Mystery lung illness affecting Iraq and Afghanistan veterans

Due to the large number of contractors contacting us about Lung problems after working in Iraq and Afghanistan we’ll be investigating and posting all information we can find on this topic.  Please forward any information you may have to dbacasualty@yahoo.com.

Channel 4 News from August 2011

US soldiers returning from Iraq and Afghanistan with an apparently untreatable and incurable lung disease are being dismissed as out of shape because tests appear normal, writes Sarah Jones.

A civilian physician who has diagnosed more than 50 soldiers with constrictive bronchiolitis says the life-altering disease is linked to service in Iraq and Afghanistan.

Dr Robert Miller, of Vanderbilt University, says: “This scarring of the small airways in the lungs is common in people who have had bone marrow transplants or lung transplant rejection not people who have passed military fitness exams.

I get shortness of breath and painful burning in my lungs after running just a quarter of a mile, I can’t run any more Dr Sylvia Waters

“What we can say is that this disorder is linked to service in the Middle East. But we haven’t been able to definitively link what the cause is for the black lacy pigment. It’s something that’s inhaled that shouldn’t be there.”

Last month the New England Journal of Medicine published a study by Dr Miller and colleagues which documented the condition of soldiers who had served in Iraq and Afghanistan and were diagnosed with constrictive bronchiolitis.

However, their analysis doesn’t reveal how common the condition is in troops or positively identify the cause of constrictive bronchiolitis in troops.

‘Black lacy pigmentation’

The diagnoses were made after lung biopsies. At least half the soldiers have left the service with a disability rating making them eligible to receive anywhere between $123 to over $3,100 per month depending on the level of their disability and number of dependents.

In certain instances the Department of Veterans Affairs recognises a link between the disorder and service. But compensation is based on pulmonary function testing (PFT) and soldiers with constrictive bronchiolitis have normal PFT results despite having scarring of the airways, black lacy pigment in their lungs and severe exercise limitations.

A further complication is that deployed troops do not receive pre- and post-deployment pulmonary function tests that could help doctors know the extent of lung damage.

Dr Sylvia Waters serves in the US army and is a practicing anaesthetist. She used to run every day but after serving in Iraq she had to give up her passion.

“After a six-month tour in Mosul, Iraq I get shortness of breath and an excruciating burning in my lungs after running just a quarter of a mile. I can’t run any more.”

Army physicians tried routine tests including X-rays, pulmonary function tests and chest CT scans. They tried inhalers and steroid treatments but nothing worked and all tests results kept coming back normal.

At times, Dr Waters says she doubted herself: “I felt like I was going crazy because all these physicians kept telling me everything was coming back negative.

“It was only the fact that I was a physician and I knew other doctors that I even got diagnosed because I don’t know how else I would have done it.”

Please read the entire story here

 

$85 million awarded to 12 Oregon soldiers; KBR guilty of negligence, not fraud

Oregon Live  November 2, 1012

A Portland jury found defense contractor KBR Inc. was negligent, but did not commit fraud against a dozen Oregon Army National Guard soldiers who sued the company for its conduct in Iraq nine years ago. Magistrate Judge Paul Papak announced the decision about 3:35 p.m. the U.S. Courthouse in Portland. Each soldier was awarded $850,000 in non-economic damages and $6.25 million in punitive damages.

“It’s a little bit of justice,” said Guard veteran Jason Arnold, moments after the verdict was announced Friday afternoon. Arnold was one of four of the soldier-plaintiffs in the courtroom was the verdict was read.

The verdict should send an important message to those who rely on military troops, he said.

“We’re not disposable,” said another soldier, Aaron St. Clair. “People are not going to make money from our blood.”

KBR’s lead attorney, Geoffrey Harrison, said the company will appeal.

“We will appeal the jury’s incorrect verdict,” he said. “We believe the trial court should have dismissed the case before the trial.”

Harrison said the soldiers’ lawyers produced a medical expert, Dr. Arch Carson, who offered “unsupported, untested medical opinions” that each soldier had suffered invisible, cellular-level injuries as a result of their exposure to hexavalent chromium.

The verdict means the jury did not hear clear and convincing evidence that KBR intended to deceive the soldiers in the way it operated at the Qarmat Ali water treatment plant, near Basra, Iraq. But they did find that the company failed to meet its obligations in managing the work at the plant.

Friday’s verdict closes the first phase of a web of litigation between National Guard and British troops against KBR Inc., the defense contractor they accuse of knowingly exposing them in 2003 to a carcinogen at Qarmat Ali. KBR has denied the accusations.

In Oregon another set of Oregon soldiers are waiting in the wings for their day in court. Magistrate Judge Paul Papak and the attorneys agreed earlier to hold an initial trial with the first 12 soldiers, in order to keep the proceedings from becoming too unwieldy. A second trial, featuring all or some of the remaining 21 plaintiffs, could begin in federal court in Portland this winter.

Another lawsuit brought by Indiana soldiers against KBR is on hold in federal court in Texas, while an appeals court considers a jurisdictional issue.

The cases stem from the chaotic aftermath of the U.S.-led invasion of Iraq in March 2003. The Army Corps of Engineers hired KBR Inc. to run a massive program called Restore Iraqi Oil. The program involved dozens of sites throughout Iraq — sites that neither the Army nor KBR had visited before the invasion. The project was intended to quickly restore the flow of Iraq’s oil, partly to fund the war. The Pentagon remembered the way Saddam Hussein had lit the fields on fire during the first Gulf War, and feared a repeat in 2003.

Qarmat Ali was a compound where water was pumped underground to drive oil to the surface elsewhere. For decades, Iraqis had treated the water with sodium dichromate, an anticorrosion agent that contains hexavalent chromium, a known carcinogen. (Sodium dichromate is banned in the United States.)

Iraq’s Southern Oil Co. took delivery of sodium dichromate, an orange-yellow crystalline powder, in bags that were stored on site. Soldiers and others testified that the material was loose and drifting around the site, and had contaminated areas even outside the chemical injection building where it was added to the water.

How contaminated was it? Accounts differ. Even one of the plaintiffs in this case said he didn’t notice any soil discoloration. One of the British soldiers whose testimony was prerecorded said it was everywhere. Another Oregon soldier said it settled heavily on the clothing of the soldiers, who unwittingly carried it back to their camps over the border in Kuwait.

Much of KBR’s defense in the first Oregon trial focused on just how unlikely it was that any soldier — who visited the plant at durations from one day to 21 days — could have been exposed to dangerously high levels of sodium dichromate. But one of the most gripping portions of the testimony was when Oregon veteran Larry Roberta described eating a chicken patty that had been coated with the orange crystals, which he said immediately burned in his esophagus, causing him to vomit.

Roberta now is confined to a wheelchair and takes oxygen from a tank in his backpack. He had a history of gastrointestinal issues, but attributes much of his poor health to his time at Qarmat Ali.

Harrison, KBR’s lawyer, said the company “believes in the judicial process and respects the efforts and time of the jurors,” but believes the process that brought the case to conclusion Friday shouldn’t have been allowed to come so far.

“KBR did safe and exceptional work in Iraq under difficult circumstances,” he said in a brief, prepared statement. “We believe the facts and law ultimately will provide vindication.”

Soldier-plaintiff Arnold said the message of the verdict is unmistakable. He said service members are being exploited “to this day.”

Now, he said, “the voice will be out. There will be a lot more scrutiny.”