Abstract
Military service members encounter a range of occupational and environmental exposures during their military service. These exposures may affect both physical and mental health. This chapter provides an overview of military occupational and environmental exposures throughout the last decades and outlines risk communication strategies for addressing these exposure concerns.
“All substances are poisons; there is none which is not a poison. The right dose differentiates a poison and a remedy.”
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References
University of Nebraska- Lincoln. Toxicology and Exposure Guidelines (revised 1/03). [On-line]. {cited 7 March 2018}. Accessed https://ehs.unl.edu/documents/tox_exposure_guidelines.pdf
Analysis of VA health care utilization among Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn Veterans: Cumulative from 1st Qtr FY 2002 through 3rd Qtr FY 2015 [online] (October 1, 2001 – June 30, 2015) {cited 5 March 2018}. Accessed https://www.publichealth.va.gov/docs/epidemiology/healthcare-utilization-report-fy2015-tr3.pdf
Bell MR, Ritchie EC. Breastfeeding in the military. Part I: information and resources provided to servicewomen. Mil Med. 2003;8(10):807–12.
Bell MR, Ritchie EC. Breastfeeding in the military. Part II: resource and policy considerations. Mil Med. 2003;8(10):813–6.
Veterans Health Administration, Office of Patient Care Services, Post-Deployment Health Services. Public Health: Military Exposures-Occupational Hazards [online]. (2018) {cited 2018 Mar 19} https://www.publichealth.va.gov/exposures/categories/occupational-hazards.asp
Teichman R. Health hazards of exposures during deployment to war. J Occup Environ Med. 2012;54(6):655–8.
Morris MJ, Rawlins FA, Forbes DA, et al. Deployment-related respiratory issues. US Army Med Dep J. 2016;2-16:173–8.
Hyams KC, Wignall FS, Roswell R. War syndromes and their evaluation: from the U.S. Civil War to the Persian Gulf War. Ann Intern Med. 1996;125:398–405.
Hyams KC, Riddle J, Trump DH, et al. Protecting the health of United States military forces in Afghanistan: applying lessons learned since the Gulf War. Clin Infect Dis. 2002;34(supp 5):S208–14.
DeFraites RF, Richards EE. Assessing potentially hazardous environmental exposures among military populations: 2010 symposium and workshop: summary and conclusions. Mil Med. 2011;176:17–21.
Richards EE. Responses to occupational and environmental exposures in the U.S. military-World War II to the present. Mil Med. 2011;176:22–8.
Nevi RL. Mefloquine prescriptions in the presence of contraindications: prevalence among US military personnel deployed to Afghanistan, 2007. Pharmacoepidemiol Drug Saf. 2010;19(2):206–10.
Veterns Health Administration, Office of Patient Care Services, Post-Deployment Health Services. Public Health: Military Exposures-Camp Lejeune Past Water Contamination [online]. (2018) {cited 2018 Mar 19} https://www.publichealth.va.gov/exposures/camp-lejeune/
Veterans Health Administration, Office of Patient Care Services, Post-Deployment Health Services. Public Health: Military Exposures-Potential Exposure at Fort McClellan [online]. (2018) {cited 2018 Mar 19} https://www.publichealth.va.gov/exposures/fort-mcclellan/index.asp
Murphy FM, Mather SH, Brown MA. Innovation in Veterans’ health care and assistance: the Department of Veterans Affairs 10 years after the Gulf War. Mil Med. 2002;167(3):191–5.
Committee on Gulf War and Health: Institute of Medicine. Gulf War and health, volume 10, update on health effects of serving in the Gulf War. Washington, DC: National Academies Press; 2016.
Committee on Gulf War and Health: Institute of Medicine. Gulf War and health, volume 8: update of health effects of serving in the Gulf War. Washington, DC: National Academies Press; 2010.
Nettleman M. Gulf War illness: challenges persist. Trans Am Clin Climatol Assoc. 2015;126:237–47.
Spelman JF, Hunt SC, Seal KH, et al. Post deployment care for returning combat Veterans. J Gen Intern Med. 2012;27(9):1200–9.
Helmer D, Rossignol M, Blatt M, et al. Health and exposure concerns of Veterans deployed to Iraq and Afghanistan. J Occup Environ Med. 2007;49(5):475–80.
Armed Forces Health Surveillance Center. Update: deployment health assessments, U.S. armed forces, December 2010. MSMR. 2010;17(12):14–5.
Veterans Health Initiative: Guide to Gulf War Veterans’ Health. DVA-EES. March 2002.
Veterans Health Initiative: Vietnam Veterans and Agent Orange. DVA-EES. First released March 2002. Updated June 2008.
National Academies of Sciences, Engineering, and Medicine. Veterans and agent orange: update 2014. Washington, DC: The National Academies Press; 2016.
Peters R, Covello V, McCallum D. The determinants of trust and credibility in environmental risk communication: an empirical study. Risk Anal. 17(1):43–54.
Zikmund-Fisher BJ, Turkelson A, Franzblau A, et al. The effect of misunderstanding the chemical properties of environmental contaminants on exposure beliefs: a case involving dioxins. Sci Total Environ. 2013;1(447):293–300.
Landrigan PJ. Illnesses in Gulf War veterans: causes and consequences. JAMA. 1997;277(3):259–61.
Dursa EK, Barth SK, Schneiderman AI, et al. Physical and mental health status of Gulf War and Gulf era Veterans: results from a large population-based epidemiological study. J Occup Environ Med. 2016;8(1):41–6.
Tsai J, Rosenheck RA. US Veterans' use of VA mental health services and disability compensation increased from 2001 to 2010. Health Aff (Millwood). 2016;35(6):966–73.
Committee on Gulf War and Health: Institute of Medicine. Gulf War and health: treatment for chronic multi-symptom illness. Washington, DC: National Academies Press; 2013.
McAndrew LM, Teichman RF, Osinubi OY, et al. Environmental exposure and health of Operation Enduring Freedom/Operation Iraqi Freedom veterans. J Occup Environ Med. 2012;54(6):665–9.
McAndrew LM, Helmer DA, Phillips LA, et al. Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment. J Rehabil Res Dev. 2016;53(1):59–70.
Links MJ. Principles of Exposure, Dose, and Response. Johns Hopkins Bloomberg School of Public Health [online]. (2006) {cited 2017 Oct 25}. Accessed http://ocw.jhsph.edu/courses/environmentalhealth/pdfs/lecture1.pdf
Agency for Toxic Substances and Disease Registry. Toxicology Curriculum for Communities Trainer’s Manual. Module Two: Routes of Exposure. [online]. (2018) {cited 2018 Mar 19} https://www.atsdr.cdc.gov/training/toxmanual/pdf/module-2.pdf
Occupational Safety and Health Administration [online]. Safety Hazards/Biological Hazards/Physical Hazards/Ergonomic Hazards/Chemical Hazards/Work Organization Hazards. (2018) {cited 2018 Mar 19} https://www.osha.gov/dte/grant_materials/fy10/sh-20839-10/circle_chart.pdf
Occupational Safety and Health Administration [online]. Understanding Chemical Hazards: Factsheet A. {cited 2018 Mar 25} https://www.osha.gov/dte/grant_materials/fy11/sh-22240-11/ChemicalHazards.pdf
Blackburn J, Levitan EB, MacLennan PA, et al. A case-crossover study of risk factors for occupational eye injuries. J Occup Environ Med. 2012;54(1):42–7.
Zakrzewski H, Chung H, Sander E, et al. Evaluation of occupational ocular trauma: are we doing enough to promote eye safety in the workplace? Can J Ophthalmol. 2017;54(4):338–42.
Gaydos JC. Military occupational and environmental health: challenges for the 21st century. Mil Med. 2011;176(7 Suppl):5–8.
Baird C. Deployment exposure and long-term health risks: the shadow of war. US Army Med Dep J. 2016;2-16:167–71.
May LM, Weese C, Ashley DL, et al. The recommended role of exposure biomarkers for the surveillance of environmental and occupational chemical exposures in military deployments: policy considerations. Mil Med. 2004;169(10):761–7.
Mallon TM. Progress in implementing recommendations in the National Academy of Sciences reports: Protecting those who serve: strategies to protect the health of deployed U.S. forces. Mil Med. 2011;176(7):9–16.
Dembert ML. Occupational Chemical Exposures and Psychiatric Disorders. Jefferson J Psychiatry. 1991;9(1):57–69.
Veterans Health Administration, Office of Patient Care Services, Post-Deployment Health Services: Benefits Overview for Agent Orange Exposure. Accessed Apr 4, 2018 at https://www.publichealth.va.gov/exposures/agentorange/benefits/index.asp
Kok BC, Herrell RK, Thomas JL, et al. Post-traumatic stress disorder associated with combat service in Iraq or Afghanistan: teconciling prevalence differences between studies. J Nerv Ment Dis. 2012;200:444–50.
White RF, Steele L, O’Callaghan J, et al. Recent research on Gulf War Illness and other health problems in veterans of the 1991 Gulf War: effect of toxicant exposures during deployment. Cortex. 2016;74:449–75.
Institute of Medicine. Amyotrophic lateral sclerosis in veterans: review of the scientific literature. Washington, DC: The National Academies Press; 2006.
Albers J, Berent S. Neurobehavioral toxicology: neurological and neuropsychological perspectives, Volume III. New York: Taylor & Francis; 2009.
Food and Drug Administration [online]. FDA Drug Safety Communication: FDA approves changes for antimalarial drug mefloquine hydrochloride due to risk of serious psychiatric and nerve side effects. https://www.fda.gov/Drugs/DrugSafety/ucm362227.htm.
National Research Council. Improving risk communication: National Research Council. Washington, DC: DC National Academy Press; 1989.
Covello VT. Risk communication: an emerging area of health communication research. In: Deetz SA, editor. Communication yearbook 15. Newbury Park: Sage; 1992. p. 359.
Santos SL, Helmer D, Teichman R. Risk communication in deployment-related exposure concerns. J Occup Environ Med. 2012;54(6):752–9.
Raab C, Harkins DK, Prisco MK, et al. Chapter 23: risk communication: an essential element of effective care. Airborne hazards related to deployment. Texas: Borden Institute, US Army Medical Department Center and School Fort Sam Houston; 2015. p. 231–8.
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Reinhard, M.J., Prisco, M.K., Lezama, N.G., Ritchie, E.C. (2019). Military Environmental Exposures and Mental Health. In: Ritchie, E., Llorente, M. (eds) Veteran Psychiatry in the US. Springer, Cham. https://doi.org/10.1007/978-3-030-05384-0_19
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DOI: https://doi.org/10.1007/978-3-030-05384-0_19
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