Airborne Hazards Related to Deployment 

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Contents

Front Matter

Section I. Airborne Exposures and Characterization

1. Overview of Airborne Hazards in Operation Enduring Freedom, Operation Iraqi Freedom, and
   Operation New Dawn
2. Background of Deployment-Related Airborne Exposures of Interest and Use of Exposure Data in
   Environmental Epidemiology Studies
3. Deployment to Al Anbar: A Seabee Battalion Surgeon’s Perspective
4. Pulmonary Response to Airborne Hazards: Interpreting Cases of Suspected Deployment-Related Lung Disease
5. Future Improvement to Individual Exposure Characterization for Deployed Military Personnel

Section II. Population Surveillance

6. Epidemiology of Airborne Hazards in the Deployed Environment
7. Discussion Summary: Defining Health Outcomes in Epidemiological Investigations of Populations
   Deployed in Support of Operation Iraqi Freedom and Operation Enduring Freedom
8. Pulmonary Function Testing—Spirometry Testing for Population Surveillance
9. Discussion Summary: Recommendation for Surveillance Spirometry in Military Personnel
10. Spirometry Monitoring and Prevention Using Spirola Software

Section III. Follow-up Medical Care of Service Members and Veterans

11. Discussion Summary: Basic Diagnosis and Workup of Symptomatic Individuals
12. Allergic Airway Disease and Deployment to the Middle East
13. Follow-up Medical Care of Service Members and Veterans—Cardiopulmonary Exercise Testing
14. Value of Lung Biopsy in Workup of Symptomatic Individuals
15. The Problems With Constrictive Bronchiolitis: Histopathological and Radiological Perspectives
16. Military Personnel With Postdeployment Dyspnea: Chronic Lung Disease and the Role of Surgical Lung Biopsy
17. Evaluating the Effects of Airborne Hazards: A Clinical Perspective From the War Related Illness and Injury Study Center
18. Experience With Emerging Lung Diseases From the National Institute for Occupational Safety and Health
19. Follow-up Medical Care of Service Members and Veterans: Case Reports—Usual and Unusual
20. Veterans Affairs Symposium: Case Reports
21. Denver Veterans Affairs Medical Center Experience With Postdeployment Dyspnea Case Reports
22. Discussion Summary: Methodological Considerations to Design a Pulmonary Case Series and a National, Broad-based Registry for Veterans of Operation Iraqi Freedom and Operation Enduring Freedom

Section IV. Health Communication and Outreach

23. Risk Communication: An Essential Element of Effective Care
24. Community-based Participatory Research: An Overview for Application in Department of Defense/Veterans Affairs Research
25. Toxic-Embedded Fragments Registry: Lessons Learned
26. Lessons Learned From Self-Selected Registries (Agent Orange)

Section V. Research Initiatives

27. Research Studies: Overview and Future Directions
28. Considerations Regarding Biomonitoring
29. Discussion Summary: Exposure Characterization—Questionnaires and Other Tools
30. Review of Epidemiological Analyses of Respiratory Health Outcomes After Military Deployment to
    Burn Pit Locations With Respect to Feasibility and Design Issues Highlighted by the Institute of Medicine
31. Update on Key Studies: The Millennium Cohort Study, the STAMPEDE Study, the Million Veteran Program, and the National Health Study for a New Generation of US Veterans
32. National Health Study for a New Generation of US Veterans
33. Discussion Summary: Work Group E—Strategic Research Planning

Appendix A: A Self-Reporting Tool to Collect Individual Data for Respiratory Health Effects and Military Airborne Exposures

Appendix B: Respiratory Health and Exposure Questionnaire

Appendix C: Proposed Evaluation of Patients With Normal Spirometry

Appendix D: Airborne Hazards Joint Action Plan

Appendix E: Frequently Asked Questions About Military Exposure Guidelines

Appendix F: Executive Summary: Screening Health Risk Assessment, Burn Pit Exposures,
Balad Air Base, Iraq

Appendix G: Executive Summary, Addendum 2: Screening Health Risk Assessment, Burn Pit Exposures,
Balad Air Base, Iraq

Abbreviations and Index

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