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The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans (2008)

Chapter: Appendix A: Agendas for Information-Gathering Meetings

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Suggested Citation:"Appendix A: Agendas for Information-Gathering Meetings." Institute of Medicine. 2008. The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans. Washington, DC: The National Academies Press. doi: 10.17226/12059.
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Page 113
Suggested Citation:"Appendix A: Agendas for Information-Gathering Meetings." Institute of Medicine. 2008. The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans. Washington, DC: The National Academies Press. doi: 10.17226/12059.
×
Page 114
Suggested Citation:"Appendix A: Agendas for Information-Gathering Meetings." Institute of Medicine. 2008. The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans. Washington, DC: The National Academies Press. doi: 10.17226/12059.
×
Page 115
Suggested Citation:"Appendix A: Agendas for Information-Gathering Meetings." Institute of Medicine. 2008. The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans. Washington, DC: The National Academies Press. doi: 10.17226/12059.
×
Page 116
Suggested Citation:"Appendix A: Agendas for Information-Gathering Meetings." Institute of Medicine. 2008. The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans. Washington, DC: The National Academies Press. doi: 10.17226/12059.
×
Page 117
Suggested Citation:"Appendix A: Agendas for Information-Gathering Meetings." Institute of Medicine. 2008. The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans. Washington, DC: The National Academies Press. doi: 10.17226/12059.
×
Page 118

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Appendix A Agendas for Information-Gathering Meetings Meeting 1 March 8–9, 2007 The Keck Center of the National Academies 500 Fifth Street, N.W. Washington, DC Thursday, March 8, 2007 10:00 a.m. Introductory Remarks David Savitz, Ph.D. Chair, Committee on Making Best Use of the Agent Orange Exposure Reconstruction Model Introductions by committee members and meeting attendees 10:15 a.m. Study Context and Goals, Sponsor Perspective Mark Brown, Ph.D. Director, Environmental Agents Service Veterans Health Administration, Department of Veterans Affairs An Introduction to VA Data Resources Relevant to Use of the Exposure Model Discussion 113

114 PROXIMITY-BASED HERBICIDE EXPOSURE ASSESSMENT 11:00 a.m. An Overview of the Agent Orange Exposure Reconstruction Model Jeanne Mager Stellman, Ph.D. Steven Stellman, Ph.D., M.P.H. Mailman School of Public Health, Columbia University Discussion 12:30 p.m. Working lunch in meeting room 1:15 p.m. Additional discussion of the exposure assessment model as needed 1:45 p.m. The Work of the Joint Services Records Research Center Donald Hakenson Director, Joint Services Records Research Center Discussion 2:15 p.m. General discussion 3:00 p.m. Opportunity for public comment 4:00 p.m. Adjourn open session Meeting 2 April 30–May 1, 2007 The Keck Center of the National Academies 500 Fifth Street, N.W. Washington, DC Monday, April 30, 2007 1:30 p.m. Introductory Remarks David Savitz, Ph.D. Chair, Committee on Making Best Use of the Agent Orange Exposure Reconstruction Model Introductions by committee members and meeting attendees

APPENDIX A 115 1:45 p.m. VA Data Resources Relevant to Use of the Agent Orange Exposure Model Han Kang, Ph.D. Director, Environmental Epidemiology Service Director, War-Related Injury and Illness Study Center Department of Veterans Affairs Discussion 2:30 p.m. Review of the CDC Agent Orange Exposure Index and V ­ alidation Study Thomas H. Sinks, Ph.D. Deputy Director, National Center for Environmental Health/ATSDR Centers for Disease Control and Prevention Discussion 3:15 p.m. Accessing Military Unit Records at the College Park Archives Richard Boylan National Archives and Records Administration Discussion 3:45 p.m. Accessing Service Member Personnel Records via the IOM Medical Follow-up gency A William Page, Ph.D., and Harriet Crawford, B.S. Institute of Medicine Medical Follow-up Agency Discussion 4:15 p.m. General discussion 4:30 p.m. Adjourn open session Tuesday, May 1, 2007 8:30 a.m. Introductory Remarks David Savitz, Ph.D. Chair, Committee on Making Best Use of the Agent Orange Exposure Reconstruction Model

116 PROXIMITY-BASED HERBICIDE EXPOSURE ASSESSMENT 8:45 a.m. Environmental Fate of TCDD: Relationships to Human E ­ xposure in Vietnam Alvin L. Young, Ph.D. Visiting Professor, Institute for Science and Public Policy The University of Oklahoma John P. Giesy, Ph.D. Canada Research Chair in Environmental Toxicology University of Saskatchewan Discussion 9:30 a.m. Michigan’s Dioxin Exposure Study: Findings of Interest for Agent Orange xposure Assessment E David H. Garabrant, M.D., M.P.H. Professor, Occupational Medicine and Epidemiology The University of Michigan School of Public Health Discussion 10:00 a.m. Perspectives on Agent Orange Exposure Reconstruction in Vietnam Marie Haring Sweeney, Ph.D., M.P.H. Chief, Surveillance Branch Division of Surveillance, Hazard Evaluations & Field Studies National Institute for Occupational Safety and Health Discussion 10:45 a.m. Points to Consider When Evaluating the Stellman Model John H. Ross, Ph.D., DABT Director, Environmental Sciences Infoscientific.com, Inc. Michael E. Ginevan, Ph.D. M.E. Ginevan & Associates Discussion 11:15 a.m. General discussion 11:45 a.m. Adjourn open session

APPENDIX A 117 Meeting 3 June 13–14, 2007 The Keck Center of the National Academies 500 Fifth Street, N.W. Washington, DC Wednesday, June 13, 2007 1:30 p.m. Introductory Remarks David A. Savitz, Ph.D. Chair, Committee on Making Best Use of the Agent Orange Exposure Reconstruction Model Introductions by committee members and meeting attendees 1:35 p.m. Demonstration of the Agent Orange Exposure Reconstruction Model and Advice on Tracking Units Jeanne Mager Stellman, Ph.D. Steven Stellman, Ph.D., M.P.H. Mailman School of Public Health, Columbia University Discussion 2:40 p.m. Adjourn open session Thursday, June 14, 2007 8:30 a.m. Introductory Remarks David A. Savitz, Ph.D. Chair, Committee on Making Best Use of the Agent Orange Exposure Reconstruction Model 8:35 a.m. Perspectives from the IOM Committee on the Assessment of Wartime xposure to Herbicides in Vietnam E David J. Tollerud, M.D., M.P.H. Professor and Chair Department of Environmental & Occupational Health Sciences University of Louisville, School of Public Health & Information Sciences

118 PROXIMITY-BASED HERBICIDE EXPOSURE ASSESSMENT Discussion 10:00 a.m. Adjourn open session

Next: Appendix B: Exposure Measures in Studies of U.S. Vietnam Veterans »
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A fundamental challenge in past studies evaluating whether health problems experienced by Vietnam veterans might be linked to wartime use of Agent Orange or other herbicides has been a lack of information about the veterans' level of exposure to these herbicides. To address that problem, researchers developed a model to assess the opportunity for herbicide exposure among these veterans.

The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans presents the conclusions and recommendations of an Institute of Medicine committee (IOM) that was convened to provide guidance to the Department of Veterans Affairs (VA) about the best use of a model to characterize exposure to the troops based on their proximity to herbicide spraying in Vietnam. This book's assessment is guided by four primary considerations: to be clear about what the assessment model does and does not claim to do; to gain understanding of the strengths and limitations of data on herbicide spraying, troop locations, and health outcomes; to consider whether the model locates spraying and troops accurately to consider the potential contributions and pitfalls of using it in epidemiologic studies. Of particular interest in these deliberations were the degree to which exposure classification might be improved if the model were to be used, and the appropriate interpretation of the results of any such studies.

In light of the questions that remain concerning herbicide exposure and health among Vietnam veterans and the array of evidence that has thus far been brought to bear on that issue, The Utility of Proximity-Based Herbicide Exposure Assessment in Epidemiologic Studies of Vietnam Veterans concludes that the application of this model offers a constructive approach to extending knowledge about the effects of herbicides on the health of these veterans and merits the initial steps recommended in our report.

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