Presidential Advisory Committee on Gulf War Veterans' Illnesses
Final Report
CONTENTS
RECOMMENDED CITATION
MEMORANDUM
EXECUTIVE SUMMARY
MAP
Chapter 1: Introduction
The Government's Initial Response
The Advisory Committee
Purpose and Organization of the Final Report
Chapter 2: The Government's Response
Outreach
Departmental Responses
Issues New to This Report
Outreach Concerning Benefits and Medical Services
Military Media
Risk Communication
Findings Regarding Outreach
Medical and Clinical Issues
DOD's Response
FDA's Response
Issues New to This Report
Access to Health Care
Reproductive Health Services
Prevention of Combat-related Stress Reactions
Findings Regarding Medical and Clinical Issues
Research
Departmental Responses
Issues New to This Report
Management of the Federally Funded Research Portfolio
Content of the Research Portfolio
Findings Regarding Research
Chemical and Biological Weapons
DOD and CIA Responses
Issues New to This Report
Evidence of Exposure
Search for Evidence
Findings Regarding Chemical and Biological Weapons
Coordination
Coordinating Efforts Specific to Gulf War Health Issues
Anticipating Post-conflict Health Concerns
Findings Regarding Coordination
Summary
Recommendations
Outreach
Medical and Clinical Issues
Research
Chemical and Biological Weapons
Coordination
Chapter 3: Nature of Gulf War Veterans' Illnesses
Data From Clinical Programs
Data from Epidemiologic Studies
Data on Stress-related Disorders
Data on Undiagnosed Illnesses
Illness Among Family Members
Summary
Findings
Recommendations
Chapter 4: Gulf War Risk Factors
Exposure to Risk Factors in the Gulf
Exposure to Pesticides
Exposure to Chemical Warfare Agents
Exposure to Biological Warfare Agents
Exposure to Vaccines
Exposure to Pyridostigmine Bromide
Exposure to Infectious Diseases
Exposure to Depleted Uranium
Exposure to Oil-well Fire Smoke
Exposure to Petroleum Products
Exposure to Psychological and Physiological Stress
Health Effects of Gulf War Risk Factors
Pesticides
Chemical Warfare Agents
Biological Warfare Agents
Anthrax and Botulinum Toxoid Vaccines
Pyridostigmine Bromide
Endemic Infectious Diseases
Depleted Uranium
Oil-well Fire Smoke
Petroleum Products
Psychological and Physiological Stress
Summary
Findings
Recommendations
References
Appendix A: Executive Order 12961
Appendix B: Advisory Committee Charter
Appendix C: Advisory Committee Members
Appendix D: Advisory Committee Staff
Appendix E: Advisory Committee Meetings
Appendix F: Federally Funded Research on Gulf War Veterans' Health Through Fiscal Year 1996
Appendix G: Findings of the Interim Report
Appendix H: Acknowledgments
List of Acronyms