Thursday, November 8, 2012

DAV Honors Sen. Bernie Sanders for Work on GWI, Other Veterans Advocacy

Sen. Bernie Sanders has for many years been a national champion for the estimated 250,000 veterans of the 1991 Gulf War suffering from Gulf War Illness as the result of their Gulf War service.  

Sanders and his talented staff have always been first rate in helping Gulf War and other veterans.  

Since serving in the U.S. Senate, Sanders has taken the lead each year in successfully championing annual funding for the acclaimed, treatment-focused Gulf War Illness Congressionally Directed Medical Research Program (CDMRP).  Perhaps also a result of this leadership, VA research is now reportedly also moving towards treatment for those suffering rather than efforts seemingly aimed at disproving Gulf War veterans' claims.  

Prior to his tenure in the Senate, Sanders was highly influential on Gulf War issues while in the U.S. House of Representatives.  Most notably, Sanders' role on the House Committee on Oversight and Government Reform helped hold VA and DoD to task on Gulf War health issues, a never ending task that continues to today.  

Sanders' recognition by DAV is well deserved, especially for his leading efforts on behalf of ill Gulf War veterans.  

-A.H.

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SOURCE: Burlington (Vt.) Free Press
http://www.burlingtonfreepress.com/viewart/20121020/NEWS02/310200013/Disabled-vets-group-honors-Sen-Bernie-Sanders

Disabled vets' group honors Sen. Bernie Sanders



BURLINGTON — Vermont U.S. Sen. Bernie Sanders (I-VT) has won a Congressional Leadership Award from the Disabled American Veterans (DAV).  
DAV national commander Larry Polzin said Sanders’ efforts have helped boost funding for post-traumatic stress disorder treatment, research into Gulf War illness and housing for seriously disabled veterans.
Sanders is one of two members of Congress to have won the award this year. The other is New York Republican Rep. Ann Marie Buerkle (R-NY).
Sanders is a member of the Senate Veterans’ Affairs Committee.

Saturday, November 3, 2012

Veterans Exposed at Qarmat Ali Win Lawsuit Against KBR



SOURCE:  The Washington Post (AP story)

Jury finds Iraq war contractor negligent for soldiers’ illnesses, orders $85 million payment
By Associated Press, Published: November 2
PORTLAND, Ore. — A jury on Friday ordered an American military contractor to pay $85 million after finding it guilty of negligence for illnesses suffered by a dozen Oregon soldiers who guarded an oilfield water plant during the Iraq war.
After a three-week trial, the jury deliberated for just two days before reaching a decision against the contractor, Kellogg Brown and Root.
Rocky Bixby, the soldier whose name appeared on the suit, said the verdict should reflect a punishment for the company’s neglect of U.S. soldiers.
“This was about showing that they cannot get away with treating soldiers like that,” Bixby said. “It should show them what they did was wrong, prove what they did was wrong and punish them for what they did.”
Each soldier received $850,000 in noneconomic damages and $6.25 million in punitive damages.
Another suit from Oregon Guardsmen is on hold while the Portland trial plays out. There are also suits pending in Texas involving soldiers from Texas, Indiana and West Virginia.
KBR was found guilty of negligence but not a secondary claim of fraud. U.S. District Court Judge Paul Papak acknowledged before the trial began that, whatever the verdict, the losing side was likely to appeal it.
Any appeal must first wait for Papak to formally enter the judgment.
The company will appeal the verdict, said KBR attorney Geoffrey Harrison in a statement issued late Friday afternoon. Harrison said the verdict “bears no rational relationship to the evidence.”
“KBR did safe, professional, and exceptional work in Iraq under difficult circumstances,” Harrison said in the statement,” and multiple U.S. Army officers testified under oath that KBR communicated openly and honestly about the potential health risks.
“We believe the facts and law ultimately will provide vindication.”
KBR witnesses testified that the soldiers’ maladies were a result of the desert air and pre-existing conditions. Even if they were exposed to sodium dichromate, KBR witnesses argued, the soldiers weren’t around enough of it, for long enough, to cause serious health problems.
The contractor’s defense ultimately rested on the fact that they informed the U.S. Army of the risks of exposure to sodium dichromate.
KBR was tasked with reconstructing the decrepit, scavenged plant just after the March 2003 invasion while National Guardsmen defended the area. Bags of unguarded sodium dichromate — a corrosive substance used to keep pipes at the water plant free of rust — were ripped open, allowing the substance to spread across the plant an into the air.
Attorneys for the 12 Oregon National Guardsmen focused on the months of April, May and June 2003, alleging KBR knew about the presence of sodium dichromate and took no action.
One of the soldiers’ key witnesses, a doctor, testified that hexavalent chromium caused a change to soldiers’ genes, leaving them more susceptible to cancer. KBR’s attorneys challenged that diagnosis, saying the soldiers’ witness was the only physician in the U.S. prepared to make such a diagnosis.
Plaintiff Jason Arnold said he understands that contractors are a necessity for often-specialized tasks, but he hopes the verdict forces the U.S. military to reexamine its relationship with the private defense industry.
“For a corporation to come in and have this much disregard for the health and well-being of men that are shedding blood, sweat and tears for this country,” Arnold said, “for them to come in and to say that we mean less than their profit, is wrong.”
During the Iraq war, KBR was the engineering and construction arm of Halliburton, the biggest U.S. contractor during the conflict. KBR split from Halliburton in April 2007.
KBR has faced lawsuits before related to its work in Iraq. One of the more prominent cases, involving a soldier who was electrocuted in his barracks shower at an Army base, was dismissed.
A second case is still in Maryland federal court, in which former KBR employees and others who worked on Army bases in Iraq and Afghanistan allege KBR allowed them to be exposed to toxic smoke from garbage disposal “burn pits.”


Gulf War Veterans' Lung Cancer Risk and Gov't Failures




A six-month long news team investigation into lung cancer in Gulf War veterans was finally completed and aired this week in Indiana.  

The investigative team's story asks this incisive rhetorical question:


"So if doctors, the VA, and the military all know veterans from the Gulf War are at higher risk: Why isn't DOD notifying those at higher risk and why isn't the VA screening them aggressively?"

VA and DoD have known for years about higher risks of lung cancer, and other cancers, among Gulf War veterans.  Yet, that knowledge has translated into absolutely nothing in terms of DoD or VA health care screenings for affected veterans.

One of those affected veterans is Colonel Mark Smith, a Gulf War and OIF veteran with advanced lung cancer, featured in the story below.  He attributes his lung cancer to heavy exposure to the burning oil well fires lit by retreating Iraqi forces in February 1991.  

A presentation by the National Gulf War Resource Center at its annual conference in Las Vegas in 1999, attended by VA and DoD officials, presented evidence from dozens of documents received under the Freedom of Information Act showing that federal officials were aware that microfine (< 2.5u) particulates from Kuwaiti burning oil well fires exceeded safe health limits by hundreds of times, and that long term health effects included lung disease and lung cancer.  

Some 1991 Gulf War troops were also exposed to Iraqi chemical warfare agents, including following air bombing and demolitions of Iraqi chemical munitions during and following the war.  Those officially recognized include sarin, cyclosarin, and mustard gas, a known carcinogen.  

VA and Congress have received recommendations from multiple sources on the need for appropriate screening for those at greater risk for lung cancer, including detailed reports from highly reputable health and veterans advocacy organizations.   Among these is the entire section on lung cancer and veterans in the annual "Independent Budget" coauthored by a long list of veterans service organizations (VSOs).   

And, in repeated reports to the Secretary of Veterans Affairs (VA), the Congressionally chartered  Research Advisory Committee on Gulf War Veterans' Illnesses (RAC) has recommended health monitoring for cancers, including lung cancer.  In particular, the 2008 RAC report cited findings by the Institute of Medicine (IOM) that lung cancer is associated with combustion byproducts.  The report, as well as more recent reports and recommendations by the RAC, have detailed serious concerns with VA's lack of adequate medical surveillance related to cancer and other serious diseases.  

These and other reports, recommendations, and research are provided at the end of the news story, below.  More information can also be found here on 91outcomes by searching on "lung cancer," including an April 2012 post, "Higher Rates of Lung Cancer Among Gulf War, Other Veterans; Immediate Medical Research Funding Availability through CDMRP."  

Yet DoD and VA officials and bureaucrats to date have failed to act to implement lung cancer risk assessments among Gulf War veterans and screening for those deemed at risk, leading to one of many ongoing advocacy missions for the VSO's and health advocacy organizations like the Lung Cancer Alliance in Washington, DC.  

As an affected Gulf War veteran myself, one whose lung issues began in the Kuwait in 1991 and have never subsided, I can personally attest to years of battles within the VA healthcare system to get appropriate diagnostic testing and care.  Finally in 2009 -- after 15 years of fruitless battles with VA -- private healthcare paid for by expensive private health insurance included a bronchoscopy that provided obvious visible evidence of serious chronic inflammation, consistent with my two decades of lung symptoms -- and a new avenue for treatment.  For veterans like me -- with a long, well documented history of debilitating respiratory issues that began on a particular day in Kuwait in 1991 -- VA has done and continues to do nothing proactive to reach out or to provide anything other than grossly inadequate healthcare related to these Gulf War related lung issues.  

Other veterans besides Gulf War veterans with oil well fire and chemical warfare agent exposures could also be at risk for negative lung outcomes, potentially including those already suffering following exposures to hexavalent chromium exposure at Qarmat Ali and to burn pits in Iraq, Afghanistan, and elsewhere.  

It is high time that ranking officials at VA take action and implement the clearly articulated recommendations of the Lung Cancer Alliance, the Independent Budget VSO's, the RAC, and medical researchers, implement risk assessments for Gulf War (and other potentially at risk veterans), and conduct regular screening for those at higher risk for lung and other cancers.  

It is true that there are health risks associated with the screening procedures, including radiation from CT scans, that must be weighed by health care providers.  But failure to notify veterans at risk, failure to implement plans for risk assessment, and failure to do the sorts of health screening recommended for those at higher risk are all signs of unmistakable DoD and VA failure -- the kind of failure to which Gulf War veterans have grown all too accustomed over the last two decades.  

Special thanks to investigative reporter Karen Hensel for her exceptional work on this expose, and to all involved at WISH-TV8.  It was a privilege to assist you in your investigation.  

-A.H.

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SOURCE: http://www.wishtv.com/dpp/news/i_team_8/veterans-not-told-of-lung-cancer-risk






Veterans not told of lung cancer risk

Updated: Friday, 02 Nov 2012, 10:51 PM EDT
Published : Friday, 02 Nov 2012, 10:27 PM EDT


INDIANAPOLIS (WISH) - An I-Team 8 investigation is already prompting congressional action in Washington D.C. In a six-month long investigation, I-Team 8 uncovered information raising more questions than answers about government accountability to American troops.
I-Team 8’s investigation began with a U.S. Marine in Indianapolis. The investigation is now centered in Washington D.C. as we question top commanders, Veterans Affairs and congressional leaders about the deadly cancer predicted 20 years ago in what some called "The Black Lung Tour."
THE MARINE
Colonel Mark Smith is a fighter.
"I kill freakin' terrorists. That ain't hard. It's what I was born to do. These people kill cancer,” Smith said.
He is a battalion commander — a U.S. Marine.
In 2004 he led 1,200 Marines into one of the fiercest battles of Iraq, the battle of Fallujah. Looking at pictures of the Marines his battalion lost, he says, "I cried like a baby every time we lost one of our outstanding Marines in combat."
Many in central Indiana came to know Mark, also an Indiana State Trooper, his wife and daughters through letters home from Iraq that were featured on WISH-TV.
THE BATTLE
But in those letters years ago, his real battle was just beginning.
"The morning I got up, I had a bizarre pain in my calf," Smith recalled.
At a commanders conference in New Orleans, he was about to take his morning run.
"Being athletic you automatically think strain, sprain, overtraining," he said.
The pain persisted. Doctors found a blood clot in his leg, so they ordered a CT scan.
THE TURN
It was lung cancer.
"The only thing I heard in that room that night was in my own mind, planning my funeral," Smith said.
24-Hour News 8 cameras have spent months documenting how a Marine commander, always prepared, battles cancer.
"This is just something I was completely and utterly unprepared for,” Smith said. “The Marine Corps steels you."
Smith admitted it was hard to get into the car to go for his first double dose of chemotherapy and radiation.
"It's really hard because everything from the time you are diagnosed is about finding 'the new normal,’” he said.
Chemotherapy and radiation became his "new normal."
DAY ONE
Leaving his first day of treatment, Smith describes it as "awesome" then lifts his shirt to show the box outlined in marker on his chest to show the area doctors will hit with radiation. Day after day he undergoes both radiation and chemo — long, hard, grueling treatments.
He sits with an IV in his arm for chemotherapy, holding a book and saying, "This is just the Marine Corps way."
The Marine Battlebook is replaced by Mark's Cancer Battlebook. He fights fatigue and nausea as a Marine — through martial arts, the treadmill and swimming.
"THE BLACK LUNG TOUR"
Sitting on his couch at home, Smith explains where the cancer may have originated.
"My personal belief is Desert Storm," he said.
His team of doctors points to Desert Storm as a possible source for the cancer. When asked if there could be any connection between Smith's lung cancer and his time served in the Gulf War, Dr. Peter Garrett says, "He certainly had exposure."
In 1991 Smith deployed with the 3/24 Marines to Saudi Arabia — "Camp Coyote."
"Prior to the ground war — starting when the Iraqis torched some of the oil wells — we were in a significant path of the smoke from one of those oil fires for a very long time,” he said. “Four to six weeks."
His pictures tell the story.
"At high noon the sky had a blackish blue hue to it. We would routinely, constantly blow our nose and have nothing but black in the Kleenex. It wasn't uncommon to be standing there and another instructor go like this (wipes his nose) to let you know you had black gunk coming out of your nose,” Smith said.
Young and bulletproof, they joked it would kill them one day.
20 YEAR WARNING
I-Team 8 discovered experts sounding the alarm as early as 1991 that deaths "from lung cancer...are expected to rise dramatically..." (Source: John Horgan, The Danger from Kuwait's Air Pollution: Smoke from Oil Fires Threatens Healthy, Scientific American October 1991)
And I-Team 8 uncovered documentation showing Gulf War veterans with a "higher rate" and "substantially higher risk" of lung cancer. (Source: The Congressionally Directed Medical Research Program )
"We've known for years that our veterans are being diagnosed and dying of lung cancer at higher rates than civilians," Admiral T. Joseph Lopez, USN (Ret) said. He's on record saying early "screening not only saves lives but money."
NO ACCOUNTABILITY
While Veterans Affairs has been urged to offer CT screenings for veterans at high risk for lung cancer so far, the VA has not implemented it — relying solely on the less efficient X-rays. Remember, it was civilian doctors who discovered stage 3b cancer in Smith with a CT Scan. So if doctors, the VA, and the military all know veterans from the Gulf War are at higher risk: Why isn't DOD notifying those at higher risk and why isn't the VA screening them aggressively?
Should Smith have been on a priority list to be screened each year? His medical records show after returning from the Gulf War in 1991 he was diagnosed with asthma. The records show an abnormality on his right upper lobe — the same spot now riddled with cancer. I-Team 8 showed those medical records to his current doctor, asking if there is a correlation.
"Could be but I couldn't tell you for sure there was," Dr. Garrett said.
When told Smith believes the cancer originates to his time served in Desert Storm Garrett replied, "Could be."
RESEARCH BACKS WARNING
Even at the time, British scientists predicted a jump in lung cancer over the following 20 years. (Source: American University International Law Review "Environmental Terrorism: Lessons from the Oil Fires of Kuwait" 1991 Volume 10/Issue 1)
Dr. Garrett confirms it can take that long for the cancer to develop. Smith is right on target. So, if members of the military are coming back and there is a higher risk and higher rate of lung cancer that has been documented, are members of the military supposed to just wait for it to show up?
"Well, I think that is the role for the Department of Defense," Dr. Garrett said.
ALWAYS A MARINE
Smith wore his uniform for his final treatment — the same uniform that may have led to the cancer.
"One of his nurses said, ‘What is the occasion?’ He goes, 'Last treatment.' Then he said he just wanted to show respect,” Mark's daughter Nichole explained.
Respect for his Marines he still considers on his watch.
"I knew when he said that even though they are up in heaven, they were part of the team too,” Nichole said. “Part of him fought it (the cancer) because they didn't have the choice or the chance to fight something like that if it ever came up. I know a part of him did it for them and their families too."
PROGNOSIS
Smith has spent a career fighting terrorists to protect American lives. Now his fight is for his own life.
"The prognosis is good,” he said through tears. “Chances are everything will work out. But if they don't, I worry about others."
Asked if he means his daughters he breaks down with emotion and simply says, "Yeah."
And other Marines. At risk. Dying. Unaware.
I-TEAM 8 INVESTIGATION PROMPTS CONGRESSIONAL ACTION
Through months of research and digging for answers, I-Team 8 uncovered a disturbing trend. We discovered documentation that governments of Kuwait, Saudi Arabia and the United States suppressed information and a "gag order" led to a scarcity of data. (Source: John Horgan "Why are Data Being Witheld? Scientific American, July 1991) (Source: William Booth, Washington Post June 25, 1991. Also, Daphne Bramham Black Death in the Gulf: Environmentalists Accue Governments of Playing Down Potential Dangers from Blazing Oil Wells, Vancouver Sun July 27, 1991 B1, B4, B6)
Indiana Congressman Marlin Stutzman, Indiana's only member on the House Veterans Affairs committee, is launching his own investigation.
"After hearing about this case, I am very concerned,” Stutzman said. “This is an issue that needs to be brought to the immediate attention of the VA and DOD. I know one thing, being proactive in regard to early detection is the best prevention for cancer. We also need to make sure high-risk soldiers and Marines are getting the appropriate notification so they can be screened in a timely fashion. I will be following this story very closely."

Research and resources:

New CDMRP Studies to Assess Gulf War Veterans' Health Status, Develop GWI Blood Test


The studies below are funded by the Congressionally Directed Medical Research Program (CDMRP) on Gulf War  Illness (GWIRP).  

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Source: http://www.baylor.edu/mediacommunications/news.php?action=story&story=124821



Baylor University Scientist Receives Major Grants for Health Research on 1991 Gulf War Veterans


NOV. 1, 2012
Follow us on Twitter: @BaylorUMediaCom

Media contact: Frank Raczkiewicz, Assistant Vice President for Media Communications, (254) 710-1964
WACO, Texas (Nov. 1, 2012) - Baylor University has been awarded two new federal grants for research on Gulf War illness, the complex medical condition that affects veterans of the 1991 war. The grants, from the Office of Congressionally Directed Medical Research Programs of the U.S. Department of Defense, total nearly $1.6 million, and bring current federal funding for Baylor's Gulf War research program to over $2.3 million.
"These grants will support our intensive effort to find answers for the many thousands of veterans still suffering from Gulf War Illness," said Lea Steele, Ph.D., the Baylor University epidemiologist who directs the program. The funding supports projects to address multiple aspects of the problem, including studies on the biological processes causing veterans' symptoms and development of a nationwide network to advance health research, particularly studies leading to effective treatments, for Gulf War illness.
Gulf War illness is the term commonly used for the symptomatic condition that affects military personnel who served in the 1990-1991 Gulf War. Symptoms typically include some combination of chronic headache, widespread pain, memory and concentration difficulties, and digestive and other abnormalities - problems that are not explained by medical or psychiatric diagnoses or by routine laboratory tests.
Studies indicate at least one in four of the 700,000 military personnel who served in the 1990-1991 war are affected, and that few have recovered over time.
"Gulf War illness may no longer be as high profile as health issues from more recent wars in Iraq and Afghanistan, but it remains a very serious problem for many thousands of ill veterans," said Steele, who is research professor in the Baylor Institute of Biomedical Studies. "This work is especially important here in Central Texas, which is home to one of the largest concentrations of 1991 Gulf War veterans in the country."
The federal grants awarded to Baylor support three separate projects. For the first study, funded in 2011, Baylor is partnering with Scott & White Healthcare to provide clinical assessments, including an in-depth look at the brain, the immune system, and diverse other measures in Gulf War veterans. "This project should give us a clearer picture of the complex biological processes that drive veterans' symptoms," Steele said. "This is an essential step for improving the care provided for ill veterans."
The second project will focus on developing a blood test to improve the diagnosis of Gulf War illness. According to Steele, "Gulf War illness is currently defined only on the basis of veterans' symptoms. An objective test to assist in diagnosing this condition would be immensely beneficial to veterans and their healthcare providers, and can also provide an important tool to better understand and treat this condition."
The third project includes a national study to determine the current health status of veterans across the U.S. who served in the 1991 Gulf War. It will also establish an information and research network for veterans to receive periodic updates on health issues, and connect veterans with scientists who are conducting health studies of 1991 Gulf War veterans.
Steele has conducted research on the health of Gulf War veterans since 1998. Before joining the Baylor Institute of Biomedical Studies in 2010, she served as scientific director for the federal Research Advisory Committee on Gulf War Veterans' Illnesses.
"After years of false starts," she said, "research has now provided progress in our understanding of Gulf War illness." She emphasized, however, that despite this progress, many veterans remain ill, since doctors still lack effective methods for diagnosing and treating Gulf War illness. She added that "We believe these answers can be found, and are especially pleased to be partnering with Scott & White to address this problem, given its importance for veterans in Central Texas."

ABOUT BAYLOR UNIVERSITY
Baylor University is a private Christian university and a nationally ranked research institution, characterized as having "high research activity" by the Carnegie Foundation for the Advancement of Teaching. The university provides a vibrant campus community for approximately 15,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating university in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 11 nationally recognized academic divisions. Baylor sponsors 19 varsity athletic teams and is a founding member of the Big 12 Conference.