Using Department of Defense hospital data, the authors examined the postwar hospitalization experience from March 1991 through September 1995 of US Gulf War veterans who were near Khamisiyah, Iraq, during nerve agent munition destruction in March 1991.
Multiple sources of meteorologic, munition, and toxicology data were used to circumscribe geographic areas of low level, vaporized nerve agent for 4 days after the destruction.
Plume estimates were overlaid on military unit positions, and exposure was estimated for the 349,291 US Army Gulf War veterans.
Exposure was classified as not exposed (n=224,804), uncertain low dose exposure (n=75,717), and specific estimated subclinical exposure (n=48,770) categorized into three groups for dose-response evaluation.
Using Cox proportional hazard modeling, the authors compared the postwar experiences of these exposure groups for hospitalization due to any cause, for diagnoses in 15 unique categories, and for specific diagnoses an expert panel proposed as most likely to reflect latent disease from such subclinical exposure.
There was little evidence that veterans possibly exposed to the nerve agent plumes experienced unusual postwar morbidity.
While there were several differences in hospitalization risk, none of the models suggested a dose-response relation or neurologic sequelae. (...)
Mots-clés Pascal : Hospitalisation, Morbidité, Guerre, Ancien combattant, Irak, Asie, Exposition, Composé chimique, Epidémiologie, Facteur risque, Homme, Santé et environnement, Toxicité, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Hospitalization, Morbidity, War, Veteran, Iraq, Asia, Exposure, Chemical compound, Epidemiology, Risk factor, Human, Health and environment, Toxicity, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0450217
Code Inist : 002B30A02A. Création : 22/03/2000.