Article
Chemical warfare and the Gulf War: a review of the impact on Gulf veterans' health.
Office of the Assistant Secretary of Defense, Health Affairs, the Pentagon, Washington, DC, USA.
Military medicine (impact factor:
0.92).
09/2003;
168(8):606-13.
pp.606-13
Source: PubMed
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Citations (0)
- Cited In (2)
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Article: Long-term Psychological Consequences among Chemical Warfare Survivors of World War I and their Current Relevance
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ABSTRACT: In undertaking the research for this article, Professor Jones was supported by a grant from the Economic and Social Research Council and the Ministry of De-fence (RES-000-23-1057). The opinions and views expressed herein are those of the authors and do not refl ect the offi cial policy of the Royal Navy or the Ministry of Defence. Dr. Jones and Dr. Greenberg disclosed no relevant fi nancial relationships. 725 G as was the truly novel ele-ment of World War I. A range of toxins were used (princi-pally chlorine, phosgene, and mustard gas), delivered by a variety of methods, including cloud, shell and mortar. Pro-duction of chemical weapons grew pro-gressively and, as a result, increasing numbers of servicemen were exposed to poison gas as the war drew to a close. Although the box respirator, introduced from the summer of 1916, protected the windpipe and lungs from all toxins used in the war, many suffered from the vesi-cant effects of mustard gas for which, in the absence of special clothing, there was no adequate defense. Yet the num-bers killed by chemical weapons were relatively small as a percentage of total deaths: an estimated 6,060 U.K. troops, which was about 1% of the total. 1 For the U.S. Army, it was calculated that of the 34,249 immediate deaths of soldiers on the battlefi eld, only 200 (0.6%) were from gas. However, of 70,552 U.S. ser-vicemen exposed to chemical agents and admitted for treatment, 1,221 (1.7%) died in American Expeditionary Force (AEF) medical units. 2 Despite low mortality rates, gas ca-sualties were numerous, being the sec-ond largest category (31.5%) of patients admitted to AEF hospitals after gunshot wounds (33.4%). In part, these fi gures refl ected the capacity of gas to trauma-tize soldiers. Indeed, some units exhib-ited outright panic when subjected to chemical attack. Inexperienced troops were considered more vulnerable than units that had habituated to this new form of warfare. Clark showed, for example, that in July 1918 the U.S. 26th Division suffered four times as many gas casu-alties than the battle-hardened French 39th Division, although both units had been exposed to similar quantities of chemical agent. 3 Lack of knowledge about different types of toxins and their specifi c effects added to genuine anxi-eties. Soldiers traumatized or mentally exhausted by the effects of prolonged warfare often misinterpreted the nature of bombardments and assumed that they had been poisoned by gas. Powerful emotions inspired by chemical weapons not only had an impact on servicemen's beliefs about damage to vital organs and long-term health but also infl uenced the number and range of symptoms that they reported. -
Article: Saudi Arabia-United States collaboration in health research: a formula for success.
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ABSTRACT: The aim of this article is to share our experiences from an international collaborative effort to study health outcomes among Saudi Arabian National Guard (SANG) soldiers following the 1991 Gulf War. By paying particular attention to distinct social and religious customs, geopolitical differences, and unique aspects of the health care system, we achieved a successful international collaboration in health research.American Journal of Infection Control 05/2005; 33(3):192-6. · 2.40 Impact Factor
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Keywords
chemical warfare agents
chemical warfare attack
chemical warfare nerve agent exposure
chemical warfare nerve agents
chemical weapons
expert panels
Extensive investigation
Gulf War
Gulf War veterans
illnesses
life-threatening experiences
long-term health consequences
mild-moderate illnesses
morbidity
perceived exposure
psychological impact
severe
war-related health impact