2 15 672 https://www.nal.usda.gov/exhibits/speccoll/files/original/9be22ab64322889cd1743459abc0f22d.pdf b1bed81294472d04efc45ddf518041e0 PDF Text Text item D Number °5824 n Rot Scanned Author Corporate Author Report/Article TltlB Tentative Agenda for Veterans Administration Advisory Committee on Health-Related Effects of Herbicides Meeting, September 12, 1984 Journal/Book Title Year Month/Day Color D Number of Images ° DOSOrlptOU NOtOS Includes agendas for Subcommittee on Veterans' Education/Information and Subcommittee on Epidemiology/Biostatistics. Also includes handwritten notes by Alvin L. Young and typescripts "Brazilian Stories Alleging Human and Animal Deaths Due to Herbicide Use are Unfounded, final copy," and "Brazilian Herbicide 'Poisonings': Allegations Versus the Facts." Tuesday, April 02, 2002 Page 5824 of 5840 �TENTATIVE AGENDA VETERANS ADMINISTRATION ADVISORY COMMITTEE ON HEALTH-RELATED EFFECTS OF HERBICIDES Veterans Administration Central Office Room 119 810 Vermont Avenue, N.W. Washington, D.C. 20420 September 12, 1984 8:30 AM Call to Order and Opening Remarks by the Chairman Barclay M. Shepard, M.D. 8:35 Old Business/Recent Activities Dr. Shepard 8:40 EPA Workshop Dr. Shepard 8:45 Status of International Dioxin Research Alvin L. Young, Ph.D. 9:00 Australian Royal Commission 9:05 CDC Birth Defects Study Results Joseph Mulinare, M.D. 9:20 Overview/Update on Activities of Agent Orange Projects Office - Research Han K. Kang, Dr. P.H. 9:35 CDC Epidemiology Study Michael Kafrissen, M.D., M.S.P.H. 9:45 Recess for Subcommittee Meetings Reconvene for Reports of Subcommittees Mr. Fredrick Mullen, Sr. Richard A. Hodder, M.D., M.P.H. 1:15 Comments and Discussion Audience 1:45 Future Agenda Items Committee 1:50 Adj ournment 12:45 PM �TENTATIVE AGENDA SUBCOMMITTEE ON VETERANS' EDUCATION/INFORMATION Veterans Administration Central Office Room 139 810 Vermont Avenue, N.W. Washington, D.C. 20420 September 12, 1984 9:50 AM Call to Order and Opening Remarks by the Subcommittee Chairman Mr. Fredrick Mullen, Sr. 9:55 Old Business Mr. Mullen 10:00 Lay Language Summary of Literature Review Barclay M. Shepard, M.D. 10:10 Progress Report on New Videotapes Mr. Danny C. Jones 10:20 Discussion by Subcommittee Members Subcommittee 10:50 Audience Comments/Discussion Audience 11:20 Future Agenda Items Subcommittee 11:25 Subcommittee Comments/Recommendations Summarized Mr. Mullen 11:30 Adjournment SUBCOMMITTEE ON EPIDEMIOLOGY/BIOSTATISTICS Veterans Administration Central Office Room 119 810 Vermont Avenue, N.W. Washington, D.C. 20420 September 12, 1984 9:50 AM Call to Order and Opening Remarks by the Subcommittee Chairman 9:55 Richard A. Hodder, M.D., M.P.H. Expanded Discussion of Research Reports - CDC Birth Defects Study Results Joseph Mulinare, M.D. - Agent Orange Projects Office Research Han K. Kang, Dr. P.H. - CDC Epidemiology Study Michael Kafrissen, M.D., M.S.P.H. 11:05 Lay Language Summary/Videotapes ' Barclay M. Shepard, M.D. 11:20 Future Agenda Items Subcommittee 11:25 Subcommittee Comments/Recommendations Summarized Dr. Hodder �7' - -*.0y J^fezi/af'fle^- £ru �X XX.. Final copy * - BRAZILIAN STORIES ALLEGING HUMAN AND ANIMAL DEATHS DUE TO HERBICIDE USE ARE UNFOUNDED A growing series of stories are being circulated world-wide, alleging that varying numbers of human and animal deaths have occurred in the northern region of Brazil due to the use of TORDON* herbicides. These accusations are not only unfounded, but from a toxicological standpoint, implausible. The Dow Chemical Company, however, is deeply concerned whenever any allegations are made about the safety of their products. As such, Dow Quimica S.A. (Dow Brazil) has investigated these claims and found them to be unwarranted. Dow is now encouraging other official agencies in Brazil to do the same. To date, conclusions which have been drawn and reported in the Brazilian media have been based upon speculation, not evidence. In fact, the only substantive data which does exist has been ignored. In 1982, following the first animal death claims, four independent research institutions made investigations. Those were: The Biological Institute of the Agriculture Secretary in the State of Sao Paulo; the Agriculture and Veterinary College of the State University of Sao Paulo; the Ministry of Agriculture, Para Office; and the Veterinary Studies and Research Foundation of the State of Minas Gerais. The investigations all reached the same conclusion: TORDON poisoning was ruled out, cause of death was identified as malnutrition and anemia leading to other sub-acute and chronic cattle diseases. Shortly after the alleged cattle poisoning, the National Institute for Amazon Research also analyzed the supposedly contaminated water. No herbicide residues were detected. �- 2- TORDON 101 is a product registered in Brazil for many uses, including vegetation control on rights-of-way. It has been used safely in Brazil for 20 years and is currently approved for use in more than 40 additional countries. TORDON 155 has been registered for similar use in Brazil since 1971. There are 24 registrations of TORDON 155 or similar formulations approved for use in 13 countries. Both products have an outstanding global safety record. These herbicides are classified as low to moderate in toxicity. For example, the acute oral toxicity of TORDON 101 is comparable to the toxicity of table salt. Put into layman's terms, a 132 pound (60 kg) person would have to drink more than four gallons (15 liters) of the actual TORDON 101 spray mixture to reach the oral acute I'D-- level. Exposure of this magnitude or anything even remotely close to it would be impossible to achieve in actual use. Based on extensive scientific data, a long history of safe use and actual facts from independent studies already completed in Brazil, Dow is totally confident that the final conclusion of any non-biased, scientific investigation will show that TORDON herbicides were not the cause of animal or human deaths claimed. A finding to the contrary would be totally inconsistent with toxicology profiles of the TORDON herbicides and 20 years of use experience. *Trademark of The Dow Chemical Company 2/14/84 T. L. Witt �BRAZILIAN HERBICIDE "POISONINGS": ALLEGATIONS VERSUS THE FACTS I. ALLEGATION: Animal and human deaths in the Amazon region of Brazil have been linked by Brazilian officials to herbicides used to control vegetation on an 800-km electrical power line right-of-way through this region. FACT: II. ALLEGATION: FACT: This is untrue. These claims have been made; however, no evidence has been presented to substantiate them. To the contrary, research concluded in 1982 that animal deaths were not TORDON herbicide-related. Area water was also tested and no herbicides were found. "Official Investigations" to date have consisted of interviews with local inhabitants of the area, which should be regarded as personal opinion, not facts, unless substantiated by evidence. Accounts of the human deaths reported were characteristic of herbicide poisoning. This is untrue. Reports of high fever, yellowing of the eyes and blood in the urine prior to death are symptomatic of dyptheria and hepatitus. Both diseases are among the leading causes of death in the Amazon region III. ALLEGATION: Animal deaths are a "mystery." FACT: Untrue. Four studies by Brazilian institutions of research in 1982 indepentently reached similar conclusions: The animals died from a variety of cattle maladies as a result of malnutrition, mineral deficiencies and poor animal management. In addition to investigations conducted to determine the cause of the animal deaths, the Veterinary Medicine College of the State University of Sao Paulo also ran experimental intoxication tests with TORDON 101. The herbicide was given orally to rats, rabbits and cattle at a dose equivalent to four times that used on the right-of-way. The test animals showed no signs of intoxication and all continued to gain weight. IV. ALLEGATION; FACT: The herbicides used were illegal. This is untrue. TORDON 101 (now called TORDON 2,4-D 64/240 in Brazil) is currently registered in Brazil and has been since 1964. TORDON 155 (now called TORDON 2,4,5-T 120/480 in Brazil) has been registered in Brazil since 1971. Both products were and still are approved for use on rights-of-way as they were applied in Brazil. - more - �V. ALLEGATION: FACT: TORDON 101 and TORDON 155, are "highly poisonous" and "deadly" herbicides. Untrue. These herbicides are not classified as highly toxic to humans or animals. As a herbicide, they are designed to be active on plant species, not other living organisms. TORDON 101 and 155 are not easily absorbed through the skin. This is the most likely route of exposure to applied herbicides. Furthermore, if ingested or absorbed into the body, they are rapidly excreted and, therefore, do not accumulate. Accidental oral ingestion of these products even in a highly diluted form would be almost impossible due to their unpalatable taste. VI. ALLEGATION: The material used to "defoliate" the jungle power line right-of-way in Brazil was "Agent Orange" — or that applying TORDON 101 and 155 produces Agent Orange. FACT: This is untrue and should be obvious that the statements are being made to add more sensationalism to media stories. "Agent Orange" was the code name given to a military defoliant specified by the II. 8. Department of Defense. It consisted of equal parts of 2,4,5-T and 2,4-D which was applied undiluted from airplanes in Vietnam for defoliation of enemy cover to prevent ambush. This operation saved the lives of many servicemen. "Agent Orange" has never been registered, or ever sold by Dow, for commerical purposes in Brazil or any country. It should be of interest to those who are trying to advance this Agent Orange comparison, that while some veterans have alleged long-term ill health effects from exposure to Agent Orange, none are claiming it caused death due to acute poisoning. The active ingredients in TORDON 101 are picloram and 2,4-D. TORDON 155 is picloram and 2,4,5-T. Dependent upon the type of application, they are diluted down to a 1-3% spray solution before application. In Brazil the TORDON products - more - �— 3 — were not applied aerially for defoliation purposes. Each product was applied separately using ground equipment to control resprouting of trees and brush which had been first mechanically cleared from the power line right-of-way. The 100 meter wide right-of-way has only been treated with TORDON herbicides once. TORDON 101 and TORDON 155 are used for different types of treatment and would not physically mix together. TORDON 101 is mixed with water for vegetation control as a foliar and stem treatment. TORDON 155 is not water soluble and is mixed with oil for application to the trunk or base of woody plants. If the two treatments were to be made to the same vegetation, however, the result would not be "Agent Orange" nor would it create an unacceptable toxicological or environmental risk. February 14, 1984 T. L. Witt *Trademark of The Dow Chemical Company. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5824 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Tentative Agenda for Veterans Administration Advisory Committee on Health-Related Effects of Herbicides Meeting, September 12, 1984 ao_seriesVIII Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5823 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Letter from Alan Cranston to Barclay Shepard, August 15, 1984 ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/8918378c943f23f05c1360ff0238bc94.pdf 8db291b7ea529d6c4c299127e2e09549 PDF Text Text Item D Number °5822 D Not Scanned Author Corporate Author KBDOrt/ArtlClO Titlfl Memoranda regarding Workload and Staffing for the Agent Orange Projects Office, June 11,1984, June 27, 1984, and August 7, 1984 Journal/Book Title Yeer Month/Day Color Number of Images D ° Descripton Notes Tuesday, April 02, 2002 Page 5822 of 5840 �Veterans Administration Date: TO: Memorandum AUG 071984 Director, Agent Orange Projects Office (10A7) =rom: Director, Management Support Office (10A5) subj: Workload and Staffing Review Research Program Staff (10A7B) (your memo dated July 19, 1984) * 1. The purpose of this memorandum is two-fold: o to inform you this office will conduct a workload and staffing review of the Research Program Staff in response to your request; and, o to transmit the project protocol. I expect to work closely with you in accomplishing this project; I believe the best results are likely if we maintain close communications. 2. You will be contacted in the near future concerning the project. In the meantime, if you have comments or questions, please contact Patty Buesing of my staff on extension 2178. * V C. V./Y|RBROUGH / Attachment AGENT AU608W* VA FORM 2105 �PROPOSED PROJECT PROTOCOL TITLE: Organizational Analysis - Workload and Staffing Review Research Program Staff, Agent Orange Projects Office (10A7B) OBJECTIVES: 1. To determine the nature and scope of the workload assigned to the Research Program Staff. 2. To identify staffing utilization and staffing requirements in relation to workload. 3. To recommend measures, including management improvements if appropriate, to facilitate the accomplishment of workload. BACKGROUND: The Agent Orange Projects Office was established November 1, 1982. The Research Program Staff is a section within the office. Since that time, the research staff has assumed responsibility for the: o mortality study of Vietnam veterans o soft tissue sarcoma study o review of the Agent Orange Registry and Patient Treatment File ^ o review of health problems of Vietnam veterans treated in VA hospitals In addition, three other research projects are in the process of being developed, and several more are being planned for the FY 1985 - 1988 timeframe. The Director, Agent Orange Projects Office, has requested Management Support Office to conduct a review of staffing requirements in relation to established and anticipated workload. METHODOLOGY: 1. Review of program-related documents and workload indicators, e.g., o functional statements o organizational charts o position descriptions o reports, studies �2. In-person Interviews with members of the Research Program Staff. 3. In-person or telephone interviews with Agency and outside officials who are associated with the Research Program Staff or who have knowledge of research methodology and requirements. The scope of this contact will provide the study team with an indepth knowledge of the operation and scope of the responsibility of the Research Program Staff. SCHEDULE: MILESTONE TARGET COMPLETION DATE 1. Project assigned August 1, 1984 2. Protocol approved August 10, 1984 3. Orientation to project completed August 22, 1984 4. Data collection completed September 7, 1984 5. Data analysis completed September 21, 1984 6. Draft report completed September 26, 1984 7. Report presented to Director, Agent Orange Projects Office October 5, 1984 TEAM MEMBERSHIP; Patty Buesing, Analyst-in-charge (10A52) Ann Mirsch (10A52) / APPROVE / DISAPPROVE / SEE ME C. V/ WRBROUGH / Director, Management Office (10A5) �Veterans Administration Memorandum TO: Director, Management Support (1QA53) om: Director, Agent Orange Projects Office (10A7B) ubf: Request for evaluation of. staff ing needs - Research Section 1. On June 11, 1984, the attached memo was forwarded to the Personnel Management Committee (PMC) requesting approval for one FTE computer programmer (GS-9). Paragraph 2, page 4, also requested an evaluation of the overall staffing requirements of our Research Section by your office. The PMC disapproved my request for the position but did not respond to the secondary request. 2. Ms. Anne Mirsch of your staff recently suggested to Mr. Larry Stockmoe, the Research Section's Administrative Officer, that the staffing evaluation request be redirected to you for consideration. 3. Please feel free to contact Dr. Kang or Mr. Stockmoe on extension 5536, for any assistance necessary in the conduct of the staffing review. I would appreciate any efforts that can be made on your part to expedite the evaluation process. BARCLAY M. SHEB Attachment VA FORM 210S �Veterans Administration REFERENCE SLIP TO (Home or litlf-Hnl roufintf *ymbot) INITIALS-DATE Chief, Research Sectiyn (10A7B) | J RECEIVtl ) JUL 5 " 19i J4 5. RESEARCH SECTION, A( POUOA7B) REASON FOR REFERENCE I I AS Requesreo LJ FAVOUR Flues I I 1 COMMENTS L_l CONCURRENCE I INFORMATION L_J NECESSARY ACTION I I NOTE AND RETURty J TlU PER CONVERSATION^ I ] SIGNATURE SUBJ: Request for One FIE Position, GS-334-9 Computer Progranmer 1. Your request to recruit for the position of Cocnputer Progranmer, GS-334-9, has been disapproved by the Position Management Committee at its meeting of June 22, 1 8 . 94 2. The MAMQE Ceiling will have a number of major demands placed on it for FY'85 to accomplish new initiatives, staffing improvements and to accortnodate probable budget reductions. Therefore, the PMC recommends that you coordinate the Vietnam Veterans Mortality Study and the VA/AFTP Soft Tissue Sarcoma Study with the Medical Information Resources Management Office (MIEMO). cc: MIRMO FROM DATE _ 7/2/84 .j^/J0SEPH F. HEAVEY, Chairman / Position Management Committee (10A52) VA FORM __.. MAV «MO 3230 EXISTING STOCKS OF VA FORM MM. AUO «»7«. WILL BE USED. TEL. CXT. 5118 u 8 * ' ' «•'•<>• l»!4-7C«-l«i �Veterans Administration Date: June 11, 1984 Director, Agent Orange Projects Office (10A7) To: Personnel Management Committee (10A52) Memorandum From: chief, Research Section, Agent Ocange Projects Office (10A7B) Request for one FTE position, GS-334-9 Computer Programmer Responsibilities and Workload As a relatively new section of Agent Orange Projects Office, the Research Section is undergoing "growing pains" not anticipated at its establishment. Since its creation and staffing about 1-1/2 years ago, the Research Section has assumed the responsibility of conducting the largest mortality study of Vietnam veterans in the U.S. from the Office of Reports and Statistics. The study involves reviewing military, demographic and medical records of 75,000 Vietnam era veterans and analyzing these data to determine whether Vietnam veterans have died from unusual diseases or in higher than expected proportion frcra a specific cause such as suicide or cancer. Because requisite information is not in the files for approximately 15% of the study subjects (9-10,000), extensive tracing efforts have been made by the Research Section's staff using both VA internal records (BIRLS, PTF, Insurance file) and records maintained by the Social Security Administration, National Center for Health Statistics, National Institute for Occupational Safety and Health, Internal Revenue Service, and 50 states' vital statistics offices. Furthermore, the principal investigator of a study, "A Study of Ascertainment of Mortality in the U.S. Vietnam Veterans Population" has transferred from the Office of Reports and Statistics to another agency. The Research Section has assumed the responsibility of conducting the study as well since it is directly related to the mortality study. Another large scale epidemiological study initiated by the Research Section and approved by the CMD and Administrator is a case-control study of soft tissue sarcoma. The study is conducted in collaboration with the Armed Forces Institute of Pathology (AFIP) under an interagency agreement. Under the agreement the AFIP provides general guidance in the area of pathology and the VA develops research protocol, selects cases and controls, conducts the study, and performs data analysis. The study has involved contacting pathologists from over 400 hospitals nationwide and requesting their participation in the study by assisting us in finding the control patients for each STS patient. At least three letters were sent to each of the 400 hospitals and the status of responses for each hospital as a result of the letter or follow-up phone call is kept up to date by the Research Section. The RFP was written by the Research Section and approved by the Administrator; the draft questionnaire was also designed by the section and approved by the Agency and sent to the OMB for its review. As a parallel effort to shed more light on the health problems experienced by Vietnam veterans, the Research Section is reviewing the Agent Orange Registry and the Patient Treatment File. The Agent Orange medical examination records of 86,000 Vietnam veterans were reviewed and results were reported to the VA Advisory Committee on Health-Related Effects of Phenoxy Herbicides and presented at scientific meetings. �The monitoring of health status of Vietnam veterans who participated in Agent Orange registry examinations is expected to continue. The Research Section also continues to review health problems of Vietnam veterans treated in the VA hospitals. Questions have been asked many times by Congress and others whether Vietnam veterans come to the VA hospitals with different or unique health problems as compared to their counterparts who did not serve in Vietnam. An initial review of a sample of 13/000 Vietnam era veterans (EY 69-82) and another review of a random sample of 1,000 veterans' (FY 83) military records and PTF medical data reveal no significant difference in the distribution of diagnoses between Vietnam veterans and non-Vietnam veterans treated in VA hospitals. These findings were also reported to the VA Advisory Committee on June 5, 1984. This effort of monitoring health problems of Vietnam veterans hospitalized in the VA medical facilities will continue by the Research Section. In addition to the above on-going research efforts, three research projects are in various stages of development. The Readjustment Counselling Service (10B/RC) is very concerned with alleged high incidence of suicide among Vietnam veterans. The AOPO is actively cooperating with the Readjustment Counselling Service in designing an in-depth review of the cases listed as suicide or possible suicide in the mortality study being conducted by the Research Section. This will enable the VA to determine whether the frequency of suicide among Vietnam veterans is higher than among non-Vietnam veterans and also will help to develop a clinical profile of Vietnam veteran suicides, which may assist in preventing suicide in the years to come. In collaboration with the VA Pathology Service (113) and the AFIP, the Research Section plans to conduct a pathological evaluation of malignant neoplasms among Vietnam era veterans treated in the VA medical facilities. There are several published reports which suggest that exposure to phenoxy herbicides may contribute to a higher risk of developing soft tissue sarcoma, lymphoma, nasal cancer, and possibly liver cancer. In general, it takes over a decade for cancer to manifest itself if it is caused by environmental chemicals. It has been more than a decade since the last U.S. troops were exposed to defoliants in Vietnam and about 20 years since the first massive spraying of Agent Orange there. Therefore, the time is about right for evaluating cancer problems in Vietnam veterans. About 5,000 cancer cases among Vietnam era veterans treated in the VA medical facilities in the last 3 years will be selected for this study. The AFIP will make a pathological diagnosis without knowing Vietnam service status of cases and the Army Agent Orange Task Force will determine military service status and Agent Orange exposure likelihood for each case without knowing the pathological diagnosis. The Research Section will coordinate this effort �and perform data analyses once all the information is collected. This study will serve as a built-in quality-control program for the VA Pathology Service by systematically comparing diagnosis made by the VA pathologist and that of the APIP experts. The VA has entered into an interagency agreement with the Environmental Protection Agency to conduct an adipose tissue analysis for dioxin. There is growing concern among Vietnam veterans that they were exposed to Agent Orange which was contaminated with dioxins and as a result dioxins were accumulated in their body, especially fatty tissue, and cause adverse health problems. Using EPA's historical adipose specimens collected nationwide since 1970, dioxin levels in the adipose tissue of Vietnam veterans and non-Vietnam veterans will be compared. The project has been presented to the White House Agent Orange Working Group, VA Advisory Committee, Congressional Committee and others. Its conduct will involve the Research Section in developing a study protocol and analyzing the data obtained. There are several research projects in various planning stages for FY 85-88. We hope that the cummulative results of research studies conducted by the Research Section, the CDC epidemiologic study scheduled for completion in 1988, and other Agent Orange related research will provide a resolution of the key medical issues surrounding Agent Orange and Vietnam veterans by 1987. Staffing The Research Section is staffed with 6 FTE positions, 2 temporaries and 1 stay in school: Chief (Epidemiologist, Gtt-15), Senior Biostatistician (Gtt-15), Statistician (GS-12), Administrative Officer (GS-12), Secretary/Typing (GS-6), Program Clerk (Typing) (GS-5), Clerk* (GS-4, SIS), Statistician* (General) (GS-7, NTE 5/31/85), CLerk* (GS-4, NTE 1/26/85). *Nbn FTE positions. As listed above, the section is now staffed with two full time FTE positions excluding Chief and one temporary position (GS-7, NTE 5/31/85) which can handle day to day research activities involving epidemiology, biostatistics or ADP. The temporary statistician (GS-7) has taken a position (GS-9) with the National Institute of Health effective as of June 25, 1984. This will leave the section with only two full-time professional research statisticians. I believe the time has come to reassess the staffing requirements for the section. Under the current circumstances, I am afraid the Research Section cannot complete the research projects in a timely manner as we promised to the CMD, Administrator, Congress, veterans service organizations and the public. The lack of adequate staff support of these research efforts may unduly inhibit the completion of such research in both the scope and timeframe as originally mandated by the Chief Medical Director. �Recomroendat ion First, to meet our targeted completion dates for the Vietnam Veterans Mortality Study and the VA/AFIP Soft Tissue Sarcoma Study, I will need authorization for one ETE, GS-9/11, Computer programmer to assist in maintaining and updating data files and processing and analyzing the data collected for the studies. In addition, once the three planned research activities are initiated we will undoubtedly need additional help. I request your early decision on authorization of the one FTE position, GS-9/11. Second, I also request evaluation of overall staffing requirements for the Research Section by the Management Support Service (10A5) at its earliest convenience. An early decision from the Personnel Management Committee would be very much appreciated. HAN K. KANG, Dr. P.H. �Memorandum Veterans Administration Fiom Da " j UN 2 71984 To 10, 10A, 101, 10A2, 10A4, 10A6, 10A7," 10B1B, 106/ADP, 10B/EMS, 10B/RC, IOC, 11, 13, 14, 15, 16, 18, 0558 (O.P.) Chairman, Position Management Committee (10A52) Subj. Report of PMC Meeting June 22, 1984 RECEIVED 1. In accordance with CMO priorities, the actions taken by the PMC at its meeting of June 22, 1984, are listed below: mi ., RESEARCH SECTION,-AOP.O(10A7.B) ACTIONS: PMC NUM. REQUESTING OFFICE TITLE OF POSITION TYPE POS. SERIES GRADE RECOMMENDATIONS l6A7Ef^> COMPUTER PROGRAMMER FTP 334-9 DISAPPROVED 108/EMS PROG CLK TYPING FTP 303-5 DISAPPROVED 158 S' CLERK TYPIST (NTE: 9/15/84) TEMP 303-4 DISAPPROVED DISCUSSION: - MEMO - REQUEST FOR EXTENSION OF TEMPORARY ASSIGNMENT (APPT. EXPIRED 5/12/84) APPROVED 1-YEAR (NTE: 5/12/8S) - MEMO - REQUEST FOR APPROVAL FOR FTEE TO SUPPORT WRITER/EDITOR POSITION APPROVED 1-YEAR (NTE: 9/8/85) -> MEMO - REQUEST FOR SUMMER RECRUITMENT (NANCY PICCIRILLA) DISAPPROVED 10B/RC - MEMO - CONVERSION OF 700 HOUR APPOINTMENT APPROVED EXTENSION NTE 9/30/84 118 - MEMO - TEMPORARY EMPLOYMENT (NANCY SMITH) APPROVED NTE 9/30/84 110 - MEMO - ADDITIONAL CEILING FOR CONTROLLED CORRESPONDENCE DISAPPROVED 117 - MEMO - REQUEST FOR REHABILITATION PLANNING SPECIALIST (GS-14) DEFERRED 118A - MEMO - INTERMITTENT APPOINTMENT - NURSE APPROVED 121 - MEMO - REQUEST FOR SUMMER EMPLOYEE (MS. PEGGY GRIFFITHS) APPROVED NTE <V .10/84 12b - MEMO - REQUEST FOR EXTENSION OF TEMPORARY APPOINTMENT, NTE 700 HOURS (ELEANOR RICE) APPROVED NTE 9/30/84 10A4A4 ^~.....-' 10A7A ' �125 MEMO - REQUEST FOR PERMANENT ASSIGNMENT OF BETTY SIGG, GS-9, STAFF ASSISTANT TO CHAPLAIN SERVICE APPROVED 144 2. - - MEMO - CLARIFYING INFORMATION & PLANNING LEVEL REQUEST FOR LIBRARY STAY-INSCHOOL PROGRAM APPROVED Any questions may be directed to Management Support Office, X5118 r JSEPt/F. HEAVEY APPROVED/DrSAPPiTOVED: Deputy Chief Medical Director (Date) � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5822 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Memoranda regarding Workload and Staffing for the Agent Orange Projects Office, June 11, 1984, June 27, 1984, and August 7, 1984 ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/26172b224c1f7c26fffb4dde5d996c6f.pdf ece6de1936bf4f744913c4354155e808 PDF Text Text Item n Number °5821 D Author Corporate Author KBPOrt/ArtiGlB Title Tentative Agenda for Veterans Administration Advisory Committee on Health-Related Effects of Herbicides Meeting, June 5, 1984 Journal/Book Title Year Month/Day Color Number of Images D ° Includes agendas for Subcommittee on Veterans' Education/Information and Subcommittee on Epidemiology/Biostatistics. Tuesday, April 02, 2002 Page 5821 of 5840 �TENTATIVE AGENDA VETERANS ADMINISTRATION ADVISORY COMMITTEE ON HEALTH-RELATED EFFECTS OF HERBICIDES Veterans Administration Central Office Room 119 810 Vermont Avenue, N.W. Washington, D.C. 20420 June 5, 1984 8:30 AM Call to Order and Opening Remarks by the Chairman Barclay M. Shepard, M.D. 8:35 Old Business/Recent Activities Dr. Shepard 8:45 Update from the American Medical Association John R. Beljan, M.D. 9:00 CDC Birth Defects Study Joseph Mulinare, M.D. 9:10 State Government Activities George R. Anderson, M.D. 9:30 VA Chloracne Task Force A. Betty Flschmann, M.D. 9:45 Retrospective Study of Dioxins and Furans in Adipose Tissue Mr. Joseph Carra 10:00 VA/AFIP Pathological Evaluation of Malignant Neoplasms in PTF Han K. Kang, Dr. P.H. Nelson S. Irey, M.D. 10:30 Recess for Subcommittee Meetings 1:00 PM Reconvene for Reports of Subcommittees Mr. Fredrick Mullen, Sr. Richard A. Hodder, M.D., M.P.H. 1:30 Comments and Discussion Audience 1:50 Future Agenda Items Committee 2:00 Adj ournment �TENTATIVE AGENDA SUBCOMMITTEE ON VETERANS' EDUCATION/INFORMATION Veterans Administration Central Office Room 139 810 Vermont Avenue, N.W. Washington, D.C. 20420 June 5, 1984 10:45 AM Call to Order and Opening Remarks by the Subcommittee Chairman Mr. Fredrick Mullen, Sr. 10:50 Old Business Mr. Mullen 10:55 Progress Report on New Videotapes Mr. Danny C. Jones 11:05 Readjustment Counseling Program Raymond Scurfield, D.S.W, 11:15 Discussion of Veterans' Concerns Subcommittee 11:30 Comments and Discussion Audience 11:45 Future Agenda Items Subcommittee 11:45 Ad j ournment SUBCOMMITTEE ON EPIDEMIOLOGY/BIOSTATISTICS Veterans Administration Central Office Room 119 810 Vermont Avenue, N.W. Washington, D.C. 20420 June 5, 1984 10:45 AM Call to Order and Opening Remarks by the Subcommittee Chairman 10:50 VA In-House Solicited Agent Orange Research Studies Richard A. Hodder, M.D., M.P.H. i - Effects of Low Dose TCDD on Julianne Meyne, Ph.D. Mammalian Chromosomes and Liver Cells - Effects of TCDD on Hepatobiliary Function in Animals Nicholas Calvanico, Ph.D. - Metabolism of the Herbicides in Agent Orange and Agent White Donald A. Vessey, Ph.D. 11:40 Future Agenda Items 11:45 Adj ournment Subcommittee � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5821 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Tentative Agenda for Veterans Administration Advisory Committee on Health-Related Effects of Herbicides Meeting, June 5, 1984 ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/4a1dcb4879dee7a10d4f1093adff92db.pdf 2030364d979f3302d3ad9e497a76cc52 PDF Text Text Item D Number 0582 ° D Not Scanned Author Corporate Author RepOrt/ArtlOlB TltlB Memorandum: To M.B. Oglesby, Assistant to the President for Legislative Affairs, from David A. Cole, Associate Deputy Administrator for Congressional and Intergovernmental Affairs, regarding Activities: Week of June 4-8 ,1984, dated June 1,1984 Journal/Book Title Year Month/Day Color Number of Images D 1 Descripton Notes Tuesday, April 02, 2002 Page 5820 of 5840 �If Veterans Administration Date. TO; From; Memorandum June 1, 1984 M. B. OGLESBY Assistant to the President for Legislative Affairs Associate Deputy Administrator for Congressional and Intergovernmental Affairs (002) Subj: Activities: Week of June 4-8, 1984 1. The VA's Advisory Committee on Health-Related Effects of Herbicides will hold a meeting on Tuesday, June 5. The meeting will begin at 8:30 a.m. in room 119 of VA Central Office and is open to the public. 2. On Wednesday, June 6, the Senate Veterans' Affairs Committee will hold an oversight hearing on the Medical Inspector and Evaluation Office in assuring the quality qf care within the Department of Medicine and Surgery. The hearing will take place at 10 a.m. in room 418 Russell Senate Office Building. Dr. John A. Gronvall, Acting Chief Medical Director, will be the Agency's lead witness. Mr. Frank S. Sato, VA's Inspector General, will accompany Dr. Gronvall, 3. No legislation affecting the Veterans Administration or its programs is scheduled to be considered by either the House of Representatives or the Senate during the week of June 4. DAVID A. COLE VA F O R M 2105 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5820 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1984 Title A name given to the resource Memorandum: To M.B. Oglesby, Assistant to the President for Legislative Affairs, from David A. Cole, Associate Deputy Administrator for Congressional and Intergovernmental Affairs, regarding Activities: Week of June 4-8 ,1984, dated June 1, 1984 ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/7df95e1b7568e293edaeb5c4c6aaed93.pdf 6bccf53572138d122746c0bb2f12325b PDF Text Text Item D Number °5819 D Not Scanned Author New JerseV Agent Orange Commission Report/Article Title JOlimal/BOOk TRIO Commander's / President's Update on Agent Orange Year 1984 Month/Day March Color Number of Images D 4 Fu " Newsletter Issue Tuesday, April 02, 2002 Page 5819 of 5840 �UP DATE ON NEW JERSEY AGENT ORANGE COMMISSION AGENT ORANGE VOL. 3 - No. March 1984 Issue From the Executive Director: Wayne P. Wilson Throughout the many months of tracking HR 1961, we have had numerous occasions to touch base with members of the New Jersey Congressional delegation. They were responsive and informed. Sometimes when it is all over and done, we forget to say Thank You. Well, to the fourteen members of the New Jersey Congressional delegation, we say ^ THANK YOU ^ James J, Florio William J. Hughes Robert Toracelli Peter W. Rodino, Jr. James J. Howard Chris Smith Joseph G. Minish Matthew J. Rinaldo Edwin B. Forsythe Marge Roukema , Robert A. Roe James A. Courter Frank J, Guarini Bernard J. Dwyer Commission Phone Numbers (609) 984-7396 (609) 984-7397 (609) 292-1443 answering machine �USE SAYS YEA ON AO As many of you may know by now, the House of Representatives voted in favor of HR 1961, the Agent Orange Presumptive Bill. The House action, by a voice vote, came on January 30th and now puts the spotlight on the Senate, A Bill:similar to HR 1961 was introduced by Senator Cranston of California on July 20, 1983 and is awaiting action by the Senate Committee on Veterans Affairs. The Bill number is S 1651:. New Jersey Senator Lautenbergihasprovided us with a copy of the Bill ;and indicated his strong support of 1651. New Jersey's other Senator, Bill Bradley, has also been an advocate of Agent Orange legislation and we are fortunate to have that kind of strong support from our two legislators. Our office will gladly provide a copy of S 1651, just drqp/us a note. We would encourage letters of support for S 1651 and they may be mailed to: The Honorable Alan K. Simpson, U.S. Senator Chairman - Committee on Veterans Affairs 414 Russell Building Washington, B.C> 20510 Newark VA Vet Center - Their new address is: '•-_.' : ,75 Halsey Street^ Newark, New Jersey 07101 •- - Phone Number: (201) 622-6940 New Team Lead_er is Mr. Horace Br_acy.._ The Jersey City: VA Vet Center'has a new- Team Leader. Her name is Ann Talnage^-Clark. The Vet Center address is still: •626 Newark Ave^nue Jersey City^ New Jersey 07306 Phone Number; (201) 656-6986 Changes in Agent Orange scheduling at VA Facilities: Philadelphia Outpatient Clinic -Monday and Friday only in the a.m. New Scheduling Number - (215) 597-7674 Lyons VA Hospital takes walk-in Agent Orange exaps only. No scheduled appointments. / : �IN THE NOT SO GOOD CATEGORY ... The Veterans Administrations' lack of communication with the membership of their own VA Advisory Committee on Herbicides. Several Members of the Committee have commented that the only time they hear from VA Central Office is to review the transcript of the previous meeting for errors and a notice telling them the date of the next meeting. That's not-so-good! A Vietnam Veteran VA employee was "docked" one hour siek leave in order to take an Agent Orange Screening exam. Apparently, those running the Outpatient Clinic in Florida where this occurred chose to ignore the February 1983 Memorandum from VA Administrator Harry N. Walters. In the memo, Mr. Walters stressed th need "to deal sensitively and compassionately with the deeply felt concerns of Veterans". It would probably be fair to assume that Mr. Walters meant for that same sensitivity and compassion to be extended to Vietnam Veterans employees of the Agency. It's not-so-good to cross the big boss and it's not-so-good for the Vietnam Veteran. Lastly, in the "not-so-good" category is the VA's newest Agent Orange film. The Veteran organizations members of the VA's Advisory Committee on Herbicides were promised they would get to see the film before final editing and release. It's not-so-good to break promises (which the VA)did because now a lot of folks don't likethe VA film and want it sent to the dusty shelf. IN THE REAL GOOD CATEGORY . . . During recent visits to New Jersey by VFW National Commander-in-Chief Clifford Olson and Sr. Vice Commander Billy Ray Cameron, the issue of Agent Orange was discussed on numerous occasions. Both leaders knew the issues, addressed them and voiced the strong, position their organization is taking on the issue. Just before, the National Officers came into New Jersey, State VFW officers .spent, a day visiting the Trenton VA Vet Center. It's real good to see .that kind of committment < It'8 real good to say Thank You to some deserving folks, so here goes: Thank You Vietnam Veterans of Central Florida. Thank You Senator Dalton and Senator Van Wagner. Thank You to the N.J. Veterans Service Council. Thank You to American Legion, Camden County Sr. Vice Commander Mildred DiFante. Thank You Burlington County Times for an excellent editorial on Agent Orange. Thank You Margaret Finch for all the research work at the Rutgers Library. And to so many other people who support the work of this Commission. �COMMISSION EXPANDED TO NINE MEMBERS Legislation introduced by then Assemblyman Richard Van Wagner ; and Senator Daniel Dalton called for expanding the New Jersey Agent Orange Commission from seven members to nine members. The legislation received quick action in both the Assembly and Senate and was signed into law by Governor Kean on December 14th. As we go to print with the Update, one of the two additional- appointments have been made and there are indications that the remaining vacancy may; be filled soon. All Members of the Commission are appointed by the Governor and are unsalaried. By law, six of the nine appointments must be Vietnam Veterans. The eight Members are: * * * *-. Allen E. Falk, Esquire James Credle Robert P. Marasco Guy A. Wiener Laura E. Morrow, M.D. Ralph W. Fogleman, DVM Peter Kahn, Ph.D. * Paul Licitra *"- Dr. Michael Gochfeld serves as Special Consultant to the Commission *. Denotes Vietnam Veteran NEW COUNSELING RESOURCE The Veterans Administration has recently awarded two contracts in South Jersey specifically geared at providing community-based re-adjustment counseling for Vietnam Veterans. Vietnam Veterans need not be .service connected to utilize the counseling programs. We: would encourage community mental health providers, legislative offices and the Veterans organizations to "spread the word" concerning the availability of this new service. In Burlington County, the contract provider is Drenk Memorial Guidance Center and in Gamderi and Gloucester Counties, the provider is Family and Psychological Services of Cherry Hill, ; Vietnara_Veterans must make the initial contact with the Philadelphia VA Vet Center. Their phone number is (215) 672-0238. . - , -. • Reunion - Vietnam - Former Members of the 199th Light Infantry Brigade. For information concerning unit reunion, contact: Mr. John C. Donahue = . 11 Ahern Avenue . Windsor Lock, Conn. 06096 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5819 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Description An account of the resource Corporate Author: New Jersey Agent Orange Commission Date A point or period of time associated with an event in the lifecycle of the resource 1984-03-01 Title A name given to the resource Commander's / President's Update on Agent Orange ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/acf0e78218f736cdd48d10321fbd5e8d.pdf 9fbfc797b387228c24e9c2892651b51c PDF Text Text ItomDNumbor ossis D NotSMnnafl Author Corporate Author RODOrt/ArtlClO TltlO Agenda and attachments: Veterans Administration Advisory Committee on Health-Related Effects of Herbicides, March 6, 1984, Meeting Journal/Book Title Year 1984 Month/Day Color n Number of Images 18 DOSCrlDtOn NOtBS Attachments include: Agent Orange Activities slides, Agent Orange Registry - An Overview, dated February 10,1984, Fact Sheet, Air Force Health Study (Project Ranch Hand II), Tentative Schedule for Senate Committee on Veterans' Affairs, 2nd Session, 98th Congress Hearing/Markup Schedule, dated January 17 ,1984, and Audiovisual and Printed materials Available in the VA Library Network (VALNET) Tuesday, April 02, 2002 Page 5818 of 5840 �VETERANS ADMINISTRATION ADVISOR* GOMMITTEE ON HEALTH-RELATED EFFECTS OF HERBICIDES Veterans Administration Central Office Room 119 810 Vermont Avenue, N.W. Washington, D.C. 20420 March 6, 1984 8:30 AM Call to Order and Opening Remarks by the Chairman Barclay M. Shepard, M.D. 8:35 Recent Activities Dr. Shepard 8:50 Agent Orange Registry Statement Dr. Shepard 9:05 Report on Australian Activities Mr. John S. Coombs, QC John Matthews, M.D. 9:20 Ranch Hand Study Col. George D. Lathrop, M.D., Ph.D. 9:45 CDC Epidemiology Study J. David Erickson, D.D.S., Ph.D. 10:00 CDC Birth Defects Study Joseph Mulinare, M.D. 10:05 Recess for Subcommittee Meeting 1:00 PM Reconvene for Reports of Subcommittees Mr. Fredrick Mullen, Sr. Richard A. Hodder, M.D., M.P.H. 1:30 Comments and Discussion 1:50 Future Agenda Items 2:00 Adjournment Audience �SUBCOMMITTEE ON VETERANS' EDUCATION/INFORMATION Veterans Administration Central Office Room 139 810 Vermont Avenue, N.W. Washington, D.C. 20420 March 6, 1984 10:15 AM Call to Order and Opening Remarks by the Subcommittee Chairman Mr. Fredrick Mullen, Sr. 10:20 Old Business Mr. Mullen 10:30 Progress Report on New Videotapes Mr. Danny C. Jones 10:45 Library Efforts Ms. Jean McVoy 10:55 Discussion of Veterans' Concerns Subcommittee 11:20 Comments and Discussion Audience 11:25 Future Agenda Items Subcommittee 11:30 Adjournment SUBCOMMITTEE ON EPIDEMIOIDGY/BIOSTATISTICS Veterans Administration Central Office Room 119 810 Vermont Avenue, N.W. Washington, D.C. 20420 March 6, 1984 10:15 AM Call to Order and Opening Remarks Richard A. Hodder, M.D., M.P.H. 10:20 Further Discussion of CDC Epidemiology Study J. David Erickson, D.D.S, Ph.D. 10:35 Discussion of Australian Morbidity Study John Matthews, M.D. 10:55 Patient Treatment File/Soft Tissue Sarcoma Review Han K. Rang, Dr. P.H. 11:10 . Michigan Soft-Tissue Sarcoma Study Daniel Williams, M.D. 11:25 Future Agenda Items Subcommittee 11:30 Adjournment �Veterans Administration Agent Orange Activities �AGENT ORANGE PROJECTS OFFICE (IOA7) Secretary Director Secretary Specialist Environmental Sciences Deputy Director Administrative Section Chief, Administrative Sec: * Program Analyst • Medical Records Adm. * Computer Systems Analyst • Program Assistant Research Section Chief, Research Sec. (Epid) 0 Biostatistician 0 Statistical Programmer 0 Administrative Officer 0 Secretary 0 Program Clerk �II. PROGRAM ACTIVITIES A. AGENT ORANGE REGISTRY B. CHLORACNE TASK FORCE C. PATIENT TREATMENT FILE - VIETNAM SERVICE INDICATOR D. PUBLIC LAW 97-72 - TRACKING MECHANISM E. INFORMATION FOR VETERANS - "AGENT ORANGE: A SEARCH FOR ANSWERS" - PAMPHLETS - AGENT ORANGE REVIEW �II. PROGRAM ACTIVITIES (CONT'D) F. EDUCATION FOR VA STAFF - CONFERENCES - CONFERENCE CALLS - AGENT ORANGE BULLETIN - INTERNATIONAL SYMPOSIUMS G. MONOGRAPH SERIES - PHENOXY HERBICIDES - AGENT BLUE (CACODYLIC ACID) - BIRTH DEFECTS AND GENETIC COUNSELING - CHLORACNE H. LITERATURE ANALYSIS UPDATE �III. RESEARCH ACTIVITIES A. EPIDEMIOLOGICAL STUDY B. MORTALITY STUDY C. VIETNAM EXPERIENCE TWIN STUDY D. ADIPOSE TISSUE STUDY E. AIR FORCE HEALTH STUDY (RANCH HAND) F. CDC BIRTH DEFECTS STUDY G. AUSTRALIAN STUDIES H. OTHERS - SPECIALLY SOLICITED LABORATORY STUDIES �IV. COMMITTEE ACTIVITIES A. AGENT ORANGE WORKING GROUP -SCIENCE PANEL B. VA ADVISORY COMMITTEE V. VETERANS SERVICE ORGANIZATIONS VI. CONGRESSIONAL/STATE RELATIONS A. U.S. CONGRESS B. STATE AGENT ORANGE COMMISSIONS �Veterans Administration Agent Orange Projects Office (10A7) February 10, 1984 AGENT ORANGE REGISTRY — AN OVERVIEW History The Agent Orange Registry was initiated by the Veterans Administration in mid-1978 in response to concerns expressed by Vietnam veterans who were increasingly worried that they may have been exposed to chemical herbicides which might be causing a variety of ill effects. VA Circular 10-78-219, dated September 14, 1978, established the framework of the Registry. A special Data Analysis Task Force was formed in June 1980 when it became obvious that the Registry's data input procedures needed improvement. The Task Force recommended a number of changes during 1981 and, in August 1982, Circular 10-82-154 directed an updating of the names and addresses for the veterans listed in the Registry. This was followed by Circular 10-83-38 dated March 1, 1983 that completely revised the reporting process in order to improve the coding of demographic and medical information, thereby permitting easier data retrieval. Registry records consist of two components: the medical record maintained at the VA Medical Center where the veteran was examined and a computerized extract from that record. The veteran's medical record includes the full medical history, physical examination, laboratory reports and other clinical findings. The computerized extract, better called the "register," includes the veteran's name, address, the examining medical center, some information about the veteran's military service, an estimate of herbicide exposure and elements of the findings at the time of the physical examination. The computerized register constitutes an index to this nationwide set of medical records. A copy of the currently used code sheet is attached. Purpose The principal purpose for which the Agent Orange Registry program was designed remains unchanged . It is a process which serves all veterans who are worried about the possible adverse health effects of their exposure to herbicides while serving in Vietnam. It provides the veteran an opportunity to receive a complete health evaluation and answers to questions concerning the current state of knowledge regarding the relationship between herbicide exposure and subsequent health problems. Following completion of the examination the veteran is given the results of the physical exam and laboratory studies. This information is provided to the veteran by both a face-to-face discussion with a physician familiar with the health aspects of the Agent Orange issue and a follow-up letter summarizing the results of'the examination. �The Registry serves an important second purpose in that it enables the VA to provide veterans current information as it develops regarding their concerns. In addition it would permit the VA to contact veterans for further testing in the event that continuing research efforts should make this action advisable. The Registry serves yet another purpose, namely, to provide a means of detecting clues or suggestions of specific health problems in the event that unexpected or unusual health trends show up in this group of veterans. Such clues could then form the basis for the design and conduct of specific epidemiological studies. Potential Uses and Limitations Because of the self-selected nature of the Registry participants, this group of veterans cannot, with any scientific validity be viewed as being representational of Vietnam veterans as a whole. Therefore the health-related information contained in the data base cannot be used as an epidemiological tool. The information can, however, be used to detect suggested, health trends, as noted above, and can provide some descriptors as to the characteristics of the group itself. For example, it is possible to show the numbers in each branch of military service, the period(s) of service in Vietnam, the kinds of symptoms the veterans are experiencing and some of the results of the physical examinations. From this type of information, it is possible to develop the relative frequency or internal proportional distribution of certain factors or data elements. However, since participation in the Registry program is entirely voluntary, one cannot make statistically valid comparisons directly between this group of veterans and other groups of veterans or non-veterans. Summary The Agent Orange Registry remains the VA's most effective means of identifying concerned Vietnam veterans. Any eligible Vietnam veteran expressing a concern relating to exposure to herbicides is encouraged to participate in the Registry program. The veteran is asked demographic and identifying information, military information including branch of service and dates of service in Vietnam, and the circumstances of exposure to Aqent Orange. In addition, past medical history is obtained and documented. The veteran is then provided a complete physical examination and several base-line laboratory studies. Appropriate additional tests and consultations are obtained when medically indicated by the veteran's physical condition or past medical history. As of December 31, 1983, the VA had completed 130,220 initial Agent Orange Registry examinations of which approximately 13,600 have utilized the new code sheet. In addition, 31,471 follow-up examinations have been performed. �Released March 5, 1984 Veterans Administration Advisory Comnittee Washington, D.C. FACT SHEET Air Force Health Study (Project Ranch Hand II) Baseline Morbidity Study Results Study results of Ranch Hand personnel versus a comparison group do not support a cause and effect relationship between herbicide exposure and adverse health in the Ranch Hand group. General Health - Both groups in good health for age. Cancer • No soft tissue sarcoma found in Ranch Handers - one in comparison • No difference in the occurence of "systemic" cancer • More verified skin cancer in Ranch Hand group - not adjusted for sun exposure which is major cause of skin cancer Ferti1ity/Reproductive . A l l findings in this area are based on parental reporting in absence of medical records or birth/death certificates; hence, all fertility results must be considered preliminary until records verification completed. . No significant Ranch Hand findings in sperm count or defective sperm; fertility or infertility; miscarriages; still births; live births; or severe or moderate birth defects in offspring . More minor birth abnormalities (rashes, birth marks, skin discoloration, etc.) reported by Ranch Handers. �• Neonatal deaths were reported more frequently in Ranch Handers; misclassification between still birth, netmatal death and infant death very possible; review of medical records/death certificates pending. • Significant associations were noted m both groups between maternal smoking during pregnancy and learning disabilities, physical handicaps, infant deaths and birth defects. Maternal alcohol use also associated with physical handicaps. Liver 'j ' . No porphyria cutanea tarda was diagnosed. • Ranch Handers self-reported more liver and PCT-like symptoms • No difference in frequency of liver disease detected by physical examination or laboratory tests. • Several minor lab test differences but none of clinical significance; most tests were similar between groups • No difference in past occurrence of hepatitis, jaundice or cirrhosis . More verified miscellaneous disorders in Ranch Handers; significance unknown Neurology • No significant differences in major areas. Borderline difference in Babinski reflex but no other relevant clinical findings. • Profound effects of alcohol and diabetes detected Cardiovascular • No major cardiovascular findings noted �. Ranch Handers not developing heart diseases prematurely • No significant differences in most clinical tests. There were significant differences in two specific peripheral leg pulses in Ranch Handers with no other clinical adverse findings. Pathogenesis and clinical relevance unclear at this time. Psychology . No difference in IQ and performance tests . High school educated Ranch Handers self-reported more symptoms in the areas of fear, anger, anxiety, etc.--not assessed for differential reporting or Post Viet Nam Stress Syndrome Dermatology . No chloracne suggested from questionnaires . No chloracne diagnosed from physical examinations or biopsies Other • No c l i n i c a l l y significant differences in immunology, hematology, renal, pulmonary or endocrine areas. Some minor differences found but judged to be not c l i n i c a l l y relevant. Numerous medical findings, most of a minor or undetermined nature, that w i l l require detailed follow-up. Further physical examinations and questionnaires will be administered at the 3 (1985), 5, 10, 15 and 20 year points. �Agent Orange Examinations Examinations in thousands 40 r33,156 34,272 30,024 30 28,197 20 10 h 0 FY80 (Est) FY81 (Est) FY82 (Actual) FY83 (Actual) Cumulative Total Number Examinations as of September 30, 1983 - 125,649 �Monthly Total of Agent Orange Examinations FY83 3,000 Initial 2,500 2,000 — 2,088 2,161 1,842 Initial Exams - 28,197 Follow-up Exams - 7,941 1,500 Follow-up 1,000 %%» ...X* 850 500 - 610 0 OCT NOV "•••f«, 825 ••!""""""" 631 DEC JAN FEB MAR r 630 APR MAY 577 580 JUN JUL ••"•« 667 AUG 534 SEP �17 January 1984 SENATE COMMITTEE ON VETERANS' AFFAIRS 2nd Session 98th CONGRESS HEARING/MARKUP SCHEDULE Date Day Subject Time/Chair " - Location LA 7 Feb 84 T Joint Committee Hearing: Legislative Priorities of the DAV 9:30 a.m. SD-1O6 Oirksen SOB JFB 8 Feb 84 W Committee Hearing: VA Budget~FY 85 2:OO p.m. SR-418 Russel 1 SC3 BNG 29 Feb 84 W Committee Hearing: Oversight on Vet Centers and Loan Guaranty Program 10:00 a.m. SR-418 Russel 1 S05 VPR JFB 6 Mar 84 T Committee Hearing: Legislative Priorities of the VFU 11:30 a.m. SD-106 D i rksen SOB clFB 7 Mar 84 W Committee Meeting: Markup on VA Budget 9:30 a.m. SR-418 Russel 1 SOB BNG 7 Mar 84 W 1O:30 a.m. Committee Hearing: Oversight on VA Nursing Home Construction SR-418 Russell SOB VPR 21 Mar 84 W Committee Hearing: Oversight on Agent Orange 10:OO a.m. SR-418 Russel 1 SOB VPR CFA 28 Mar 84 W Joint Committee Hearing: Legislative Priorities of AMVETS, Purple Heart. BVA. PVA. and WWI 9:OO a.m. SR-32S Russel 1 SOB JFB 4 Apr 84 W Committee Hearing: Legislative Hearing on Health (Part I) 1O:00 a.m. SR-418 Russel 1 SOB VPR CFA 11 Apr 84 W Committee Hearing: Legislative Hearing on Health (Part II) 1O:OO a.m. SR-418 Russel 1 SOB VPR CFA 2 May 84 W Committee Meeting: Markup on Health Bill 10:00 a.m. SR-418 Russel 1 SOB VPR CFA 9 May 84 W Committee Hearing: Legislative Hearing on Compensation 1O:00 a.m. SR-418 Russel 1 SG3 BNG 23 May 84 W Committee Hearing: Oversight on Interagency Agreer.ent, VA/DOD Sharing and Supply anci Procurement Policies 1O:OC a.m. SR-418 Sussel 1 SOB VPR 6 Jun 84 W Committee Hearing: Oversight on Inspector General /Medical Inspector - 1O:00 a.m. SR-418 Russel 1 SOS VPR 2O dun 84 W Committee Meeting: Markup Corr.per.sst ion S i l l 10:00 £.m. SR-418 Russel 1 SOB BNG VPR • i �AUDIOVISUAL AND PRINTED MATERIALS AVAILABLE IN THE VA LIBRARY NETWORK (VALNET) Audiovisual.s 1. Agent Orange: a search for answers, Veterans Administration, 1981, (videocassette), All Health Care Facilities 2. Gene,tic counseling: a practical demonstration of a counseling session for parents of a Down's child, 1978, (videocassette), District 3. Practical aspects of genetic counseling, United States Army Medical Department, Fort Sam Houston, 1973, (videocassette), District Airliovisuals in Production 1. Agent Orange: clinical update (audience - hospital staff), estimated completion date December 1984, (videocassette), All health care facilities 2. Agent Orange; update (audience - general public) estimated completion date December 1984, (videocassette), All health, care facilities VA Video Digest #3, Special report on Agent Orange, 1983, (videocassette), All health care facilities, Audiovisuals on the Vietnam War or Vietnam War era 1. Anderson platoon, Films Incorporated, 1969, (videocassette), Regional 2. Front line, Film'akers Library, 1979, (videocassette), Regional 3. Frank, a Vietnam veteran, Fred Simon Productions, 1981, (videocassette) Regional 4. Good morning, Vietnam, Foxhole Production, 1978, (videocassette) Regional 5. Hearts and minds, BBS Productions, 1974, (16 mm), Regional 6. Spooks and cowboys, gooks and grunts, CRV Television Network, 1976, (16 mm and videocassette), Regional 7. Vietnam; ten thousand day war, Information Television Productions Limited and Cinequity Funding, Inc., 1980, (26 videocassettes) Regional 8. Vietnam; a television history, Public Broadcasting System, 1983, (videocassette), Regional 9. Vietnam memorial, Public Broadcasting System, 1983, (videocassette), Regional 10. The war at home, Catalyst Films/Madison Film Production Co, 1979, (videocassette), Regional 11. Warriors' women, Dorothy Tod Film, 1981, (videocassette), Regional 12. Young veterans program, Veterans Administration, 1982, (v i d eocas sette), Reg i ona 1 Print materials All print materials listed below have been delivered one copy to Library Service at each health care facility 1. Birth Defects, Genetic Services, International Directory, 7th edition, 1983, The National Foundation - March of Dimes 2. Case Control Study of Congenital Anomalies and Vietnam Service, Austrarian Government, 1983 (ordered but not yet received) 3. Chemical Sythe; lessons of 2,4,5-T and dioxin by Alastair Hay, Plenum Publishing Corp., 1982 4. Clinical Genetics and Genetic counseling by Thaddeus E. Kelly, Year Book Medical Publishers, 1980 �2 AUDIOVISUAL AND PRINTED MATERIALS AVAILABLE IN THE VA LIBRARY NETWORK (VALNET) 5. Continuing Education Conference on Herbicide Orange (2nd : 1980 : Washington, D.C.), Proceedings from the 2nd Continuing Education Conference on Herbicide Orange, Veterans Adninistration, Department of Medicine and Surgery, 1081 6. "Cytogenetic Diseases," Clinical Symposia, volume 35, no 1, 1983. CIBA Pharmaceutical Company 7. "Dioxin," Chemical and Engineering News, vol 61, no 23, June 6, 1983, American Chemical Society (two copies sent to Library Service at each medical center, one for the medical library and one for the patient library) 8. Genetics in medicine by James S. Thompson and Margaret W. Thompson, 3rd edition, Saunders, 1980. ^' Human and environmental risks of chlorinated dioxins and related compounds edited by Richard E. Tucker, Alvin L. Young and Allan P. Gray, Plenum Press, 1980 10. Operation Ranch Hand; the Air Force and Herbicides in Southeast Asia 1961-1971, United States Air Force, Washington, D.C., 1982 11* Review of the literature on herbicides, including phenoxy herbicides and associated dioxins, Veterans Administration, Department of Medicine and Surgery, 1981 12 Vietnam; a history by Stanley Karnow, Viking Press, 1983. (The order is in process) Regional delivery level means one copy is in the Library Service at each of the 7 Regional Medical Education Center host hospitals. The regional libraries are in Birmingham, AL, Cleveland, OH, Long Beach, CA, Minneapolis, MN, Northport, NY, Salt Lake City UT, and St. Louis, MO. District delivery level means one copy in Library Service at a designated library in each of the 28 VA medical districts. The district libraries are located in Togus, ME, Buffalo, NY, Northport, NY, Lyons, NJ, Pittsburgh, PA, Perry Point, MD, Salem, VA, Durham, NC, Augusta, GA, Tuskegee, AL, Lexington, KY, Miami, PL, Cleveland, OH, Battle Creek, MI, Danville, IL, Wood, WI, Chicago, IL, Minneapolis, MN, Little Rock, AR, Waco, TX, St. Louis, MO, Topeka, KS, Des Moines, IA, Denver, CO, Prescott, AZ, Long Beach, CA, Palo Alto, CA, and Vancouver, WA All health care facilities delivery level means one copy is in Library Service at each medical center. VA medical centers with two divisions have one copy for each division. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5818 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1984 Title A name given to the resource Agenda and attachments: Veterans Administration Advisory Committee on Health-Related Effects of Herbicides, March 6, 1984, Meeting ao_seriesVIII Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5817 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1984 Title A name given to the resource Letter: From Walter W. Melvin, Professor, Environmental Health Science, Colorado State University, to Barclay M. Shepard, Director, Agent Orange Projects Office, regarding review of manuscript for "Agricultural and Military Uses, Biological Effects and En ao_seriesVIII Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5815 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1984 Title A name given to the resource Letter: To Barclay M. Shepard, Agent Orange projects Office, Veterans Administration, from Sheldon L. Wagner, professor, Department of Agricultural Chemistry, Oregon State University, regarding review of Dr. Lavy's draft for "Human Exposure to Phenoxy Her ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/13055c8a6622890dd1a80fef5bfb0ae3.pdf 7969a61cc10c788438e846281833f8b8 PDF Text Text ItemDNumber Notgcannad Author Corporate Author RflPOrt/ArtlClB TltlB ^A Advisory Committee on Womens Veterans, 19831984 Journal/Book TltlB Year 1983 Month/Day Color NumboroflmagBS D 12 Includes agendas from 2 meetings and a list of committee members Tuesday, April 02, 2002 Page 5814 of 5840 �VETERANS ADMINISTRATION ADVISORY COMMITTEE ON WOMEN VETERANS Room 1010 - Omar Bradley Conference Room Veterans Administration Central Office WEDNESDAY, SEPTEMBER 14, 1983 8:30 *- 8 4 a.m. :5 Coffee in Dining Room 9:00 Welcome Mr. Harry N. Walters Administrator, Veterans Administration - 1 : 0 a.m. 00 * Introduction of Committee Members Dr. Nora S. Kinzer Special Assistant to the Administrator Opening Remarks Col. (Retired) Lorraine A. Rossi, Chairman, VA Advisory Committee on Women Veterans 10:00 - 10:30 a.m. Dr. Earl Brown Associate Deputy Chief Medical Director for Operations Department of Medicine and Surgery 10:35 - 10:50 a.m. Coffee Break 10:50 - 11:25 a.m. Miss Dorothy Starbuck, Chief Benefits Director Department of Veterans Benefits 11:30 - 12:00 noon Mr. Paul Bannai, Chief Memorial Affairs Director Department of Memorial Affairs 12:00 - 1:30 p.m. Lunch 1:30 - 2:00 p.m. Mr. Robert Coy, Deputy General Counsel Discussion of Eligibility 2:00- 2:45 p.m. Dr. Susan Mather, Program Chief for Pulmonary and Infectious Diseases Discussion of General Accounting Office Report 2:45 - 3:00 p.m. Coffee Break 3:00 - 4:30 p.m. Continuation of Discussion of General Accounting Office Report 4:30 p.m. Adjourn 6:30 p.m. Cocktail Reception Hotel Washington - 15th and Pennsylvania �THURSDAY, SEPTEMBER 15, 1983 8:45 - 9 0 a.m. :0 Coffee 9:00 - 9:30 a.m. Dr. Arthur Blank, Director Readjustment Counseling Service Vietnam Cutreach Program 9:30 - 1 : 0 a.m. 00 Dr. Barclay Shepard, Director Agent Orange Projects Office and LTC Alvin L. Young, Special Assistant for Environmental Sciences 10:00 - 10:30 a.m. Coffee Break 10:30 - 11:00 a.m. Dr. John Mather, Assistant Chief Medical Director for Geriatrics and Extended Care Aging 11:00 - 11:30 a.m. Mrs. Mary Leyland, Assistant Director Education Service Educational Benefits 11:30 - 12:00 noon General Discussion 12:00 - 1:30 p.m. Lunch 1:30 - 2:00 p.m. Mrs. Virginia Oldham, Federal Women's Program Manager Women Employees in the Veterans Administration 2:00 - 2:45 p.m. Patricia Hughes, Stars and Stripes "Special Concerns" 2:45 - 3:00 p.m. Break 3:00 - 3:30 p.m. Dr. Jack Ewalt, Director Mental Health and Behavioral Sciences Service and Dr. Stewart Baker, Associate Director for Alcohol and Drug Dependence Special Needs of the Women Veteran in Psychiatry 3:30 - 4:30 p.m. Issues and Discussion 4:30 p.m. Adjourn 2. �FRIDAY, SEPTEMBER 8:45 - 9 0 a.m. :0 i 9:00 - 12:00 noon 12:00 noon 16, 1983 Coffee Col. Lorraine Rossi Discussion and Recommendations Adjourn 3. �VA ADVISORY COMMITTEE ON WOMEN VETERANS MEETING VETERANS ADMINISTRATION CENTRAL OFFICE 810 Vermont Avenue, N.W. OMAR BRADLEY CONFERENCE ROOM - Room 1010 TENTATIVE AGENDA FEBRUARY 8, 1984 8:30 - 9:00 Coffee - Executive Dining Room - VACO 9:00 - 9:30 Opening Remarks - Col. Rossi Executive Committee Report Old Business 9:30 - 10:00 Discussion 10:00 - 10:15 Break 10:15 - 10:30 Welcome Mr. Harry Walters Administrator 10:30-12:00 Mr. Marvin Spatz Director, Estimating Service Office of Construction "Design and Construction" Mr. Robert Neary Director, Facility Planning Service Department of Medicine and Surgery "Construction Planning and Design" 12:00 - 1:30 Lunch (in building) 1:30 - 2:30 Dr. Hollis Boren Assistant Chief Medical Director for Research and Development Department of Medicine and Surgery "Research Programs" 2:30 - 2:45 Break 2:45 - 3:30 Dr. Robert Love, Jr. Associate Director, Medical Inspector and Evaluation Office Department of Medicine and Surgery "Functions of the Evaluation and Analysis Office Regarding Female Veterans" 3:30 - 4:00 Mr. Joseph Mancias Director, Office of Public and Consumer Affairs Office of Associate Deputy Administrator for Congressional and Public Affairs 4:00 - 5:00 Discussion 6:00 Dinner - House of Hunan 18th and K Streets, N.W. �FEBRUARY 9, 1984 8:30 - 8:45 Coffee - Executive Dining Roan - VACO 8:45 - 9:00 Picture taking session by Col. Norman Burzynski, Editor, The Officer Reserve Officers Association of the United States 9:00 - 9:30 Mr. Conrad R. Hoffman Director (Controller), Office of Budget and Finance Office of the Deputy Administrator "Budget Process" 9:30-10:00 Mr. Robert Schultz Director, Office of Reports and Statistics Office of Associate Deputy Administrator for Logistics "Statistics and Update on Survey of Women Veterans" 10:00 - 10:15 Break 10:15-11:00 Dr. Edwin Olsen Director, Development and Management Service Office of Geriatrics and Extended Care Department of Medicine and Surgery "Hospice" 11:00 - 11:30 Dr. Andrew Rouff Director, Emergency Management Service and Mr. James Simmons, Program Analyst Emergency Management Service Department of Medicine and Surgery "VA/DOD Sharing" 11:30 - 12:00 Discussion 12:00 - 1:30 Lunch 1:30 - 2:30 Room 119 Mr. Richard Percival Director, Veterans Canteen Service Department of Medicine and Surgery "Dressed to Feel at Home in a VA Medical Center" Return to Room 1010 for remainder of meeting 2:30 - 2:45 Break 2:45 - 3:30 Miss Marjorie Quandt Assistant Chief Medical Director for Administration Department of Medicine and Surgery ii ii 3:30 - 4:00 Mr. Ed Rose Director, Voluntary Service Department of Medicine and Surgery "VA Volunteers - A Vital Resource" 4:00 - 5:00 Discussion �FEBRUARY 10, 1984 8:30 - 9:00 Coffee - Executive Dining Room - VACO 9:00 - 9:30 Sgt. Major Samuel Walsh Special Assistant to the Administrator (Service Organization Liaison Coordinator) Office of the Administrator "Update on Service Organizations" 9:30 - 10:00 Miss Vernice Ferguson Director, Nursing Service Department of Medicine and Surgery "Female Veterans - A Nursing Perspective and Plan" 10:00 - 10:15 Break 10:15 - 12:00 Discussion 12:00 Concluding Remarks - Col. Rossi �VA FEMALE ADVISORY COMMITTEE MEMBERS Lenora C. Alexander, Ph.D./ Dr. Alexander is the director of the Labor Department's Women's Bureau. She previously served as Vice President for Student Affairs at the University of the District of Columbia, and Vice President for Student Life at the American University. As a member of the U.S. delegation to the United Nations Commission on the Status of Women meeting in Vienna in early 1983, she took a lead role in planning the 1985 World Conference of the UN Decade for Women. vKaren Burnett&,> Ms. Burnette serves as Team Leader of Home Health Care in Knoxville, Term. A former Army nurse, she served with the 24th Evac Hospital, Long Binh in Vietnam from 1968 to 1970. She is in the process of organizing a group of women Vietnam veterans to start a counseling group at the Knoxville Vet Center. Charles N. Collates, Mr. Collates is the Commissioner of Veterans' Services for the Commonwealth of Massachusetts. He is a member of the Massachusetts and D.C. Bar Associations and serves on the National Advisory Council of the U.S. Senate on Veterans' Affairs. A World War II veteran, Collates was discharged as a Chief Warrant Officer in 1945. He is director and trustee of Suffolk University. SSG Cherlynne S. Galligan, Sgt. Galligan currently serves as the deputy chief of Military Personnel Division in the Office of the Secretary of Defense. She previously served as an administrative aide to the Chairman of the Industrial Task Force in the Office of the Under Secretary of Defense for Policy. �Col. Pauline W. Hester/ A former Air Force nurse who served in the combat zone in Vietnam, Col. Hester is currently chief nurse at the 312th Evac Hospital in Greensboro, North Carolina. The 312th Evac Hospital was mobilized in 1968 for service in Chu Lai South Vietnam, and was in the combat zone from Sept. 1968 to Aug. 1969, where she served as head nurse anesthetist. Maj. Gen. Jeanne M. Holm, A native of Portland, Ore., Gen. Holm is the author of Women in the Military. She served as director of Women in the Air Force from 1965 to 1973 and as a Special Assistant to the President from 1976 to 1977. In 1979, she was the Undersecretary of the Air Force. Margaret Malone, Mrs. Malone is the national vice commander of the American Legion. She is the first woman to be elected to that office. She served with the Women's Army Corps and was assigned to the Army Air Corps from 1943 to 1945 as a member of the First Troop Carrier Command. Joan E. Martin, A U.S. Air Force veteran of the Korean War, Mrs. Martin currently serves as commander of the AMVETS National 6th District which encompasses the 10 western states. She works at the American Smelting and Refining Company in Tacoma, Wshington. Carlos Martinez, A native of San Antonio, Tex., Mr. Martinez serves as the Executive Director of the GI Forum's National Veterans Outreach Program, where he provides counseling and employment placement assistance to veterans. He served in the U.S. Air Force from 1966 to 1970. Sarah N. McClendon, A woman pioneer in the world of journalism, Mrs. McClendon opened her own news bureau in 1946 to serve newspapers in the Southwest. Since then, her clients have included newspapers in New Hampshire, Ohio, California, Texas, and Wisconsin. A native of Tyler, Tex., she served in the Women's Army Corps assigned to the Pentagon and the Office of the Army Surgeon General. �Estelle R. Ramey, Ph.D., A Detroit, Mich, native, Dr. Ramey is professor of psychology and biophysics at Georgetown University.' She served on the President's Advisory Contiittee for Women in 1979 and was a member of the Executive Advisory Panel - Chief of Naval Operations in 1978. She is a member of the Association of Women in Science and the American Diabetes Association. Col. Lorraine A. Rossi, The panel's chairperson, Col. Rossi was director of the Department of the Army's Equal Opportunity Programs in Washington, D.C. She was also the deputy commander of the U.S. Women's Army Corps Center in Ft. McClellan, Ala. From 1968 to 1970, she was an advisor to the Vietnamese Women's Armed Forces Corps. Omega L. Silva, A Washington, D.C. native, Ms. Silva is a research associate and clinical investigator at the VA medical Center in Washington. She was an associate professor in Endocrinology at George Washington University. She is a member of the American Medical Women's Association, the American Federation of Clinical Research, and the American Association for the Advancement of Science. Jesse Stearns, A native of Ft. Scott, Kan., Mrs. Stearns has been active in journalism since 1929, and is currently editor of Stearns News Service in Washington, D.C. She served in the Women's Army Corps from 1943 to 1946. Following her military service she served in China as a correspondent for Broadcasting, Sporting, News and Midwest Newspapers. She also served with Armed Forces Radio Service in Australia, Hollandia, New Guinea and Phillipines. Alberta I. Suresch, An Air Force veteran, Miss Suresch was a self -^defense instructor and a weapons instructor at the Security Police Academy in Lackland Air Force Base, Tex. The Baltimore, Md. native is national Service Officer for the Florida Disabled American Veterans. Jo Ann Webb, A former Army nurse, Mrs. Webb served in the 24th Evacuation Hospital in Long Binh, the 85th Evacuation Hospital at Phu Bai, and the Third Field Hospital in Saigon. She was also assigned to Walter Reed Army Medical Center in Washington where she served as an operating room nurse and head of Opthalmic Surgery. �Brig. Gen. Sarah P. Wells/ Gen. Wells was chief of the Air Force Nurse Corps. During her tenure she led the Air Force Nurse Corps; comprised of more than 4,300 professional nurses, to a position of preeminence in the nursing profession. She received her bachelor of science degree in nursing from Columbia University in 1961, and a master of science degree in public health supervision from the University of Colorado in 1966. June A. Willenz, A columnist for the national weekly veterans newspaper, Stars and Stripes National Tribune, Ms. Willenz is the executive director of the American Veterans' Committee. She is a member of the Subcommittee on Disabled Veterans, President's Committee on Employment of the Handicapped, and is chairperson of the Task Force on Veterans Military Affairs Leadership Conference on Civil Rights. �^ A �V2J? To Date. WHIIJS YPU W^RJI OUT ft M Of Ana Gods TELEPHONED Number ^ Extonslon ^ PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN VWWT8T08E6YO^ t^1 URGENT | RETURNED VOUR CALL J Opmtor AMPAD EFFfCfENCY® 23-021 CARBONU8S � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5814 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1983 Title A name given to the resource VA Advisory Committee on Womens Veterans, 1983-1984 ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/fc34c25ca3e47520476d86320fd5269c.pdf c991a6e9989832fad31fae1c52f441ee PDF Text Text Item D Number °5813 D Not Scanned Author Corporate Author Report/Article TltlB Re P°rt °' Contact by Paula Piersall and Memorandum: To Director, Agent Orange Projects Office (AOPO), Barclay Shepard, from GAO Evaluator -in-Charge, HRD, Judy Shelly, regarding Scope and Methodology for Reviewing VA's Agent Orange Examination Program; dated December 19 ,1983 Journal/Book Title Year 1983 Month/Day Cotor Number of Images n 2 Desorlpton Notes Tuesday, April 02, 2002 Page 5813 of 5840 �VA OFFICE IDENTIFICATION NOS (C, XC, SS, XSS, V, K, etc.) tiPORT OF CONTACT NOT!'': This form must be filled out in ink or on typewriter, «j it becomes a permanent record in veterans' folders. VACO Wash. DC 10A7 LASt NAMt— flKST NAME— MIDDLE NAME OF Vi-TERAN (Typt or print) DATE OF CONTACT AB>0»tSS Of VETERAN TELEPHONE NO. OF VETERAN 12nll-83 HRDiv of GAO, based with VA Proj . #990516 «*&OH CONTACTED 3881 TYPE OF CONTACT (Check) Paula _Piersall __ ADMfSS Of PERSON CONfACT?0 TELEPHONE NO. OF PERSON CONTACTED 5411 Agent Orange Projects Office (10A7) I*W SWffMENT OF INFORMATION *EQU£SIED AND GIVEN On December 19, 1983, Judy Shelley, GAO Evaluator-In-Charge, HRD, sent us a memorandum entitled "Scope and Methodology for Reviewing VA's Agent Orange Examination Program." A copy Of this memorandum is attached to this Report of Contact. cc: 10 101 10A6A 10A 10B 10BA 101E 101B11 02 02C 10A7A 10A7B EX0 OR SECTION Proj ects^ VA FORM JUL 1977 119 EXISTING STOCKS OF VA FORM 119, JUL 1974 WILL K USED- mail __ BY (SitiAiturt Paula Piersall �UNITED STATES GOVERNMENT GENERAL ACCOUNTING OFFICE Memorandum TO : Director, Agent Orange Projects Office - Dr. Barclay Shepard FROM : SUBJECT: GAO Evaluator-In-Charge, HRD - Judy Shelly' Scope and Methodology for Reviewing VA's Agent Orange Examination Program For the next several months GAO will be gathering preliminary information on various aspects of VA's agent orange examination program. We will concentrate our efforts on the following issues: i (1) Reliability, usefulness, and currency of the old and new registries, including statistics published by Dr. Al Young. ;,< .'? ' • ,- ; :'' (2) Treatment provided to veterans alleging exposure to agent ,;.!," orange, as provided by P.L. 97-72 (not ^ualjrty^ of treatment). (3) Timeliness of examinations. (4) Counseling provided to veterans. ; ( (5) Submission of tissue samples to the Armed Forces Institute of Pathology. ,' :•. 'j>;i ; ;i, 1 ; jUjTnis work will be conducted at VA's Central Office and the Washington, D.C, jledti'aV Center. We will determine what information is maintained and what metHodology could be used to perform more detailed audit work. We will review medical record files at the Washington, D.C. Medical Center to help us make this determination. AGENT ORANGE o RECEIVED.:. -«:«»'''' � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5813 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1983 Title A name given to the resource Report of Contact by Paula Piersall and Memorandum: To Director, Agent Orange Projects Office (AOPO), Barclay Shepard, from GAO Evaluator -in-Charge, HRD, Judy Shelly, regarding Scope and Methodology for Reviewing VA's Agent Orange Examination Program; da ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/5157a48ae99b2384745c1497191f3331.pdf 7638deee89598c41f0ffb95a589ba997 PDF Text Text Item D Number °5812 Not Scanned Author Corporate Author Report/Article TltlB Memorandum: To Specialist in Environmental Sciences and others, from Director, Agent Orange Projects Office, regarding Establishment of AOPO Read File, dated December 14 ,1983 Journal/Book Title Year 1983 Month/Day Color Number of Images D 3 Descrlpton Notes Tuesday, April 02, 2002 Page 5812 of 5840 �Veterans Administration Date: To: DEC 14 1983 Chief, Administrative Section (10A7A) Chief, Research Section (10A7B) Specialist in Environm^frtal Memorandum From. Sub): Director, Agent Orange Projects Office (10A7) Establishment of AOPO Read File Sciences (1 OA7C) u-x^ 1. Effective this date, I am directing that a consolidated "Read File," to be reviewed by selected AOPO staff, be established consisting of all original correspondence, memorandums, Reports of Contact, and memos for the record prepared by AOPO staff. Documents such as scientific papers, position papers, or special status reports will not be routinely included in the Read File. Only one copy is required of duplicate letters, etc., sent to more than one individual/facility. This Read File, to be reviewed weekly by designated AOPO staff (attachment), will be consolidated on a daily basis within the Administrative Section (10A7A). Although they are not on the distribution listing, AOPO staff, other than those specifically identified in this memorandum, should be given the opportunity to review the Read Pile if they choose to do so. 2. The following procedures will be utilized in preparing and transmitting the Read File: a. Xerox copies of all reading materials, as identified in paragraph 1, will be accumulated and transmitted on a daily basis before COB to the attention of Mrs. Paula Piersall (10A7A). b. Each section will take immediate action to purchase a rubber stamp with the words "Read File" to be used for stamping each piece of correspondence prior to transmittal for inclusion in the consolidated Read File. Until such time as the stamps have been purchased Read File correspondence will be batched and properly identified as "Read File" materials. c. Upon receipt within 10A7A, reading materials from 10A7B and 10A7C will be assembled and consolidated with materials prepared by 1OA7A staff for transmittal to selected staff. i d. The Read File will then be routed on the following Monday of each week to each section in the following sequence: (1) (2) (3) (4) (5) 10A7A 10A7 (Deputy Director) 10A7B 10A7C 10A7 (Director) RECEIVED DEC 141983 Special rm^s bLaii (102C) �3. In order to ensure that this method of keeping concerned staff informed in a timely fashion on the various types of correspondence being prepared within the AOPO, it is important that the materials are reviewed and passed on to the next person as expeditiously as possible. Ideally, all concerned staff will have had the opportunity to review the consolidated weekly material within 5 working days of initial routing. 4. Your cooperation in assisting in improving our internal communication is appreciated. BARCLAY M. SHEPARD, M.D. Attachment �Attachment READ FILE STAFF DISTRIBUTION LISTING 10A7: Dr. Barclay M. Shepard Dr. Lawrence B. Hobson 10A7A: Layne A. Drash Nancy L. Howard Donald Rosenblum Elaine Morrow 10A7B: Dr. Han K. Rang Dr. Patricia Breslin Larry Stockmoe Yvonne Lee Joshua Barwick 10A7C: Dr. Alvin L. Young (until position is vacated) Science Writer/Editor (to be determined) � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5812 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1983 Title A name given to the resource Memorandum: To Specialist in Environmental Sciences and others, from Director, Agent Orange Projects Office, regarding Establishment of AOPO Read File, dated December 14 ,1983 ao_seriesVIII Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5811 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1983 Title A name given to the resource Letter: To Alvin L. Young, from T.L. Lavy, Professor, regarding book drafts on disk, dated November 30, 1983 ao_seriesVIII https://www.nal.usda.gov/exhibits/speccoll/files/original/a5ed8f533379c98689f30873e37eae02.pdf 5e711e2fd0b7cdda8d6fc3646918228d PDF Text Text item D Number °5809 D Not Scanned Author Corporate Author Report/ArtlClOTitle Agenda, Minutes, Tables, Notes, Budget I, Photographs and Negatives: From Veterans Administration Chloracne Task Force Journal/Book Title Year 1983 Month/Day Color D Number of Images 21 DBSCrlptOn NOtOS Proposed Agenda for December 4 ,1983 Meeting, Chloracne Task Force Minutes, dated April 27, 1983, Tables for Diagnostic Criteria for Chloracne to TCDD Dioxin Exposure and Chloracnegens, Handwritten notes, FY 1984 Medical Research Budget, Agent Orange Program FY '83 Funding Analysis, and Human Chloracne Photographs and Negatives, dated October 8,1983 Tuesday, April 02, 2002 Page 5809 of 5840 �December 4, 1933 Marriott Hotei Scottsdale Room - 5th Floor Chicago, IL 60611 11:30-1:00 pm 11:00 Introduction: A, B. Fischmann, MPRS, MRCPEd, Chairperson, Chloracne Task Force a. b. c. Introduction of gue:,ts Minutes of last meeting Old Business Guest Speaker: Lt. Col. Alvin Young, PhD, Director, Research V. A. A. 0, Projects Office Title: "The Status of the Federal Studies on Agent Orange AOR Dermatology examination form: Review dermatology Agent Orange (AO) examination form. Educational programs: Discuss educational programs for the environmental physicians and dermatology consultants about chloracne. CMD Annual Report: Approval of the CTF annual report to the CMD. Monograph: Update status of the chloracne monograph. Chloracne Bibliography: Present the bibliography. Communications: Discuss best method for disseminating information to the dermatologists. Miscellaneous: Interagency Meetings Senate Hearings in July Special Examinations Adjournment: 1:00 pm �HLORACME TASK FORCE MINUTES Standing Members: Laward Gomez, M.D.; James Graham, M.O.; Sidney Klaus, M.D. New Members: John Strauss, M.D.; Alfred Hernandez, M.D. The second meeting of the reconst''+"'">'od Chloracne Task Force (CTF) was held in Washington, D. C. on April 27, 1983. Attending were: A. B. Fischmann, M.D., Chairperson; Drs. E. Gomez, J. G"^u,-\% J, Strauss, A. Hernandez and visiting guest, Dr. Leonard Milstone representing Dr. Sidney Klaus. Dr. Edward Gomez moved that the minutes of the December 6, 1982 meeting be approved. The new members were introduced to the CTF members. Dr. Barclay Shepard, Acting Director Agent Orange Projects Office, discussed the major studies that the VA AOPO is conducting and some of their findings. Several recommendations were made for the chloracne definition. These w i l l be implemented and forwarded to Dr. Barclay Shepard for his approval. Recommendations were made that the Dermatology examination form be revised because the present form was too confusing and complex. A recommendation was made that a special epidermiological group outside of the VA collect and analyze the AO Registry data for all of the VA Medical Centers. Recommendations were made that Drs. David Taplin or Harvey Blanket would be excellent resources for writing the chapter on the histopathology of chloracne in place of Dr. Suskind. Dr. James Graham mentioned that AFIP has very few acne cases and no chloracne cases. There is no material on chloracne. The next Chloracne Task Force meeting will be held before the December Dermatological Conference. Recommendations were made to have the meeting held in Washington, D. C. The meeting was adjourned at 6:00 pm Dr. A. B. Fischmann Chairperson, Chloracne Task Force �V M L R A N S ADM! M l S I HA I i O N Clll.ORACN! I ASK I ( M l . I D I A G N O S T I C C R U T R 1 A FOR C l i L O R A C N i l ?.° 10 JCLH) D I O X I N C X P O S U R T C R i i i R I A i OR D I A G N O S I S OF CHLORACNL: I he i n n s I s e n s i t i v e s p e c i f i c m a r k e r f o r i i i 11 x i 11 1 1 > x i (. i I", y C> i l e r - a ! f h r o n q i 5 ? s s e n t i a l i or «l i a q n o s i s 1 ! x p o s u r o 1 o < h 1 o r a c n e q e n s (see l i s t . ) 7 Onsd or a q q r a v a f i o n of acne w i t h i n a f e v / weeks l.o t.wo m o n t h s , r a r e l y l a t e r ( a v e r a q e one month a f t e r exposure) 3 ,'V ne w i l h p r e d o m i n a n c e of open comodomi's a n d c h a r a c t e r i s t i c s f r a w - c o l o r e d < y s l s ( n o cys'l.s i n m i l d cases) t\ A ' y p i c a l d i s t r i b u t i o n such a s t h e m a l a r c r e - . c e n t o f t h e f a c e , c r o w ' s f o o t area l a t e r a l to eyes and in and b e h i n d the ear j, !> H i s t o r y o l 1 f h r o u q h <] and scars in d i s t i i b u t ion of <\ or 4 and f> 6 Severe acne w i t h 3 and 4 , p l u s i n f l a m m a t o r y l e s i o n s , c y s t s and abscesses, on the face e a r s , b e h i n d ears, neck, b a c k , b u t t o c k s , s M n l . u m , o u t e r upper arms a n d f h i u j i s / ( . o m p a t i h l e h i s t o l o q y : comedones w i t h t h i c k ened e p i t h e l i a l l i n i n - j , f e w (I. acnes, s i j i M i n n u s n ; ( > t a p l as i a oi : o u t e r roof s h e a t h s n ! h a i r s a n d sebaceous ( ( l a n d s , m i n i m a l i n , i b s e n t sebaceous q l a n d s , k t ^ r a t i n- f i 1 led S Y S I ! M I C E!''K!'X:'IT. O F I H O X 1 N TOX 1C I T Y r a r e l y present w i t h o u t chloracne Acini: i ox ic M Y Onset, precedinq or coincident w i t h acne of (1) nausea, v o m i t i n q , nose blood, diarrhea, blood in urine, ( ? ) headache, f a f i q u e , i r r i t a b i l i t y , insomnia, impotence, loss o f l i b i do (delayed onset of these symploms years l a t e r is not an effect, of d i o x i n ) (.5) lower leq pains, numbness (/\) f i m j l i n q and/or numbness in f i nqers and toes (.'")) o lev a led l i v e r enzymes (6) burs if i s , edema arms and leqv ( / ) w<? i(i!it loss (8) fr i () I ycor idt.Miii a CHRONIC I O X I C I 1 Y ( 1 ) c h r o n i c b r o n c h i t i s , decreased v i t a l capac i f y (?) h y p e r t r i e h o s i s on temples, h y p e r p i ( j m e n l . a f ion of the; f a r e , no p o r p h y r i n s (.i) p o r p h y r i a ciifanea farda ( R C I ) w i l h p o r p h y r i n s i n u r i r u ! and/or si oo I ( ' I ) per i p h e r a l n e t i r o p a l b y �2. D c ; yen i c r c o i oheny; 5 . , ? - 3 s ) 4. f o l y'oromoo i oneny 1 s ( ; 5 3 s ) 5, °oivcniCTCGibenzcfurans (PCDF' " t w n '3 *J •i .' / -~ .r ^ rr•^ >-; i ~Jh-M. I nt* wp, r-J!1: >- - '^ c ^, ^ I i w >^ '• c1 7 I —: « ^ ' ~—•5 H -^ '• \J I 7, Con" ami nan*. 3 : i a ) 2 , 3 , / , 3 - ! : e " - a : n l o r o a i b e n z o - p - a l o x l r i (TCOO) (b; hexachlorodlbenzo-j-cioxln ( c ; :ei;racn i o r o a i b e n z c f u r a n b' 3 " c n "i c o sn i 1 2 as c r an , - a is r D 1 c 1 c! ^ ��? �RESEARCH UNIT: Chloracne Task Force . •'*. • COST CENTER:— — "• - — • • -_ 813200 • FISCAL YEAR 7984 MEDICAL RESEARCH BUDGET — QUARTERLY DISTRIBTUIOS C 1st SUB ACCOUNT 14 . isult & Attend 50 . mistered Nurses 31. . ' r Physicians 32 r Physicians 35 . /choloqists •/ 20 ' : ... '. leral Schedule 38 -. ' • • •• je Board _ '' " FTT '-.- ;al f ' \\ie1 (65 days) 4th FTE - . FrT FTE (66 days) • TOTAL •.. ' , " -' . ' .. • •. - • . - • - -". ) Total -. . -sonnel Services -1 • 10/01/83-09/30/84 (66 'days) 2nd (65 days) 3rd " 8,750 .• 8,750 • . -- ..-•. •• ,• « 8,750 8,750 . - . 35,000 . - - %k ?Q ; )'air"6f Equip'. ' • JO rtractual Svcs; • iO. ' Fice Supplies JV . • • . :• jqs & Medicine •P Funds *6 Newspapers Periodicals JO rrating Supplies ?D Furniture : ixtures ••. ' • ' • • . . " -. " • ..-''• : .. . :•••.'? ' • •• ' . • ' ' . ' . . - • ' : . • • •• '• - . . •-. • * • .• • ' ; • :uioment j Total - Other in Personnel " C. "'•<•••"" •• "»—"*-' •» " 8,500- ' . •• , • « : FY84 TOTAL sno 500 son in.nnn 9,250 . 45,000 ' 17,250 . 9,250 9,250 �AGENT ORANGE (PROGRAM 823) FY83 FUNDING ANALYSIS CURRENT YEAR FUNDS (363/40161)— PERSONAL SERVICES 1ST QTR Actual Expenditures 2ND QTR $8,553.85 $8,376.83 3RD QTR $7,594.36* 4TH QTR $8,942.96 TOTAL $33,468.00 *Amount less due to leave without pay (LWOP) PRIOR YEAR FUNDS (362/30161) --ALL OTHER TDA # 79 TDA #329 TDA #411 TOTAL FORWARDED V $19,677.00 2,400.00 6.620.00 $28,697.00 Actual Expenditures: Patient Travel Expenses (GTR'S) Clinic Bills Per Diem Expenses SUBTOTAL ' Exxon 520 Word Processor Ribbons/Disks/Print Wheels for Exxon 520 Lateral File Cabinet Five Drawer Cabinet Dictating Equipment Miscellaneous (Reprints, etc.) SUBTOTAL Account Balance as of 9/15/83 TOTAL C $ 3,775.70 12,922.40 1,277.76 $17,975.86 9,020.00 370.00 626.50 150.50 460.35 _ 76.90 $28,680.11 _ 16.89 $28,697.00 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5809 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1983 Title A name given to the resource Agenda, Minutes, Tables, Notes, Budget I, Photographs and Negatives: From Veterans Administration Chloracne Task Force ao_seriesVIII Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Alvin L. Young Collection on Agent Orange Description An account of the resource The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young. For more about this collection, <a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a">view the Agent Orange Exhibit.</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Box The box containing the original item. 207 Folder The folder containing the original item. 5808 Series The series number of the original item. Series VIII Subseries III Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource 1983 Title A name given to the resource Letter: To Alvin L. Young, from Allen Blakey, E. Bruce Harrison Company, Inc. regarding Attached Memorandum about Interview with Alvin L. Young to Clients from EBH Research Department, dated October 6, 1983, letter dated October 14, 1983 ao_seriesVIII