Friday, January 14, 2011

VFW: Gulf War Illness – A Practical Guide

Approximately one in three 1991 Persian Gulf War veterans suffers from a multi-symptom illness. Follow these steps to seek treatment or VA compensation.

Written by Kelly Von Lune, VFW Magazine, January 2011

(January 2001 – VFW) - VA confirmed in November 2008 that
ailments reported by Persian Gulf War veterans are real. Of the some 700,000 service members sent to the Persian Gulf between August 1990 and July 1991, an estimated 250,000 endure “persistent, unexplained symptoms.”

The health conditions often are attributed to anti-nerve gas drugs given to troops and pesticides used during the war. Pyridostigmine bromide, which was administered to troops, had not been approved for nerve agent protection.

Also, service members were exposed to sarin, a toxic nerve agent, when coalition forces blew up an Iraqi missile arsenal after the war.  [91outcomes Editor’s Note:  Cyclosarin has been confirmed to also have been contained in the airborne post-explosion plume that drifted over an estimated 100,000 troops, and Mustard is also believed to have been present.  Additionally, a myriad of Gulf War veterans have repeatedly testified before Congress that they had confirmed exposures to a host of other Iraqi chemical warfare agents, including Mustard gas, other vessicants.  A book by CIA Analyst Patrick Eddington, “Gassed in the Gulf”, contained the most detailed accounting published to date of Gulf War chemical exposures.]

Yet the specific links still are not [fully] understood.

A review by the National Academy of Science’s Institute of Medicine concluded that [one] illness clearly caused by the Gulf War is post-traumatic stress disorder, present in 2% to 15% of Gulf War vets, depending on how it is diagnosed.

Dr. Michael Kilpatrick, director of strategic communications for the Military
Health System, told the American Forces Press Service in April 2010 that Gulf War veterans should seek care through VA rather than private doctors.

That way researchers can continue to track their data and search for causes of their symptoms.

In March 2010,VA announced that it would take a second look at disability claims related to Gulf War Illness, as well as train its medical staff to make sure not to tell vets that their symptoms are imaginary.

If you are a Gulf War veteran, what do you do?

Step 1: Know Presumptive Diseases

In September 2010, VA published new regulations stating that veterans who served in the Gulf War and have one or more of the following conditions are presumed to be service-connected. (Diseases marked with an * are newly approved.)

Brucellosis*: A bacterial disease with symptoms such as profuse sweating and joint and muscle pain.

Campylobacter jejuni*: A disease with symptoms such as abdominal pain, diarrhea and fever.

Chronic fatigue syndrome: A condition of prolonged and severe tiredness that is not relieved by rest and is not directly caused by other conditions.

Coxiella burnetii (Q fever)*: A bacterial disease with symptoms such as fever, severe headache and gastrointestinal problems such as nausea and diarrhea.

Fibromyalgia: A common condition [among Gulf War veterans]  characterized by long-term, body-wide pain and tender points in joints, muscles, tendons and other soft tissues.

Irritable bowel syndrome: A common disorder [among Gulf War veterans] that affects the intestines (colon) and causes cramping, abdominal pain, bloating, gas, diarrhea and constipation.

Malaria*: An infectious disease caused by a parasite. Symptoms include chills, fever and sweats.

Mycobacterium tuberculosis*: An illness that primarily affects the lungs and causes symptoms such as chest pain, persistent cough,weight loss and fever.

Non-typhoid Salmonella*: A condition characterized by symptoms such as nausea, vomiting and diarrhea.

Shigella*: A condition characterized by symptoms such as fever, nausea, vomiting and diarrhea.

Visceral leishmaniasis*: A parasitic disease characterized by symptoms such as fever, weight loss, enlargement of the spleen and liver, and anemia.

West Nile virus*: A disease spread by mosquitoes characterized by symptoms such as fever, headache, muscle pain or weakness, nausea and vomiting.

With the new rule, a veteran only needs to show service in Southwest Asia (also applies to Afghanistan), that he or she had one of the diseases within a certain time after service, and that he or she has a current disability as a result of that disease. However, seven of the diseases are subject to certain time limits.

Step 2: Get an Evaluation

Veterans who think they have been exposed to environmental hazards during military service and would like an evaluation should contact an environmental health coordinator at a regional VA medical center.

VA maintains a health registry evaluation program to track the health of veterans as described above. Gulf War (and Operation Iraqi Freedom) exposures may include pesticides, infectious diseases, chemical and biological warfare agents, oil well fires and depleted uranium.

A listing of coordinators is available online at   Information also is offered through the VA special health issues helpline at 1-800-749-8387.

The health registry evaluation is available free of charge to all eligible veterans. Veterans do not need to be enrolled in VA health care to be eligible.

The evaluation provides veterans with:

• A free specialized health evaluation.
• Answers to questions about environmental exposures.
• Information on health care and other VA benefits.
• Test results shared and maintained in VA medical records.

However, note that a Gulf War Registry examination is not a claim, nor is it required for VA health care benefits or disability compensation.

As of March 2010, 116,628 initial examinations had been performed,with 6,896 follow-up exams—a 5.9% follow-up rate.

[91outcomes Editor’s Note:  The Gulf War Registry Exam may lead to treatment.  After having a Gulf War Registry Exam and any follow-on medical care, veterans with unresolved chronic multi-symptom illness or continued undiagnosed symptoms can get exams from the VA’s War Related Illness and Injury Centers (WRIISC’s).  See for more information on how to be evaluated at one of these three national veterans care facilities. ]

To receive the Gulf War Review VA newsletter via e-mail, sign up at

Step 3: File a Claim

Gulf War veterans seeking disability compensation for illnesses incurred in or aggravated by military service can use any of the following resources:

• Contact a veterans benefits counselor at the nearest VA regional office or health care facility at 1-800-827-1000.

• Submit claims online at

• Call the VA Gulf War Information Helpline at 1-800-PGW-VETS (1-800-749-8387).

VA credits VFW for being “very helpful to Gulf War veterans.” To find a VFW service officer, go to

As of September 2010, the basic VA compensation rate for veterans without dependents ranges from $123 to $2,673 per month, depending on disability.

Ongoing Research

VA approved $2.8 million in July 2010 to fund three new research projects to test or develop new treatments for Gulf War Illness:

• A five-year study will evaluate the impact of resistance exercise training in treating chronic musculoskeletal pain and associated symptoms in GulfWar veterans.
• A four-year study on an animal model of Gulf War illnesses will assess the effectiveness of therapies to enhance mood and memory.
• A two-year pilot study will include eight-week trials of “mindfulness based stress reduction,” compared with traditional care.

Search for “Gulf War Illness” on to view recent studies, as well as those recruiting eligible veterans.




SOURCE:  VFW Magazine, January 2011,

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