain cancers and other illnesses.
From 1968 to 1977, the Air Force stored more than 15,000
drums of the herbicide on the Seabee Base. Some of the drums leaked over time,
contaminating surrounding areas.
Gulfport was actually the largest storage area for the
chemical in the continental United States before it was shipped to Vietnam.
Over the years, the chemical has been removed from areas
outside the Seabee Base and brought to a containment site on base which has
been contained under one foot of concrete. That area is now used as a
mobilization site for Navy heavy equipment.
This 18-acre site, which was a landfill, had exposure from
low-level dioxin that was removed from surrounding ditches and placed there.
The overall cleanup has been going on for 40 years.
“This is a fairly substantial milestone for the
environmental restoration program on board NCBC Gulfport. That all of the sites
that were identified have been remediated and put into a long-term status with
not only the Navy, but also with the Mississippi Department of Environmental
Quality,” explained J.D. Spalding with Naval Facilities and Engineering Command
Southeast.
Spaulding called this phase of the cleanup, “the end of an
era” that was established in the 1980s.
FORT ORD NATIONAL MONUMENT, Calif. (AP) — For nearly 80 years, recruits reporting to central California’s Fort Ord considered themselves the lucky ones, privileged to live and work amid sparkling seas, sandy dunes and sage-covered hills.
But there was an underside, the dirty work of soldiering.
Recruits tossed live grenades into the canyons of “Mortar Alley,” sprayed soapy
chemicals on burn pits of scrap metal and solvents, poured toxic substances
down drains and into leaky tanks they buried underground.
When it rained, poisons percolated into aquifers from which
they drew drinking water.
Through the years, soldiers and civilians who lived at the
U.S. Army base didn’t question whether their tap water was safe to drink.
Rusted barrels rest outside barracks at Fort Ord on Wednesday, April 28, 2021, in Fort Ord, Calif. Hundreds of Fort Ord veterans are being diagnosed with rare blood cancers, according to a database compiled by a former soldier and shared with The Associated Press. (AP Photo/Noah Berger)
But in 1990, four years before it began the process of
closing as an active military training base, Fort Ord was added to the
Environmental Protection Agency’s list of the most polluted places in the
nation. Included in that pollution were dozens of chemicals, some now known to
cause cancer, found in the base’s drinking water and soil.
Decades later, several Fort Ord veterans who were diagnosed
with cancers — especially rare blood disorders — took the question to Facebook:
Are there more of us?
Soon, the group grew to hundreds of people who had lived or
served at Fort Ord and were concerned that their health problems might be tied
to the chemicals there.
The Associated Press interviewed nearly two dozen of these
veterans for this story and identified many more. The AP also reviewed
thousands of pages of documents, and interviewed military, medical and
environmental scientists.
There is rarely a way to directly connect toxic exposure to
a specific individual’s medical condition. Indeed, the concentrations of the
toxics are tiny, measured in parts per billion or trillion, far below the levels
of an immediate poisoning. Local utilities, the Defense Department and some in
the Department of Veterans Affairs insist Fort Ord’s water is safe and always
has been.
The Senate on Wednesday quickly and quietly approved a bipartisan bill intended to extend Department of Veterans Affairs health care to more veterans suffering from conditions related to toxic exposure.
The bill was a pared-down version of legislation that had
been introduced in both the House and Senate, legislation that would have dramatically
expanded benefits for toxic exposure victims but was deemed too pricey by some
critics due to projected costs of more than $200 billion. The scaled-down bill
was approved by unanimous consent, meaning no one objected when Senate Veterans
Affairs Committee Chairman Jon Tester, D-Mont., asked on the Senate floor for
the bill to pass.
But even though no one objected Wednesday, the bill has
garnered criticism from some Democratic lawmakers and advocates who say it does
not go far enough to help veterans now suffering from fatal diseases after
breathing in toxins during their time in the military.
The bill, which was negotiated by Tester and Senate Veterans
Affairs Committee ranking member Jerry Moran, R-Kan., and introduced just two
weeks ago, would create a one-year enrollment period for VA medical care for
post-9/11 combat veterans who served after 1998 and never enrolled. It would
also extend the enrollment period for all formerly deployed post-9/11 combat
vets from five years to 10.
The bill would also mandate that the VA screen patients for
potential exposure to toxic substances during their military services.
The Department of Veterans Affairs will change its disability ratings criteria for mental health conditions, sleep apnea and tinnitus, part of a major overhaul of the review process to ensure that compensation matches veterans' medical conditions and needs, department officials say.
The VA plans to update its Schedule for Rating Disabilities
-- its guide for determining how it evaluates and provides benefits for
service-connected disabilities -- for mental health conditions, to include
their impact on veterans' lives, and abolish the "0%" disability
rating for any service-connected mental health diagnosis in favor of a 10%
minimum, according to a notice published Tuesday in the Federal Register.
For tinnitus, the department will get rid of its stand-alone
rating and consider the condition a symptom of whatever underlying disease is
its cause.
As for sleep apnea, ratings will be assessed based on the
effectiveness of treatment and the condition's impact on "earning
impairment," according to the notice.
Previously, most conditions were assessed on the number and
severity of symptoms, but VA officials said the consideration of lost wages or
productivity is needed to ensure that the department compensates veterans
appropriately.
New research shows that exposure to the industrial byproduct TCDD in utero could cause the brain’s immune system to go array later in life, damaging important brain circuits, and potentially giving rise to neurodevelopmental disorders, such as autism and ADHD. TCDD is primarily released into the environment by vehicle exhaust and burning wood and low levels of the toxin are found in air, soil, and food. The most common way people are exposed is through meat, dairy, and fish.
In the same study, recently published in the journal Brain,
Behavior, and Immunity, researchers also found that pharmacological
manipulation could restore the function of microglia, important cells in the
brain’s immune system. “This suggests that defects in microglia function
resulting from prenatal exposures can be reversed later in life, indicating a
possible additional therapeutic avenue for neurodevelopmental disorders,” said
Rebecca Lowery, Ph.D., assistant research professor in the Del Monte Institute
for Neuroscience at the University of Rochester, and co-first author of the
study.
The research, which was conducted in mice, showed that when
the brains of males were exposed to TCDD in utero, it caused inflammation which
cause microglia to go array when responding to injury. While the microglia
themselves appeared healthy, the cells became over activated while responding
to injury in a way that could damage important brain circuits. But
investigators found that by using the drug Pexidartinib (PLX3397) they could
‘shut-off’ the hyper-responsive microglia and those were replaced by new
microglia that functioned normally.
Wars transform nations. Then they end, and as their veterans die, they fade from living memory into history. That is now happening to the Vietnam War, the conflict that dominated both America’s foreign policy and its domestic politics for much of the 1960s and 70s.
Two million Vietnam vets left
Losing the last living link to a war is an important moment
in the life of a nation. The death in 1956 of Albert Woolson (106), the last
undisputed veteran of the Civil War, was significant enough to be acknowledged
by President Eisenhower himself. For Vietnam, the “Woolson moment” is still far
off. Of the 2.7 million Americans who served in Vietnam, just under two
million* are still alive. But as many are now in their late 70s, their numbers
will start to decline rapidly.
For most other Americans, “Vietnam” is ancient history.
Heck, even Rambo is 40 years old. The nearest intimation anybody under 50 has
of what the war must have felt like, came last year, with the chaotic U.S.
evacuation of Kabul. As some with long memories said, it was so eerily reminiscent
of the Fall of Saigon in 1975.
But mostly, the Vietnam War has fallen off the radar.
Perhaps, this is not so surprising. The martial appetite of those vast legions
of armchair generals is sated by an endless stream of content about World War
II. As for Vietnam: Communism, which Americans went there to stop from
spreading, is no longer a geopolitical threat. Vietnam itself is now an exotic
holiday destination for Americans, even a potential ally against China.
Yet there are still doors in time that open directly from
here and now into the horror of what the Vietnamese call “the American War.”
Pictures, mainly — of that Buddhist monk, self-immolating in anti-war protest,
or of that girl, naked and crying because of the napalm that flattened her
village and burned her skin.
Post-9/11 veterans are dying at higher rates than Americans overall, particularly through accidents, suicide and homicide, new research has found. The numbers are even higher for veterans who have suffered a traumatic brain injury.
Veterans who have served since Sept. 11, 2001, are dying via
suicide at twice the rate of Americans overall, with homicide claiming retired
service members at one-and-a-half times the rate of the general population.
They also had slightly higher rates of accidental deaths,
according to a study published Friday in JAMA Network Open.
The death rates were significantly higher for those with a
history of traumatic brain injury: Veterans who experienced a mild traumatic
brain injury died at nearly twice the general rate for accidents from 2002 to
2018 and three times the rate by suicide, while those with moderate to severe
brain injuries were five times as likely to die by suicide and faced a
threefold risk of being murdered or dying in an accident.
The study is the first to look at "excess deaths"
among veterans who have served since Sept. 11, 2001, examining the number of
deaths over and above what normally would have been expected during the 17-year
study period.
The researchers, led by Jeffrey Howard, an associate
professor of public health at the University of Texas at San Antonio, reviewed
records of more than 2.5 million post-9/11 veterans to catalog their long-term
health outcomes with a focus on those with a history of a brain injury.
Researchers have found that as many as one in three Americans have a relatively high amount of a toxic weed-killing chemical in their bodies.
In a paper published in the journal Environmental Health,
the team explored the prevalence of 2,4-D, a chemical frequently used as an
herbicide to control weed growth.
The researchers found that nearly 33 percent of the urine
samples collected from 14,395 study participants had detectable amounts of the
chemical in their bodies.
“Our study suggests human exposures to 2,4-D have gone up
significantly and they are predicted to rise even more in the future,” Marlaina
Freisthler, PhD student and researcher at the George Washington University and
co-author of the study, said in a press release.
The Carl Vinson VA Medical Center in Dublin had to stop all medical procedures and operations for two days last month due to concerns over reused medical equipment.
On Jan. 12-14 the VA halted all procedures and related
operations after an internal review found not all steps were followed to ensure
safe cleaning or sterilization between patients, according to a press release.
The VA notified all veterans potentially impacted by this
and explained the potential risks, including transmission of Hepatitis B,
Hepatitis C and HIV. Officials offered any patients who may have been exposed
free testing for blood-borne pathogens. Testing is not required but anyone with
concerns may come in for the testing.
The VA is offering testing through Feb. 25 at specified
sites, but testing will continue after that date at the VA so every veteran has
the opportunity to be tested.
Highlights
What GAO Found
The Department of Veterans Affairs (VA) considers Type 2
diabetes—which most often develops in adults due to several factors, including
genetics, physical inactivity, and environmental factors—to be associated with
exposure to herbicides used in the Vietnam War. VA does not assume the same
association exists with Type 1 diabetes, for which the exact causes are unknown
but most often develops in children and teens.
VA does not have comprehensive data on claims involving Type
1 diabetes. Specifically, data for Veterans Benefits Administration (VBA)
claims decisions are not available prior to 2003. Further, available VBA data
do not distinguish between Type 1 and Type 2 diabetes because VBA tracks both
conditions using the same medical diagnostic code. Thus, GAO cannot reliably
report the number of claims that VBA has granted or denied to Vietnam veterans
for Type 1 diabetes. VBA officials stated they do not systematically track
claims for Type 1 diabetes, but they can identify Type 1 diabetes claims by
performing customized text searches. Accordingly, VBA identified around 1,900
claims decisions as potentially involving Type 1 diabetes from fiscal year 2003
through July 2021, which represented less than 1 percent of all decisions for
diabetes during that time. Additionally, officials from VA and representatives
from veterans service organizations said they did not expect there would be
many claims for Type 1 diabetes, in part, because Type 1 diabetes most often
develops at a young age and prior to military service.
VA evaluates veterans' claims for Type 1 diabetes either
using evidence of a direct connection to service or by presuming a connection
if the condition developed within a year following service. As with claims for
any other condition, VBA claims processors may grant benefits if veterans
provide evidence that their Type 1 diabetes was caused or aggravated by their
military service. Such evidence could include development of Type 1 diabetes
symptoms during service (e.g., elevated blood sugar), according to VBA
officials. Additionally, claims processors may presume a connection to service
if veterans' Type 1 diabetes developed to a certain degree within a year
following their service.
Among 30 VBA claims decisions that GAO reviewed potentially
involving Type 1 diabetes, claims processors granted or denied benefits for
various reasons, and generally explained whether the claim contained evidence
to support a connection with the veteran's service. For example, in two of 11
decisions to grant benefits, VBA claims processors identified evidence of
veterans being diagnosed with Type 1 diabetes during or within a year of
completing service, and a disability medical examiner stated that the veteran's
condition was "at least as likely as not" due to military service. In
contrast, claims processors noted in eight of 19 decisions to deny benefits
that the veteran's treatment records did not include complaints, treatments, or
a diagnoses of Type 1 diabetes during service.
As the 11th secretary of Veterans Affairs since President
Ronald Reagan established it as a cabinet-level organization in 1988, Secretary
Denis McDonough hardly has big shoes to fill.
Each secretary has made promises, and some have made
changes: Jesse Brown expanded service to all veterans but particularly for
women veterans, and he extended health care through a series of clinics. Edward
Derwinski added some benefits for Vietnam veterans exposed to Agent Orange. Bob
McDonald created the first Veterans Experience Office expressly to improve the
us-against-them feeling so many veterans complain about.
But in the background, scandals arose. Eric Shinseki,
beloved by his staff and by his boss, President Barack Obama, inherited a
benefits backlog issue that went back years. It was first highlighted during
the Walter Reed Scandal in 2007 under Secretary James Nicholson, when soldiers
faced a Defense Department backlog in the military medical retirement system.
After leaving the military and beginning VA's benefits process, they then faced
a second 400,000-plus case backlog at VA. Nicholson had also resigned.
Health benefits were denied to Gulf War veterans, Vietnam
veterans, and veterans of the wars in Iraq and Afghanistan. Veterans killed
themselves at high rates -- and a VA official issued the infamous
"shhh!" memo wondering if VA officials should issue a statement
before someone "stumbled" on the problem. And 13,000 old benefits
cases were found in a filing cabinet.
Most recently, Sec. Robert Wilkie, a President Donald Trump
appointee, chose to discredit a House Veterans Affairs staffer and Navy
reservist after she reported being groped and verbally assaulted at a VA
facility in Washington -- rather than look into the case and work to prevent it
from happening again. Reporting from ProPublica led to a government
investigation.
The Michael J. Fox Foundation (MJFF) encouraged the U.S.
House of Representatives’ Committee on Veterans’ Affairs to expand healthcare
access for veterans exposed to hazardous chemicals, and to better support
research into service-connected Parkinson’s disease.
Recently, the committee hosted a roundtable discussion about
healthcare costs for veterans exposed to certain substances during their
service, such as garbage burn pits, warfare chemicals, jet fuel, and cleaning
solvents.
Committee members heard from community activists and
advocates, including those with the MJFF, who called for a change in how U.S.
veterans with health problems as a result of their service are treated.
“We are a country that purports to love its veterans — we
support the troops, we put on our flag pins, we stand, veterans get discounts
at Denny’s … but when a veteran is sick and dying due to the service they gave
to this country, and they come back and are put under scrutiny … in a case
concerning their own health care and lives? It’s unacceptable,” Jon Stewart, a
veterans’ activist and television personality, said in an MJFF press release.
In a letter sent to Veterans’ Affairs committee Chairman
Mark Takano (D-California), the MJFF explained that soldiers may experience
physical or psychological stress, head trauma, severe brain injury, or be
exposed to substances known or suspected to trigger Parkinson’s disease.
The Department of Veterans Affairs just established a new rule to prevent medical debt from weighing down veterans.
On Wednesday, the VA, along with the Consumer Financial
Protection Bureau (CFPB), announced new minimum requirements for reporting debt
to credit bureaus. Specifically, legislation signed in 2020 allowed the VA
Secretary to establish a methodology for reporting debt to credit bureaus, and
under the new rule, the VA will not report to those bureaus "until all
available collection efforts are exhausted and the specified debt becomes
classified as not collectible," according to a press release.
"Reporting debt to consumer reporting agencies impacts
credit worthiness and negative reports may cause financial distress for
Veterans," VA Secretary Denis McDonough said in a statement. "Late
remittance or nonpayment can lead to debt collection. However, overpayment of
benefits funds is often debt accrued through no fault of the Veteran."
According to the VA, if benefits are overpaid, it can result
in a deduction of a veteran's monthly benefit until the debt is repaid. This
can be caused by an error in paperwork on the veteran's end, along with
processing errors on the agency's end.
"These new changes will result in a 99% reduction in
unfavorable debt reported to consumer reporting agencies, thus reducing
financial distress for Veterans," McDonough added.
WASHINGTON – U.S. Senators Jerry Moran (R-Kan.) and Jon Tester (D-Mont.) – the ranking member and chairman of the Senate Veterans’ Affairs Committee (SVAC) – today unveiled their bipartisan Health Care for Burn Pit Veterans Act—landmark legislation to offer Post-9/11 combat veterans, including those suffering from conditions caused by toxic exposures, such as burn pits, access to Department of Veterans Affairs (VA) health care.
“Post-9/11 veterans are the newest generation of American
heroes to suffer from toxic exposures encountered during military service,”
said Sen. Moran. “The Health Care for Burn Pit Veterans Act is an important
first step to make certain our veterans receive the care they need as a result
of their service. I appreciate the entire Senate Veterans’ Affairs Committee
for working together to craft this consequential legislation to care for our
servicemembers who put their life and health on line for their country.”
“Today, we took a critical step in our bipartisan effort to
do right by all toxic-exposed veterans across the country with the introduction
of our Health Care for Burn Pit Veterans Act,” said Sen. Tester. “This landmark
bill will allow us to connect a generation of burn pit veterans with the care
they’ve earned, while moving the ball forward on addressing toxic exposure in
the comprehensive way our veterans deserve. Our work here is just beginning,
and together we will keep fighting to deliver quality care and benefits to the
men and women who stood in harm’s way to protect our country.”
Approximately 3.5 million Post-9/11 combat veterans may have
experienced some level of exposure to burn pits during their service—many of
whom are living with undiagnosed illnesses linked to military toxic
exposures—and nearly one-third of those veterans are currently unable to access
VA care. Among its many provisions, the senators’ bipartisan Health Care for
Burn Pit Veterans Act would:
Expand the period of health care eligibility for combat
veterans who served after September 11, 2001 from five years following
discharge to ten years;
Provide a one-year open enrollment period for any Post-9/11
combat veterans who are outside their 10-year window;
Establish an outreach plan to contact veterans who did not
enroll during their initial period of enhanced eligibility;
Direct VA to incorporate a clinical screening regarding a
veteran’s potential exposures and symptoms commonly associated with toxic
substances;
Mandate toxic exposure related education and training for
healthcare and benefits personnel at VA; and
Strengthen federal research on toxic exposures.
In 1961, when many avoided the Draft, Ray Sarbacker decided to enlist in the military. A fresh-faced kid of 18, Sarbacker wanted to be a patriot like his dad. Sarbacker’s father was one of the WWII heroes who’d parachuted onto Normandy Beach on D-Day. Sarbacker knew his father was traumatized by what he’d witnessed that day — so much so that he’d never discussed it. But young Sarbacker, determined to follow in his dad’s footsteps, joined the Navy.
Within months, Sarbacker found himself on an aircraft
carrier. When he’d enlisted, U.S. action in Vietnam was limited to “advisors”
on the ground, but the nation’s engagement escalated rapidly. Soon, Sarbacker’s
carrier was in the Gulf of Vietnam, and Sarbacker’s responsibilities included
washing Agent Orange off of helicopters and planes that returned from missions.
Then, overworked and exhausted, Sarbacker and his shipmates would sleep on the
carrier’s deck, using their Agent Orange-soaked towels as pillows until the
next wave of helos returned.
1) "The Toxic Exposure in the American Military (TEAM) Act"
2) Agent Orange exposure on Thailand military bases,
veterans fight to get disability compensation
3) America's Vietnam Shame: Children Of Agent Orange |
Timeline