Airborne hazards related to deployment / edited by Coleen P. Baird, MD, MPH, Program Manager, Environmental Medicine Program, US Army Public Health Command, and Deanna K. Harkins, MD, MPH, Occupational Medicine Physician, Environmental Medicine Program, US Army Public Health Command.

Format:

Book

Government document

Contributor:

Baird, Coleen P., editor.

Harkins, Deanna K., editor.

Borden Institute (U.S.), issuing body.

United States. Department of the Army. Office of the Surgeon General, issuing body.

Series:

Textbooks of military medicine.

Textbooks of military medicine

Language:

English

Subjects (All):

Air--Pollution--Health aspects--Iraq.

Air.

Air--Pollution--Health aspects--Afghanistan.

Air--Pollution--Physiological effect--Iraq.

Air--Pollution--Physiological effect--Afghanistan.

Lungs--Diseases--Diagnosis.

Lungs.

Pollutants--Health aspects--Iraq.

Pollutants.

Pollutants--Health aspects--Afghanistan.

Persian Gulf War, 1991--Veterans--Health aspects.

Persian Gulf War, 1991.

Iraq War, 2003-2011--Veterans--Health aspects.

Iraq War, 2003-2011.

War on Terrorism, 2001-2009--Veterans--Health aspects.

War on Terrorism, 2001-2009.

Veterans--Medical care--United States.

Veterans.

Physical Description:

1 online resource (xxiv, 417 pages) : illustrations.

Edition:

1st ed.

Place of Publication:

Fort Sam Houston, Texas : Borden Institute, US Army Medical Department Center & School ; Falls Church, Virginia : Office of The Surgeon General, United States Army, [2015]

Summary:

Developed from the Airborne Hazards Symposium held in Washington, DC, in August 2012, this book covers diagnosis and workup of symptomatic individuals, exposure characterization, current epidemiology, the potential role of pulmonary function testing (spirometry) in surveillance, strategic research planning, clinical follow-up and registries, risk communication, etc. Symposium presentations were delivered by a diverse group of scientific experts and contain valuable veteran perspectives. This book represents a compendium of what is currently known regarding the potential long-term health consequences of exposure to airborne hazards during Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn deployments. Airborne Hazards Related to Deployment presents a balanced, comprehensive approach to furthering the understanding of airborne hazards during deployments and other military operations, ultimately improving airborne hazard prevention, protection, and avoidance while improving healthcare and minimizing adverse health outcomes of our service members and veterans.

Contents:

Cover

Front Matter

Contents

Contributors

Additional Acknowledgments

Foreword by The Surgeon General

Preface

Prologue

Introduction

Section I: Airborne Exposures and Characterization

1 Overview of Airborne Hazards in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn

2 Background of Deployment-Related Airborne Exposures of Interest and Use of Exposure Data in Environmental Epidemiology Studies

3 Deployment to Al Anbar: A Seabee Battalion Surgeon's Perspective

4 Pulmonary Response to Airborne Hazards: Interpreting Cases of Suspected Deployment-Related Lung Disease

5 Future Improvement to Individual Exposure Characterization for Deployed Military Personnel

Section II: Population Surveillance

6 Epidemiology of Airborne Hazards in the Deployed Environment

7 Discussion Summary: Defining Health Outcomes in Epidemiological Investigations of Populations Deployed in Support of Operation Iraqi Freedom and Operation Enduring Freedom

8 Pulmonary Function Testing-Spirometry Testing for Population Surveillance

9 Discussion Summary: Recommendation for Surveillance Spirometry in Military Personnel

10 Spirometry Monitoring and Prevention Using Spirola Software

Section III: Follow-up Medical Care of Service Members and Veterans

11 Discussion Summary: Basic Diagnosis and Workup of Symptomatic Individuals

12 Allergic Airway Disease and Deployment to the Middle East

13 Follow-up Medical Care of Service Members and Veterans-Cardiopulmonary Exercise Testing

14 Value of Lung Biopsy in Workup of Symptomatic Individuals

15 The Problems With Constrictive Bronchiolitis: Histopathological and Radiological Perspectives

16 Military Personnel With Postdeployment Dyspnea: Chronic Lung Disease and the Role of Surgical Lung Biopsy.

17 Evaluating the Effects of Airborne Hazards: A Clinical Perspective From the War Related Illness and Injury Study Center

18 Experience With Emerging Lung Diseases From the National Institute for Occupational Safety and Health

19 Follow-up Medical Care of Service Members and Veterans: Case Reports-Usual and Unusual

20 Veterans Affairs Symposium: Case Reports

21 Denver Veterans Affairs Medical Center Experience With Postdeployment Dyspnea Case Reports

22 Discussion Summary: Methodological Considerations to Design a Pulmonary Case Series and a National, Broad-based Registry for Veterans of Operation Iraqi Freedom and Operation Enduring Freedom

Section IV: Health Communication and Outreach

23 Risk Communication: An Essential Element of Effective Care

24 Community-based Participatory Research: An Overview for Application in Department of Defense/Veterans Affairs Research

25 Toxic-Embedded Fragments Registry: Lessons Learned

26 Lessons Learned From Self-Selected Registries (Agent Orange)

Section V: Research Initiatives

27 Research Studies: Overview and Future Directions

28 Considerations Regarding Biomonitoring

29 Discussion Summary: Exposure Characterization-Questionnaires and Other Tools

30 Review of Epidemiological Analyses of Respiratory Health Outcomes After Military Deployment to Burn Pit Locations With Respect to Feasibility and Design Issues Highlighted by the Institute of Medicine

31 Update on Key Studies: The Millennium Cohort Study, the STAMPEDE Study, the Million Veteran Program, and the National Health Study for a New Generation of US Veterans

32 National Health Study for a New Generation of US Veterans

33 Discussion Summary: Work Group E-Strategic Research Planning.

Appendix A: A Self-Reporting Tool to Collect Individual Data for Respiratory Health Effects and Military Airborne Exposures

Appendix B: Respiratory Health and Exposure Questionnaire

Appendix C: Proposed Evaluation of Patients With Normal Spirometry

Appendix D: Airborne Hazards Joint Action Plan

Appendix E: Frequently Asked Questions About Military Exposure Guidelines

Appendix F: Executive Summary: Screening Health Risk Assessment, Burn Pit Exposures, Balad Air Base, Iraq

Appendix G: Executive Summary, Addendum 2: Screening Health Risk Assessment, Burn Pit Exposures, Balad Air Base, Iraq

Abbreviations and Acronyms

Index

Back Cover.

Notes:

Includes bibliographical references and index.

Description based on print version record.

ISBN:

0-16-093901-1

0-16-093903-8

OCLC:

991552891