Respiratory Health after Military Service in Southwest Asia and Afghanistan. An Official American Thoracic Society Workshop Report

Annals of the American Thoracic Society
Eric GarshickPaul D Blanc

Abstract

Since 2001, more than 2.7 million U.S. military personnel have been deployed in support of operations in Southwest Asia and Afghanistan. Land-based personnel experienced elevated exposures to particulate matter and other inhalational exposures from multiple sources, including desert dust, burn pit combustion, and other industrial, mobile, or military sources. A workshop conducted at the 2018 American Thoracic Society International Conference had the goals of: 1) identifying key studies assessing postdeployment respiratory health, 2) describing emerging research, and 3) highlighting knowledge gaps. The workshop reviewed epidemiologic studies that demonstrated more frequent encounters for respiratory symptoms postdeployment compared with nondeployers and for airway disease, predominantly asthma, as well as case series describing postdeployment dyspnea, asthma, and a range of other respiratory tract findings. On the basis of particulate matter effects in other populations, it also is possible that deployers experienced reductions in pulmonary function as a result of such exposure. The workshop also gave particular attention to constrictive bronchiolitis, which has been reported in lung biopsies of selected deployers. Workshop part...Continue Reading

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Citations

Dec 5, 2019·Journal of Occupational and Environmental Medicine·Timothy M MallonMark Utell
Jun 11, 2020·Journal of the American Medical Informatics Association : JAMIA·Stacey MarovichEileen Storey
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Jan 2, 2021·Pulmonary Therapy·Kevin P Vlahovich, Akshay Sood
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May 30, 2021·Toxicological Sciences : an Official Journal of the Society of Toxicology·Reena BermanBrian J Day
Jun 4, 2021·The American Journal of Surgical Pathology·Sergey S GutorVasiliy V Polosukhin
Nov 23, 2021·Chemical Research in Toxicology·Reena BermanHong Wei Chu

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Methods Mentioned

BETA
Biopsy
biopsies
X-ray
scanning electron microscopy
scanning
bronchoalveolar lavage

Clinical Trials Mentioned

NCT02825654

Software Mentioned

STAMPEDE
SHADE

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