Proposed Iraq/Afghanistan War-Lung Injury (IAW-LI) Clinical Practice Recommendations: National Academy of Sciences' Institute of Medicine Burn Pits Workshop

Am J Mens Health. 2017 Nov;11(6):1653-1663. doi: 10.1177/1557988315619005. Epub 2015 Dec 14.

Abstract

High rates of respiratory symptoms (14%) and new-onset asthma in previously healthy soldiers (6.6%) have been reported among military personnel post-deployment to Iraq and Afghanistan. The term Iraq/Afghanistan War-Lung Injury (IAW-LI) is used to describe the constellation of respiratory diseases related to hazards of war, such as exposure to burning trash in burn pits, improvised explosive devices, and sandstorms. Burnpits360.org is a nonprofit civilian website which voluntarily tracks medical symptoms among soldiers post-deployment to the Middle East. Subsequent to initiation of the Burnpits360.org website, the Department of Veterans Affairs started the Airborne Hazards and Open Burn Pit registry. This paper: (a) analyzes the latest 38 patients in the Burnpits360.org registry, validated by DD214 Forms; (b) compares strengths and weaknesses of both registries as outlined at the National Academy of Sciences Institute of Medicine Burn Pits Workshop;

Keywords: Afghanistan; Burn pits; IAW-LI; IED; IOS; Iraq; Iraq/Afghanistan War-Lung Injury; Lung Injury; PM; constrictive bronchiolitis; dust; exercise-induced pulmonary hypertension; health awareness; improvised explosive devices; impulse oscillometry; lung biopsy; particulate matter; pollen; public health; quality of life; vascular remodeling.

MeSH terms

  • Afghan Campaign 2001-*
  • Air Pollution
  • Health Surveys
  • Humans
  • Lung Injury / etiology
  • Military Personnel*
  • National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division*
  • Practice Patterns, Physicians'*
  • Registries*
  • Respiratory Insufficiency / etiology
  • Respiratory Tract Infections / etiology
  • United States