PPT-"Services and Benefits for Gulf War Veterans" - Anthony Hardie

8/18/2019 PPT-"Services and Benefits for Gulf War Veterans" - Anthony Hardie

http://slidepdf.com/reader/full/ppt-services-and-benefits-for-gulf-war-veterans-anthony-hardie 1/98

“SERVICES & BENEFITS FORGULF WAR VETERANS”

Presentation by: Anthony Hardie,

Director, Veterans for Common Sense

Presentation for the

25th Anniversary Commemoration ofthe Gulf War

Hosted by theU.S. Department of Veteran A!a"r# Boton $ea%t'are

S(temand the

Boton Un")er"t( # S'oo% of *e+"'"ne & ,-%"' $ea%t

April 9, 201 ! "oston, #A



INTRODUCTION

Anthony Hardie: Director, Veterans for Common Sense (education &advocacy on veterans, military, foreign policy issues)

• U.S. Army !" years active duty (#$%'$), com*at deployments (+ulfar & Somalia), - non'com*at deployments (. & . Africa, +uantanamo)

Advocate for fello/ Veterans for more t0an t/o decades• +ulf ar1veterans2 organi3ations (#$$4'5resent6 +7C, V8, DAV,

VCS)

Congressional Aide (veterans2 & military issues, etc.)

is. Department of Veterans Affairs (legislative, pu*lic, intergovernmentalaffairs)

8edically retired

9ederal Advisory Committees (7AC, +: CD875 ; )

<estified *efore Congress numerous times

5ress =undreds of intervie/s1>uotes USA Today , C, 9o; e/s,8S?C, etc. etc. etc.

/



$Ser%ices and "ene&ts for '(lf )ar Veterans*

GULF WAR VETERANS OVERVIEW

0



1221 GULF WAR GROUND OFFENSIVE A #+-./A-.A CA.-.

3



GULF WAR4 AUGUST 122567UL8 12219,000 '+3 )A4 V5-54AS

6,!,5"#

Gulf War $raDe%loye& ' Non(

De%loye&)ervi*emem+ers

9:;/;1990 ! Present678200

5,-.,# Non(De%loye& Gulf War

$ra /eterans

978281990 ! Present78200<

#,#2.,!5!

De%loye& to GulfTheater of O%erations

978281990 ! Present78200<

6.6,"2

Gulf War 0Con1i*t/eterans

978281990!8181991<

"!2,5##

3ost(Gulf War Theater/eterans

978181991 ! Present78200<

=So-r'e4 '(lf )ar Veterans .nformation System

http://www1.va.gov/rac-gwvi/docs/GWVIS_Aug2007.pdf







@2?#555 GULF WAR VETERANS

@So-r'e4 7oep# 122?# '"te+ "n Int"t-te of *e+"'"ne# “G-%f War an+ $ea%t# Vo%. 1#” p. 31.

AG$ G$ND$R

/? 9mean a>e"n 1221<

*a%e4 20 Fema%e4 ?

RAC$

W"te4 ?5 Afr"'an6Amer"'an4 /0

$"pan"'4 = Oter4 /

4RANC O)$R/IC$

Arm(4 =5 US*C4 1= Na)(4 /0 A"r For'e4 1/

7I8ITAR9

)TATU)

http://books.nap.edu/openbook.php?record_id=9953&page=41









GULF WAR $EALT$ OUTCO*ES

?



T$E GULF WAR TOIC SOU,Cem"'

a%

WarfareA>ent O"% We%%F"re,art"'-%ate

*atter

DU

Eper"6menta%Va''"ne

,B ,"%%

,et"'"+e

,etro%e-

m,ro+-'t

So%)ent

Tent$eater

CARC,a"nt

B-rn"n> Tra;Fe'e

:



$A*ISI8A$ 155#555 E,OSED TO SARIN#C8CLOSARIN# *USTARD C$E*ICAL WARFARE AGENTS

2



7ANUAR8 ,LU*ES

Study: Wind blew deadly gas to U.S.troops in Gulf War :elly :enne&y, U)A TODA9 :;9 a<m< 5S- December 1;, 2012

-roops =ere told chemical alarms that =ent o> at +<S< bases in Sa(di Arabia d(rin? the '(lf )ar =ere false alarms, b(t a ne= st(dy

indicates that sarin ?as tra%eled h(ndreds of miles<WAS$INGTON 66 U.S. om"n> of IraH" m-n"t"on fa'tor"e "n 7an-ar(1221 re%eae+ a p%-me of ar"n >a tat tra)e%e+ more tan 055m"%e to a!e't Amer"'an troop "n Sa-+" Ara"a# a%to-> m"%"tar(o'"a% '%a"me+ at te t"me tat 'em"'a% a%arm tr">>ere+ ( te>a ere fa%e# a t-+( re%eae+ to+a( o.

Te 7an. 1:# 1221# om"n> of te m-n"t"on p%ant "n Na"r"(a an+am""(a %e a p%-me of ar"n >a "> ao)e a %a(er of 'o%+# t"%%a"r 66 a%o 'a%%e+ te o-n+ar( %e)e% 66 an+ "nto a "ft "n+ treamtat 'arr"e+ te >a to Sa-+" Ara"a# a"+ te t-+( 'on+-'te+ (reear'er Roert $a%e( an+ 7ame T-"te an+ p-%"e+ "n te

Jo-rna% e(roepidemiolo?y .

Te >a p%-me# te reear'er a"+# 'an e %ame+ for (mptom 15



GU8 WAR I88N$)) ;GWI< O/$R/I$W

“S'"ent"K' reear' . . . -pport an+ f-rter-tant"ate . . . tat G-%f War "%%ne " a er"o-p("'a% +"eae# a!e't"n> at %eat 1?=#555 )eteranof te 122561221 G-%f War# tat re-%te+ fromaar+o- epo-re "n te G-%f War teater.”1 9p.1<

S(mptom t(p"'a%%( "n'%-+e "+eprea+ pa"n# 'o>n"t")e+"'-%t"e# +e"%"tat"n> fat">-e# >atro"ntet"na%pro%em# rep"rator( (mptom# %eep pro%em#'ron"' ea+a'e# an+ oter anorma%"t"e not ep%a"ne+

( eta%"e+ me+"'a% +"a>noe or tan+ar+ %aorator(tetM a!e't /=60/ of te near%( ?55#555 )eteran ofte 1221 G-%f War./

S@U7CS (#) 7esearc0 Advisory Committee on +ulf ar VeteransB :llnesses (7AC), U.S. Department ofVeterans Affairs, Gulf War Illness and the Health of Gulf War Veterans: Research Update and Recommendations,

2!"2#$. as0ington, D.C. U.S. +overnment 5rinting @ffice, 8ay E#-. 7etrieved Fan. -, E#,///.va.gov17AC'+V:17AC7eportE#-9inal.pdf () +ulf ar :llness 7esearc0 5rogram (+:75), Congressionally Directed 8edical 7esearc0 5rogram, U.SDepartment of Defense, %ro&ram We'site. 7etrieved Fan. -, E#, 0ttp11cdmrp.army.mil1g/irp.

11

http://www.va.gov/RAC-GWVI/RACReport2014Final.pdf

http://cdmrp.army.mil/gwirp



http://www.va.gov/RAC-GWVI/RACReport2014Final.pdf



GULF WAR ILLNESS4 GULF WARS SIGNATURE $EALT$OUTCO*E

$Gulf War illness continues to be

the signature health concern ofveterans who served in the Persian

Gulf region in 1990-91.”6Nat"ona% A'a+em( of S'"en'e# Int"t-te of *e+"'"ne# “'(lf )arand Health, Vol(me 10: +pdate of Health 5>ects of Ser%in? in the'(lf )ar, 201” 9p.:?<

1/



IO* /51@4 GULF WAR ILLNESS

“A )ar"et( of t-+"e "n U.S. )eteran an+ 'oa%"t"onfor'e )eteran o er)e+ +-r"n> an+ e)en after te'on"'t 'ont"n-e to o tat )eteran o ere+ep%o(e+ to te G-%f War eper"en'e more(mptom# ">n# an+ "%%6+eKne+ 'on+"t"on# an+ tat

te"r (mptom are more e)ere tan te"rnon+ep%o(e+ 'o-nterpartM f-rtermore# tee(mptom a)e per"te+ for more tan /= (earafter te ar.” 9p.:?<

“Terefore# te Vo%-me 15 'omm"ttee 'on'%-+e tattere " -'"ent e)"+en'e of an ao'"at"oneteen +ep%o(ment to te G-%f War an+ te'onte%%at"on of 'ron"' (mptom 9"n'%-+"n> fat">-e#

m-'-%oPe%eta% pa"n# %eep +"t-ran'e# 'o>n"t")e+ f-n't"on a%terat"on of moo+ Pnon a G-%f War

10S@U7C 'ational Academy of Sciences, :nstitute of 8edicine, Gulf War andHealth, Volume #: Update of Health (ffects of Ser)in& in the Gulf War, 2#*



IO*6RECO**ENDED GWI CASEDEFINITIONS

S@U7C p. !-, ational Academies of Sciences, ngineering, and 8edicine. E#. +ulfar and =ealt0, Volume #E Update of =ealt0 ffects of Serving in t0e +ulf ar, E#.as0ington, DC <0e ational Academies 5ress.0ttp

11///.nap.edu1catalog1#%-E1gulf'/ar'and'0ealt0'volume'#E'update'of'0ealt0'effects13

http://www.nap.edu/catalog/21840/gulf-war-and-health-volume-10-update-of-health-effects






$S- . -H5 SH+335: Veterans of the 1991 Persian '(lf )ar*

VA DISABILIT8 CLAI*S

1=



FIRST T$INGS FIRST4 REGISTR8EA*S

Have you had a Gulf War Registry

Exa! Free to e%">"%e Veteran an+ no 'o6pa(ment

Not a +"a"%"t( 'ompenat"on eam orreH-"re+ for oter VA eneKt

VA Enro%%ment not ne'ear( Bae+ on Veteran re'o%%e't"on of er)"'e#

not on te"r m"%"tar( re'or+ Veteran 'an re'e")e a++"t"ona% re>"tr(

eam# "f ne pro%em +e)e%opttp4;;.p-%"'ea%t.)a.>o);epo-re;>-%far;eneKt;re>"tr(6eam.ap 1@

http://www.publichealth.va.gov/exposures/gulfwar/benefits/registry-exam.asp






4$OR$ W$ 4$GIN

• Veterans s0ould o*tain free 0elp from anaccredited veteran service officer (VS@) *efore

filing a claim against VA.

• <0ere are many important filing and appealdeadlines, so time is critical.

• 5resentation is general information, not legaladvice, as la/s c0ange.

1?



/A DI)A4I8IT9 CO73$N)ATION=WAT I) IT>

• What is it! 8ont0ly compensation *y VA to Veterans/0o are still affected (disa*led) *y an inGury or illnessincurred or a&&ra)ated during active military service.

• Why is it iportant! Veterans file a claim to get

service'connected, t0en receive free VA 0ealt0 carefor service'connected conditions. 9or veterans rated4EH or 0ig0er, all VA 0ealt0 care is free.

1:



/A DI)A4I8IT9 CO73$N)ATION=WAT I) IT> CT?D@

• 5ayment ranges from I#.#! for a single Veteranrated at #EH, to I,#%!.E for a married Veteranrate+ at 155 /it0 one c0ild, to 0ig0er rates forcertain special mont0ly compensation (S8C) rates.

• Veteran receives payment for life (&enerally ).

• 8ost Veterans are rated at EH or lo/er.

12

So-r'e4 U.S. Department of Veteran A!a"r# Veteran Compenat"on BeneKtRate Ta%e 6 $e*tive #2B#B#"htt%=BB@+enets@va@EovBCO73$N)ATIONBresour*esF*om%-#@as%



/A DI)A4I8IT9 CO73$N)ATION=OW TO G$T IT>

• Veteran K%e a “C%a"m” "t VA# ten >o tro->te C%a"m ,ro'e

• If appro)e+# te )eteran " no Pnon a“er)"'e6'onne'te+”

• C%a"m are omet"me 'a%%e+ ( te"r f-%% name#

“er)"'e6'onne'te+ +"a"%"t(” 9or “SCD”<'ompenat"on '%a"m

• “Ser)"'e6'onne't"on” " omet"me are)"ate+a “SC” or “S;C”

/5



/A C8AI7 3ROC$))

"ine Steps

• <0ere are $ VA claim steps descri*ed in t0is

presentation.

• 8ost Veterans /ill only e;perience t0e first steps t0ey apply and VA issues a decision.

• Veterans /0o disagree /it0 decisions on t0eirclaims may e;perience as many as all $ steps.

/1



/A C8AI7 3ROC$))

Step #ne: $eteran%s &nitial 'lai

$eteran files a (lai against $A.

Effe(tive date of (lai is:

<0e day VA receives t0e claim (most veterans), or

<0e #st day after disc0arge from active duty militaryservice, if claim is filed /it0in one (#) year of disc0arge.

//



/A C8AI7 3ROC$))

Step )wo: $A%s Rating *e(ision

VA conducts C&5 ;am

VA 7egional @ffice revie/s claim, C&5 e;am,VA and military records, ot0er evidence

VA issues 7ating Decision, descri*es reasonsfor decision to grant or deny Veteran2s Claim.

/0



/A C8AI7 3ROC$))

Step )wo+ 't%d: $A%s Rating *e(ision

• WHE" ,#U 'A" E-E') A RES#"SE: VA0as no time limit to decide.

• ERR#R RA)E in E#, VA2s :nspector +eneral

reported VA2s error rate /as E percent (EH).

/3



/A C8AI7 3ROC$))

AGA&":

8ost Veterans 0ave only t0e first steps t0ey apply andVA issues a decision.

H#WE$ER:

:f veteran disagrees /it0 VA decision, including VA error,ne/ evidence, etc., see Step and *eyond.

/=



/A C8AI7 3ROC$))

Step )hree: $eteran *isagrees with $A

*e(ision

• :f a Veteran disagrees /it0 any part of VA2s7ating Decision, t0en t0e Veteran files aotice of Disagreement (@D) in /riting

/it0 VA 7egional @ffice.

• *EA*/&"E Veteran 0as one 012 year frommailin& date of VA 7ating Decision to file an

@D. /@



/A C8AI7 3ROC$))

Step )hree+ 'ontinued:

• #)&#": A Veteran may also asJ a for a VADecision 7evie/ @fficer (D7@) to revie/ claim.

As+ your VS for &uidance.

• #SS&3&/&), #4 AR#$A/: A D7@ is amore e;perienced VA employee and often findsVA errors.

/?



/A C8AI7 3ROC$))

Step 4our: $A Responds to "#* with S#'

• 0en VA receives an @D, t0en VA preparesand mails t0e Veteran a Statement of t0e Case(S@C) furt0er e;plaining VA2s actions.

• WHE" ,#U 'A" E-E') A RES#"SE: VA0as no time limit to mail S@C. VA averages 5

onths to mail an S@C.

/:



/A C8AI7 3ROC$))

Step 4ive: $eteran 'opletes 4oral Appeal

• :f Veteran disagrees /it0 VA, t0en t0e Veteran files a

Su*stantive Appeal, also called a 64or 7 Appeal.

• *EA*/&"E: Veteran 0as 89 days from date of S-

.or remainder of one year from Ratin& /ecision0 toappeal to t0e ?oard of Veterans2 Appeals.

• WHE" ,#U 'A" E-E') A RES#"SE: VA 0asno time limit to revie/ and respond to a 9orm $appeal.

/2



/A C8AI7 3ROC$))

Step Seven: 3oard of $eterans% Appeals

• <0e VA ?oard of Veterans2 Appeals (also called t0e?oard or ?VA) issues a decision.

• WHE" ,#U 'A" E-E') A RES#"SE: <0e?oard 0as no time re>uirement to issue a decision.

Average is additional ;9 days from ?oard receipt

to ?oard decision. Average /ait from veteran filinginitial claim to ?oard decision is 1+<75 days ;"@"years< (Source E# VA :+ 7eport).

• W#R)H )HE WA&) AR#$A/ RA)E: ?oard 05



/A C8AI7 3ROC$))

Step Eight: $eteran Appeals 3oard *e(ision

• :f a Veteran disagrees /it0 t0e ?oard, t0en t0e

Veteran may appeal to t0e U.S. Court of Appealsfor Veterans Claims.

•*EA*/&"E: A Veteran 0as 19 days from t0edate of the 1oard decision to appeal to t0e U.S.Court of Appeals for Veterans Claims (t0eCourt).

01



/A C8AI7 3ROC$))

Step "ine: U.S. 'ourt of Appeals for $eterans

'lais

• <0e U.S. Court of Appeals for Veterans Claims

(also called t0e Court) issues a decision.

• WHE" )# E-E') A *E'&S&#": <0e Courtaverages almost one (1) ear from receipt todecision (Source Court documents).

• W#R)H )HE WA&) AR#$A/ RA)E: <0e

Court eit0er grants or remands (sends *acJ to0/



00

U.S. Co-rt ofAppea% for

Veteran C%a"m

VARe>"ona%

O'e

VARe>"ona%

O'e

VARe>"ona%

O'e

VA Boar+ ofVeteranAppea%

$A 'lais ro(ess #verview:

/evels of Appeal

=9>

Error

Rate

Grants or

!emands

"#$

Grants or

Reands

81>

#< $A 'lais ro(ess #verview:



#</eteran

ilesInitialClaim

•)ome ty%es of%resum%tive*laims have&ea&lines

2< /A ReviesClaims, Issues

RatinE De*ision

!< /eteran

)u+mitsNoti*e ofDisaEreemen

t

•D$AD8IN$= # 9ear

from Date onRatinE De*ision

"< /ARes%on&sith )OC

•AveraEe Wait Time= months

5< /eteranCom%letes

orm .

A%%eal

•D$AD8IN$= 6- Daysfrom Issuan*e of)OC

6< If /eteran)u+mitte&A&&itional

$vi&en*e, /AIssues ))OC

•AveraEe Wait Time= #year

< 4oar& of/eterans

A%%eals IssuesDe*ision

•AveraEe De*ision Time= 2"-Days

< /eteranA%%eals 4/A

De*ision

•D$AD8IN$= #2-Days

.< U@)@ Courtof A%%eals for

/eteransClaims Issues

De*ision

•AveraEeDe*isionTime=!2#Days

03

$A 'lais ro(ess #verview:

Appeal Steps+ *eadlines+ and

Wait )ies

Average Wait ties:

Step 1?Step 5: 1+<75 days @

;.; years

Step 1?Step 7: 1+717 days

@ <.8 years



:$9) TO A )UCC$))U8

C8AI7<o /in Service Connection (SC) for most VAdisa*ility claims (direct service'connection),&enerally , a Veteran must meet t0ree criteria

A) A current medical condition

?) An event in t0e military /0ere t0e current

medical condition /as incurred oraggravated

C) A medical opinion linJing t0e current

condition and t0e event (VA calls t0is a 0=



:$9) TO A )UCC$))U8

C8AI7, CT?D@A2 A (urrent edi(al (ondition:

• <0e veteran must 0ave a diagnosis of ane;isting medical condition.

• An e;posure alone /it0out identifying a medicalcondition1symptoms, is not a disa*ility1claim.

(;amples +ulf ar to;ic e;posures6 Agent@range e;posure6 e;posures to a oil /ell firesin Ku/ait6 e;posure to *urn pits in :ra> or

Afg0anistan)0@



:$9) TO A )UCC$))U8

C8AI7, CT?D@32 An event in the ilitary:

• Veteran2s military records s0o/ corro*oratingevidence of an event in t0e military (suc0 *eing/ounded in com*at, accident, inGury, assault, or

illness), /0ere (&enerally ) t0e current medicalcondition /as incurred or aggravated.

0?



:$9) TO A )UCC$))U8

C8AI7, CT?D@'2 A edi(al opinion 6liningB the (urrent

(ondition and the event 06nexusB2:

• A medical professional2s opinion t0eVeteran2s current condition is related toservice is called a ne;us statement.

• VA rules say veterans /in a tie. 9or e;ample,as liJely as not is a tie.

• @< A special Jind of claim (presumptive)

doesn2t re>uire a ne;us 0:

R$/I$W= ! :$9) TO A )UCC$))U8



R$/I$W= ! :$9) TO A )UCC$))U8C8AI7;GENERALLY , NON(3R$)U73TI/$C8AI7)<

A< In()ervi*e$vent

4< 7e&i*al $vi&en*e of0Neus 8inHinE $vent toCurrent 7e&i*al Con&ition

C< Current7e&i*al

Con&ition

02

3R$)U73TI/$ CONDITION



3R$)U73TI/$ CONDITIONC8AI7)

;GENERALLY <A< In(

)ervi*e$vent

;Statutory or RegulatoryPresumption of connection between

Event and Current Condition Noot!er proof of "ne#us$ needed%

4< Current7e&i*al

Con&ition

35



GULF WAR ,RESU*,TIVE CLAI*S

G-%f War )eteran ma( ota"n+"a"%"t( 'ompenat"on for+"a"%"t"e -n+er ame r-%e a oter

)eteran $oe)er# tere are a++"t"ona% pe'"a%r-%e tat app%( to G-%f War )eteran

No “ne-” reH-"rement 9'(tierre@ %<Principi

Una''epta%( "> VA +en"a% rate Greater tan :5 +en"e+ "n /51=

31



GULF WAR ,RESU*,TIVE RULES

*-t e a “G-%f War )eteran” 9So-tet A"ateatre of operat"on# A->. /. 1225 or %ater<

AND W"t a “H-a%"f("n> 'ron"' +"a"%"t(” 9at %eat

@ mont or a;ane +-r"n> at %eat @mont<

AND Con&ition must have manifeste& &urinE

Gulf War servi*e OR +e*ome at least#- &isa+linE ithin the %resum%tive%erio& ;*urrently, +efore De*em+er !#,2-#6<@

. infe*tious &iseases have &ierent 3/



GULF WAR ,RESU*,TIVE CLAI*S

9A< An undiagnosed &llness 0U*-29B< A me+"'a%%( -nep%a"ne+ (hroni(

ultisypto illness 0'C&2 tat " +eKne+ (a '%-ter of ">n or (mptom# -' a4 91< Cron"' fat">-e (n+rome 9CFS<M 92< F"rom(a%>"a 9F*<M 9< F-n't"ona% >atro"ntet"na% +"or+er

9FGID<# eBcl(din? str(ct(ral >atro"ntet"na% +"eae.

REFERENCE4 0: CFR 0.01?9a<# 9< ttp4;;.e'fr.>o);'>"6"n;tet6"+QSID

23==020+1e:10?/e0/a2:'@0=2/=@@&m'tr-e&no+ee0:.1.0101?&r>n+"): 30

http://www.ecfr.gov/cgi-bin/text-idx?SID=9455393d1e81372be32a98bc63592566&mc=true&node=se38.1.3_1317&rgn=div8














GULF WAR CLAI*S4 USE DBS

D"a"%"t( BeneKt -et"onna"re9DB< are me+"'a% eam"nat"on form-e+ for e)a%-at"n> VA +"a"%"t( '%a"m.

Ue te appropr"ate “DB” for CFS# F*#FGID "n'%-+"n> IBS# an+ G-%fWar;Af>an"tan Infe't"o- D"eae

No DB for Un+"a>noe+ I%%ne 9UD<'%a"m

F-%% %"t of DB4 .eneKt.)a.>o)

;'ompenat"on; 33

http://www.benefits.va.gov/compensation/dbq_ListByDBQFormName.asp







C*I4 FUNCTIONAL GASTROINTESTINAL DISORDERS

FGID "n'%-+e -t not %"m"te+ to4 Irr"ta%e Boe% S(n+rome 9IBS< F-n't"ona% +(pep"a 9"n+">et"on< F-n't"ona% )om"t"n> F-n't"ona% 'ont"pat"on

F-n't"ona% %oat"n> F-n't"ona% a+om"na% pa"n

(n+rome

F-n't"ona% +(pa>"a 9+"'-%t( 3=



.OR FGID S8*,TO*S

A+om"na% pa"n# S-terna% -rn"n> or pa"n Na-ea

Vom"t"n> A%tere+ oe% a"t6

+"arrea;'ont"pat"on

In+">et"on B%oat"n> ,otpran+"a% f-%%ne ,a"nf-% or +"'-%t a%%o"n>

3@



“UD” CLAI*S

Un+"a>noe+ I%%ne 66 “( "tor(#p("'a% eam"nat"on & %aorator(tet 'annot e attr"-te+ to an(

Pnon '%"n"'a% +"a>no"” Cat'6//4 D"a>no" of'on+"t"on;(mptom 9".e.# “'ron"'"n-"t"”# GERD< no %on>er

“-n+"a>noe+” Can -e “oJe't")e me+"'a%

e)"+en'e per'ept"%e to an

eam"n"n> p("'"an” or 3?



UDJ= 7$DICA8 $/ID$NC$ 9OU 7A9 )U47IT

*e+"'a% e)"+en'e (o- a)e from (o-rer)"'e "n te ,er"an G-%f 9Ser)"'eme+"'a% re'or+M an(t"n> e%e o"n>

me+"'a% treatment "%e "n te G-%f<. *e+"'a% e)"+en'e from after (o- %eft te

,er"an G-%f 9Report or tatement

from +o'tor# op"ta%# %aorator"e#me+"'a% fa'"%"t"e# or menta% ea%t'%"n"'# 6ra(# p("'a% terap(

re'or+# et'.< 3:



UDJ= 7$DICA8 $/ID$NC$ 9OU 7A9 )U47IT,CT?D

*e+"'a% tatement4 So +ateof eam"nat"on or treatment#Kn+"n># an+ +"a>noe.

Do'tor tatement4 State ente +o'tor Krt not"'e+ (o-r+"a"%"t"e# o te( appeare+#

o %on> te( %ate+. In'%-+e G-%f War $ea%t Re>"tr(

Eam"nat"on# OR "nform VA "n

r"t"n> en te eam"nat"on 32



UDJ= NON(7$DICA8 $/ID$NC$ 9OU 7A9 )U47IT

An( e)"+en'e "' " r"tten or'an e )er"Ke+# -' a4 T"me (o- %ot from orP Can>e "n (o-r p("'a%

appearan'e Can>e "n (o-r p("'a% a"%"t"e#

an+ Can>e "n (o-r menta% or

emot"ona% att"t-+e.=5



UDJ= NON(7$DICA8 $/ID$NC$ 9OU 7A9 )U47IT

Statement9< from peron9< o Pne(o- +-r"n> an+;or after te G-%f War oa)e perona% Pno%e+>e of (o-r

+"a"%"t"e. S-m"t on VA Form# “Statement inS(pport of Claim*

Statement o-%+ +e'r"e ea't%( at

te peron oer)e+ an+ ment"onpe'"K' +ate an+ p%a'e.

A peron on a't")e +-t( at te t"meo-%+ "n'%-+e te"r er)"'e n-meran+ m"%"tar -n"t.

=1



UD;C*I SIGNS OR S8*,TO*S

In'%-+e# -t are not %"m"te+ to4 91< Fat">-e. 9/< S">n or (mptom "n)o%)"n> P"n. 90< $ea+a'e.

93< *-'%e pa"n. 9=< 7o"nt pa"n. 9@< Ne-ro%o>"'a% ">n or (mptom. 9?< Ne-rop('o%o>"'a% ">n or (mptom.

9:< S">n or (mptom "n)o%)"n> te rep"rator( (tem 9-pperor %oer<. 92< S%eep +"t-ran'e. 915< Gatro"ntet"na% ">n or (mptom. 911< Car+"o)a'-%ar ">n or (mptom.

91/< Anorma% e">t %o. =/



UD;C*I DISUALIFIERS

Armat")e e)"+en'e UD;C*I anot inc(rred d(rin? a't")e G-%f Warer)"'e.

Armat")e e)"+en'e UD;C*I acaused by a superveningcondition or event tat o''-rre+

after G-%f War er)"'e an+ efore teonet of te UD;C*I.

Armat")e e)"+en'e UD;C*I " te

re-%t of te )eteran on =illf(l =0



2 INFECTIOUS DISEASES

,er"an G-%f 9A->. /# 1225< or Af>an"tan9Sep. 12# /551< or %ater 9Ue DB<41. Br-'e%%o"

/. Camp(%oa'ter JeJ-n"

0. 9Co"e%%a -rnet"" 9 fe)er<3. *a%ar"a.

=. *('oa'ter"-m t-er'-%o".

@. Nont(po"+ Sa%mone%%a.

?. S">e%%a.:. V"'era% %e"man"a".

2. Wet N"%e )"r-.

=3

797C % C97 .#!(c)0ttp

11///.ecfr.gov1cgi'*in1te;t'id;LS:DM$-44$d#e%#!*ea$%*c4$4&mcMtrue&nodeMse%.#.N##!&rgnMdiv%







OT$R WA9) TO G$T )$R/IC$

CONN$CT$D=3resum%tive Con&itions Relate& to$%osures4

• er+i*i&es ;0AEent OranEe<4 AL

Am(%o"+o"M Cron"' B6Ce%% Le-Pem"aMC%ora'neM D"aete *e%%"t- T(pe /M $o+>P"nD"eaeM I'em"' $eart D"eaeM *-%t"p%e*(e%omaM Non6$o+>P"n L(mpomaM

,arP"non D"eaeM ,er"pera% Ne-ropat(#Ear%( OnetM ,orp(r"a C-tanea Tar+aM ,rotateCan'erM Rep"rator( Can'erM Soft T"-eSar'oma. B%a++er 'an'er# (pot(ro"+"m ma(e a++e+ 9*ar. /51@<

• $(3OW IoniKin Ra&iation et'.==



OT$R WA9) TO G$T )$R/IC$

CONN$CT$D=Other 3resum%tive Con&itions4 9note tatome a)e +ea+%"ne for man"fetat"on for VA SCp-rpoe<4

• Am(otrop"' Latera% S'%ero" 9A8)<

• *-%t"p%e S'%ero" 97)< 9"t"n ? (ear ofer)"'e<

• $t*@

=@



OT$R WA9) TO G$T

)$R/IC$ CONN$CT$D,CT?D=• )e*on&ary Con&itions= C%a"m for a

'on+"t"on re%ate+ to an a%rea+( VA6rate+SC 'on+"t"on

Common eamp%e4

• S%eep apnea# e'on+ar( to ,TSD

• Ere't"%e +(f-n't"on# e'on+ar( to

menta% ea%t me+"'at"on an+;or

,TSD =?



3T)D C8AI7)

)hree )ypes of )S* 'lais:

• War Done (formerly com*at), /0ere

deployment is t0e event. OSee net slideP

• "on?*eployent Claim may *e supported *yevent in records (suc0 as a training accident).

• Cilitary Sexual )raua 0CS)2 Claim may *esuccessfully supported *y in'service marJers

suc0 as transfers, non'Gudicial punis0ment, etc.=:



3T)D C8AI7), CT?D@

)S* *eployent Rule 'hange in 919

expanded )S* (lais:

• :f a Veteran /as deployed to a /ar, and

• :f a Veteran is diagnosed after service /it05<SD, and

• :f a VA e;am confirms t0e diagnosis isassociated /it0 deployment,

• <0en VA is supposed to grant claim.

=2



TBI;*TBI CLAI*S

Too 'omp%e to 'o)er ere to+a(.S(mptom ma( "n'%-+e4 $ea+a'eM

D""ne;)ert">oM WeaPne or para%("M S%eep+"t-ran'eM Fat">-eM *a%a"eM *o"%"t(;a%an'e

pro%emM *emor( or oter 'o>n"t")e "mpa"rment ".De'reae+ attent"onM Spee' or a%%o"n>+"'-%t"eM ,a"nM Boe% or %a++er pro%emM,('"atr"' (mptom 9moo+ "n># an"et(#+epre"on# oter<M Ere't"%e +(f-n't"onM Senor('an>e 9n-mne# parete"a<M V""on or ear"n>pro%emM +e'reae+ ene of me%%;tateM Se"-reM$(peren"t")"t( to o-n+ or %">tM Ne-roea)"ora%(mptom 9"rr"ta"%"t(# ret%ene<M (mptom of

a-tonom"' +(f-n't"on 9eat "nto%eran'e# e'e or @5

)$CONDAR9 CONDITION



)$CONDAR9 CONDITIONC8AI7)

;GENERALLY <A<

A%%rove&)ervi*e(

Conne*te&Disa+ility

4< 7e&i*al evi&en*e of *onne*tion+eteen )CD an& a&&itional

0se*on&ary *on&ition

C< Current7e&i*al

Con&ition0se*on&ar

y toeistinE

)CD

@1



OT$R WA9) TO G$T

)$R/IC$(CONN$CT$D,CT?D=• AEEravate&= A pre6e"t"n> 'on+"t"on

orene+( m"%"tar( er)"'e

@/

3R$($JI)TING CONDITION



3R$($JI)TING CONDITIONAGGRA&A'E( )Y 7I8ITAR9

)$R/IC$Pre*E#isting Condition +Prior

to ,ilitary Service%

A< In(

)ervi*e$vent

4< 7e&i*al $vi&en*e of 0Neus8inHinE $vent to Current 7e&i*al

Con&ition

C<Current7e&i*alCon&itio

n

@0



OT$R WA9) TO G$T

)$R/IC$(CONN$CT$D,CT?D=• /A 7al%ra*ti*e= VA treatment 'a-e+

'on+"t"on9'a%%e+ an “11=1” '%a"m<

@3

NON )$R/IC$ CONN$CT$D



NON()$R/IC$ CONN$CT$D3$N)ION

In >enera%# to H-a%"f(4 -a%"f("n> )eteran &ery low income +indigent% -a%"f("n> '-rrent me+"'a%

+"a"%"t(;+"a"%"t"e *e+"'a% +"a"%"t(;+"a"%"t"e are not

er)"'e6'onne'te+

@=




OT$ER BENEFITS & SERVICES

@@



AIRBORNE $AARD REGISTR8

Veteran o are e%">"%e for te G-%fWar Re>"tr( ma( a%o Jo"n te Airborne

Haards and #pen 3urn it Registry#

"' "n'%-+e a++"t"ona% +ata re%ate+to a"rorne aar+# "n'%-+"n> -rn"n>o"% e%% Kre an+ -rn p"t.

See more at4ttp4;;.p-%"'ea%t.)a.>o);epo-re;>-%far;eneKt;re>"tr(6eam.ap

@?

CA*, LE7EUNE DRINING WATER









CA*, LE7EUNE DRINING WATERCLAI*S Eopa>ea% 'an'er Breat 'an'er "+ne( 'an'er *-%t"p%e m(e%oma Rena% to"'"t( Fema%e "nfert"%"t( S'%ero+erma Non6$o+>P"n %(mpoma L-n> 'an'er B%a++er 'an'er Le-Pem"a *(e%o+(p%at"' (n+rome $epat"' teato" *"'arr"a>e Ne-roea)"ora% e!e't

.p-%"'ea%t.)a.>o);epo-re;'amp6%eJe-ne@:

http://www.publichealth.va.gov/exposures/camp-lejeune






WRIISCS

War Re%ate+ I%%ne an+ InJ-r( St-+(Center 9WRIISC<4 Referra% 'enterfor )eteran "t"n VA ea%t'are

(tem for ar+6to6+"a>noe ea%t'on+"t"on

Referre+ ( VA p("'"an

*ot )eteran a( "t )er( e%pf-% *ore "nformat"on4

.arre%ate+"%%ne.)a.>o)

@2

http://www.warrelatedillness.va.gov/

http://www.warrelatedillness.va.gov/



*EDALS & RECORDS

?5

it0 t0e aid of a CVS@,VS@, Congressional office• Qost1Stolen1Destroyed

medals can *e replaced• 5ersonnel records can *ereleased

• Certain una/ardedmedals may *e a/arded(-on&ressional office

only )



EDUCATION BENEFITS

VA Vo'at"ona% Rea"%"tat"on +-e to+"a"%"t(4 .eneKt.)a.>o);)o'rea

Capter 0= 9“DEA”< ma( pa( for

e+-'at"on for po-e;'"%+ren 9-n+era>e /@< +-e to te )eteran tota% an+permanent +"a"%"t(4 .eneKt.)a.>o);>""%%;

-r)")or+epen+enta"tan'e.ap

St-+ent Loan ma( e +"'ar>e+ +-eto tota% an+ permanent +"a"%"t(4 ttp

4;;t-+enta"+.e+.>o);a;repa(6%oan;for>")ene6'an'e%%at"on;+"

a"%"t(6+"'ar>e ?1

OT$ER

http://www.benefits.va.gov/vocrehab/


http://www.benefits.va.gov/gibill/survivor_dependent_assistance.asp




https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/disability-discharge
















OT$ER,ROGRA*S;SERVICES;BENEFITS

VA $ome Loan f-n+"n> fee 9po"nt<a")er +-e to +"a"%"t(

C")"% Ser)"'e a++e+ po"nt +-e to G-%f

War er)"'e# +"a"%"t( VA Ser)"'e6D"a%e+ L"fe In-ran'e 9S6

DVI<

Deat eneKt B-r"a% ,%ot A%%oan'e $ea+tone;*arPer;*e+a%%"on

S-r)")or eneKt ?/



STATE VETERANS ,ROGRA*S# SERVICES# & BENEFITS

Ea' tate a a tate )eterana>en'(# +epartment# 'omm""on# or"m"%ar ent"t(

*ot tate o!er ome form of tate6%e)e% pro>ram# er)"'e# eneKt9e+-'at"on# %oan# >rant# propert( ta

eneKt# %"'ene# et'.< Nat"ona% Ao'"at"on of State D"re'tor

of Veteran A!a"r 9NASDVA<4

.na+)a.- ?0

COUNT8;LOCAL VETERANS ,ROGRA*S SERVICES &

http://www.nasdva.us/

http://www.nasdva.us/



COUNT8;LOCAL VETERANS ,ROGRA*S# SERVICES# &BENEFITS

Ao-t a%f te tate a)e Co-nt(Veteran Ser)"'e O'er 9CVSO<

Some %o'a% >o)ernment o!er )eteran

pro>ram# er)"'e# eneKt Nat"ona% Ao'"at"on of Co-nt(

Veteran Ser)"'e O'er 9NACVSO<4

.NACVSO.or>

?3

http://www.nacvso.org/

http://www.nacvso.org/




CURRENT EFFORTSFOR ILL GULF WAR VETERANS

?=

8EARS SUANDERED WIT$OUT



8EARS SUANDERED WIT$OUTRESULTS

7alinEerinE

The ThreeNo?s

)tress)ame asAfter$veryWar

No 0UniLueIllness

?@



TREAT*ENT

$"ein? seen is not the same thin? asbein? treated<*

6Anton( $ar+"e# Tet"mon( efore U.S. $o-eComm"ttee on Veteran A!a"r# S-'omm"ttee on

$ea%t# 7-%( /@# /55?

??

So-r'e4 U.S. $o-e Comm"ttee on Veteran A!a"r# Statement of Anthony Hardie, e?islati%e Chair andational -reas(rer, Veterans of #odern )arfare, Tet"mon( Before te S-'omm"ttee on $ea%t of te$o-e Comm"ttee on Veteran A!a"r# 7-%( /@# /55?.

ttp4;;)eteran.o-e.>o);ear"n>;'e+-%e115;J-%(5?;5?6/@65?am;?6/@65?ar+"e.tm%

NEW ,ROGRESS IN FEDERAL

http://veterans.house.gov/hearings/schedule110/july07/07-26-07am/7-26-07hardie.shtml

http://veterans.house.gov/hearings/schedule110/july07/07-26-07am/7-26-07hardie.shtml



NEW ,ROGRESS IN FEDERALRESEARC$

• L"m"te+ VA GWI reear' portfo%"o• VA Reear' A+)"or( Comm"ttee 9RAC< on G-%f War Veteran I%%nee

VA Reear' A+)"or( Comm"ttee 9RAC< on G-%f War VeteranI%%nee

• F85@6F81@4 G-%f War Veteran I%%nee Reear' ,ro>ram•

F81?4 In Con>re no

DOD Con>re"ona%%( D"re'te+ *e+"'a% Reear' ,ro>ram9CD*R,<

?:

VA VS GWI C*DR, AWARDS



VA VS. GWI C*DR, AWARDS#FUNDING

/A GWIR3(CD7R3

DurinEthis 9

/A un&inE

$%en&e&this 9

M of Ne3ro%osal

un&e& this9

M of Ne3ro%osals

un&e& wit! this 9?s

a%%ro%riate&fun&inE

Amount ofthe

A%%ro%ria

tion ma&efor this 9

Ne A%%ro%riation

7a&e during this 9;for future year<

2-## 5@5" m ! ;C92-#2< m #-m ;for 9#2<

2-#2 6@2 m 6 ;C92-#!< #- m 2-m ;for 9#!<

2-#! @." m #6 ;C92-#"< #- m 2-m ;for 9#"<

2-#" .@! m 5 2# ;C92-#5< 2- m 2-m ;for 9#5<

2-#5 ##@6! m T4A

;C92-#6< 2- m 2-m ;for 9#6<

2-#6 T4D T4DT4D

;C92-#< 2- m T4D ;for 9#<

?2



AVOIDING DU,LICATION OF EFFORT

No GWI Reear' ,ro>ram at NI$ or e%eere "n te fe+era%>o)ernment

In re'ent (ear# VA a een f-n+"n> treatment6fo'-e+ reear'for G-%f War I%%neM "n'%-+e (mptomat"' treatment tet"n> 9?RCT a of Sep. /51=<# an"ma% mo+e% of epo-re %ea+"n> to

treatment +e)e%opment# et'. A't")e# on>o"n># -tant")e VA6GWIR, en>a>ement4

VA #G-%f War I%%ne pro>ram mana>er part"'"pate "n V""on Sett"n>#,ro>rammat"' ,ane% meet"n>4

Forma% preentat"on of VA GW Reear' ,ortfo%"o# Strate>(# et'. A't")e# on>o"n> "ntera't"on eteen VA an+ GWIR, A't")e "n ,, +"'-"on of f-n+"n> o)er%app"n> or +-p%"'at")e propoa% or

a"m VA ta! er)e a )ot"n> memer of Eterna% A+)"or( Boar+ o)eree"n>

GWIR, Conort"a

:5



ABOUT T$E TREAT*ENT6FOCUSEDGULF WAR ILLNESS CD*R,

:1



GULF WAR ILLNESS CD*R, OVERVIEW

V""on4 0Im%rove the health an& lives ofveterans ho have Gulf War Illness.1

*""on4 F-n+ "nno)at")e G-%f War I%%nereear' to "+ent"f( e!e't")e treatment#

"mpro)e +eKn"t"on an+ +"a>no"# an+ etter-n+ertan+ pato"o%o>( an+ (mptom.1

Treatment(fo*use& 3eer(Reviee&MResear*h is *om%etitively sele*te&. 1

CD*R, are pe'"K'a%%( f-n+e+ "n ea' ann-a%Defene Appropr"at"on A'tM F81@# X/5m.

#S@U7C +ulf ar :llness 7esearc0 5rogram (+:75), Congressionally Directed 8edical7esearc0 5rogram, U.S Department of Defense, %ro&ram We'site. 7etrieved Fan. -, E#,0ttp11cdmrp.army.mil1g/irp .

:/

GWIRP PRIORITY AREAS






GWIRP PRIORITY AREAS

Impro)e -n+ertan+"n>of pato"o%o>( an+(mptom

Impro)e +eKn"t"on an++"a>no"

I+ent"K'at"on ofe!e't")e treatment

:0



GULF WAR ILLNESS CD*R, ,ORTFOLIO

P#B! of un&e& )tu&ies are TestinEtreatments )ome are sym%tomati*(fo*use& )ome are me*hanisti*ally

informe&BinforminE P2B! of un&e& )tu&ies are 7e*hanism

o*use& I&entifyinE treatment tarEets I&entifyinE +iomarHers Im%rovinE &iaEnosis Im%rovinE &enition Im%rovinE un&erstan&inE of the

un&erlyinE %atho+ioloEy

7ost GWIR3(fun&e& stu&ies are a*tive :3

GWIR, TREAT*ENT FINDINGS



GWIR, TREAT*ENT FINDINGS

'oenye F19 0'oF192 found to redu(e pain+ fatigue+ (ognitive and (ertainother syptos in veterans with GW&

4,98 &&RA *r. 3eatri(e Golob+ University of San *iego 0 GW9899=82

ublished in 91; %eural &om'utation (11)* #9+-#1

A(upun(ture ay iprove soe GW& syptos+ in(luding pain+ fatigue+ sleep

uality+ and (ognitive syptos 4,95 ')A *r. /isa 'onboy+ "ew England S(hool of A(upun(ture 0GW9599<72

ublished in 91 &ontem' &lin ,rials ()*##"-#

'arnosine found to in(rease (ognitive fun(tion and redu(e gastrointestinal

syptos in veterans with GW& 4,98 &&RA *r. aes 3araniu+ Georgetown University 0GW9899;;2

ublished in 91= Glob /ealth ci #()*9-1

-ylitol? and saline?based nasal irrigation ay itigate respiratory 0(hroni(

rhinosinusitis2 and fatigue syptos in GW& 4,19 &)EA *r. *avid Rabago+ University of Cadison+ W& 0GW1999<;2

ublished in 91< &ontem' &lin ,rials +1*19- :=

SO*E IN6,ROGRESS GWIR,



SO*E IN ,ROGRESS GWIR, TREAT*ENT EVALUATIONS

No)e% Ant"6"nammator"e 98o-n>er# GW10551=< Inammat"on re+-'t"on 9Ba'# GW1055/=<. Intranaa% "n-%"n 9Go%"er# GW1155=3< *et(%pen"+ate p%- a GWI6Spe'"K' N-tr"ent Form-%a

9a"er# GW10553?< *"fepr"tone 9Go%"er# GW5@553:< *onoo+"-m L-m"no% 9Sett(# GW10550?< Na%treone an+ Detrometorpan 9*e>># GW5:55@3<

Naa% Irr">at"on for Cron"' R"no"n-"t" an+ Fat">-e9Raa>o# GW1555=3<

,o%(peno% ,reparat"on 9,a"nett"# GW1055?5<

:@

GWIR, ALTERNATIVE T$ERA,IES



GWIR, ALTERNATIVE T$ERA,IES

A'-pre-re 9L"n# GW115512< A'-p-n't-re treatment proto'o% +e)e%opment

9Cono(# GW1055/:< Co>n"t")e terap( for "mpro)ement of %eep

H-a%"t( 9NaPam-ra# GW1555@:< ,orta%e )et"-%ar t"m-%ator 9Serra+or#

GW105520< ,ro"ot"' for oe% (mptom 9T-teJa#

GW520530< 8o>a for pa"n mana>ement 9Ba(%e(# GW1055//<

:?



W$8 IS T$ERE A GULF WAR ILLNESS CD*R,Q

DoD an+ VA e!ort a+ fo'-e+ on tre#p('o%o>"'a% "-e# an+ 'a-at"on 'omp%e"t"e.

No pr"or"t( to Kn+ e)"+en'e6ae+ treatment to"mpro)e GWI )eteran ea%t an+ %")e.

Fe+era% e!ort fa"%e+ "n near%( a%% re>ar+# ("e%+"n>no identi&able (ality of life impro%ements fora!e'te+ )eteran

Eten")e 'r"t"'"m of pr"or fe+era% e!ort ( VSO#Con>re# te me+"a# an+ G-%f War )eteran an+

te"r a+)o'ate G-%f War I%%ne CD*R, 'reate+ ( Con>re "n F85@#"n repone to +emontrate+ nee+ for a treatment6fo'-e+ GWI me+"'a% reear' pro>ram# o-t"+e ofVA.

::

W$AT *AES GWIR, UNIUEQ



W$AT *AES GWIR, UNIUEQ

Treatment(fo*use& a mo+e% for oter en)"ronmenta%"nJ-r"e an+ To"' Wo-n+.

Un"H-e "n te fe+era% >o)ernment. GWIR,;CD*R, f-n+ any Lualie& resear*her VA

f-n+ on%( VA6emp%o(ee In'%-+e “Con-mer” 9pat"ent a+)o'ate< re)"eer# o

o!er fo'-# -r>en'(# an+ "mpa't "n">t. GWIR,4 1221G-%f War )eteran %")"n> "t G-%f War I%%ne

Spe'"a% empa" on "nter+"'"p%"nar( an+ "nter6

"nt"t-t"ona% reear' 'o%%aorat"on to etter o%)e'omp%e "-e tan "n>%e reear'er orP"n> a%one. GWIR, " re%at")e%( ma%% ( fe+era% reear' f-n+"n>

tan+ar+.

:2

CONGRESS ON CONSU*ER REVIEWERS



CONGRESS ON CONSU*ER REVIEWERS

“Te "n'%-"on of pat"ent a+)o'ate "nte CD*R, peer re)"e a een a">%( re>ar+e+ a++"t"on to te pro'e#

an+ te Comm"ttee e%"e)e tat tee)o"'e pro)"+e a )a%-a%e 'ontr"-t"on.”

SOURCE4 Senate Report 1106/11 6 DE,ART*ENT OF DEFENSE A,,RO,RIATIONS BILL#

/51=M 7-%( 1?# /513. 9S. Rpt. 1106/11# p. /=3< URL4ttp4;;.'on>re.>o);'on>re"ona%6report;110;enate6report;/11

25

Congressional Intent

https://www.congress.gov/congressional-report/113/senate-report/211

https://www.congress.gov/congressional-report/113/senate-report/211



)he 4,95 "ational *efense Authoriation A(t 0"*AA) conference

report directed t0e Secretary of t0e Army to utili3e t0e aut0ori3edfundingR to undertaJe researc0 on +ulf ar :llnesses. Conferees alsodirected t0at activities under t0e +ulf ar :llnesses program include

Studies of treatments for t0e comple; of symptoms Jno/n as +ulfar :llness

o studies *ased on psyc0iatric illness and psyc0ological stress as t0ecentral cause

Competitive selection and peer revie/ to identify researc0 /it0 t0e0ig0est tec0nical merit and military value

Annual letters from t0e Senators and 7epresentatives to t0e Defense Appropriations Su*committees provide similar guidance.

21

GULF WAR ILLNESS CD*R, FOCUS



GULF WAR ILLNESS CD*R, FOCUS

Te GWIR, fo'-e on f-n+"n> "nno)at")e#'ompet"t")e%( peer6re)"ee+ reear' to4

91< pro)"+e a etter -n+ertan+"n> of te

pato"o%o>( -n+er%("n> GWI#9/< "+ent"f( oJe't")e marPer 9"omarPer<for "mpro)e+ +"a>no"# an+

90< to +e)e%op treatment for te 'omp%e ofGWI (mptom an+ te"r -n+er%("n> 'a-e.

2/

GWIR, E*,$ASIES IO*S TWO



RECO**ENDED GWI CASE DEFINITIONS

S@U7C p. !-, ational Academies of Sciences, ngineering, and 8edicine. E#. +ulfar and =ealt0, Volume #E Update of =ealt0 ffects of Serving in t0e +ulf ar, E#.as0ington, DC <0e ational Academies 5ress.0ttp

11///.nap.edu1catalog1#%-E1gulf'/ar'and'0ealt0'volume'#E'update'of'0ealt0'effects

20

GULF WAR ILLNESS CD*R,







SU,,ORTERS

)u%%orte& +y= American Legion A,&E'S Association of the+<S< a%y 6 A-SN )urnpits./0 Disabled American Veterans6 (A& Lung Cancer Alliance ational '(lf )ar 4eso(rceCenter 6 NG1RC ational Vietnam E '(lf )ar CoalitionParaly@ed Veterans of America 6 P&A Ser?eant S(lli%an Center-oBic )o(nds -as 3orce Veterans for Common Sense 6 &CS Veterans of 3orei?n )ars 6 &21 Vietnam Veterans of America6 &&A <

Te F81= In+epen+ent B-+>et Veteran Ser)"'e Or>an"at"on9I4/)O?s# 'ompoe+ of A*VETS# DAV# ,VA# VFW# an+ =0 oteror>an"at"on tat er)e )eteran< tate+ tat te G-%f War I%%ne

CD*R,# “a ma+e >reat tr"+e "n te ort t"me "t a eenoperat"n>.”= 9pp. 1/@6/?<

Stron> -pport from GWI CD*R, ,at"ent A+)o'ate 9Con-merRe)"eer<S@U7C The Independent 1ud&et for the /epartment of Veterans Affairs: 3iscal 4ear 2#5 .0ttp11///.independent*udget.org1E#41:?NE#4.pdf. Accessed 9e*ruary , E#4.

23

F81@ GWIR, ,ROGRA**ATIC ,ANEL



F81@ GWIR, ,ROGRA**ATIC ,ANEL

Anton( $ar+"e# former Sta! Ser>eant USA 9Ca"r<F%or"+a Veteran for Common Sene

Roerta F. W"te# ,.D. 9Ca"r Emer"t-<Boton Un")er"t( S'oo% of ,-%"' $ea%t

Dan"e% $a)%"'eP# *.D.

*"'">an State Un")er"t(

Car%o *a%+ona+o# ,.D.Department of Veteran A!a"r

. 7e!re( *(er# *.D.U.S.Department of Veteran A!a"r

*arn" S"%)erman# ,.D.$enr( *. 7a'Pon Fo-n+at"on for te Un"forme+ Ser)"'e Un")er"t( of te $ea%t S'"en'e

An+rea W"te# ,.D.

Un")er"t( of Uta




CONCLUSION

2@

RESOURCES



RESOURCES

.#out*omes '(lf )ar health8ne=s421o-t'ome.'om

Gulf War Illness Resear*h 3roEram 9DoD6Con>re"ona%%( D"re'te+ *e+"'a%

Reear' ,ro>ram<4 ttp4;;'+mrp.arm(.m"%.GWIR,

“G-%f War I%%nee” Fa'eooP Gro-p4.fa'eooP.'om;>ro-p;

1/=/5:231:2@ Nat"ona% Veteran Le>a% Ser)"'e ,ro>ram9N/8)3<4 n)%p.or>

/A4 ttp4;;.)a.>o);G-%fWar

Veteran for Common Sene 9/C)<4 2?

)han ,ou

http://www.91outcomes.com/

http://cdmrp.army.mil.gwirp/


http://www.facebook.com/groups/125208941896



http://www.nvlsp.org/

http://www.va.gov/GulfWar

http://var/www/apps/conversion/tmp/scratch_5/VeteransforCommonSense.org

http://www.va.gov/GulfWar

http://www.nvlsp.org/






http://www.91outcomes.com/



)han ,ou.

Fuestions!

Documents

PPT-"Services and Benefits for Gulf War Veterans" - Anthony Hardie