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The Problem
Pages 9-12

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From page 9...
... The most important recommendations remain unimplemented, despite the compelling rationale for urgent action. A Presidential Review Directive for the National Science and Technology Council to develop an interagency plan to address health preparedness for future deployments led to a 1998 report titled A National Obligation (National Science and Technology Council, 1998~.
From page 10...
... The committee recognizes the critical importance of integrated health risk assessment, improved medical surveillance, accurate troop location information, and exposure monitoring to force health protection. Failure to move briskly on these fronts will further erode the traditional trust between the service member and the leadership.
From page 11...
... Although the majority of these veterans had readily diagnosed illnesses, for a significant number of veterans their illnesses remained medically unexplained, which led to much speculation about the possible relationship of their illnesses with various risk factors, other than combat, that were present in the Gulf (Presidential Advisory Committee on Gulf War Veterans' Illnesses, 1996~. Several expert committees were asked to examine those various risk factors and to determine whether a "unique" Gulf War illness with a known cause could be established (DoD, 1994, National Institutes of Health Technology Workshop Panel, 1994, IOM, 1996a,b, Presidential Advisory Committee on Gulf War Veterans' Illnesses, 1996~.
From page 12...
... Particular emphasis was to be placed on chemical and biological warfare injuries and disease and non-battle injuries from chemical contaminants in the environment. These studies were conducted concurrently by the Commission on Life Sciences, Commission on Engineering and Technical Systems, and the Institute of Medicine, all components of the National Research Council.


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