Department of Veterans Affairs

Agent Orange Brief

B4


Prepared by the Environmental Agents Service (131)

VA Central Office, Washington, DC 20420

December 1997


VA INFORMATION RESOURCES ON AGENT ORANGE AND RELATED MATTERS


Review of literature on Herbicides, Including Phenoxy Herbicides and Associated Dioxins - This multi-volume document was primarily designed for use by researchers, physicians, scientists, and others with similar backgrounds. The initial review was mandated by Public Law 96-151 in December 1979. The first two volumes were released in 1981. Updates (in two volume sets) were issued in 1984 and each year thereafter through 1994. The review has been prepared by independent contractors. Because the National Academy of Sciences is reviewing the scientific literature on the effects of herbicides and reporting biannually to the Secretary of Veterans Affairs, this project was discontinued.

Volume I Analysis of Literature $9.00
GPO Stock No. 051-000-00154-1
October 1981

Volume II Annotated Bibliography $9.50
GPO Stock No. 051-000-00155-9
October 1981

Volume III Analysis of Literature $9.50
GPO Stock No. 051-000-0164-8
April 1984

Volume IV Annotated Bibliography $3.25
GPO Stock No. 051-000-0165-6
April 1984

Volume V Analysis of Literature $6.00
GPO Stock No. 051-000-00-173-7
July 1985

Volume VI Annotated Bibliography $2.75
GPO Stock No. 051-000-00-173-5
July 1985

Volumes VII Analysis of Literature and Annotated Bibliography $7.50
and VIII GPO Stock No. 051-000-00186-9 (combined document)
October 1986

Volumes IX Analysis of Literature and Annotated Bibliography
and X Not available from GPO (combined document)
July 1987

Volumes XI Analysis of Literature and Annotated Bibliography
and XII Not available from GPO (combined document)
July 1988

Volumes XIII Analysis of Literature and Annotated Bibliography
and XIV Not available from GPO (combined document)
June 1989

Volumes XV Analysis of Literature and Annotated Bibliography
and XVI Not available from GPO (combined document)
May 1990

Volumes XVII Analysis of Literature and Annotated Bibliography
and XVIII Not available from GPO (combined document)
August 1991

Volumes XIX Analysis of Literature and Annotated Bibliography
and XX Not available from GPO (combined document)
June 1992

Volumes XXI Analysis of Literature and Annotated Bibliography
and XXII Not available from GPO (combined document)
June 1993

Volumes XXIII Analysis of Literature and Annotated Bibliography
and XXIV Not available from GPO (combined document)
June 1994

Synopsis of Scientific Literature on Phenoxy Herbicides and Associated Dioxins - These documents summarize in non-technical language the literature reviews cited above. Number 1 in the synopsis series corresponds with Volumes I - IV of the literature review; Number 2 with Volumes V - VI; Number 3 with Volumes VII - VIII; Number 4 with Volumes IX - X; Number 5 with Volumes XI - XII; Number 6 with Volumes XIII - XIV; Number 7 with Volumes XV - XVI; Number 8 with Volumes XVII - XVIII; Number 9 with Volumes XIX - XX; Number 10 with Volumes XXI - XXII; and Number 11 with Volumes XXIII -- XXIV.

Monographs - The VA's Agent Orange Projects Office (now known as the Environmental Agents Service) published several technical documents of interest to individuals concerned about the use of herbicides in Vietnam:

Cacodylic Acid: Agricultural Uses, Biologic Effects, and Environmental Fate by Ronald D. Hood, Ph.D. - GPO Stock No. 051-000-00177-0 - $6.00 December 1985

Birth Defects and Genetic Counseling by Annemarie Sommer, M.D.
October 1985

Human Exposure to Phenoxy Herbicides by Terry L. Lavy, Ph.D. - NTIS Accession No. PB- $19.95
May 1987

To purchase items with GPO stock numbers, write to the Superintendent of Documents, United States Government Printing Office, Washington, DC 20402. Please note that some of the GPO documents may be out of stock.

To purchase the monograph with the NTIS accession number, write to the U.S. Department of Commerce, National Technical Information Service, Springfield, VA 22161. The Environmental Agents Service (131), Department of Veterans Affairs, 810 Vermont Avenue, N.W., Washington, DC 20420, has a limited supply of many of these documents. These items are also maintained in all VA medical center libraries.

Agent Orange Review - From 1982 to 1989, this newsletter was prepared by the VA's Office of Public Affairs in Washington, DC, with the assistance of the VA's Environmental Agents Service. In 1989, the Environmental Agents Service -- then called the Environmental Medicine Office -- assumed primary responsibility for this publication. The "Review" is published periodically to provide information on Agent Orange to concerned veterans and their families. The newsletter provides updated information about Federal government studies and activities related to Agent Orange and the Vietnam experience. Anyone interested in getting a copy of the "Review" should contact the Agent Orange Coordinator at the nearest VA medical center or the Environmental Agents Service (131), Department of Veterans Affairs, 810 Vermont Avenue, N.W., Washington, DC 20420.

Agent Orange Videotapes - The Regional Learning Resources Service at the VA Medical Center in St. Louis, Missouri, has produced several Agent Orange videotape programs with the assistance of the Environmental Agents Service. These programs explain what Agent Orange was, where, when, and how it was used, why concerns arose among those exposed to it, and what VA and other departments and agencies are doing in response to these concerns. The videotapes are maintained at many VA medical centers.

Agent Orange Brief - The paper you are now reading is one of a series of two-to-ten page fact sheets, prepared by the Environmental Agents Service, to help answer questions about Agent Orange and related matters. The series is updated on a regular basis. The Agent Orange Coordinator at all VA medical centers should have copies of all Agent Orange Briefs. Questions or ideas concerning these fact sheets should be directed to the Environmental Agents Service (131), Department of Veterans Affairs, 810 Vermont Avenue, N.W., Washington, DC 20420.

VA Field Staff - Each VA medical center has a Registry Physician and an Agent Orange Coordinator. Registry Physicians are responsible for the clinical management of the Agent Orange program at the VA facility where they work. These doctors meet with concerned veterans, conduct examinations, document medical programs, and answer health-related questions from Vietnam veterans and their families. Agent Orange Coordinators handle Agent Orange program administrative matters at VA health care facilities. They schedule appointments, review records for accuracy and completeness, and collect data for reporting purposes.

Veterans Benefit Counselors (VBC) located in VA regional offices and many medical centers possess a wealth of information about the wide range of VA benefits. These counselors have all the forms necessary to apply for VA benefits, including disability compensation and dependency and indemnity compensation. VBC's also assist veterans and their survivors in completing these forms, if necessary.

VA vet center personnel also are very helpful to Vietnam veterans experiencing difficulties readjusting to civilian life. There are more than 200 vet centers nationwide. Vet centers offer individual, group, and family counseling.

VA National Headquarters - The Environmental Agents Service in Washington, DC, is an excellent source of information about Agent Orange. The office was organized more than sixteen years ago. While the staff is quite small, many veterans have found the personnel to be very helpful. Comments, suggestions, and criticisms about VA's Agent Orange program are always welcome. The mailing address is Environmental Agents Service (131), 810 Vermont Avenue, N.W., Washington, DC 20420. The telephone number is 202-273-8580.

Non-VA sources - Veterans service organizations (such as The American Legion, veterans of Foreign Wars of the United States, Disabled American Veterans, Vietnam Veterans of America, VietNow) and State government entities (such as Agent Orange Commissions, Departments or Divisions of Veterans Affairs, Departments of Health) have also assisted many veterans.

National Academy of Sciences (NAS) - Under a contract with VA, the Institute of Medicine, a component of the NAS, prepared an 832-page report, entitled Veterans and Agent Orange: Health Effects of Herbicides Used in Vietnam. The report, released in July 1993 and available in hardbound form with a 1994 copyright, provides a historical review of the issue, examines studies of populations environmentally and occupationally exposed to herbicides and dioxin, and discusses problems in study methodology. The core of the book presents what is known about the toxicology of dioxin and the herbicides used in greatest quantities in Vietnam, what is known about assessing exposure to herbicides and dioxin, what can be determined from the wide range of epidemiological studies conducted by different authorities, and what is known about the relationship between exposure to herbicides and dioxin, and cancer, reproductive effects, neurobehavioral disorders, and other health effects.

In March 1996, the NAS released a 384-page report, entitled Veterans and Agent Orange: Update 1996. This book updates and evaluates available scientific evidence regarding statistical associations between disease and exposure to dioxin and other chemical compounds in herbicides used in Vietnam, focusing on new scientific studies and literature published since the completion of the initial NAS report. The update gives special attention to the relationship between exposure to herbicides and the development of birth defects and transient peripheral neuropathy, as well as the subsequent development of prostate, hepatobiliary, nasopharyngeal, and other cancers. It explores the relationship between the length of time since first exposure and the possible risk of cancer development. The publication reviews and summarizes the strength of scientific evidence concerning the association between herbicide use in Vietnam and each disease suspected to be associated with such exposure.

Single copies of the NAS books were distributed to all VA medical center libraries. Organizations or individuals interested in purchasing these documents can contact the publisher: National Academy Press, 2101 Constitution Avenue, N.W. Box 285, Washington, DC 20055. The telephone numbers are 1-800-624-6242 and 202-334-3313. The NAS is a private, nonprofit society of distinguished scholars engaged in scientific and engineering research. Established in 1863, the NAS is dedicated to the furtherance of science and technology and to their use for the promotion of general public welfare.

Congressional committees, especially the House Committee on Veterans' Affairs and the Senate Committee on Veterans' Affairs, have collected a great deal of information regarding the possible long-term health consequences of exposure to Agent Orange.

DioxinKills!

Agent Orange Brief

| A1 | A2 | B1 | B2 | B3 | B4 | C1 | C2 | C3 |

| D1 | D2 | D3 | D4 | D5 | D6 | D7 | D8 | D9 | D10 | D11 |


Hosted by www.Geocities.ws

1