Downrange Health Hazard? Military Faces Rare Pneumonia in Combat Zones

October 2, 2008, Landstuhl, Germany – Military doctors are seeing a resurgence of a rare and sometimes fatal type of pneumonia that is striking young troops who started smoking while deployed downrange.

In the past five months, six U.S. servicemembers serving in Central Command’s area of responsibility have been diagnosed with acute eosinophilic pneumonia, or AEP. While the exact cause of the illness is unknown, 27 of the 36 troops who have contracted AEP since March 2003 had recently picked up the habit, according to a July 2008 information paper from the Army’s Center for Health Promotion and Preventive Medicine.

Also, three-fourths of those troops came down with the illness while serving in Iraq. Other cases have originated with U.S. troops in Afghanistan, Djibouti, Kuwait, Qatar and Uzbekistan.

Two troops have died as a result of the disease.

On average, the AEP patients are around 22 years old, said Air Force Maj. (Dr.) Patrick Allan, a critical care pulmonary physician at Landstuhl Regional Medical Center.

“We do not know what the true underlying cause is,” he said. “We only, epidemiologically, can say that it seems to be associated with new or increasing quantities of smoking and exposure to fine sand or dust from the local environment.”

An additional three cases of AEP were reported by troops who increased the quantity of smoking while deployed, and two more reported infrequent use of cigarettes or cigarillos, according to the information paper.

Acute eosinophilic pneumonia is noninfectious, creates an inflammatory condition of the lungs and is associated with smoking, said Army Lt. Col. (Dr.) Eric Shuping, deputy commander of the Center for Health Promotion and Preventive Medicine-Europe.

AEP strikes hard and fast, doctors said. Within two weeks to two months of picking up smoking, people can begin showing symptoms.

In one to four days, patients may notice shortness of breath, a dry cough, chest pain and non-specific abdominal pain. Within 24 hours after going to a clinic, patients typically require supplemental oxygen or have to be put on a breathing machine, Allan said.

“We think that nicotine or products within the cigarette smoke alter the immune response that someone may have to other particles within the environment,” he said. “The altered immune response may heighten their lungs’ inflammatory pattern such that they come out with this acute eosinophilic pneumonia, but that’s all hypothesis.” Also the uses of vaporize puts nicotine into the body. Nicotine is highly addictive and can affect brain development. Whether you’re looking for a standard single-flavor vape juice or a complex custom blended e-juice that’s interesting enough to become your next all-day vape, find it by Liquido24.

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All the conclusive diagnoses for AEP have been made at Landstuhl, but in one case, doctors downrange had a suspicion the patient had AEP because he had just started smoking, Allan said.

In addition to the two servicemembers who died from complications of AEP, there have been others who were near death before recovering, doctors said. Landstuhl sent its specialty lung team downrange to treat three troops with AEP. The patients were so bad doctors had them on highly technical breathing machines to keep them alive.

In February 2007, a medical alert on AEP was issued in Iraq and signed by then-Lt. Gen. Ray Odierno, warning troops about the illness’ association with smoking. But because AEP is so rare, there are no good studies suggesting the military has a disproportionate number of cases compared to the U.S. civilian population, Allan said.

Now, young patients arriving at Landstuhl’s intensive care unit with pneumonia-like symptoms will immediately have their lungs examined for AEP, Allan said. Whereas “standard” pneumonia is usually treated with powerful antibiotics, AEP is treated with steroids that suppress the body’s immune system.

“By suppressing the eosinophils – a particular cell we believe is responsible for this condition – it causes the disease to melt away within a few days, and most do very well with it,” Allan said.

Allan said there’s no good explanation as to what is causing the current resurgence of AEP.

“With each deployment cycle, there’s going to be a certain percentage of people who start smoking again to deal with the stress and the strain of just what they’re doing,” he said. “I don’t have any data to suggest whether or not the incidence of new smoking is increasing or not, but it was just interesting that we saw so many cases.”

Want to lessen your chances of contracting AEP? Stop smoking.

“This is yet another reason to not smoke,” Shuping said. “Don’t start. Don’t get addicted and cause yourself a problem down the road.”

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Red Cross: Pakistan ‘is Now a War Zone’

October 3, 2008, Peshawar, Pakistan – War has come to Pakistan, not just as terrorist bombings, but as full-scale battles, leaving Pakistanis angry and dismayed as the dead, wounded and displaced turn up on their doorstep.

An estimated 250,000 people have now fled the gunship helicopters, jets, artillery and mortar fire of the Pakistani army, and the assaults, intimidation and rough justice of the Taliban who have dug into Pakistan’s tribal areas.

About 20,000 people are so desperate they have flooded over the border from the Bajur tribal area to seek safety in war-torn Afghanistan.

Many others are crowding around this northwest Pakistani city, where staff members from the U.N. refugee agency are present at nearly a dozen camps.

“This is now a war zone,” said Marco Succi, the spokesman for the International Committee of the Red Cross, which flew in a special surgical team from abroad last week to work alongside Pakistani doctors.

Not since Pakistan forged an alliance with the United States after 9/11 has the Pakistani army fought its own people on such a scale and at such close quarters to a major city. After years of relative passivity, the army is now engaged in heavy fighting with the insurgents on at least three fronts.

The sudden engagement of the Pakistani army comes after months in which the United States has heaped criticism, behind the scenes and in public, on Pakistan for not doing enough to take on the extremists, and increasingly took action into its own hands with drone strikes and even a raid by Special Operations forces in Pakistan’s tribal areas.

But the army campaign has also unfolded as the Taliban have encroached deeper into Pakistan proper and carried out far bolder terrorist attacks, like the Marriott Hotel bombing last month in Islamabad, the capital, which have generated high anxiety among the political, business and diplomatic elite and a feeling that the country is teetering.

In early August, goaded by the U.S. complaints and faced with a nexus of the Taliban and al-Qaida that had become too powerful to ignore, the chief of the Pakistan military, Gen. Ashfaq Parvez Kayani, opened the front in Bajur, a Taliban and al-Qaida stronghold along the Afghan border.

The military already was locked in an uphill fight against the insurgents in Swat, a more settled area of North-West Frontier Province that was once a middle-class ski resort. Today it is a maelstrom of killing.

At a third front, south of Peshawar, around the town of Dera Adam Khel, the army recently recaptured from Taliban control the strategic Kohat tunnel, a road more than a mile long that carries NATO supplies from the port of Karachi to the U.S. and coalition forces in Afghanistan.

From their side of the fighting in Bajur, the Taliban have mounted a brutal show of intimidation, money and deep support from across the border in Afghanistan and Mohmand, according to interviews with the displaced and with law-enforcement and military officials.

According to the military officials, many of the Taliban fighters come from Central Asia.

In Swat, the Pakistani army has been fighting the Taliban for more than two months, and still the Taliban hold the upper hand, according to accounts from people who have fled the area. Reports of Taliban terrorism are widespread.

In one case, scores of Taliban fighters confronted the brother of Waqar Khan, a member of the provincial assembly, who was with two of his sons and ordered Khan’s brother, Iqbal Ahmed Khan, to choose the one he wanted killed, said the president of the Awami National Party, Sen. Asfandyar Wali.

After being humiliated into choosing one son, the Taliban killed both boys, their father and seven servants, Wali said.

On Thursday a suicide bomber blew himself up at Wali’s home, killing four people and narrowly missing Wali, one of the best-known politicians in North-West Frontier Province and a national figure.

Many residents of Swat say they are exasperated by the army-imposed, round-the-clock curfew that keeps them indoors listening to the scream of jets and the thud of artillery.

To increase the misery, the Taliban blew up the power grid last week, and when protesters gathered in the main street of Mingora, the police fired, killing six people.

More than 140 girls schools have been destroyed by the Taliban in the past several months.

In a typical technique to raise money, the extremists ordered the shopkeepers in the mall in Matta to stop paying rent to the landlord, and pay the rebels instead.

The one hope in the gloom of war, said civilians and law-enforcement officials, has been the formation of small private armies by tribal leaders, known in the region as lashkars to stand up to the Taliban.

In Salarzai, in the northern corner of Bajur, a local private army has attracted several thousand anti-Taliban fighters, said Jalal-Uddin Khan, a tribal leader.

Closer to Peshawar, in the village of Shabqadar, where the Taliban had terrorized women who did not wear the burqa, and killed men they deemed as “pimps” and threw their bodies in the river, local police organized civilians to join them in a display of force against the rebels.

Last week, about 500 people, led by the local police chief, battled the Taliban in Shabqadar, leaving nine Taliban fighters dead and 28 wounded. In revenge, the Taliban threatened to blow up Warsak Dam, the main water supply for Peshawar.

But Malik Naveed Khan, the police chief of NorthWest Frontier Province, said he was not deterred.

“I told the governor: ‘Open many fronts. We are more than them.’ “

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U.S. Soldier Guilty in Connection to Iraqi ‘Blindfold Killings’

October 3, 2008, Berlin – A US soldier was sentenced to eight months in prison Thursday for his role in the killings of four blindfolded Iraqi detainees last year, an army spokeswoman said.

The defendant, Specialist Steven Ribordy, denied a direct role in the shooting deaths in March/April 2007 at the start of his court martial but pleaded guilty to accessory after the fact.

His sentence also included a reduction to the rank of private, forfeiture of all pay and allowances and a dishonorable discharge from the US army.

The US military court judge had recommended the soldier be jailed for four years but a plea agreement led to his term being reduced, a spokeswoman for the US 7th Army Joint Multinational Training Command, Denver Makle, told AFP.

“Because of the plea bargain he will serve no more than eight months,” she said, adding that he would serve his sentence in Germany.

The defendant, assigned to the 1st Battalion, 18th Infantry Regiment, was tried with three other US soldiers in Vilseck, southern Germany. Another three may still face a court martial.

Ribordy said as part of the plea agreement that he would testify in the remaining trials.

No further details on the case were immediately available from the court.

But US media have reported that the group killed four handcuffed and blindfolded Iraqi prisoners with pistol shots to the head beside a Baghdad canal.

The men were apparently Shiite fighters linked to the Mahdi Army militia, which controlled the West Rashid area of southwest Baghdad, the New York Times reported last month.

The killings were allegedly in retribution for an attack against the men’s unit.

The verdict came two weeks after another defendant in the case, Specialist Belmor Ramos, was sentenced to seven months’ prison for conspiracy to commit murder. He told the court he had stood watch while the men were shot.

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Suspected U.S. Missile Strike Kills 6 People in Pakistan

October 1, 2008, Islamabad, Pakistan – A suspected U.S. missile strike on a Taliban commander’s home in Pakistan killed six people, officials said Wednesday, a possible indication that Washington was moving ahead with cross-border raids despite protests from the new government.

The attack was the first since President Asif Ali Zardari warned that its territory cannot “be violated by our friends.”

American forces recently ramped up cross-border operations against Taliban and al-Qaida militants in the Pakistan’s border zone with Afghanistan – a region considered a likely hiding place for al-Qaida leader Osama bin Laden.

Late Tuesday, missiles fired by a U.S. drone aircraft struck the Taliban commander’s home near Mir Ali, a town in North Waziristan, which borders Afghanistan, said two intelligence officials, who asked for anonymity because they were not authorized to speak to media.

Citing reports from their field agents, the officials said six people died, but did not identify any of the victims.

U.S. officials in Afghanistan or Washington rarely acknowledge the attacks.

Pakistan says the attacks often result in civilian casualties and serve to fan extremism. American officials complain that Pakistan was unwilling or unable to act against the militants.

Militants in the border region are blamed for rising attacks on U.S. troops in Afghanistan and attacks within Pakistan, including the Sept. 20 truck bombing of the Marriott Hotel in Islamabad that killed more than 50 people.

Pakistani Spy service ties to Taliban alleged

In Spain, a document marked confidential and bearing the official seal of Spain’s Defense Ministry alleged that Pakistan’s spy service helped arm Taliban insurgents in 2005 for assassination plots against Afghan government officials.

Chief Pakistani army spokesman Maj. Gen. Athar Abbas said the report was “baseless, unfounded and part of a malicious, well-orchestrated propaganda campaign to malign” the Inter-Services Intelligence spy agency.

“ISI is the first line of defense of Pakistan and certain quarters are attempting to weaken our national intelligence system,” Abbas said, without elaborating.

The document, which surfaced just after Pakistan’s military chief chose a new head of the spy agency, also alleged that Pakistan may have provided training and intelligence to the Taliban in camps set up on Pakistani soil.

The report, which was obtained by Cadena Ser radio and posted on the station’s Web site Wednesday, said the spy agency helped the Taliban procure explosives to use in attacks against vehicles.

Pakistan vehemently denies that members of the spy agency have aided the Taliban. In the 1990s, however, the ISI’s agents helped build up the Taliban.

U.S. intelligence agencies suspect rogue elements of the spy agency may still be giving Taliban militants sensitive information to aid their insurgency in Afghanistan, even though officially Pakistan is a U.S. ally in fighting terrorism.

Some analysts say elements in the spy agency may want to retain the Taliban as potential assets against longtime rival India and believe Pakistan’s strategic interests are best served if Afghanistan remains a weak state.

India and Afghanistan – and reportedly the U.S. – suspect the ISI of involvement in the July 7 bombing outside India’s Embassy in Kabul, which killed more than 60 people. Pakistan denies it.

In London on Wednesday, British officials announced that the children of its diplomats in Pakistan have been ordered to leave the country. The Foreign Office said the decision was the result of a security review following the Sept. 20 Marriott hotel bombing.

Britain’s embassy in Pakistan is one of its largest overseas missions. The Foreign Office said about 60 children of British-based embassy staff are being withdrawn. All are under the age of 8. Any other diplomats’ dependents who wish to leave may also do so.

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ACLU Seeks Data About Government Spying Upon 32 Groups in U.S.

October 1, 2008 – The American Civil Liberties Union of Maryland yesterday demanded that the state police disclose under public information laws whether 32 grass-roots advocacy and political activist groups that have held large public protests in recent years have been targets of spying by undercover agents.

Yesterday’s request follows revelations in July that state police officers posing as activists conducted surveillance in 2005 and 2006 on war protesters and death penalty opponents.

Information is being sought on behalf of groups ranging from Silver Spring-based Progressive Maryland, which promotes liberal causes, to Defend Life, a Washington area anti-abortion coalition. The organizations include immigrant advocacy group CASA of Maryland, PeaceAction Montgomery, Christian Peace Witness for Iraq, the gay rights group Equality Maryland and a coalition formed to fight high electricity rates in the Washington-Baltimore area.

As a result of July’s disclosures, Stephen H. Sachs, a former U.S. attorney and former state attorney general, was appointed to head an independent review of state police intelligence-gathering. Sachs and Gov. Martin O’Malley (D) are scheduled to release the findings today.

Sachs is expected to explain why officers assigned to the Division of Homeland Security and Intelligence infiltrated organizational meetings, rallies and e-mail group lists when Robert L. Ehrlich (R) was governor and to comment on whether they broke any laws.

The state Senate Judiciary Committee has scheduled a hearing on the spying for Tuesday.

More than 100 grass-roots groups contacted the ACLU out of concern that their protests have been targets. Two of the groups learned that they were under police surveillance, ACLU officials said.

State police leaders have said that death penalty opponents were monitored in response to a series of protests of a scheduled execution and that undercover work is an integral part of police intelligence-gathering. The ACLU and other civil liberties groups said the monitoring was not warranted because the protests were nonviolent.

“The police said they were spying because they were worried about disruptive or violent anti-death penalty protests,” ACLU staff attorney David Rocah said. “If that worry was the true motive, it could exist with respect to any and all of the groups we are filing for. . . . All of these are pretty hot-button issues.”

If police say they were not tracking other groups, “they will still have some explaining to do” as to why they chose to spy on some protesters and not others, Rocah said.

State police spokesman Greg Shipley said the agency “will address the requests and provide any information [the ACLU] is entitled to under the law.”

ACLU officials also said yesterday that they are seeking a sponsor for state legislation to protect the activities of nonviolent protest groups from police surveillance.

Children First, a Baltimore group that has protested lead in the city’s drinking water, is one of the organizations seeking information about possible surveillance. Director Tyrone Powers, a former FBI agent, said Baltimore detectives visited his home before a rally outside school system headquarters in 2003 and asked him to call it off. He declined, and the officers told him that they had a file on him, he said.

Jack Ames, a founder of Defend Life, said the arrest of 18 group members at a protest in Harford County made him wonder whether police were monitoring him. Loitering and disorderly conduct charges against the members were later dropped by the state’s attorney’s office.

Rocah said ACLU found that state police conducted surveillance on a worker-owned Baltimore bookstore named Red Emma’s, which had not been the site of a protest but which hosts lectures on politics.

When the ACLU released 46 pages of documents in July on surveillance of anti-death penalty and antiwar groups, Red Emma’s workers looked back at e-mails they had received from one of the agents, who used the alias Lucy Shoup. Shoup inquired about a scheduled speech by Bernardine Dohrn, a law professor at Northwestern University and former member of the radical group Weather Underground.

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British Envoy Says Mission to Afghanistan is Doomed, According to Leaked Memo

October 2, 2008 – Britain’s Ambassador to Afghanistan has stoked opposition to the allied operation there by reportedly saying that the campaign against the Taleban insurgents would fail and that the best hope was to install an acceptable dictator in Kabul.

Sir Sherard Cowper-Coles, a Foreign Office heavyweight with a reputation for blunt speaking, delivered his bleak assessment of the seven-year Nato campaign in Afghanistan in a briefing with a French diplomat, according to French leaks. However sources in Whitehall said the account was a parody of the British Ambassador’s remarks.

François Fitou, the deputy French Ambassador to Kabul, told President Sarkozy’s office and the Foreign Ministry in a coded cable that Sir Sherard believed that “the current situation is bad; the security situation is getting worse; so is corruption and the Government has lost all trust.”

According to Mr Fitou, Sir Sherard told him on September 2 that the Nato-led military operation was making things worse. “The foreign forces are ensuring the survival of a regime which would collapse without them . . . They are slowing down and complicating an eventual exit from the crisis, which will probably be dramatic,” the Ambassador was quoted as saying.

Britain had no alternative to supporting the United States in Afghanistan, “but we should tell them that we want to be part of a winning strategy, not a losing one,” he was quoted as saying. “In the short term we should dissuade the American presidential candidates from getting more bogged down in Afghanistan . . . The American strategy is doomed to fail.”

The Foreign and Commonwealth Office said that the cable did not accurately reflect the views of the Ambassador. It is understood that the meeting between Sir Sherard and the French envoy did take place, but that the French account of is regarded in Whitehall as a gross distortion. The French Foreign Ministry did not deny the existence of the cable but it deplored its publication by Le Canard Enchaîné, the investigative weekly. “I am not alarmed because I know that this is not the official British position,” a spokesman told The Times.

Claude Angeli, the veteran Canard journalist who reported the cable, said that he had a copy of the two-page decoded text, which was partly printed in facsimile in his newspaper. “It is quite explosive,” he told The Times.

“What I did not say is that our French diplomats quite agree with the British.” Mr Angeli also reported that the French had been told that Britain aimed to withdraw its forces from Afghanistan by 2010.

The pessimistic view in the cable is common among French diplomats and military officers who are concerned by President Sarkozy’s strong support for the Nato operation in Afghanistan and his recent reinforcement of the French contingent. There was suspicion in Whitehall that the British position was exaggerated for French purposes.

Sir Sherard, 53, a former Ambassador to Saudi Arabia,was sent to Kabul last year to beef up Britain’s role in the campaign to secure the Government of President Karzai and combat the resurgent Taleban. In an interview last year he said that Britain could expect to stay in Afghanistan for decades.

According to the French cable, he said that the only realistic outlook for Afghanistan would be the installation of “an acceptable dictator” within five or ten years and that public opinion should be primed for this. British insiders said that the Ambassador never uttered these words. “The trouble with the British Ambassador is that he is always at the high end of gloom and doom when in fact it’s not that bad,” a diplomatic source said.

After a summer of violent clashes with the Taleban alliance sources admitted that the perception was that the enemy was gaining in confidence. But, said one military source, – in combat terms Nato is still kicking a***.”

– Britain is withdrawing the children of its diplomats from Pakistan after last month’s suicide bomb attack, which killed 55 people at the Marriott Hotel in Islamabad, the Foreign Office said.

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Significant Improvements Coming to VA Disability Claims Process

October 2, 2008 – Lawmakers have high expectations that they can reduce the backlog and processing time for veterans’ benefits claims through a combination of new procedures, including two pilot projects.

The Veterans Benefits Improvement Act of 2008, which passed Congress on Saturday and is being prepared for submission to the White House for President Bush’s signature, pushes the Department of Veterans Affairs to use electronic filing and processing of claims to try to improve the speed of claims decisions, reduce the disparity in decisions involving similar issues and cut the number of claims decisions that end up being overturned.

The bill also creates a new authority to provide a temporary disability rating for some veterans who have severe and multiple disabilities that are not fully healed. Stabilized and unstabilized disabilities that have an impact on employment could be considered in assigning the temporary rating that would be used to provide disability compensation during the first year after leaving the military.

One of the pilot projects ordered by the compromise bill requires special, expedited treatment for disability claims where the veteran had the help of a veterans’ service officer to prepare the paperwork. This one-year test would be carried out in at least 10 regional offices.

A second pilot project, to run over three years in at least four regional office, would have processors and veterans use a checklist when submitting claims in an effort to bring more organization and uniformity to the claims process.

The bill also gives VA one year to develop a program using information technology to process claims that would allow veterans to file applications and to track the progress of their claim online.

Several provisions in the bill were drawn from a claims modernization bill sponsored by Rep. John Hall, D-N.Y., and Sen. Hillary Clinton, D-N.Y., that attempts to improve training for VA workers who are processing claims and to change how employees are evaluated.

“Improving VA procedures so that claims can be processed and benefits delivered quickly, fairly and accurately for our veterans, their families and their survivors is the least we can do,” said Clinton, a member of the Senate Armed Services Committee.

“America’s disabled veterans cannot afford to wait a moment longer,” said Hall, chairman of the House Veterans’ Affairs subcommittee on disability assistance,

Hall said processing a first-time claim by a disabled veteran can take 180 days, and even longer if a veteran appeals the initial decision. The long processing time is part of the reason there is a backlog of about 400,000 claims awaiting a decision by VA.

Over the last two years, members of the House and Senate veterans’ affairs committees have tried to push VA to process claims more quickly while also complaining about the rate of mistakes in claims and evidence that similar claims are decided differently between VA regional offices.

In the report accompanying the benefits bill, the two committees say they want a process that is perceived as fair by veterans, but realize “it is unreasonable to expect states to have exactly the same average compensation or percentage of veterans receiving compensation.”

The bill requires a report – due one year from now – that looks at variances in benefits between regional offices and between veterans of different states to determine whether the differences are justified.

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New Jersey Guard Families Fight War of Their Own While Troops Fight in Iraq

October 5, 2008, Teaneck, NJ – More than anything, John and Adriana Roldan love each other and their two little boys, Brandon, 5, and Samuel, 1. And so now that Mr. Roldan, a mechanic and a building superintendent and a New Jersey National Guardsman, has been deployed to Iraq for the second time in three years, he and his wife will start lying to each other again, just as they lied their way through his first Iraq tour.

That first time, Mr. Roldan told Mrs. Roldan that as a mechanic, he never left the base in Iraq.

And Mrs. Roldan – who has taken over his job as building superintendent – told Mr. Roldan that everything was great with their son Brandon.

The truth was, Sergeant Roldan was accompanying convoys in combat zones to repair armored vehicles that broke down. “Every time we went out, we got small arms fire,” he said. “I try to keep it to myself. I thought if I told her what exactly I was doing, she was going to be more worried.”

As for Mrs. Roldan’s lies: Brandon was 2 during that first deployment, and missed his father so much – “His two big words were ‘Where’s Daddy?’ ” – that he threw terrifying tantrums, his mother said.

“He used to bang his head against the floor, he used to bite himself, he used to scratch himself,” she said. “I guess he was just mad and furious that his Daddy wasn’t here and he couldn’t understand, being so small.”

Mrs. Roldan has developed a mantra for her husband’s calls home from Iraq: “It’s only a three-minute call, the lines are long, just tell them you’re doing fine,” she said. “Never tell them you’re depressed or sad.”

“Him not knowing what I do, I think it helps him through the deployment. I mean, I didn’t give him no problems, I always try to be as happy as I can when he calls. I said his son was great, he never cried.”

It wasn’t until her husband came back that he learned the truth. Mrs. Roldan had made a video of one of Brandon’s tantrums and played it for him. “John cried,” she said.

For her part, Mrs. Roldan didn’t learn about the dangers of her husband’s first tour until three years later, when he told a reporter during an interview at the end of August, days before he left for his second tour. “I thought he was safe,” she said, “Now all of a sudden he’s in convoys. Now I don’t know if he’s telling me the truth.”

Last month, 2,850 of New Jersey’s 6,000 National Guard citizen-soldiers left for Iraq, the largest combat deployment of the state’s Guard since World War II. And it is not just the soldiers doing hard duty. During the Vietnam War, the average soldier was 19. Today the average age for the active-duty Army is 27; 55.5 percent of Army soldiers are married, as are 45 percent of the National Guard, according to a 2007 Office of Army Demographics report. For every active duty Army soldier (518,000) there is nearly one child (493,484).

In some ways, the demographics for soldiers of the Iraq war and their families are closer to World War II (when the average soldier was 26) than the typical unmarried, teenage soldiers of Vietnam, according to Richard L. Baker, an information specialist for the Army Heritage and Education Center.

In June, when Guard members (including 250 women) left New Jersey for two months of training at Fort Bliss in El Paso, Tex., before shipping out to Iraq, they left behind 1,400 children, according to Amanda Balas, the state Guard’s youth coordinator. And that number is growing. “I know of 20 more since,” said Ms. Balas, who sends handmade quilts to newborns of deployed soldiers.

Family members are hopeful that the units are heading for a relatively safe mission; the soldiers spent their two months in Texas training for guard duty at military prisons in Baghdad, Bukka and Balad. Specialist Gregg Walls, 39, is an accountant from Teaneck who is being deployed for the first time and has left behind his wife, Iris, a real estate agent, and two young children, Gabriella, 6, and Ian, 3. In an interview in Texas, in late August, before leaving, he said he was not looking to be a hero: “Some of the guys want to do convoys, they want to get outside the wire, they want to do the hurrah stuff. Fine, have a good time, see you when you get back.”

But 30 percent of this deployment is on its second tour, and those soldiers, like Sergeant Roldan, 29, of Cliffside Park, and Cpl. Thomas Jefferson, 40, of Prospect Park, know that what you are sent to do, and what you actually do, can be two different things. “What will happen when we get there, one never knows,” Corporal Jefferson, a father of five married to Cathy, an assistant school librarian, said shortly before shipping out. Mr. Jefferson is a water purifier for the Passaic Valley Water Commission and was sent to Iraq in 2005 to do water purification in Tikrit. That lasted a few months, before he was transferred to a combat zone in Samara.

When a fellow soldier sent Mrs. Jefferson photos of her husband, she was puzzled. He wasn’t purifying water. “I say, ‘Why’s my husband posing on the top of this truck with this big gun?’ Only later on did I find out he’s the gunner.”

“I would not tell my wife what I was doing until I came home,” said Mr. Jefferson. “I don’t have to sit over there and put no more worry in her mind and heart.”

Combat takes a toll – even for men like Mr. Jefferson and Mr. Roldan, who returned outwardly healthy the first time, rejoined their families, resumed their jobs and are now back in Iraq.

Mr. Jefferson had several close calls during his first tour, and when he returned in 2005, his wife and children told him he wasn’t the same outgoing, fun-loving Dad and husband they remembered.

His first New Year’s Eve back, the family attended a midnight service at Victory Temple United Holy Church in Paterson, and as they walked out, someone celebrating set off a firecracker. Mr. Jefferson ran away, leaving behind his surprised family, including his son Thomas Jr., then 9. “He had this embarrassed look,” said Mrs. Jefferson. “He was embarrassed that little Tommy had seen.”

One night, after Mr. Roldan returned, a car backfired on a nearby street, and Mrs. Roldan woke to find him on the floor of their bedroom taking cover from incoming fire.

A study by the RAND Center for Military Health Policy Research estimated that of the 1.6 million soldiers who had served in Iraq and Afghanistan as of October 2007, 300,000 had experienced post-traumatic stress disorder or major depression.

The sensational cases – murders, suicides, spouse abuse – make headlines, but the private fears and problems that the Jeffersons went through are probably more typical.

Mr. Jefferson has such a beautiful voice that when he finished singing to Cathy at his wedding, the whole church gave him a standing ovation. He’s done theater, served as a Prospect Park town councilman and has always been involved with his children. At young Thomas’s football games, Mr. Jefferson’s booming sideline voice was a regular feature.

That changed after his first tour. “He was standoffish – basically he isolated himself from the family,” Mrs. Jefferson said. “He’d be in the same room as the family but not interacting.”

Mr. Jefferson became aggressive, had bouts of road rage, did not sleep well, dreamed of things blowing up, could not concentrate for a course he was taking.

“I’m used to someone just talking to me constantly and then I had this shell of a person who came back,” Mrs. Jefferson said. “I kept asking him: ‘Can I help you with something? Do you want to talk?’ And he never wanted to discuss anything with me.”

Nor could he tell her why.

“I don’t know, I really don’t,” Mr. Jefferson said. “It was just a lot I kept inside, a lot I just never wanted to talk about.”

His first months back, he worked a night shift at the water commission and was home during the day when the house was empty. “I’d be by myself, and I was in glory,” he said. “Nobody to talk to, nobody to bother with me, I could just relax or just be in my own little world, which wasn’t normal for me.”

Mr. Jefferson made visits to a Veterans Affairs therapist, switched to day hours, and slowly, the Jeffersons said, started getting back to himself.

And then came the second deployment.

“Just when we thought we were getting some kind of normalcy,” Mrs. Jefferson said.

A week before leaving, Mr. Jefferson said, “I still can’t say I’m 100 percent.”

FAMILIES of career soldiers live on bases or in nearby military towns with strong support networks. National Guard families are largely invisible, scattered through the country, surrounded by civilians who are often oblivious to the war, and certainly don’t fret daily about the next phone call from Iraq.

To help spouses and children, the state has created family support centers at many of the 33 armories in New Jersey. The one here in Teaneck is widely considered the best, and that’s largely because of the woman who runs it, Master Sgt. Minnie Hiller-Cousins, who has spent 29 years in the Guard and herself was deployed to Iraq in 2005, at age 50.

Sergeant Hiller-Cousins has created a game room for kids that Brandon Roldan loves to visit; a food pantry where families can stock up; a support group for teenagers that Thomas, Jasmine and Kenya Jefferson attend, and one for spouses that their mother goes to; trips for the families to nearby amusement parks; and this winter, a cruise to the Caribbean. “The key is to keep them busy, take their minds off what’s going on over there,” she said.

Even before the soldiers left, she formed a committee of spouses to welcome them back.

But what makes Sergeant Hiller-Cousins most effective is that she gets both the battlefront and home front. She knows these families are largely upwardly mobile working- and middle-class people who admire the uniform, but also joined looking for that second paycheck, a military pension, college benefits and the $20,000 signing bonus that could go toward a down payment on a house. Sergeant Hiller-Cousins, the mother of grown triplets, says she never could have afforded her bachelor’s or master’s degrees, if it weren’t for the G.I. Bill. Nor, she said, would she have her civilian job, as a counselor and court liaison to Passaic County schools.

Soldiers and spouses trust her.

When the Jeffersons’ marriage wobbled, Sergeant Hiller-Cousins counseled both. “At one point, I had one on my office phone, one on my cell,” she said.

She told them that she knows, she understands, she’s been there. When she returned from Iraq, she said, she was jumpy and withdrawn. To avoid friends, she worked all the time. At one point her husband came up behind her to give a hug, and, startled, she wheeled around and punched him in the chest, knocking him over. In 2007, at her daughter Sherese’s insistence, she put herself in counseling. “I’ll let you in on a little secret,” she said. “I’m still in counseling.”

Among the families, it’s not hard to find a variety of views on the Iraq war. John Roldan supports it, while Mrs. Roldan is opposed. The Jeffersons say they have no opinion. Iris Walls is against it, while her husband, Gregg, gave a classic soldier’s answer. (“I have a job to do, I signed up knowing this could happen, so I’ll deal with it.”)

While Mrs. Jefferson hunts every piece of war news she can find, Mrs. Roldan purposely avoids the news. Asked if she felt more at ease since the troop surge appeared to have reduced violence, Mrs. Roldan said, “I don’t know much about it.”

The news they all crave is the call home, which can come at any time. “I don’t leave my house without my cellphone,” Mrs. Roldan said. “I go to the bathroom with my cellphone. Everything I do – I sleep with my cellphone.”

During Mr. Jefferson’s first deployment, the family’s home computer was set at maximum volume for incoming messages. “We had this dragon or devil or whatever it is that would roar, and the kids would get excited ” ‘Daddy’s online!’ – and we would run into the room,” said Mrs. Jefferson.

Being able to speak to a soldier in the midst of war is miraculous, but a mixed blessing, too, as any parent knows. Children live in the moment, and trying to engage them by phone is often discouraging. When Sergeant Roldan was in Texas, about to deploy, he called home to Brandon, who is now 5.

“What you doing?” asked Sergeant Roldan.

“Nothing,” said Brandon.

“What are you going to do today?”

“Nothing.”

“O.K., Loquito. I love you mucho.”

“O.K.”

“I miss you.”

“O.K.”

“I love you, bye.”

“O.K., bye.”

Mr. Jefferson joined the National Guard in July 2004, and a month later got a call saying he was being mobilized. It was still rare then for Guard units to go abroad. “This is exactly what they said,” he recalled. “‘Jefferson, we need you to come on down to Fort Dix, you’re being mobilized for Iraq.’ I said: ‘Excuse me, but I’m a National Guardsmen. You mean Iraq, New Jersey?’ “

Mr. Walls, the accountant, joined in 2005, in part, he said, because he was looking to add some excitement to his life, without disrupting his family too much. He knew mobilization was possible, but he and the recruiter, a friend, figured it was far off, because New Jersey soldiers had just returned from Iraq. “He told me the deployment was coming up, I think it was in 2010, 2011,” Mr. Walls said. “We figured we had a few years, Mr. Bush would be out of office, things would be different.”

When he got his deployment notice, his wife, Iris, was so angry, he said, she was speechless. “Ever try to sleep beside someone so angry that her anger keeps you up?” Mr. Walls said.

When she could finally talk, it wasn’t good. “I started crying and yelling, ‘What are you going to do?’ Mrs. Walls said. “I just sat on the couch – ‘This cannot be happening, this is crazy.'”

Her mother called Mr. Walls’s decision to join the Guard selfish, but Mrs. Walls felt differently. Several years before, when she had been unhappy working as a bookkeeper, he had encouraged her to quit and pursue her love, real estate. He assured her that they could live off his salary until she was established.

She now works full time at real estate, does well, and loves it. “He supported me,” she said. “I’m his wife and I love him, and I have a family with him. I’m willing to deal with this. We have to make it work.”

IN June, when Mr. Roldan left for two months of training in Texas, Brandon cried for days, but eventually grew accustomed to his father’s absence. Mrs. Roldan didn’t want to reawaken that sadness, so in August, when the soldiers got a final four-day pass before shipping to Iraq, she traveled to Texas alone. She bought a new dress, did her hair and nails, and, though she flew in flip-flops, was wearing high heels when she stepped off that plane. “John noticed,” she said.

They spent their time with two other military couples, staying out late at clubs, drinking and dancing, then meeting in the Holiday Inn lobby for breakfast at 9:30 each morning, as if they had no children or cares.

But like Cinderella, the soldiers held passes that expired at midnight, on Aug. 29.

“I would not let go,” Mrs. Roldan said. “He was telling me, ‘I have a minute more, I have a minute more,’ and I just didn’t care. I didn’t want to let him go.

“I hugged and I kissed him and just told him to be safe and to be back because I know my two kids need him and I need him to be a family again.”

By the time she got back to New Jersey, it was Saturday night and all she wanted was to sleep, but Brandon was so excited to see her, she had to let that go. “I played with him and talked to him and he had a lot of questions, and I answered every question he had.” Mother and son didn’t get to bed until 1 a.m.

Brandon keeps asking when his Daddy will be home, but he is too young to understand how long a year feels, so Mrs. Roldan explains by using the holidays. “Right now, he’s waiting for Halloween,” Mrs. Roldan said. “He knows Halloween is pretty soon. And then there’s Thanksgiving and Christmas and his birthday. He didn’t know about what Valentine’s is, but then there’s Easter and Mother’s Day and Father’s Day and finally, his Daddy will be there.”

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Bush Signs Spending Bill that Includes Money for VA

September 30, 2008 – President Bush on Tuesday signed a sprawling, stopgap spending bill to keep the government running for the next 12 months.

The president’s move, which came on the last day of the government’s budget year, was expected even though the measure spends more money and contains more pet projects than he would have liked. The legislation is one of the few bills this election year that simply had to pass.

The $630 billion-plus spending bill wraps together a record Pentagon budget with aid for automakers and natural disaster victims, and increased health care funding for veterans returning from Iraq and Afghanistan.

The measure also lifts a quarter-century ban on oil drilling off the Atlantic and Pacific coasts, a victory for Bush and fellow Republicans.

Bush said he was disappointed with the way Congress handled the lumped-together spending bill. “There is much work to be done, and the Congress should not adjourn for the year without finishing important business on spending, taxes, and free-trade agreements,” the president said in a statement.

The huge bill, approved by the House and the Senate last week, has been overshadowed by the financial crisis gripping the country. The legislation settles dozens of battles between the Democrats who run Congress and the White House and its GOP allies.

The measure is dominated by $488 billion for the Pentagon, $40 billion for the Homeland Security Department and $73 billion for veterans’ programs and military base construction projects.

The administration won approval of the defense budget while Democrats wrested concessions from the White House on disaster aid, heating subsidies for the poor and smaller spending items. Automakers gained $25 billion in taxpayer-subsidized loans.

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Disabled Veterans Must Seek Form to Keep Tax Break in Connecticut

October 1, 2008 – Thousands of disabled state veterans will lose a tax break if they don’t contact the federal Department of Veterans Affairs requesting proof of their disability.

The VA on Monday told Gov. M. Jodi Rell that because of a computer system change in July, the agency will not mail forms to veterans that verify their disability ratings for local tax purposes. The forms must be filed with local tax assessors today.

The last-minute announcement left state officials on Tuesday scrambling to get the word out to more than 20,000 disabled veterans and stunned veterans’ advocates.

“This is going to be a big problem because veterans really count on the tax break,” said Al Church, executive director of the Connecticut chapter of Disabled American Veterans.

Eligible veterans get exemptions on the assessed value of their homes and cars, based on their disability rating. Veterans must declare their service-connected disabilities annually. Historically, every September the VA has mailed a 20-5455 form that veterans use to verify service-connected disabilities.

David Leonard, director of the VA’s Hartford regional office, said the VA converted to a new payment records system that no longer allows the form to be issued to disabled veterans, excluding retired veterans. Veterans must now request the form from the federal VA. The change affects disabled veterans in nine states that provide state and local state tax relief for the veterans and surviving spouses.

As soon as his office learned of the change about a week ago, Leonard said he began working with the state to get the word out to veterans. “We weren’t aware of the impact this was going to have. We’re going to do everything we can to work with the state and [state Veterans Affairs Commissioner] Linda Schwartz’s office to assure that when requests are received, they are addressed immediately,” he said.

Rell said Tuesday that her office is working with Leonard and is asking local officials and tax assessors to give veterans more time to submit disability verification letters.

Schwartz said it felt as if the federal VA had pulled the rug out from under state veterans.

“I don’t know why it took so long to let us know,” she said.

Disabled veterans can request the form from the VA’s regional office in Newington by e-mail at pctc.vbahar@va.gov or by faxing a signed request to 860-665-7654.

Veterans without access to e-mail or a fax may obtain a form by calling the state Department of Veterans Affairs’ information line at 866-928-8387, or visiting a nearby veterans office.

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