By Kevin Dougherty, Stars and Stripes
European edition, Monday, February 23, 2004
As concerns over depleted uranium grew in the aftermath of the Persian Gulf War, Army doctors were largely in a reactive mode, waiting for soldiers to broach the subject of radiation exposure.
That approach was partly due to an absence of health and deployment data, which impeded efforts to cure and compensate people.
Now, as the Army manages the largest force rotation in decades, troops returning from Iraq are being asked about depleted uranium – as well as other potentially dangerous toxins – before most have a chance to raise the issue themselves. This and other health-related questions form the basis of an Armywide post-deployment questionnaire.
We are doing more testing, said Capt. James Mancuso, chief of epidemiology at the U.S. Army Center for Health Promotion and Preventive Medicine-Europe in Landstuhl, Germany.
Mancuso said officials are not finding any significant exposure, however, to depleted uranium, a dense substance used in projectiles to improve armor-piercing capability.
But up and down the clinical chart, medical personnel are doing more these days to check and document a soldiers health before and after deployment.
The pace has accelerated in recent months to better capture baseline medical data on the waves of troops leaving and entering Iraq.
Officials say servicemembers are also more involved in the process, partly because they are better educated about possible health threats.
We have a better trained soldier population, said Army Lt.
Col. Gary Matcek, chief of the centers health physics division, not just on DU, but on the whole litany of toxicants.
The effort to improve the process of collecting health and deployment data comes on the heels of a Government Accounting Office report that focused on
1,071 troops who deployed to Kosovo or Afghanistan between January 2001 and May 2002.
Released in September, the GAOs review found the Army and Air Force not in compliance with Defense Department policies on health protection and surveillance. The report, based on data covering four stateside bases, noted deficiencies in health assessments, immunizations and record-keeping.
It also criticized the Defense Department for a lack of oversight of department-wide efforts to comply with health surveillance requirements.
The Defense Department concurred with the report.
The report disclosed that 38 to 98 percent of servicemembers [sampled] were missing one or both of their
[pre- or post-deployment] health assessments. …
The basis of the GAO review, the second in six years, is rooted in health problems that arose after the 1990-91 Persian Gulf War, giving rise to what is known as Gulf War syndrome.
One of the culprits, some say, was the use of depleted uranium by U.S. and British forces. DU is a byproduct of the enrichment process of natural uranium, and, because of its density, is highly effective in penetrating armored vehicles.
But a lack of deployment data frustrated efforts to fully investigate the matter, the GAO later found.
Today, troops wrapping up their Iraq tour are required to complete a four-page form that includes, among other things, a question about possible exposure to depleted uranium.
The number of soldiers answering yes is very low, said Army Col.
Allen Kraft, director of force health protection for Europe Regional Medical Command and U.S. Army Europe.
Exposure to depleted uranium is just one of the many, many things we are covering in the survey, Kraft said. Some are as innocuous as sand and dust.
Regarding health assessments and data collection, Kraft acknowledged Army doctors learned some good lessons from Gulf War I.
But, he adds, people need to keep things in perspective.
Ingesting particles of depleted uranium certainly isnt desirable, Kraft said, but he noted that people who smoke do their body more harm.
In a place such as Iraq, medical officials are just as concerned about other toxicants, from oil field emissions to lead paint. DU, Kraft said, is on the low end of the totem pole of things to worry about.
The word radiation scares people, Kraft said, but you are exposed to [levels of] radiation every time you step outside.
By anyones measure, the greatest threat of depleted uranium exposure occurs when a soldier has the added misfortune of being in a vehicle struck by a DU shell, possibly from friendly fire. Upon impact, a round will pierce the metal and then mostly vaporize, sending fragments as well as particles of DU oxides flying.
Matcek, the CHPPME health physics division chief, said the immediate threat soon dissipates and that even rescue personnel are not at serious risk when following basic safety standards. Troops who simply pass by are at no great risk of exposure, either.
A measure of uranium, Matcek said, is in everyones body:
Its part of the air we breathe.
The conflict was different than the first time, Matcek said. We did a much better job identifying between friend and foe.
Medical officials, Mancuso said, walk a fine line when talking to troops about DU.
If you show too little interest, people wonder; if you show too much interest, people wonder.
He said just because troops were near inert DU munitions or pass by an impact site doesnt mean theyre in danger.
Among departing troops, no health affects have been seen relating to depleted uranium, Mancuso said. Nothing has been seen so far.
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