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                      VA NEWS FLASH
from Larry Scott at VA Watchdog dot Org -- 07-03-2008
 






 


 
 

 


 



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UPDATE: VA ADDS AL AMYLOIDOSIS TO LIST OF

PRESUMPTIVES FOR HERBICIDE EXPOSURE --

And reiterates its "no" to hypertension, saying,

"The science doesn't support it."

 


VA Secretary James Peake

 

For the previous story about the VA's denial of presumptive hypertension benefits, click here...
http://www.vawatchdog.org/08/nf08/nfJUN08/nf063008-1.htm

For more about veterans and Agent Orange, use the VA Watchdog search engine...click here...
http://www.yourvabenefits.org/sessearch.php?q=agent+orange&op=ph

Story here... http://www.elpasotimes.com/newupdated/ci_9766248

Story below:

 

-------------------------

VA says it will not grant disability claims for hypertension related to Agent Orange

By Chris Roberts / El Paso Times



The VA will not grant disability claims for hypertension related to Agent Orange or other herbicide exposure, according to Veterans Affairs Secretary James Peake, who decided existing research
doesn't clearly establish a link between the two.

"The science didn't support it," Mark Brown, director of VA's Environmental Agents Service, said Tuesday.

However, Peake did decide to allow AL amyloidosis - a rare incurable disease that can lead to organ failure and death - as a service-connected illness related to herbicide exposure, Brown said.

Local veterans advocates said they weren't surprised by the denial of hypertension because it is a relatively widespread condition.

"I can tell you very simply (why Peake denied the hypertension claims); it's one word and it's five letters long - money," said Jeri Elena Mark, an El Paso advocate who also suffers from hypertension and was exposed to Agent Orange in Vietnam where she served on a Hawk missile crew. "I think it's a load of bull."

Mark and other veterans advocates point to numerous studies they say support the connection, including a long-term study of a 1976 accident in Italy referred to by Admiral Elmo R. Zumwalt in a 1990 report commissioned by the Secretary of the Department of Veterans Affairs. Zumwalt's report also mentions hypertension developed by agricultural workers exposed to herbicides.

Article continues below:

 

The study of the accident in Italy, updated earlier this year in an American Journal of Epidemiology article, lists hypertension as a contributing cause to deaths of people exposed to dioxins, which are used in the herbicides.

Brown, a toxicologist, said Peake's decision was based on a broad review of existing research done by the Institute of Medicine of the National Academies, which veterans advocates have criticized for a lack of objectivity.

However, Brown said the review - which Congress requires every two years, the most recent of which was released about a year ago - examined about 25 studies, and was "very exhaustively thorough."

The Institute of Medicine does not make recommendations to VA on policy, said Christine Stencel, an institute spokeswoman.

"There are scientific studies of adequate quality that have yielded information that points to a possible statistical link or plausible
biological means, by which exposure to Agent Orange, the herbicides, the dioxins that contaminated them could result in the increased risk of developing hypertension," Stencel said. "But at the same time, it's not clear-cut. There are contradictory results from other studies."

On June 10, Peake sent a letter notifying the veterans affairs committees in the House of Representatives and the Senate that he would not allow the "service-connected" status for hypertension.

"It's ambiguous," Brown said, "which is, in some ways, the worst situation."

Brown said recommendations from the team Peake formed to look at the issue didn't mention cost. He also points to type 2 diabetes, an illness he said is very costly to treat and fairly common, which was recently added to the list.

"I would argue that, really, the decision was driven by the science," Brown said.

When the Institute of Medicine released its review in July 2007 with a finding of "limited or suggestive evidence" linking hypertension to herbicide exposure, VA was required by law to determine whether it should be listed as "service-connected," according to an internal agency document obtained by the El Paso Times. The document - called a "fast letter" and distributed to all VA regional offices and centers - states that a decision was expected by September 1.

Veterans who served during certain time periods in Vietnam, in vessels off the shore of Vietnam, and in Korea along the demilitarized zone would have been eligible for the benefit if Peake had approved it, according to the document. It concludes that, if the service connection is not warranted, "we will not, of our own initiative, take any additional action on this issue."

AL amyloidosis was added to the list because it was very similar to a type of cancer linked to herbicide exposure and "it made sense to make a service connection," Brown said. In the past, it has taken about six months between approval of a new illness for service-connected status and new regulations being issued that allow claims to be processed, he said.

Part of the reason veterans exposed to the herbicides are angry is that their cases were more extreme than those of most people exposed in nonmilitary situations.

The Zumwalt report quotes Dr. James R. Clary: "When we (military scientists) initiated the herbicide program in the 1960s, we were aware of the potential for damage due to dioxin contamination in the herbicide. We were even aware that the 'military' formulation had a higher dioxin concentration than the 'civilian' version due to the lower cost and speed of manufacture. However, because the material was to be used on the 'enemy,' none of us were overly concerned. We never considered a scenario in which our own personnel would become contaminated with the herbicide. And if we had, we would have expected our own government to give assistance to veterans so contaminated."

Although there are no lack of studies on hypertension's relation to herbicide exposure, Brown said, there also has been nothing definitive - either way.

"This could change of course," Brown said. "We had a similar situation with prostate cancer. ... There were new developments and new scientific studies and we had to reconsider that position. This is not static."



Chris Roberts may be reached at chrisr@elpasotimes.com ; 546-6136.

-------------------------

posted by Larry Scott
Founder and Editor
VA Watchdog dot Org

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