Tap Broader Expertise To Tackle New Gulf Illness
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  1. #1

    Cool Tap Broader Expertise To Tackle New Gulf Illness

    USA Today, August 19, 2003
    Pg. 10

    Our View

    Tap Broader Expertise To Tackle New Gulf Illness

    Army Spc. Joshua Neusche, a strapping former high school track star, died
    July 12. The 20-year-old was one of two soldiers to succumb to a mysterious
    outbreak of pneumonia that has affected more than 100 U.S. troops in Iraq
    and the region since March 1. Though the Pentagon has dispatched two
    emergency medical teams to investigate, Neusche's parents in Missouri worry
    that the investigation may not find the truth.

    The Neusches' fears echo frustrations voiced in 1991, when veterans of that
    Gulf War began to fall ill with what came to be known as Gulf War Syndrome.
    For years, the Pentagon dismissed the mysterious symptoms, from fatigue to
    neurological problems, that eventually plagued about one-third of all
    veterans of the first Gulf War.

    Twelve years later, much separates the pneumonia outbreak from Gulf War
    Syndrome, which emerged more gradually and with less-identifiable symptoms.
    To date, the pneumonia outbreak is far more limited. And with two medical
    teams currently conducting an investigation, the Pentagon is taking it
    seriously.

    But the military is repeating one mistake from its Gulf War experience. It
    is limiting the involvement of the federal Centers for Disease Control and
    Prevention. The CDC could provide the best comprehensive probe into the
    pneumonia cases and head off suspicions that the Pentagon is putting troops'
    health at risk or hiding information.

    The Pentagon missed that opportunity once; it shouldn't again. When early
    symptoms of Gulf War Syndrome surfaced, the Pentagon failed to ask for a
    full CDC investigation. Yet, CDC teams are trained to move quickly to
    identify illnesses, their causes and how to treat them. Their expertise and
    their independence from the Pentagon make them best qualified to:

    Ensure proper data collection. Congress in 1997 mandated thorough health
    screenings for troops being deployed in any conflict as well as detailed
    monitoring of battlefield conditions. The aim is to avoid a lack of
    comprehensive data from the second Gulf War. The Pentagon insists that it
    has fully complied, but Gulf War veterans' groups disagree.

    Accurately assess the outbreak. The Pentagon says the more than 100 cases of
    pneumonia do not "exceed expectations," since 400 to 500 U.S. military
    personnel are hospitalized with pneumonia every year. Still, it's concerned
    that two soldiers have died and 18 have been sick enough to require a
    ventilator. The CDC can best evaluate whether, as the Pentagon maintains so
    far, no evidence suggests the cases are linked and there is no indication
    they are caused by chemical or biological weapons, SARS or environmental
    toxins.

    A CDC spokesman said teams were ready to deploy to Iraq if asked. But a
    Pentagon spokesperson said that the CDC's current role is sufficient. It is
    using CDC experts as consultants, including one who last week joined a team
    analyzing data from hospitalized patients in Iraq and Germany.

    In the 1990s, the Pentagon's refusal to give the CDC a key role in
    investigating Gulf War Syndrome needlessly added to the suspicions and
    questions about how the military handled the illness.

    The Neusches wrote Defense Secretary Donald Rumsfeld last week and asked for
    an independent assessment of how their son died. Honoring the request would
    help put their worries - and the public's - to rest.




    -*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
    "Support Our Soldiers"
    -*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
    United We Stand
    God Bless America
    *****
    Were it not for the brave,
    there would be no Land of the Free!
    Remember our POW/MIA's
    I'll never forget!



    http://www.usatoday.com/news/opinion...our-view_x.htm

    also see DOD web site
    http://www.deploymenthealth.mil/clinicians/default.asp


    Sempers,

    Roger


    IN LOVING MEMORY OF MY LATE HUSBAND, SSgt Roger A. Alfano, USMC
    ONE PROUD MARINE
    1961-1977
    Vietnam 1968/69
    Once a Marine...Always a Marine

    https://www.facebook.com/profile.php?id=1204617174

  2. #2

    Cool DoD Reports Progress in Pneumonia Investigation

    DoD Reports Progress in Pneumonia Investigation

    No. 621-03
    IMMEDIATE RELEASE
    Aug 22, 2003
    (703)697-5131(media)
    (703)428-0711(public/industry)

    DoD Reports Progress in Pneumonia Investigation

    The Department of Defense announced today progress on the investigation of a number
    of cases of pneumonia among military members deployed for military operations in
    Southwest Asia.

    "From what we have learned so far, it appears there are a series of unusual
    pneumonia cases that have occurred in Southwest Asia. These cases do not represent
    an epidemic, and it is not being spread through person-to-person contact. We are
    making significant progress in eliminating a number of possible causes, such as SARS
    and vaccines. Our investigatory process is helping to determine if there is a
    single explanation, or if there are multiple cases," said Dr. William Winkenwerder,
    assistant secretary of defense for health affairs. "Understanding the cause is
    important to prevent future cases."

    To date, the investigation has found evidence that two of the non-fatal cases were
    associated with *Streptococcus pneumoniae*, the most common cause of bacterial
    pneumonia. Col. Bruno Petruccelli, director, epidemiology and disease surveillance
    at the U.S. Army Center for Health Promotion and Preventive Medicine, said, "There
    is evidence that 10 of the cases have shown a higher than usual number of blood
    cells of one specific type called eosinophils. An increase in this type of white
    blood cell can occur in a variety of medical conditions, for example, infections,
    asthma, hay fever and allergies. Medical personnel are trying to determine why some
    of the 19 patients with severe pneumonia showed an increase in these cells."

    Petruccelli also said, "It is our duty to patients and family members to ensure that
    we have done everything we can to understand what has happened. We must take
    whatever time is needed to do a thorough job of gathering and analyzing information
    about these pneumonia cases. Our work is progressing well."

    No other common infectious agents, evidence of exposure to chemical or biological
    weapons, severe acute respiratory syndrome (SARS), or environmental toxins have been
    identified. Among the several hundred thousand deployed servicemembers in Southwest
    Asia over the past six months, approximately 100 have developed pneumonia. The rate
    is consistent with what might be expected for a healthy population of similar ages
    to our service members. The concern, however, is about the smaller number of
    servicemembers, now identified as 19 cases, who developed severe pneumonia. Two
    servicemembers have died from the disease, the first in Iraq on June 17 and the
    second in Germany on July 12. The Office of the Armed Forces Medical Examiner is
    determining specific cause or causes of death.

    From March - August 2003, 17 soldiers, one Marine, and one sailor have developed
    pneumonia serious enough to warrant medical evacuation for ventilator (respirator)
    support. Fourteen of these members responded to standard treatment for pneumonia,
    recovered from their illness, and returned to duty. Three remain hospitalized.

    Two of the 19 serious cases became ill in March, two in April, one in May, six in
    June, four in July, and four so far in August. Of the serious cases no two
    individuals (18 men and one woman) were from the same unit. Thirteen of the cases
    became ill in Iraq and six were in other Central Command countries, including
    Kuwait, Qatar, Uzbekistan, and Djibouti.

    Among the investigative efforts underway are two Army Epidemiological Consultation
    (EPICON) teams. One team is in Iraq looking for commonalities among the cases-for
    example, time, place or symptoms-and whether anything in the nature of the cases is
    unusual when compared with similar DoD members, whether deployed or not, and U.S.
    civilian populations. A second team has been at Landstuhl Regional Medical Center,
    Germany, where most of the pneumonia cases have been treated following medical
    evacuation from Southwest Asia.

    A scientist from the Centers for Disease Control and Prevention (CDC) has joined the
    consultative team at the Walter Reed Army Institute of Research, where all
    information from the Germany and Iraq EPICON teams is being gathered, analyzed and
    evaluated. The Department also has engaged the expertise of several members of the
    Armed Forces Epidemiology Board (AFEB), which is an advisory committee of eminent
    civilian scientists and physicians. These Board members are providing the
    Department with consultative expertise during the investigation. The CDC's
    associate director for epidemiologic science, and a member of the AFEB, is also
    involved in this investigative review. The EPICON teams and other investigators
    will make preventive or corrective recommendations based upon their findings.

    Pneumonia is a common illness worldwide in all populations. In the Army, for
    example, pneumonia is serious enough to warrant hospitalization for about 9 of every
    10,000 soldiers each year, resulting in 450-500 total cases Army-wide. According to
    U.S. medical statistics for the year 2000, this rate is very similar to the rate for
    the general population of those between the ages of 15 and 45 (10.5 of 10,000 per
    year). Therefore, the approximately 100 total cases of pneumonia do not exceed a
    normal, expected rate for this disease, despite the harsh environmental conditions
    found in Southwest Asia. While death from pneumonia is rarely seen in young,
    otherwise healthy populations -- such as the military, it does occur. For example,
    from 1998 through 2002, 17 Army members (worldwide) have died from pneumonia or from
    complications of pneumonia.

    Winkenwerder said, "Our work is progressing well in the continuing investigation of
    these pneumonia cases. So far, we are able to rule out several sources of this
    illness -- such as SARS. However, we are deeply saddened at the loss of our service
    members, and we share in the desire of their families, friends and commanders to
    identify the cause of this illness. We are committed to providing world-class care
    for our people and we will pursue this pneumonia investigation until answers are
    found.

    News Releases: http://www.defenselink.mil/releases/
    -- DoD News: http://www.defenselink.mil/news/dodnews.html

    -*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
    "Support Our Soldiers"
    -*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
    United We Stand
    God Bless America
    *****
    Were it not for the brave,
    there would be no Land of the Free!
    Remember our POW/MIA's
    I'll never forget!

    Sempers,

    Roger


    IN LOVING MEMORY OF MY LATE HUSBAND, SSgt Roger A. Alfano, USMC
    ONE PROUD MARINE
    1961-1977
    Vietnam 1968/69
    Once a Marine...Always a Marine

    https://www.facebook.com/profile.php?id=1204617174

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