Mortality and morbidity among Army Chemical Corps Vietnam veterans: a preliminary report. 1990

T L Thomas, and H K Kang
Office of Environmental Epidemiology, Department of Veterans Affairs, Washington, DC 20006.

Nearly 1,000 men serving in Army Chemical Corps units in Vietnam between 1965 and 1971 were responsible for the mixing and application of herbicides, riot control substances, and burning agents. Information on Vietnam service was obtained from military records of 94% of this cohort. Follow-up for vital status on December 31, 1987, was conducted using Department of Veterans Affairs (VA), military, National Death Index, U.S. Internal Revenue Service, and Social Security Administration records. Cause-specific observed numbers of deaths among the 894 men included in the study group were compared with the numbers expected based on rates for U.S. men, adjusting for race, age, and calendar period. Fifty-three deaths from all causes were observed during the study period, compared to 48.8 expected (SMR = 1.09). There were statistically significant excesses of digestive disease deaths (SMR = 2.98), primarily due to cirrhosis, and from motor vehicle accidents (SMR = 2.00). Two deaths were observed from leukemia (0.5 expected) and two from brain cancer (0.4 expected). A total of 257 of the study subjects had received VA inpatient care or Agent Orange registry medical examinations during the study period. Two of these subjects had confirmed diagnoses of Hodgkin's disease (expected = 0.7) and one of hairy cell leukemia. Because of the small study group size and the lack of specificity of information regarding their exposures, these results cannot be attributed to any single chemical agent.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009017 Morbidity The proportion of patients with a particular disease during a given year per given unit of population. Morbidities
D009369 Neoplasms New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms. Benign Neoplasm,Cancer,Malignant Neoplasm,Tumor,Tumors,Benign Neoplasms,Malignancy,Malignant Neoplasms,Neoplasia,Neoplasm,Neoplasms, Benign,Cancers,Malignancies,Neoplasias,Neoplasm, Benign,Neoplasm, Malignant,Neoplasms, Malignant
D009422 Nervous System Diseases Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle. Neurologic Disorders,Nervous System Disorders,Neurological Disorders,Disease, Nervous System,Diseases, Nervous System,Disorder, Nervous System,Disorder, Neurologic,Disorder, Neurological,Disorders, Nervous System,Disorders, Neurologic,Disorders, Neurological,Nervous System Disease,Nervous System Disorder,Neurologic Disorder,Neurological Disorder
D002423 Cause of Death Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint. Causes of Death,Death Cause,Death Causes
D002619 Chemical Warfare Agents Chemicals that are used to cause the disturbance, disease, or death of humans during WARFARE. Agents, Chemical Warfare,Warfare Agents, Chemical,Agent, Chemical Warfare,Chemical Warfare Agent,Warfare Agent, Chemical
D004066 Digestive System Diseases Diseases in any part of the GASTROINTESTINAL TRACT or the accessory organs (LIVER; BILIARY TRACT; PANCREAS). Digestive System Disorders,Hepatobiliary Diseases,Hepatobiliary Disorders,Digestive System Disease,Digestive System Disorder,Hepatobiliary Disease,Hepatobiliary Disorder,System Disorders, Digestive
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.

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