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Agent Orange use 'understated'


By Richard Black
BBC Science correspondent

The United States military used much more Agent Orange and other defoliant spray during the Vietnam war than previously thought, scientists say.

Vietnamese Agent Orange victims

Many Vietnamese have been affected by Agent Orange

A new study of US military records also found that the amount of cancer-causing dioxin chemicals in the spray has been seriously underestimated.

The report, commissioned by the US Government, is the culmination of a five-year project by environmental health experts at New York's Columbia University.

Between 1961 and 1971, the US military sprayed parts of southern Vietnam with defoliant chemicals - such as Agent Orange - with the aim of allowing the Americans and their South Vietnamese allies to spot Vietcong forces moving in the forests.

The Columbia team painstakingly examined operational records of individual spraying missions in Vietnam, and cross-referenced them with procurement records showing which kinds of defoliant were used at which times.

We think there was at least twice as much dioxin as had been thought before - and that number is a conservative estimate

Professor Jeanne Stellman

They conclude that 77 million litres of Agent Orange were used - rather than 70 million litres as has been estimated previously.

But according to project leader Professor Jeanne Stellman, the most significant finding concerns dioxins - chemicals known to cause cancer.

"We think there was at least twice as much dioxin as had been thought before - and that number is a conservative estimate because it seems very likely that much of the earlier Agent Orange was much more heavily contaminated with dioxin," Professor Stellman said.

'Millions' affected

Her team has published their work in the scientific journal Nature.

But it also forms part of a report which the US Department of Veterans Affairs commissioned from the National Academy of Sciences.

It will almost certainly increase pressure within the United States for a comprehensive medical assessment of veterans exposed to Agent Orange, but also pressure from within Vietnam for assistance and compensation.

The Columbia team concludes that "millions of Vietnamese were likely to have been sprayed upon directly".

Previous research has found that some Vietnamese have 200 times the normal level of dioxin in their bodies.

 

 

 

Agent Orange hotspots located

Map, BBC

By BBC Science's Helen Sewell

Scientists investigating the effects of Agent Orange in Vietnam have found that people living in a so-called hotspot have the highest blood levels of its poisonous chemical dioxin ever recorded in the country.

Agent Orange, which has the dioxin (TCDD - short for 2,3,7,8-tetrachlorodibenzo-p-dioxin) as one of its constituents, was last used in 1973.

But today, some residents of Binh-Hoa, near Ho Chi Minh City, have 200 times the background amount of dioxin in their bloodstreams.

Agent Orange was widely used by the US military during the Vietnam War as a defoliant so that Vietnam's dense jungle could not provide cover for Viet Cong forces.

'Startling' results

It was when US veterans started to become ill with a variety of health problems that investigations suggested that Agent Orange could be involved.

The most dangerous ingredient was the dioxin, a pollutant that stays in the environment for decades.

There are still about 12 dioxin hotspots in Vietnam, in areas where very heavy spraying took place.

Scientists from the United States have been working with the Vietnamese Red Cross in these areas, testing residents to see whether they are suffering any ill effects.

The lead scientist, Professor Arnold Schecter of the University of Texas, says they are "very startled" by the results.

Export worry

In a paper to be published in the journal Occupational and Environmental Medicine, he says that in Binh-Hoa, 95% of people sampled had elevated levels of dioxin in their bloodstream, and some had 200 times the average amount.

Dioxins, which include TCDD and other related compounds, can cause cancers and problems with reproductive development, the nervous and immune systems.

It is thought the high levels of dioxin found in Binh-Hoa residents result from the chemical leaching into watercourses where it is absorbed by fish and ducks, which form part of the Vietnamese diet.

The issue is very sensitive for Vietnam, which exports these foods all over the world.

Deal reached on Agent Orange

Vietnam War children thought to be affected by Agent Orange

Vietnam says up to a million people were affected

Hanoi and Washington are to research jointly the effects of the notorious chemical defoliant Agent Orange, which the US armed forces sprayed on Vietnam during the Vietnam War.

The issue has long dogged relations between the former enemies, with Vietnam's authorities alleging that the health of up to a million people has been severely damaged.

Both sides were gratified with the spirit of co-operation and scientific discussion


US embassy statement

When he was in office, former US President Bill Clinton called for more international research into Agent Orange, and Tuesday's breakthrough accord will free up US funds to do just that.

The US Congress has already approved funding for the studies, but the release of that money was contingent on the two sides reaching agreement on how to conduct the research.

Scientists representing the two governments met in the Vietnamese capital and agreed to conduct a study to screen soil for its most dangerous chemical component, dioxin.

There will also be a joint Vietnam-US scientific conference on human health and environmental effects of Agent Orange, tentatively arranged for April 2002 in Vietnam.

Carcinogenic

The Hanoi meeting was the first between the two sides after five days of talks on joint research broke down in Singapore last November.

A statement from the US embassy in Hanoi said both sides were "gratified with the spirit of co-operation and scientific discussion".

Vietnam War USA combat helicopters

US troops sprayed Agent Orange over the Vietnamese jungle

"[They] look forward to future interactions and continued progress in addressing research collaboration on dioxin and related compounds, a scientific issue of importance to both countries," it said.

US troops sprayed millions of gallons of Agent Orange and other defoliants on Vietnam between 1962 and 1971 to deny jungle cover to communist fighters who eventually triumphed in 1975.

The chemicals were contaminated by TCDD, the most dangerous form of dioxin, which is a known carcinogen.

Washington, however, has consistently argued there is no solid scientific proof that Agent Orange caused, as Vietnam and some US veterans say, a wide range of illnesses, including tens of thousands of mental and physical birth defects.

Many US scientists doubt that the problem is that widespread and argue that more research is needed to establish exactly what impact dioxins have on human health.

Wednesday, 15 November, 2000, 17:47 GMT

Agent Orange's toxic legacy

Nguyen Thuong Hai at centre for Agent Orange victims

Is Agent Orange affecting a third generation?

By Owen Bennett-Jones in Hanoi

One of the key issues likely to come up during President Bill Clinton's visit to Vietnam this week is the legacy of Agent Orange, the toxic defoliant used by US forces which has been blamed for huge numbers of birth defects.

US soldier fighting

Agent Orange was used to destroy tree cover

The Vietnamese authorities say they fear that illnesses caused by Agent Orange are now being passed on to a third generation of victims.

During the war in Vietnam the Americans sprayed millions of gallons of Agent Orange on the country in an attempt to deny food and cover to the enemy.

To Tien Hoa is a 65 year old grandfather who spent seven years fighting against the Americans.

He was repeatedly sprayed by agent orange. "My son was born with a deformed foot and now my grandson has no legs and a deformed hand. I can confirm this is because of Agent Orange."

Nguyen Kim Thoa, 15, at centre for Agent Orange victims

This girl's skin is covered in black spongy blotches

Scientists say it is not that simple. The US does pay compensation to some of its own serviceman for Agent Orange related illnesses, but proving a link between various medical conditions and Agent Orange is difficult and highly controversial.

There is, however, widespread agreement the dioxin which Agent Orange contained is very dangerous.

Some parts of Vietnam, especially the sites of former US air bases where the herbicide was stored, have high concentrations of dioxin.


The US sprayed 20 million gallons over Vietnam

The most thorough survey yet has been conducted by a Canadian, Chris Hatfield, who says that in some places it appears dioxin has not really reduced at all.

"Dioxin has moved from the soils to the sediment of fish ponds and into the fish themselves that are raised in the ponds for food - right up into the blood and breast milk," he added.

Clean-up

Le Van Chien, born with no legs

This child was born with no legs

The suspicion that 25 years after the war, dioxins could still be infecting foetuses through the placenta and infants through breast milk has added urgency to the demands for a clean up.

"So far the Vietnamese government has not been able to do anything to clean up," said Professor Le Cao Dai, the Executive Director of the Agent Orange Victim Fund and one of Vietnam's leading experts on the issue.

To break down dioxin, affected soil has to be heated to very high temperatures - an expensive process.

Dr. Nguyen Thi My Hien with an Agent Orange victim

Many handicapped come from villages that were sprayed

President Clinton is expected to stress the US's commitment to international research on the issue.

In recent months the US has also, for the first time, begun to discuss the possibility of providing technical assistance for a clean-up of Agent Orange.

Pete Peterson, the US ambassador in Vietnam and a former prisoner of war during the conflict, says they are beginning a "full research effort on Agent Orange".

Friday, 19 November, 1999, 12:13 GMT

Vietnam War poison

Julian Pettifer speaks to Kim Thoa: is she a victim of Agent Orange?

By Arlene Gregorius

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Kim Thoa is a bright and cheerful fourteen-year old girl from the North of Vietnam. She speaks some English, and has a talent for drawing and painting. She also suffers from a very disfiguring skin condition: her face and body are covered in patches of inky-black, scaly skin.

Listen to this programme in full

That's why she's taught at Than Shuan Peace Village, one of several special boarding schools in Vietnam for children with a range of mental and physical disabilities. Why should Thoa's black skin patches put her in a class with pupils who have severe learning difficulties? Because all these children, regardless of the nature of their various conditions, are alleged to be victims of Agent Orange, the herbicide and defoliant sprayed over much of South Vietnam during the war.

But how could the children, none of whom is older than sixteen, possibly be victims of the Vietnam war, which ended in 1975? And how could they be affected by a substance sprayed only up until 1971? We asked the deputy director of the Peace Village, Nguyen Huy Long.

Agent Orange has been linked to mental and physical problems

"Although the war ended long ago", he said, " the children here are still considered victims of the war, because their parents fought in the battlefields in the South, and were affected by Agent Orange." In other words, according to Nguyen Huy Long, Agent Orange caused the veterans to father children with mild or severe birth defects.

The children probably get better medical care here than they would otherwise, and they're not made to feel freaks. But we had a strong feeling that the brighter children here were unlikely to reach their full intellectual potential.

And it also seemed to us that these children were being used for propaganda purposes. Their future appeared to be sacrificed to the greater good of gaining international sympathy, and funding. For, as we found out, there is now a veritable Agent Orange trail, well trodden by foreign journalists, charity workers, and anyone else who shows a serious interest in the matter. All are taken to the same places.

After the Peace Village, our next stop was the 10-80 committee, so-called because it was set up by the Vietnamese government in October 1980 to investigate the effects of Agent Orange on people's health and on the environment. We asked Professor Hoang Dinh Cau, the chairman of the Committee, about their findings.

"What we discovered is that Agent Orange causes diseases in victims' eyes, as well as the lungs, the liver and other organs. But especially, we discovered birth defects in the children of affected people." He then showed us a number of statistical charts. There was one about the number of babies born with birth defects in one of the main hospitals of Ho Chi Minh City (formerly Saigon). It showed that the number of such births rose dramatically after the Vietnam war. Another graph showed that levels of dioxin in mothers' breastmilk were up to seventeen times the maximum safety level.

Banners warn of the dangers of dioxin

Agent Orange is a compound of two herbicides, and the combination of these created a type of dioxin as a by-product. This substance is the most toxic chemical known to mankind. Five parts per trillion are known to kill laboratory animals. No scientist, whether in Vietnam or the West, would dispute that dioxin can cause a whole range of cancers, and some other diseases. But birth defects?

Professor Arnold Schecter of the University of Texas School of Public Health is one of the world's leading experts on the subject. He's made fifteen working trips to Vietnam, two of them this year. He insists that it's extremely unlikely that most of the deformities shown to people in Vietnam are caused by Agent Orange.

The higher levels of dioxin in breast milk only exist in a small number of women in the South, and not in the North, he says, so it's almost impossible that the conditions of the children in the Thanh Shuan Peace Village, for instance, are caused by Agent Orange.

Professor Schecter admits that "Vietnam is the world's worst dioxin incident", and that therefore when quoting Western evidence, one might not be comparing like with like. However he says scientists have learnt enough from other dioxin contaminations - in Italy, Taiwan or Japan - to be sure that the vast majority of birth defects are not caused by Agent Orange.

We took the train south, to Quang Tri province just south of the former DMZ, the "demilitarised zone" on both sides of what was the border between the Communist North and the American-backed South Vietnam during the war. Quang Tri province was one of the most heavily sprayed areas of Vietnam, and where some of the toughest fighting took place.

Khe Sanh, Hamburger Hill, the Ashau Valley, Camp Carol, Con Tien - all these former U.S. marine bases and battlefields were Quang Tri. The U.S. bases repeatedly sprayed their surroundings with Agent Orange to give clear fields of fire in every direction.

We went to a village near Con Tien to meet a local farmer, who has seven children. The three eldest were born whilst the family lived in an area that had not been sprayed, and they were healthy.

This farmer had three healthy, then four disabled children

The disturbing fact was that the four youngest were born here, in Quang Tri province, and they were all both mentally and physically disabled. "When the oldest of the four was born", hed told us, " the doctor said that maybe I was affected by a poisonous chemical. He advised me not to have any more children."

As we walked away from the village, we met another team of journalists. Quang Tri province, too, is a firm fixture on the Agent Orange trail. But could the conditions of the farmer's four youngest children really be caused by dioxins in the soil, and hence the food chain, here?

Professor Arnold Schecter doubts it. To prove it, one would have to test blood samples of the farmer and his family to see if they contain elevated dioxin levels. This is expensive, costing up to US $1,000 per sample. Few laboratories in the world - and none in Vietnam - can do it.

The high cost is only one reason why more research on Agent Orange's legacy has not been done. Both Vietnam and the US are reluctant to fund it. And the reasons for that reluctance are political.

The Vietnamese government isn't united on the issue. Those concerned with public health want more research done, but those dealing with commercial interests don't want any adverse publicity about dioxins which could affect food exports, such as rice, and tourism.

The US attitude is also ambiguous. No-one from the US Embassy in Hanoi or at the State Department in Washington was prepared to speak to us. But it's clear that the US is worried about possible compensation claims from Vietnam.

There are already claims for a billion dollars compensation for Agent Orange damage, from South Korean veterans who fought on the American side during the Vietnam war. So the US too is playing for time.

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