Pentagon officials say they have. Missteps during the gulf war have prompted
a renewed focus on soldier health, as military leaders contemplate a new kind of
warfare, and an Iraqi government armed with untold chemical and biological
weapons.
Among the lapses of 11 years ago, federal officials acknowledge inadequate
protective gear, excessive false readings from chemical sensors, mismanagement
of medical records and poor administration of a stew of vaccines and
inoculations.
Vaccine shortages left many soldiers without, while others took far too much.
Some received the anthrax vaccine without knowing. Who and how many is unknown
because of bad record-keeping.
"We didn't know what we were going up against," Taylor said. "They really
don't have an excuse this time."
Concerns from the gulf war drove the Pentagon to launch a major "Force Health
Protection" initiative to safeguard soldiers. Congress in 1997 weighed in with a
law demanding that soldiers undergo health screenings before, during and after
they deploy.
The Defense Department now has better gas masks and protective suits,
decontamination units and chemical detection equipment, and the services have
developed better training to prevent chemical, biological and radiation
exposure.
Yet problems persist.
The General Accounting Office, while acknowledging advances since the gulf
war, recently found that the Pentagon lost track of as many as 250,000 defective
chemical-warfare suits and that defense officials have no solid strategy for
low-level exposures to chemical agents.
Medical panels and a presidential committee on gulf war illnesses recommended
several measures to protect the health of soldiers. But a report two years ago
by the Institute of Medicine found the response lacking.
"The most important recommendations remain unimplemented despite the
compelling rationale for urgent action," the report found.
A major problem is tracking soldier movement and maintaining health records
that can be accessible to military and private doctors when soldiers return
home. Earlier this year, the Department of Defense created a new directorate to
oversee those efforts.
"We've made some good strides, but we really need to do a much better job of
keeping medical records, making sure vaccinations are given before we get into
theater," said Dr. Michael Kilpatrick, deputy director of the Defense
Department's Deployment Health Support Directorate.
Kilpatrick said the Pentagon now sends advance teams to sample air, water and
ground before operations move into an area. In Afghanistan, Special Forces use
Palm Pilots to keep medical records, he said. During the gulf war, many paper
records disappeared.
Gulf war veterans groups remain skeptical. They have spent years fighting for
health care, battling the Pentagon for information and demanding recognition and
funding of research that seeks to explain why some soldiers fell ill, while
others who fought alongside them remained healthy.
Gulf war veterans are divided over a new foray into Iraq, said Steve
Robinson, executive director of the National Gulf War Resource Center.
"Those who aren't sick say 'Let's go back and finish the job,' " said
Robinson, a former Army Ranger. "If they know someone who is sick or are sick
themselves, they are very leery of going back to fight what will certainly be a
chemical and biological war."
The federal government has spent more than $120 million studying possible
causes of the mysterious conditions reported by gulf war veterans, including
fatigue, muscle pain, memory loss, sleep disorders, respiratory trouble and
other chronic illnesses.
Gulf war veterans complain of symptoms at more than twice the rate as those
who did not serve there, defense officials say.
But they have reported only one scientific link - a recent finding that
veterans who served in the Persian Gulf region are at greater risk for
amyotrophic lateral sclerosis, or Lou Gehrig's disease, a rare and fatal
neurological illness. The reason is unclear.
On Oct. 31, the Department of Veterans' Affairs said it would more than
double research funding for gulf war illnesses. The announcement came after a
British study, funded by the U.S. Department of Defense, found that gulf war
illnesses were not stress-related psychiatric disorders.
Some research points to neurological damage.
An advisory committee in June estimated that between 25 percent and 30
percent of the 700,000 U.S. veterans who served in the gulf war are now ill.
More than 8,000 have died. By comparison, 148 troops were killed in action,
and fewer than 500 were wounded in the Persian Gulf region during the war.
"It was the anti-Vietnam War. It was the clean victory. The problem was, you
could be injured from more than bullets and bombs," said Robinson. "Science is
just now catching up."
Veterans point to a host of possible causes for their illnesses.
Among them are smoke from oil fires set by the Iraqis; depleted uranium used
in U.S. ammunition; vaccines and inoculations, including an anthrax vaccine and
an experimental botulism vaccine; and sarin nerve gas exposure from the
destruction of weapons at an Iraqi munitions depot.
"To have so many possibilities on the table is just medically not a tenable
situation," Kilpatrick said. "We need to have that baseline information, to say
what we can rule out, even if we're not able to diagnose a disease and recognize
symptoms."
More difficult, he said, is changing a culture in which military planning
trumps health care. "The biggest obstacle clearly is the demands of the
battlefield. We have to find a happy medium."
The task is more urgent, with Iraqi leader Saddam Hussein's apparent
readiness to deploy chemical or biological agents in battle, regardless of the
impact on his own fighters, said Rep. Christopher Shays, R-Conn., chairman of
the House Subcommittee on National Security, Veterans Affairs and International
Relations.
Shays, who led congressional hearings on gulf war illnesses, has criticized
the Pentagon's insistence that hazardous exposure levels were not enough to
sicken the troops.
"The military's the military. When they go into battle, they don't always
keep the best medical records and so on," he said. "But there's no illusion
about the environment we're sending our soldiers in. Battlefields are always
toxic. In this case, beyond toxic, you may have chemical and biological agents."
One of the biggest problems during the gulf war were false alarms from
tightly calibrated chemical sensors. Soldiers didn't know what was real, said
Dr. Bernard Rostker, the Pentagon's top official for gulf war illnesses during
the Clinton administration.
"They were basically useless," said Rostker of the sensors. "There are new
sets of alarms, much more sensitive."
Rostker, who said he spent four years "trying the damnedest to pin (gulf war
veterans' illnesses) to something," said the changes hold promise.
"We're better prepared than we were, and we're much more sensitive to the
fact, 'Pay me now or pay me later,' " Rostker said. "Whether you learn enough,
God knows. I hope we don't have to prove it."
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