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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for this report were chosen for their special competences and with regard for the appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an advisor to the federal government and its own initiative in identifying issues of medical care, research, and education.

The work on which this publication is based was performed pursuant to Contract No. V101(93)P-1326 with the Department of Veterans Affairs. Funds for this contract were provided by the Department of Veterans Affairs.

Library of Congress Cataloging-in-Publication Data

Institute of Medicine (U.S.). Committee to Survey the Health Effects of Mustard Gas and Lewisite.

Veterans at Risk : the health effects of mustard gas and Lewisite / Constance M. Pechura and David P. Rall, editors.

p. cm.

"Committee to Survey the Health Effects of Mustard Gas and Lewisite. Division of Health Promotion and Disease Prevention. Institute of Medicine, National Academy of Sciences."

Includes bibliographical references and index.

ISBN 0-309-04832-X

1. Mustard gas—Toxicology. 2. Lewisite (Poison gas)—Toxicology. I. Pechura, Constance M. II. Rall, David P. III. Title.

RA1247.M8158 1993

615.9'1—dc20 92-40735

CIP

Copyright 1993 by the National Academy of Sciences. All rights reserved.

No part of this book may be reproduced by any mechanical, photographic, or electronic process, or in the form of a phonographic recording, nor may it be stored in a retrieval system, transmitted, or otherwise copied for public or private use, without written permission from the publisher, except for the purpose of official use by the United States Government.

Printed in the United States of America.

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatlichemuseen in Berlin.



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