Balad Burn Pit Update: Effects of Toxic Smoke Worry Troops Returning from Iraq – DoD Admits Problem, Then Denies Problem

December 15, 2008 – The pervasive smoke spewing from the junk heap at Balad Air Force Base in Iraq is causing many returning troops to be concerned about the effects on their long-term health.

For four years, the burn pit was a festering dump, spewing acrid smoke over the base, including housing and the hospital.

Until three incinerators were installed, the smelly pit was the only place to dispose of trash, including plastics, food and medical waste.

“At the peak, before they went to use the real industrial incinerators, it was about 500,000 pounds a day of stuff,” according to a transcript of an April 2008 presentation by Dr. Bill Halperin, who heads the Occupational and Environmental Health Subcommittee at the Defense Health Board. “The way it was burned was by putting jet fuel on it.”

A lawsuit filed against the burn pit operators by a contractor alleges the burn pit also contained body parts. Video Watch burn pits spew black smoke »

“Wild dogs in the area raided the burn pit and carried off human remains. The wild dogs could be seen roaming the base with body parts in their mouths,” says the lawsuit filed in Texas federal court.

Aside from Balad, there are similar pits at bases elsewhere in Iraq and Afghanistan. Some still have no incinerators.

Many of the soldiers who went through Balad since the beginning of the war had become used to “Iraqi crud,” as they dubbed the symptom.

“I had a chronic cough, irritation, shortness of breath,” said Dr. Chris Coppola, an Air Force surgeon who worked on base in 2005 and again in 2007, “I was coughing up phlegm, sometimes black stuff and dust.”

While Coppola said he didn’t work in the burn pit, he knew the medical waste was going there.

“In 2005, our hospital waste wasn’t segregated,” he said. “Our trash went out the door and went into the burn pit.” By the time Coppola returned for his next tour, the hospital did separate its medical waste for disposal elsewhere, he said.

Coppola said that when he worked at the base hospital, the emergency room had frequent visits for “respiratory complaints, complaining of the coughing and breathing issues.”

Since he’s been back from Iraq, Coppola said he feels “very healthy.”

But other soldiers said they cannot shake the symptoms and they suspect the burn pit smoke is the cause.

Dennis Gogel was stationed in Balad twice between 2004 and 2006. He said he was in housing just a few hundred yards from the pit and would often jog past the pit.

The 29-year old Gogel said that in the last two years he’s had upper respiratory infections, skin irritation and he’s lost 60 pounds since deployment.

“I have blotchy spots on my face. I was treated for psoriasis, but it won’t go way,” he said.

Gogel said his doctors do not know what caused the problems.

“You expect when you get to a new environment you would feel the effect, but it should get out of the system,” he said. Gogel said it has affected his fitness, too.

“I used to run two miles in 10 minutes. I am up to 17,” he said.

Gogel has recently joined a class action lawsuit against the company contracted to handle waste disposal.

Just months after returning home from his first tour in Iraq in 2006, Maj. Kevin Wilkins developed headaches, but did not see a doctor.

Soon after his second Iraq tour in 2007, Wilkins — a registered nurse in the Air Force reserve — died of an advanced brain tumor. He was 51.

His widow, Jill, suspects the burn pit at Balad. While the cause of his brain tumor is not known, Jill Wilkins was told by doctors who worked with her husband at a Florida emergency room that exposure to chemicals like those that come from burning trash is a potential risk.

“Kevin was in perfect health before he went to Iraq,” Wilkins said. “He’s always been in good health, a healthy eater, exercises on a regular basis. There was not one thing wrong with him when he went to Iraq.”

Wilkins is trying to show the cause was service related so she can get access to her husband’s pension, medical insurance and other benefits from the Department of Veterans Affairs.

Concerning memos, questionable tests

One reason many soldiers suspect the burn pit is a widely circulated 2006 memo in which an environmental engineer cited a still-classified study labeling the pit “the worst environmental site I have personally visited.”

The memo, written by Lt. Col Darrin Curtis, a bioenvironmental engineering flight commander, concluded “there is an acute health hazard for individuals.”

“There is also the possibility for chronic health hazards associated with the smoke,” Curtis said.

The memo is co-signed by Lt. Col James Elliott, chief, Aeromedical Services, who wrote that he concurred with Curtis’ memo.

“In my professional opinion, the known carcinogens and respiratory sensitizers released into the atmosphere by the burn pit present both an acute and a chronic health hazard to our troops and the local populations,” Elliott said.

More alarm was raised in the military community when the initial draft of results from a 2007 study was released with a math error, overstating the dioxin levels tested by 1,000 times.

The report was circulated by the military’s U.S. Army Center for Health Promotion and Preventive Medicine “in the interest of transparency and the fact that they needed this information very quickly in order to answer service members’ concerns,” said Craig Postlewaite of the force readiness and health assurance office at the Department of Defense.

But Postlewaite said the error has been corrected and the data re-analyzed. A new test and report will be out soon. The military said smoke from the pit exposed troops to toxic emissions, including low levels of cancer-causing dioxins. But its tests indicate there is no long-term danger, officials said.

“The data indicate that there are no substances above a health threshold that should generate any long-term health risks, including cancer,” Postlewaite said.

At the Pentagon’s Force Health Protection Directorate, officials analyzed more than 160 air samples and concluded, in a soon to be released report, that the only risk is of temporary respiratory distress, nothing that poses a long-term threat.

“We have looked at respiratory health complaints for people that have been assigned to Balad. These complaints, by and large, are temporary in nature, most of them involve eye irritation, irritation of the upper respiratory passages, possibly a cough,” Postlewaite said. “We know just right here in the United States for people that are around those kinds of conditions, like firemen, this is not unusual. But we feel that the data support the fact that these all should be temporary in nature.”

A review of the findings by the military’s advisory group of medical scientists and doctors concurred with the report’s conclusions.

However, in the general findings, the report questioned whether the conclusions would hold “when more thorough analysis is conducted.” But a spokeswoman for the military said the final report, expected this week, will find the testing conducted was sufficient and conclusive.

The reviewing panel also expressed concerns about how pervasive the burn pits were, according to a meeting transcript of the advisory group.

“It seems like there may be something systematic going on here in terms of waste disposal techniques going on in the [war] theater,” notes Dr. Mark Brown, director of Environmental Agents Services at the Department of Veterans Affairs. “You couldn’t get away with this kind of waste disposal here in the United States.

Pits still in use

The concern about the pits was first reported in the Military Times. Upon seeing that article, Sen. Russ Feingold, D-Wisconsin, wrote to Gen. David Petraeus, the commander of U.S. forces in the Middle East, to express his concern about the smoke’s effect on troops.

Petraeus responded citing the military findings, but said burn pits are necessary.

“There is and will continue to be a need for burn pits during contingency operations,” Petraeus wrote back to Feingold in a letter provided to CNN.

Five years into the Iraq war, many bases still do not have incinerators. There are 17 solid waste incinerators, two hazardous waste incinerators and 24 medical waste incinerators operational in Iraq, according to the military. Another 23 are under construction with some not scheduled to be completed until the end of 2009.

In Afghanistan, where the United States has been fighting since 2001, there are no incinerators.

“Our military leaders in Afghanistan are in the process of designing treatment/disposal facilities for solid waste,” Petraeus wrote to Feingold.
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Feingold said he awaits the latest report.

“I remain concerned that service members may become sick as a result of exposure to fumes at Balad Air Base and potentially other bases in Iraq and Afghanistan,” Feingold said. “Service members who serve at the base for more than a year could still be in jeopardy as a result of exposure to the fumes.”

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Dec 16 Weekly Update: Vice President Cheney Admits Authorizing Torture, VCS Works to Restore Our Civil Liberties

December 16, 2008 –  Spread the Word: Close Guantanamo Bay, End Torture, and End Domestic Spying

This week’s update contains three important items. First, our VCS membership keeps growing. Second, we want you to let President-Elect Barack Obama know we want our civil liberties restored, especially since Vice President Dick Cheney recently confirmed on TV that he authorizied torture. And, third, we need your donations to keep up our work fighting for our inate rights enshrined in our Constitution.

First, Veterans for Common Sense is pleased to announce our membership has grown to more than 14,000. We thank those of you who share our updates and ask you to keep sending them to your friends so we can keep growing!

Second, VCS wants you to send a strong message to Congress and the new Obama administration: STOP TORTURE. Please go to www.Change.gov and share your ideas with the new White House that begins governing on January 20, 2009. In our view, Obama should take an immediate and strong stand against torture by anyone taking place anywhere. With the stroke of a pen, he can restore human rights and end the abuses of the past eight years started by the out-going administration.  Here is a blockbuster news article where Vice President Richard “Dick” Cheney admits to “clearing” the use of waterboarding, an illegal form of brutal torture simulating drowning: http://www.veteransforcommonsense.org/articleid/11906

Here are other steps we believe Obama can take to restore the beacon of liberty symbolized by our Statue of Liberty.

—> Close Guantanamo Bay Prison Camp. Guantanmo has become synonymous with torture, human rights violations, and ignoring Constitutional liberties. In order to return the world’s confidence in America and to assure Americans that torture is not taking place under our flag, Obama must close the doors of Guantanamo and open up the trials for all of the prisoners of war being held there. We want our habeas corpus restored now. The bogus term, “enemy combatant” should be eliminated. We should resume using “enemy prisoner of war” and following the Geneva Convention.

—> Stop Torture. Americans must unite and demand that any remaining government orders suggesting or authorizing torture be terminated. We must rebuild our reputation as a country that respects human rights at all times. We degrade our moral values and our civilization when we condone torture. Veterans or Common Sense worked with several other organizations to sue the Department of Defense to force the government to reveal outrageous documents ordering waterboarding and other forms of torture.

—> End Domestic Spying. Spying on Americans by our government is unconstitutional, and it must stop now. Veterans for Commmon Sense wants the Obama administration to restore our Constitutional liberties. The first step is to restore our rights by ending Domestic Spying. insert article on domestic spying – a recent article about Maryland peace groups targeted by the police.

Please go to www.Change.gov and share your ideas with the new White House that begins governing on January 20, 2009.  We agree with the wisdom of Thomas Paine who wrote that “Law is King” in his clarion call to end the despotism of King George III who believed that as king he was the law. Now, more than ever before in our Nation’s history, we recommend people read our Constitution and bring about an end to illegal dentention centers void of human rights, an end to brutal torture, and an end to spying on innocent citizens.

Third, we need your year-end tax-deductible donations to fight for our Constitution and our Civil Liberties. We are a voice rising above others and will remain so with your help. Please give to VCS today to help fund our efforts to learn the facts about Gitmo, torture, and domestic spying. With your help, we can begin to restore American dignity at home and abroad.

Finally, please watch ABC News broadcast interview where Vice President Cheney knew about and supported the torture of fellow humans, a violation of our Constitution, our laws, and the Geneva Convention: http://abcnews.go.com/Video/playerIndex?id=6468400.  The lawsuit filed by the American Civil Liberties, where VCS is a co-plaintiff, helped uncover the official documents implicating Cheney – otherwise, the press would remain unware of Cheney’s actions.   

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Afghanistan War News: Pakistan Truckers Refuse to Haul NATO, U.S. Military Supplies

December 15, 2008, Peshawar, Pakistan – Pakistani truckers are refusing to haul vital supplies to NATO and U.S. forces in Afghanistan because of mounting attacks along the main route, a transporters association said Monday.

Pakistani troops recently began escorting convoys through the Khyber Pass to the border to protect them from Taliban ambushes. Western military officials insist their Afghan operations are not at risk.

However, suspected militants have pulled off a series of bold raids on depots near the city of Peshawar in recent weeks, killing several guards and burning hundreds of vehicles, including scores of Humvees.

Shakirullah Afridi, the president of the Khyber Transport Union, said Monday its members had been using some 3,500 trucks and trailers to carry fuel, food and other supplies to Afghanistan.

He said all were boycotting work carrying military supplies — and that no offer of improved terms and security would persuade them to risk their lives or equipment again.

“If all the countries of NATO cannot control the situation in Afghanistan, how can escorts from the Frontier Corps ensure our safety?” Afridi said, referring to the paramilitary force that guard the convoys.

Kifayatullah Khan, the manager of the Port World Terminal, where a guard was shot dead during a recent attack, confirmed a shortage of trucks but said he was trying to persuade the transport firms to return.

A spokesman for the NATO-led force in Afghanistan played down the boycott threat and said it did not deal with Afridi’s association.

“If suddenly 70 percent of our stuff isn’t reaching us, we’d know about it, and that’s not the case,” Lt. Cmdr. James Gater said. “There is no indication to us that there is a disruption to our supply lines at this stage.”

Bakhtiar Khan, a government official in the Khyber region, said a convoy of 191 vehicles carrying military supplies crossed into Afghanistan on Monday.

Up to 75 percent of the supplies for Western forces in the landlocked country pass through Pakistan after being unloaded from ships at the Arabian sea port of Karachi.

Most of the material passes through Peshawar, which lies on the edge of Pakistan’s lawless tribal regions where Taliban militants hold increasing sway and Osama bin Laden and other top al-Qaida leaders are believed to be hiding.

NATO says it is investigating alternative supply routes through Central Asian nations to reach its forces, but has acknowledged that they are more expensive.

The U.S. military plans to send thousands more troops to Afghanistan in the coming months.

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Editorial Column: Red-State Army?

December 15, 2008 – In Hopewell Township, N.J., the veterans of American Legion Post 339 have put their building up for sale. “Today’s vets don’t come out,” 82-year old Jim Hall told The Times of Trenton last month. The post is down from 425 paying members in the 1960s and ’70s to 202 this year; only about a dozen regularly attend.

But it’s America that has changed, not vets.

Since 1970, the population of the United States has grown by about 50 percent, from roughly 200 million to 300 million. Over the same period, the number of active-duty armed forces has fallen approximately 50 percent, from 3 million to 1.4 million. A far smaller percentage of the citizenry now serves in the military.

Whereas in 1969 13 percent of Americans were veterans, in 2007 only 8 percent of us were.

Even more important than these general demographic shifts is the change wrought by the end of the draft in 1973. Until then, military service was distributed pretty evenly across regions. But that is no longer true. The residential patterns for current veterans and the patterns of state-level contributions of new recruits to the all-volunteer military have a distinct geographic tilt. And tellingly, the map of military service since 1973 aligns closely with electoral maps distinguishing red from blue states.

In 1969, the 10 states with the highest percentage of veterans were, in order: Wyoming, Pennsylvania, West Virginia, California, Oregon, New Jersey, Massachusetts, Ohio, Connecticut and Illinois.

In 2007, the 10 states with the highest percentage of post-Vietnam-era veterans were, in order: Alaska, Virginia, Hawaii, Washington, Wyoming, Maine, South Carolina, Montana, Maryland and Georgia.

Over the past four decades, which states have disappeared from the top 10? California, New Jersey, Massachusetts and Illinois, all big blue states that have voted Democratic in the past five presidential elections. These states and another blue state, New York, which ranked 12th in 1969, are among the 10 states with the lowest number of post-Vietnam vets per capita. New Jersey comes in 50th of the 50 states; just 1 percent of current residents have served in the military since Vietnam.

Little wonder Jim Hall’s American Legion post is fading away.

This is not simply an issue of people retiring to warm states such as Florida, Georgia and Texas. A 2005 Heritage Foundation analysis of Defense Department and census data on enlistments found that Montana, Alaska, Florida, Wyoming, Maine and Texas send the most young people per capita to the military. The states with the lowest contribution rates? Rhode Island, Massachusetts, Connecticut, New Jersey and New York.

What’s clear from the data is that a major national institution, the U.S. military, now has tighter connections to some regions of the country than others.

And we can’t simply treat the uneven pattern of military service as an insignificant reflection of the cultural differences that characterize different regions of this diverse country. Military institutions across nations and throughout time have always been important creators of culture. They strive to develop unbreakable bonds of solidarity among their members based on shared values, experiences and outlooks. In this country, the military’s leadership role in racial integration has been understood in just this way.

The issue now is not racial integration but cultural separation. If young people from different regions and social backgrounds either enter or steer clear of the armed forces, military service will become, over time, an experience that doesn’t ease but exacerbates preexisting cultural differences. Is the all-volunteer military already having this effect?

I spotted the link between military service and regional partisan divisions when I was researching not military history but Internet political communication. After spending time on political Web sites of the right and left, I noticed that posts on right-leaning sites often employed military lingo — habits of developing monikers and jingles and of using the vocabulary of military tactics and strategy. Left-leaning sites, in contrast, mostly lacked any easily recognizable features of military language.

This is one sign that our public sphere already suffers from a division between military and non-military cultures. The division is not trivial, and without institutional change it is likely to be durable.

During the recent presidential campaign, both Barack Obama and John McCain called for restoring idealism and rededicating citizenship to service. Doing so would require paying attention to the fact that the all-volunteer military has dramatically segmented American experience.

It is time to think seriously about a structure for national service — both military and non-military — that could successfully integrate young people from different regions of the country so that they will come, at least, to understand each other. We need to weave a fabric of shared citizenship anew.

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Turnout in Presidential Election Hits High: 61 Percent, 131 Million Votes Cast

61.6 percent of eligible voters cast ballots, the highest rate since 1968.

December 14, 2008, Washington, DC – Enthusiasm among blacks and Democrats for Barack Obama’s candidacy pushed voter turnout in this year’s elections to the highest level in 40 years.

Final figures from nearly every state and the District of Columbia showed that more than 131 million people voted, the most ever for a presidential election. A little more than 122 million voted in 2004.

This year’s total is 61.6 percent of the nation’s eligible voters, the highest turnout rate since 1968, when Republican Richard M. Nixon defeated Democrat Hubert Humphrey, said Michael McDonald, a political science professor at George Mason University.

States finished certifying their election results this weekend, including California on Saturday. The Electoral College was scheduled to elect Obama president on Monday, with electors meeting in each state to vote in a largely ceremonial procedure.

Third straight increase

Turnout increased for the third straight presidential election, encouraging news for those who have warned about voter apathy. Four years ago, 60.1 percent of those eligible voted.

“We seem to have restored the levels of civic engagement that we had in the 1950s and 1960s,” McDonald said. “But we didn’t break those levels.”

McDonald calculated turnout rates based on the number of eligible voters among adult U.S. citizens. Experts calculate turnout rates in different ways based on whom they consider eligible voters, a process that excludes noncitizens and, in most states, convicted felons.

Regardless of the method, turnout fell short of many predictions, in part because voters in some Republican areas of the country were not as enthusiastic this year with Sen. John McCain as the party’s nominee as they were four years ago when President George W. Bush won a second term.

Bush’s unpopularity after eight years in office, the nation’s fatigue with the Iraq war and the worst economic crisis since the Great Depression — coupled with Obama’s message of change — contributed to the increased turnout for Obama. He was also helped by a surge in black voters, who had the opportunity to elect the first black president.

The number of registered Democrats jumped in many states, helping to propel Obama to a larger share of the vote than Sen. John Kerry, the 2004 Democratic nominee, in 44 states and the District of Columbia.

Early voting hit new high

Early voting hit a new high, with about 41 million people — or more than 31 percent — voting before Election Day, either by mail or at designated sites, according to returns compiled by The Associated Press. Early voting accounted for 22 percent of the votes cast in 2004.

The Obama campaign invested heavily in early voting, and it appeared to be the difference in several states, though many of those people might have eventually voted on Election Day.

Voter turnout increased substantially in newly competitive states such as Virginia, Indiana and North Carolina, which all went for Obama after decades of favoring Republican presidential candidates. Turnout also increased in some Republican states with large black populations, such as Mississippi, South Carolina and Georgia.

North Carolina, which had competitive elections for president, governor and Senate, had the biggest increase in turnout, from 57.8 percent in 2004 to 65.8 percent this year.

“I don’t know that we did anything different than in other states, but the magnitude was so different,” said North Carolina Democratic Chairman Jerry Meek. “We were the only state in the country with a nationally targeted presidential race, gubernatorial race and Senate race.”

Obama won North Carolina by 14,177 votes, out of more than 4.3 million cast. In the Senate race, Democrat Kay Hagan beat incumbent Republican Elizabeth Dole. Beverly Perdue was elected the state’s first female governor.

Highest turnout in Minnesota

Minnesota, with a competitive Senate race that still hasn’t been decided, had the highest turnout rate, even though it dropped slightly, to 77.8 percent. It was followed by Wisconsin, Maine, New Hampshire and Iowa.

West Virginia and Hawaii tied for the lowest turnout rate, at 50.6 percent. Arkansas, Utah and Texas came close.

In all, the turnout rate increased in 33 states and the District of Columbia.

Turnout dropped in some states that did not have competitive presidential contests, such as Utah and Oregon. Oregon had been a battleground in previous presidential elections and the state had a competitive Senate race.

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VA Brain Injury Research Lab in Austin, Texas Could Close

December 12, 2008 – In an ironic twist of fate, the Austin-based Veteran Affairs’ Brain Imaging and Recovery Laboratory may be getting shut down. The lab was created in 2006 to study and develop treatments for combat-related traumatic brain injury. Earlier this year, its director, neurologist Dr. Robert Van Boven, publicly accused his bosses at the Central Texas Veterans Health Care Sys­tem of fraud, mismanagement, and wasting taxpayer money.

Van Boven charged that more than $1 million in BIRL funds had been spent on a research project that had nothing to do with traumatic brain injury, had little scientific merit, and was being conducted by unqualified researchers. When Van Boven’s bosses at the Central Texas system ignored his gripes, he filed a complaint with the VA Office of Inspector General. A report released by the inspector general in July largely confirmed Van Boven’s allegations.

That very report may lead to the BIRL’s shuttering. The report prompted an internal probe by a committee of VA health-care officials complied by Timothy Shea, the director of the VA Heart of Texas Health Care Network (or VISN 17), the organization that oversees the Central Texas system. “The panel has met, and there could be a possible recommendation to close the BIRL,” says VISN 17 public affairs officer Diana Struski. The decision, she says, is expected by the end of the month. Should the BIRL close, Struski says, its funding would likely be transferred to a unit in Waco studying combat-induced post-traumatic stress disorder.

Van Boven is hopping mad over the possibility of the BIRL closing. “Closing this sorely needed TBI program is throwing the baby out and keeping the dirty bathwater – managers who engage in misconduct, suppression, and inaction to disclosures of fraud, waste, and mismanagement,” he says. “The root problem is not the lab or its mission. The problem is [managers] who know nothing about science. Now they want to decapitate the center because its leader was speaking out against their shenanigans.”

The move could once and for all seal the fate of Van Boven, whom the VA has been trying to fire for months. Beginning last spring, Van Boven’s bosses began formal proceedings in an attempt to terminate him over a laundry list of trumped-up charges.

Last month, the VA notified Van Boven that he would indeed lose his job within two weeks. However, the federal Office of Special Council stepped in, and the VA agreed to a 60-day stay while the OSC conducts an investigation into possible whistle-blower reprisals against Van Boven. He remains on paid, nonduty status.

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17 Years Later, Gulf War Veterans Illnesses Linger

For war veterans backed by Boston University study, symproms all too real.

December 15, 2008 – Tara Batista says she cannot ever recall her phone number. But she can remember clearly what she was like before she drove an ambulance through the deserts and combat zones of Saudi Arabia in the winter of 1991.

“I was 19; I was healthy,” she said in a recent phone interview. As a combat medic during the Gulf War, Batista, who now lives in Fitchburg, stood in clouds of pesticides and, under orders, took a little white pill twice a day as a precaution against a chemical attack.

Today, she says, the smell of perfume or a new car makes her lose the ability to speak, and triggers dry heaves, weakness, and pain that rises through her body like a shiver. She has recurring sinus infections and night sweats.

Last year, she contemplated killing herself.

Batista, 38, now a nurse at the Veterans Affairs Medical Center in Bedford, says she was told by a Veterans Affairs doctor after she returned from Saudi Arabia that she had symptoms shared by other Gulf War veterans, but that benefits claims would not be approved if her records listed “Gulf War illness.” Instead, the doctor entered “undiagnosed illness,” with symptoms of sinus infections and migraines.

For more than a decade, federal officials have denied that sick veterans of the Gulf War share a distinct illness. But a 452-page federal report by an independent committee of scientists and veterans, released last month by the Boston University School of Public Health, found that at least 174,000 veterans, or 1 in 4 people deployed by the US military to the Persian Gulf in 1990 and 1991, have Gulf War illness, manifesting in a range of symptoms, probably caused by pesticide exposure and an experimental drug that hundreds of thousands were ordered to take as a precaution against chemical attack.

The drug, pyridostigmine bromide, and certain pesticides used during the war to keep fleas and sand flies at bay affect the central nervous system, the report found, and are associated with memory and focus problems, persistent headaches, respiratory and digestion problems, and “widespread pain.” The report concludes that there are no effective treatments, and that the conditions of afflicted veterans have remained static or worsened in the nearly 18 years since the Gulf War ended.

“The physical symptoms are real and not in people’s heads,” said Roberta White, the scientific director for the committee, which began its evaluation of Gulf War research and programs in 2002.

“The significance of the report is that it reviews study after study after study that show there is a constellation of symptoms that people who were deployed to the Gulf War experience more than any other group,” said White, who is associate dean for research at Boston University’s School of Public Health.

Pentagon and Veterans Affairs officials have publicly denied on numerous occasions that a specific Gulf War condition exists. In July 2007, Lawrence Deyton, chief public health and environmental hazards officer for the Department of Veterans Affairs, testified before a House committee that sick Gulf War veterans were “suffering from a wide variety of common, recognized illnesses,” but that no unique malady could be identified.

Reports on Gulf War veterans that the Department of Veterans Affairs commissioned from the Institute of Medicine have concluded that there is no proof the veterans are ill as a result of exposure to toxic chemicals. But those studies, the new report finds, overlooked key evidence, including the fact that animal studies were not taken into consideration in drawing conclusions, as is normally done with such research.

“We were in a toxic bowl of soup,” said Ed Bryan, a disabled former firefighter from Malden, who was sent to the Persian Gulf by the Army in 1990. “I didn’t have a magnifying glass in Desert Storm to read the ingredients on the pesticides they gave us. I would’ve never put those on my uniform or the back of my neck.” When Bryan was stationed at a seaport in Saudi Arabia, he began to lose his ability to taste food. After he returned, he had chronic diarrhea, which eventually led to a stomach operation. He still has headaches and diarrhea, and doctors say there is no treatment. “It’s devastating,” he said.

Cynthia O. Smith, spokeswoman for the Department of Defense, said the military now documents the concentration of pesticides used in “any location,” but no records were kept of pesticide levels in tents and camps during the Gulf War. The committee report found that many of the pesticides used in the Gulf War are still used by military personnel in the Middle East, but in much lower concentrations.

Smith said the Gulf War was the first time the experimental drug was given to military personnel for protection against chemical attack. “It was believed at the time that the Iraqis had weaponized soman and sarin,” she said, which are two nerve agents. The Food and Drug Administration has since approved the drug, taken by about half the US military personnel in the Gulf War, according to the report, for prevention against soman’s effects, but not for sarin. Doctors now believe the drug exacerbates neurological damage when combined with sarin. In the current war in Iraq, some military personnel carry the pills but are not ordered to take them regularly.

“They never should have been taken without informed consent,” said George Annas, a health law and bioethics professor at Boston University who has researched the use of experimental drugs in the military.

Jim Benson of the Department of Veterans Affairs said Gulf War veterans have received treatment, even though Gulf War illness “never passed the scientific test” as a syndrome. The BU report shows that the federal government has spent millions of dollars in research and treatment for Gulf War veterans, but concludes it has not been sufficient.

Thousands of Gulf War veterans are waiting for answers. Some, like Paul Perrone, who worked in law enforcement for the Air Force during the war and now lives in Hampstead, N.H., say the report’s findings give them hope.

“We’re finally getting the government to admit that we are sick because of what happened to us during the Gulf War,” said Perrone. “The doctors can no longer say, ‘We don’t believe you.’ “

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Editorial Column: Taking the First Step – Honor and Treat Veterans with PTSD

Warriors with PTSD should be honored by supporting them in seeking help.

December 15, 2008 – In my position as sergeant major of the Army Wounded Warrior Program, I see every day extraordinary men and women who have sacrificed so much and continue to proudly represent their country.

I had the opportunity a few months ago to tour a Combat Trauma Facility designed for treating veterans with post-traumatic stress disorder. I share this experience in hopes that others may read this and seek help for themselves or a loved one.

As the psychologist was showing us around the facility, we came across several veterans watching TV in a common area. Their eyes lit up as they saw my uniform and we talked for quite a while. One of them said, “after 40 years, she broke me down like a …” I cannot remember the exact word he used, but I think the point is clear. He was referring to the psychologist who uses Exposure Therapy and Cognitive Processing Therapy to treat her patients with PTSD.

This veteran was not a soldier, but a retired Marine. As I shook his hand, I saw “the look” I see in so many of our young veterans’ eyes, an indescribable stare associated with PTSD. But this time, I caught a glimpse of something else. I saw a sign of hope, a sign of peace and a tear forming and rolling down his cheek.

I left that day not being able to get this Marine out of my head. I kicked myself for not giving this veteran a hug, a hug of compassion, an embrace of respect. I wonder what drove this veteran to a point where after 40 years, he finally sought help.

Was it periods of unemployment, broken relationships, substance abuse, trouble with the law, being tired of not sleeping, tired of the dreams, tired of not feeling right, what was it? Why did it take so long? Regardless, all I can say is good for him, as after 40 years, he looked to be at peace with himself and others.

To promote understanding of resources available and where those resources must be focused, I want to address this invisible wound of war. For the month of August, for example, the number of soldiers in the Army Wounded Warrior Program diagnosed with severe PTSD surpassed the number of soldiers with amputations, becoming the most prevalent injury among soldiers in the program.

Although this is a significant statistical mark, it means much more. Behind every number that is counted, a soldier and a family is affected.

The Army Wounded Warrior Program, or AW2, serves severely wounded, injured, and ill soldiers and their families, wherever they are located, for as long as it takes. We serve more than 3,600 soldiers, 75 percent of whom are medically retired.

This November was Warrior Care Month, designated by Secretary of Defense Robert Gates as a time to increase awareness of programs and resources available to wounded, ill and injured service members and their families. Beyond that month and the holiday season, it is important to remember those who serve our country. Honoring the service of Americans may end for some after Veterans Day in November, but for others the lasting impact of having served one’s country will stay with them forever.

Like many who serve, I have seen the effects PTSD can have on our soldiers and families. I have seen veterans with PTSD lose their jobs, their homes and even their families.

I have seen them abuse prescription drugs, alcohol and illegal drugs. I have seen them have trouble with the law, tell stories of nights without sleeping, nightmares and lack of concentration. I have heard the families tell stories about their soldiers, describing outbursts of anger, being emotionally numb, detached and depressed. I have seen a couple of our veterans who were not able to overcome their struggles with severe PTSD, who thought death was their only option, and eventually took their own lives.

PTSD is real and it does not get better without proper treatment and care.

Unfortunately, many with PTSD don’t seek the treatment they need. Some resist treatment because they’re worried what others will think or they believe that they should be able to get over the problem on their own.

Help is out there. I have seen soldiers and veterans with PTSD get the help they need, get better and live happy, productive and meaningful lives. But to get there, they had to take that difficult first step of seeking help.

During my site visits, I always inquire about services available for soldiers and veterans with PTSD. I have seen vast improvements in the diagnosis and treatment of PTSD for all soldiers and veterans. However, I have to admit that our country and the military have a lot more to learn about PTSD and how to properly treat and care for our soldiers and veterans who suffer from it.

We need to reduce the stigma involved with post-traumatic stress. Leaders need to discuss the impact of combat stress with their soldiers. Recently, Gen. Carter Ham did that by sharing his experience with combat stress with the nation in USA Today.

It will be a difficult culture to change. As leaders we need to take responsibility, we need to take the first step if needed, and we need to encourage our soldiers and veterans to take the step and seek help. But we must also not forget about ourselves or our peers and even our superiors, as often our actions will help others that will follow our lead. The example may help other soldiers and veterans with PTSD.

I encourage our soldiers, veterans and their families to get the help that they need and deserve, to use the available resources out there, and to reach out to people who can assist them. They owe it to themselves and their families.

———

The writer has served in cavalry and armor units including Headquarters and Headquarters Troop, 1st Squadron, 4th U.S. Cavalry, First Infantry Division in Iraq, where he was first sergeant and leader of Task Force Sabre. He also served as the noncommissioned officer in charge at Forward Operating Base Mackenzie. He was wounded in combat and stayed on active duty through the Continuation of Active Duty program.

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Editorial Column: General Shinseki is the Right Man to Reform VA

December 14, 2008 – President-elect Barack Obama’s choice of retired Army Gen. Eric K. Shinseki to head the Department of Veterans Affairs is the smartest and best appointment he’s made so far.

It sends a signal to millions of our veterans, and to the active-duty military, as well, that the serious business of caring for those who’ve borne the burdens of fighting our wars will now be in the right hands — the hands of a fine soldier who bears the scars of war himself.

The current occupant of the White House has made much of his role as a wartime commander in chief these last seven years, but his record and that of his administration has been disgraceful when it comes to taking care of the inevitable casualties of war.

President George W. Bush and his minions have opposed virtually every piece of legislation to improve the treatment and benefits for those who are still in uniform and for the veterans of past wars, whether it’s increased pay and pensions or upgrading the GI Bill.

He talked the talk but he seldom walked the walk. The troops were perfunctorily ”blessed” in every speech and rounded up for photo-ops on bases far and wide, even as my McClatchy colleague Chris Adams, in a string of stories going back three years, has revealed that the VA’s dysfunctional disability system is prone to massive delays and errors, and that its mental health system is riddled with holes.

That Obama chose Shinseki to reform the stumbling, bumbling, expensive bureaucracy that is the VA is an unmistakable signal that business is going to be anything but usual in the future.

Shinseki, a West Point graduate who as a young lieutenant lost part of his foot to a landmine in Vietnam, is a soldier’s soldier, and everyone who wears a uniform knows that.

They also know that the diminutive Japanese-American who grew up on the island of Kauai in Hawaii was virtually alone among senior military officers in having the nerve to warn the Bush administration and then-Defense Secretary Donald H. Rumsfeld that they were taking us to war in Iraq without enough troops to secure the place.

For that, and for opposing an equally misbegotten Rumsfeld plan to cut six divisions out of the active Army and the Army National Guard on the eve of 9/11, then-Army chief of staff Shinseki was publicly excoriated and treated disgracefully by Rumsfeld and his deputy Paul Wolfowitz.

Fourteen months before his four-year term as Army chief was due to end, in a blatant attempt to force Shinseki to resign, Rumsfeld’s acolytes in the Pentagon leaked word that they’d already selected his successor.

It didn’t work. Shinseki is anything but a quitter, and he shrugged it off and soldiered on.

At his retirement ceremony at Fort Myer in the summer of 2003, even as a growing insurgency was wrecking Rumsfeld’s plans for a quick withdrawal of U.S. troops from Iraq, Shinseki pointedly warned against giving a 10-division Army a 14-division mission. In other words, he correctly warned his civilian military overlords that they didn’t have enough troops to secure and pacify Iraq. Again.

With that, Shinseki faded away quietly. He never gave interviews or publicly criticized a war gone terribly wrong, thus displaying far more dignity and grace than the armchair warriors who lacked even the common decency to concede that he’d been right and they’d been wrong.

In choosing Shinseki to repair and run the VA, Obama has made it clear to the military and the veterans’ community that things are going to change in civil-military relations; that although he’s a Democrat who opposed the Iraq war and has never worn the uniform himself, he really gets it.

Good change is coming

It will be a pleasure to watch as Shinseki takes on the biggest and most important challenge of his life: fixing the broken agency that’s supposed to care for those who’ve suffered the most in defending and protecting our nation.

Right now, the VA has a backlog of 700,000 unprocessed claims for benefits that are six months old or older, from World War II’s greatest generation to the newest generation of wounded veterans of Iraq and Afghanistan.

A recent inspection found thousands of case files in various VA offices that had been tossed into trash baskets to be shredded. Out of sight, out of mind. What claim?

Pass the word: Ric Shinseki’s back, and things are gonna change!

Joseph L. Galloway is a military columnist for McClatchy Newspapers.

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Iraq War Legacy: Official Military History Spotlights $100 Billion in Iraq Rebuilding Blunders

December 14, 2008, Baghdad, Iraq — An unpublished 513-page federal history of the American-led reconstruction of Iraq depicts an effort crippled before the invasion by Pentagon planners who were hostile to the idea of rebuilding a foreign country, and then molded into a $100 billion failure by bureaucratic turf wars, spiraling violence and ignorance of the basic elements of Iraqi society and infrastructure.

The history, the first official account of its kind, is circulating in draft form here and in Washington among a tight circle of technical reviewers, policy experts and senior officials. It also concludes that when the reconstruction began to lag — particularly in the critical area of rebuilding the Iraqi police and army — the Pentagon simply put out inflated measures of progress to cover up the failures.

In one passage, for example, former Secretary of State Colin L. Powell is quoted as saying that in the months after the 2003 invasion, the Defense Department “kept inventing numbers of Iraqi security forces — the number would jump 20,000 a week! ‘We now have 80,000, we now have 100,000, we now have 120,000.’ ”

Mr. Powell’s assertion that the Pentagon inflated the number of competent Iraqi security forces is backed up by Lt. Gen. Ricardo S. Sanchez, the former commander of ground troops in Iraq, and L. Paul Bremer III, the top civilian administrator until an Iraqi government took over in June 2004.

Among the overarching conclusions of the history is that five years after embarking on its largest foreign reconstruction project since the Marshall Plan in Europe after World War II, the United States government has in place neither the policies and technical capacity nor the organizational structure that would be needed to undertake such a program on anything approaching this scale.

The bitterest message of all for the reconstruction program may be the way the history ends. The hard figures on basic services and industrial production compiled for the report reveal that for all the money spent and promises made, the rebuilding effort never did much more than restore what was destroyed during the invasion and the convulsive looting that followed.

By mid-2008, the history says, $117 billion had been spent on the reconstruction of Iraq, including some $50 billion in United States taxpayer money.

The history contains a catalog of revelations that show the chaotic and often poisonous atmosphere prevailing in the reconstruction effort.

¶When the Office of Management and Budget balked at the American occupation authority’s abrupt request for about $20 billion in new reconstruction money in August 2003, a veteran Republican lobbyist working for the authority made a bluntly partisan appeal to Joshua B. Bolten, then the O.M.B. director and now the White House chief of staff. “To delay getting our funds would be a political disaster for the President,” wrote the lobbyist, Tom C. Korologos. “His election will hang for a large part on show of progress in Iraq and without the funding this year, progress will grind to a halt.” With administration backing, Congress allocated the money later that year.

¶In an illustration of the hasty and haphazard planning, a civilian official at the United States Agency for International Development was at one point given four hours to determine how many miles of Iraqi roads would need to be reopened and repaired. The official searched through the agency’s reference library, and his estimate went directly into a master plan. Whatever the quality of the agency’s plan, it eventually began running what amounted to a parallel reconstruction effort in the provinces that had little relation with the rest of the American effort.

¶Money for many of the local construction projects still under way is divided up by a spoils system controlled by neighborhood politicians and tribal chiefs. “Our district council chairman has become the Tony Soprano of Rasheed, in terms of controlling resources,” said an American Embassy official working in a dangerous Baghdad neighborhood. “ ‘You will use my contractor or the work will not get done.’ ”

A Cautionary Tale

The United States could soon have reason to consult this cautionary tale of deception, waste and poor planning, as troop levels and reconstruction efforts in Afghanistan are likely to be stepped up under the new administration.

The incoming Obama administration’s rebuilding experts are expected to focus on smaller-scale projects and emphasize political and economic reform. Still, such programs do not address one of the history’s main contentions: that the reconstruction effort has failed because no single agency in the United States government has responsibility for the job.

Five years after the invasion of Iraq, the history concludes, “the government as a whole has never developed a legislatively sanctioned doctrine or framework for planning, preparing and executing contingency operations in which diplomacy, development and military action all figure.”

Titled “Hard Lessons: The Iraq Reconstruction Experience,” the new history was compiled by the Office of the Special Inspector General for Iraq Reconstruction, led by Stuart W. Bowen Jr., a Republican lawyer who regularly travels to Iraq and has a staff of engineers and auditors based here. Copies of several drafts of the history were provided to reporters at The New York Times and ProPublica by two people outside the inspector general’s office who have read the draft, but are not authorized to comment publicly.

Mr. Bowen’s deputy, Ginger Cruz, declined to comment for publication on the substance of the history. But she said it would be presented on Feb. 2 at the first hearing of the Commission on Wartime Contracting, which was created this year as a result of legislation sponsored by Senators Jim Webb of Virginia and Claire McCaskill of Missouri, both Democrats.

The manuscript is based on approximately 500 new interviews, as well as more than 600 audits, inspections and investigations on which Mr. Bowen’s office has reported over the years. Laid out for the first time in a connected history, the material forms the basis for broad judgments on the rebuilding program.

In the preface, Mr. Bowen gives a searing critique of what he calls the “blinkered and disjointed prewar planning for Iraq’s reconstruction” and the botched expansion of the program from a modest initiative to improve Iraqi services to a multibillion-dollar enterprise.

Mr. Bowen also swipes at the endless revisions and reversals of the program, which at various times gyrated from a focus on giant construction projects led by large Western contractors to modest community-based initiatives carried out by local Iraqis. While Mr. Bowen concedes that deteriorating security had a hand in spoiling the program’s hopes, he suggests, as he has in the past, that the program did not need much outside help to do itself in.

Despite years of studying the program, Mr. Bowen writes that he still has not found a good answer to the question of why the program was even pursued as soaring violence made it untenable. “Others will have to provide that answer,” Mr. Bowen writes.

“But beyond the security issue stands another compelling and unavoidable answer: the U.S. government was not adequately prepared to carry out the reconstruction mission it took on in mid-2003,” he concludes.

The history cites some projects as successes. The review praises community outreach efforts by the Agency for International Development, the Treasury Department’s plan to stabilize the Iraqi dinar after the invasion and a joint effort by the Departments of State and Defense to create local rebuilding teams.

But the portrait that emerges over all is one of a program’s officials operating by the seat of their pants in the middle of a critical enterprise abroad, where the reconstruction was supposed to convince the Iraqi citizenry of American good will and support the new democracy with lights that turned on and taps that flowed with clean water. Mostly, it is a portrait of a program that seemed to grow exponentially as even those involved from the inception of the effort watched in surprise.

Early Miscalculations

On the eve of the invasion, as it began to dawn on a few officials that the price for rebuilding Iraq would be vastly greater than they had been told, the degree of miscalculation was illustrated in an encounter between Donald H. Rumsfeld, then the defense secretary, and Jay Garner, a retired lieutenant general who had hastily been named the chief of what would be a short-lived civilian authority called the Office of Reconstruction and Humanitarian Assistance.

The history records how Mr. Garner presented Mr. Rumsfeld with several rebuilding plans, including one that would include projects across Iraq.

“What do you think that’ll cost?” Mr. Rumsfeld asked of the more expansive plan.

“I think it’s going to cost billions of dollars,” Mr. Garner said.

“My friend,” Mr. Rumsfeld replied, “if you think we’re going to spend a billion dollars of our money over there, you are sadly mistaken.”

In a way he never anticipated, Mr. Rumsfeld turned out to be correct: before that year was out, the United States had appropriated more than $20 billion for the reconstruction, which would indeed involve projects across the entire country.

Mr. Rumsfeld declined to comment on the history, but a spokesman, Keith Urbahn, said that quotes attributed to Mr. Rumsfeld in the document “appear to be accurate.” Mr. Powell also declined to comment.

The secondary effects of the invasion and its aftermath were among the most important factors that radically changed the outlook. Tables in the history show that measures of things like the national production of electricity and oil, public access to potable water, mobile and landline telephone service and the presence of Iraqi security forces all plummeted by at least 70 percent, and in some cases all the way to zero, in the weeks after the invasion.

Subsequent tables in the history give a fast-forward view of what happened as the avalanche of money tumbled into Iraq over the next five years.

Dashed Expectations

By the time a sovereign Iraqi government took over from the Americans in June 2004, none of those services — with a single exception, mobile phones — had returned to prewar levels.

And by the time of the security improvements in 2007 and 2008, electricity output had, at best, a precarious 10 percent lead on its levels under Saddam Hussein; oil production was still below prewar levels; and access to potable water had increased by about 30 percent, although with Iraq’s ruined piping system it was unclear how much reached people’s homes uncontaminated.

Whether the rebuilding effort could have succeeded in a less violent setting will never be known. In April 2004, thousands of the Iraqi security forces that had been oversold by the Pentagon were overrun, abruptly mutinied or simply abandoned their posts as the insurgency broke out, sending Iraq down a violent path from which it has never completely recovered.

At the end of his narrative, Mr. Bowen chooses a line from “Great Expectations” by Dickens as the epitaph of the American-led attempt to rebuild Iraq: “We spent as much money as we could, and got as little for it as people could make up their minds to give us.”

James Glanz reported from Baghdad, and T. Christian Miller, of the nonprofit investigative Web site ProPublica, reported from Washington.

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