PMID: 9005273Jan 15, 1997Paper

Self-reported exposure to neurotoxic chemical combinations in the Gulf War. A cross-sectional epidemiologic study

JAMA : the Journal of the American Medical Association
R W Haley, T L Kurt

Abstract

To identify risk factors of factor analysis-derived Gulf War-related syndromes. A cross-sectional survey. A total of 249 Gulf War veterans from the Twenty-fourth Reserve Naval Mobile Construction Battalion. Participants completed standardized booklets measuring self-reported wartime exposures and present symptoms. Associations of factor analysis-derived syndromes with risk factors for chemical interactions that inhibit butyrylcholinesterase and neuropathy target esterase. Risk of syndrome 1 ("impaired cognition") was greater in veterans who reported wearing flea collars during the war (5 of 20, 25%) than in those who never wore them (7 of 229, 3%; relative risk [RR], 8.7; 95% confidence interval [CI], 3.0-24.7; P<.001). Risk of syndrome 2 ("confusion-ataxia") increased with a scale of advanced adverse effects from pyridostigmine bromide (chi2 for trend, P<.001), was greater among veterans who believed they had been involved in chemical weapons exposure (18 of 108, 17%) than in those who did not (3 of 141, 2%; RR, 7.8; 95% CI, 2.3-25.9; P<.001), and was increased in veterans who had been in a sector of far northeastern Saudi Arabia on the fourth day of the air war (6 of 21, 29%) than in those who had not been (15 of 228, 7%; RR,...Continue Reading

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