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Credibility Gulf: the military's battle over whether to protect its image or its troops.


IN SEPTEMBER, BILL CLINTON ENDED A WAR the U.S. military had been fighting for more than two decades--against its own soldiers. He I signed legislation agreeing to compensate veterans for the health problems and birth defects birth defects, abnormalities in physical or mental structure or function that are present at birth. They range from minor to seriously deforming or life-threatening. A major defect of some type occurs in approximately 3% of all births.  believed to have been caused by the military's use of dioxin-containing Agent Orange during the Vietnam War Vietnam War, conflict in Southeast Asia, primarily fought in South Vietnam between government forces aided by the United States and guerrilla forces aided by North Vietnam. . In one fell signature, Clinton ended an acrid standoff between veterans and the Pentagon, which had first denied the use of dioxin dioxin

Aromatic compound, any of a group of contaminants produced in making herbicides (e.g., Agent Orange), disinfectants, and other agents. Their basic chemical structure consists of two benzene rings connected by a pair of oxygen atoms; when substituents on the rings are
, then resisted releasing its spraying patterns, then insisted that no one could prove that Agent Orange caused spine bifida.

Technically, the Pentagon was right: Even today, the mechanism by which dioxin does its damage in the human body isn't known. Of course, until just a few months ago no one knew how cigarette smoking caused lung cancer lung cancer, cancer that originates in the tissues of the lungs. Lung cancer is the leading cause of cancer death in the United States in both men and women. Like other cancers, lung cancer occurs after repeated insults to the genetic material of the cell.  either--knowing how isn't the same as knowing if. Regardless, the Pentagon's stonewalling stone·wall  
v. stone·walled, stone·wall·ing, stone·walls

v.intr.
1. Informal
a.
 had long ago pushed the issue from the logic of the lab into the emotion of the political arena. Definitive scientific proof or not, Clinton was calling a truce.

So when the Presidential Advisory Committee on Gulf War Veterans' Illnesses recently released a draft report concluding that there is no Gulf War "syndrome," no single disease traceable to the Persian Gulf War Persian Gulf War
 or Gulf War

(1990–91) International conflict triggered by Iraq's invasion of Kuwait in August 1990. Though justified by Iraqi leader Saddam Hussein on grounds that Kuwait was historically part of Iraq, the invasion was presumed to be
 causing the variety of symptoms that veterans have experienced--but also stating that DOD's investigation has "lacked vigor, fallen short on investigative grounds, and stretched credibility"--you could see the handwriting on the wall handwriting on the wall

Daniel interprets supernatural sign as Belshazzar’s doom. [O.T.: Daniel 5:25–28]

See : Omen
. Once again, wartime experience had spawned thousands of sick veterans, who came home not with bullet wounds or shrapnel in their flesh, but with initially invisible symptoms that could stem from physiological or psychological causes. And once again, the Pentagon had attributed it all to stress, resisted investigation, and withheld crucial information. Now the issue is gathering political momentum (with the Agent Orange debacle fresh in politicians' minds), and you can be sure that eventually Congress will pass, and the president will sign, legislation to compensate sick veterans, even if no one can prove that their Gulf experience caused the illnesses. Sen. Jay Rockefeller John Davison Rockefeller IV (born June 18, 1937), generally known as Jay Rockefeller, has served as a Democratic U.S. Senator from West Virginia since 1985. He was Governor of West Virginia from 1977 to 1985. As a great-grandson of oil tycoon John D.  (DW.Va.), who has butted heads with the Pentagon repeatedly on Gulf War syndrome Gulf War syndrome, popular name for a variety of ailments experienced by veterans after the Persian Gulf War. Symptoms reported include nausea, cramps, rashes, short-term memory loss, fatigue, difficulty in breathing, headaches, joint and muscle pain, and birth , says that regardless of whether the ailments are attributable to stress or, as he believes is more likely, physiological causes, "We can't just walk away. We have a hell of an obligation"

The time frame for resolution will likely be much more compressed than for Agent Orange, because now policymakers and the public are wont to suspect the worst. "The Department of Defense is engaged in probably one of the most serious cover-ups in the history of military affairs," says Paul Sullivan Paul Sullivan is a name shared by several people:
  • Paul Sullivan (sportswriter), a sportswriter for the Chicago Tribune
  • Paul Sullivan (radio) (1957-2007), former radio talk show host for WBZ in Boston
  • Paul Sullivan (pianist), musician and composer
, a Gulf veteran and founder of the National Gulf War Research Center. "The cover-up continues," Rep. Christopher Shays Shays   , Daniel 1747?-1825.

American Revolutionary soldier and insurrectionist who with a band of armed men raided a government arsenal in Springfield, Massachusetts, to protest the state legislature's indifference to the economic plight of farmers
 huffed in a September House hearing The allegations by two former CIA CIA: see Central Intelligence Agency.


(1) (Confidentiality Integrity Authentication) The three important concerns with regards to information security. Encryption is used to provide confidentiality (privacy, secrecy).
 analysts that the CIA has withheld evidence of numerous exposures during the Gulf War have only added to the suspicions.

But the focus on sinister conspiracies obscures what may be a more persuasive explanation for DOD's response, first to Agent Orange, and now to Gulf War syndrome: If there is such a thing as institutional stubbornness, the Pentagon has it. All bureaucracies react to something that could cost them face much the way a sea anemone sea anemone (ənĕm`ənē'), any of the relatively large, predominantly solitary polyps (see polyp and medusa) of the class Anthozoa, phylum Cnidaria. Unlike the closely related corals, these organisms do not have a skeleton.  touched by a finger does--they close up and seal off. But DOD (1) (Dial On Demand) A feature that allows a device to automatically dial a telephone number. For example, an ISDN router with dial on demand will automatically dial up the ISP when it senses IP traffic destined for the Internet.  is particularly prone to such reactions, which makes the science worth studying in the story of Gulf War syndrome behavioral as much as biological.

More than most bureaucracies, the military faces very public tests of its effectiveness. Since it failed one of those tests in Vietnam, exposing itself to years of abuse, humiliation, and low public esteem, the Pentagon has been especially defensive, and eager for redemption--which the Persian Gulf War provided. It dispatched the military's Vietnam complex, sending institutional pride to new heights. It was the mythical "perfect war" Then along comes not only a nasty set of illnesses, but a plethora of investigators muddying the myth by churning up questionable decisions, vulnerabilities, and just plain mistakes on the military's part.

The apparent stonewalling seems to have been an attempt to paper over bungling bun·gle  
v. bun·gled, bun·gling, bun·gles

v.intr.
To work or act ineptly or inefficiently.

v.tr.
To handle badly; botch. See Synonyms at botch.

n.
 or negligence that would tarnish tarnish,
n 1. surface discoloration or loss of luster by metals. Under oral conditions, it often results from hard and soft deposits.
2. a chemical process by which a metal surface is discolored or its luster destroyed.
 the Gulf victory, as well as the careers and reputations of those associated with it. This same phenomenon surfaced in the investigation of the terrorist bombing at Khobar Towers in Saudi Arabia Saudi Arabia (sä`dē ərā`bēə, sou`–, sô–), officially Kingdom of Saudi Arabia, kingdom (2005 est. pop. . A report by a retired Army general concluded that many of the casualties were preventable: Commanders had failed to take basic anti-terrorist precautions, despite ample warning, and Pentagon policymakers had been lax in their intelligence gathering The report also insinuated that the commanders and Pentagon officials had been less than honest about both the precautions they took and their estimates of the size of the bomb (they claimed it was 20,000 pounds, which meant any precautions would have been inadequate; the report concluded it was only 5,000). The inclination was to prioritize protecting the institution over protecting the troops.

Military leaders and their troops have a relationship fraught with authoritarianism, paternalism paternalism (p·terˑ·n , and, from the soldiers' point of view, a great deal of faith--because they must entrust their well-being to their superiors. Whatever the etiology of Gulf War syndrome, it has strained that already fragile relationship, exposing the gulf between troops on the ground and the decisionmakers who often determine their fates.

A Priori Assumptions a priori assumption (ah pree ory) n. from Latin, an assumption that is true without further proof or need to prove it. It is assumed the sun will come up tomorrow.  

Imagine a reporter who goes into a story with a hypothesis, then either discounts or tries to discredit any evidence--no matter how compelling--that contradicts that hypothesis. Now you have a pretty good idea of how the Pentagon approached Gulf War illnesses.

Its working hypothesis was that the symptoms would ultimately prove to be traceable to some known disease or to the ordinary stresses of wartime service. 'When you send a large number of healthy young people to a very stressful environment," Dr. Stephen Joseph, assistant secretary of defense for health affairs, said this April, "surprise, surprise! Some proportion of them come home with a variety of illnesses."

The corollary to that hypothesis was a denial that factors unique to the Gulf War could be causing the health problems. So from the start, the Pentagon took a hard line on Gulf War illnesses, insinuating in·sin·u·at·ing  
adj.
1. Provoking gradual doubt or suspicion; suggestive: insinuating remarks.

2. Artfully contrived to gain favor or confidence; ingratiating.
 that they were purely stress-related, or all in veterans' heads. Doctors at Veterans Affairs' hospitals took their cues from DOD. To be fair, the military's toughness comes partly from the fact that a fit force is essential to mission performance, and tolerating unexplained sicknesses opens the door to malingering Malingering Definition

In the context of medicine, malingering is the act of intentionally feigning or exaggerating physical or psychological symptoms for personal gain.
, fakery, even cowardice Cowardice
See also Boastfulness, Timidity.

Acres, Bob

a swaggerer lacking in courage. [Br. Lit.: The Rivals]

Bobadill, Captain

vainglorious braggart, vaunts achievements while rationalizing faintheartedness. [Br. Lit.
. But the military's resistance seems particularly vehement when to acknowledge such sicknesses could reflect negatively on its own performance.

The most plausible suspect for the reported illnesses was exposure to chemical and biological weapons in the Gulf, yet that was the possibility the Pentagon most adamantly resisted. Edwin Dorn, undersecretary of defense, said in sworn Senate testimony on May 25,1994: "There were no confirmed detections of any chemical or biological agents at any time during the entire conflict." Assistant Secretary Joseph testified before the House Veteran Affairs Committee on March 9,1995: "There is no persuasive evidence of such exposure, even after much scrutiny." On "60 Minutes" in 1995, John Deutch, then deputy defense secretary, said troops had never been exposed to chemical agents "in any widespread way"

As early as 1993, an investigation by the Senate Banking Committee had challenged such assertions, suggesting that the United States' own actions may have exposed its troops to low levels of chemical weapons when allied forces bombed Iraqi munitions mu·ni·tion  
n.
War materiel, especially weapons and ammunition. Often used in the plural.

tr.v. mu·ni·tioned, mu·ni·tion·ing, mu·ni·tions
To supply with munitions.
 facilities during the war and detonated Iraqi weapons immediately afterward. The Pentagon--led by John Deutch, now director of the CIA--summarily rejected the possibility. James Tuite III, the lead investigator on the Banking Committee report says, "The U.S. government policy that has existed since we wrote the first report ... is that 'it didn't happen,' they've been making admissions kicking and screaming every step of the way."

Given the mystery ailments veterans were reporting, and our knowledge of Iraq's chemical weapon stockpile, why was DOD so adamant that troops couldn't have been exposed? It seems the Pentagon feared exposures of its own--to recriminations about its failure to prepare troops adequately. The first step in that failure was one of omission: the military's inadequate preparation for chemical and biological warfare biological warfare, employment in war of microorganisms to injure or destroy people, animals, or crops; also called germ or bacteriological warfare. Limited attempts have been made in the past to spread disease among the enemy; e.g. . American troops hadn't faced chemical weapons since World War I, so over the years the military had devoted decreasing attention to what seemed an abstract threat, putting few resources into engineering more sophisticated protective and detection gear. In May of 1991, the General Accounting Office noted that the Army active and reserve units it visited "had not been adequately trained or equipped to survive and sustain operations in a chemical environment." Soldiers were ill-prepared to function in unwieldy, claustrophobic protective gear; three of four reserve units didn't even have the needed gear. Had Saddam Hussein Saddam Hussein

(born April 28, 1937, Tikrit, Iraq—died Dec. 30, 2006, Baghdad) President of Iraq (1979–2003). He joined the Ba'th Party in 1957. Following participation in a failed attempt to assassinate Iraqi Pres.
 used chemical or biological weapons, our troops would have been in trouble.

In the months preceding Operation Desert Storm Noun 1. Operation Desert Storm - the United States and its allies defeated Iraq in a ground war that lasted 100 hours (1991)
Gulf War, Persian Gulf War - a war fought between Iraq and a coalition led by the United States that freed Kuwait from Iraqi invaders;
, the Pentagon was well-aware that troops were illequipped to face deadly nerve agents. That was why it began grasping for an internal defense--a medical antidote--to exposures. Here, too, the military was lacking in up-to-date research or effective antidotes, so in desperation, it latched on to a drug called pyridostigmine bromide Pyridostigmine bromide (Mestinon)
An anticholinesterase drug used in treating myasthenia gravis.

Mentioned in: Myasthenia Gravis

pyridostigmine bromide,
 (PB), which is approved by the Food and Drug Administration only for treatment of the neurological disorder Noun 1. neurological disorder - a disorder of the nervous system
nervous disorder, neurological disease

disorder, upset - a physical condition in which there is a disturbance of normal functioning; "the doctor prescribed some medicine for the disorder";
 myasthenia gravis myasthenia gravis (mīəsthē`nēə grä`vĭs), chronic disorder of the muscles characterized by weakness and a tendency to tire easily. . Research indicated that at smaller doses, and in combination with other antidotes, PB could serve as a prophylactic against the nerve gas nerve gas, any of several poison gases intended for military use, e.g., tabun, sarin, soman, and VX. Nerve gases were first developed by Germany during World War II but were not used at that time.  soman soman, colorless liquid used as a nerve gas. It boils at 167°C;, evolving an odorless vapor. It is rapidly absorbed through the skin; death may result within 15 min of exposure. In nonfatal concentrations it is hazardous to the eyes. .

Despite the fact that PB can have side effects Side effects

Effects of a proposed project on other parts of the firm.
 on myasthenia gravis patients, DOD did minimal testing on people without the disease: The studies were tiny, and most excluded women and any men who were on other medications, smoked, or had health problems such as asthma. Even then, at least one subject stopped breathing; another lost consciousness. Yet just a few months later, the military began giving PB to some 400,000 male and female troops regardless of their health. Over the past few years, concerns have arisen that PB, in combination with other toxins troops were exposed to, may have something to do with veterans' illnesses. Only this year has the DOD agreed to look into that possibility. Not only that, but it now appears that while PB would have been effective against soman, it does not work against sarin--the chemical agent that Saddam had in large quantities--and may actually exacerbate its effects.

There's more. To administer PB to the troops for a purpose other than which it had been approved, DOD had to obtain FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
 permission. Usually such permission requires the procurement of informed consent from those taking the drug; DOD insisted it didn't have time to obtain consent from hundreds of thousands of troops, and so the FDA agreed to waive the requirement. The result was quite possibly the largest administration of an experimental drug without informed consent in American history; soldiers had to take the drugs under threat of court martial COURT MARTIAL. A court authorized by the articles of war, for the trial of all offenders in the army or navy, for military offences. Article 64, directs that general courts martial may consist of any number of commissioned officers, from five to thirteen, inclusively; but they shall not  (although, because it was self-administered, congressional investigators estimate that a third of the troops in the Gulf did not take PB, or stopped taking it when they felt side effects).

As a condition for granting the consent waiver, the FDA had insisted, and DOD had promised, that military commanders would inform their troops what they were taking and what the side effects might be. DOD said in its application for a waiver: "Recipients of [PB] . . . will be given substantial information regarding proper use of the drug and its risks and benefits" FDA Commissioner David Kessler David Kessler may refer to:
  • David Kessler (actor) (1860-1920), Yiddish theater
  • David Aaron Kessler (born 1951), FDA Commissioner, university medical dean
  • David Kessler, Pennsylvania state representative, elected 2006
 wrote back that he was granting the waiver "[b]ased on [DOD's] agreement to provide and disseminate additional information to all military personnel regarding the risks and benefits"

So there was a contract--and it was broken. One survey found that 63 of 73 veterans who had taken PB did not receive information. In a DOD survey of 23 medical personnel, 16 said no information on the possible side effects of PB had been provided to them; thus they couldn't provide it to the troops they were responsible for. The military also failed to record who took which drugs or vaccines, thus ignoring explicit FDA regulations and DOD guidelines on keeping records. "We recognized early on after the war ... that recordkeeping and reporting were less robust than we had hoped," says Mary Pendergast, an FDA deputy commissioner. Military researchers and doctors could swear by their firstborn first·born  
adj.
First in order of birth; born first.

n.
The child in a family who is born first.

Noun 1. firstborn - the offspring who came first in the order of birth
eldest
 child that PB's administration would be carefully monitored--but they were entirely dependent on commanders in the field to keep those promises. DOD, incidentally, is pressuring the FDA to make permanent the interim rule that allowed the waiver of consent in the Gulf War. As of now, the FDA has no way to make sure that, with future waivers, DOD will better inform troops or conduct more careful medical surveillance.

The negligence evident in recordkeeping on PB was in fact part of a pattern. Spend a little time investigating what may have made veterans sick in the Gulf War, and its image as a "clean" war dissolves faster than soap. The victory may have been swift, our casualties may have been few--but the conditions were anything but clean. When an Institute of Medicine report called the Gulf a "hostile environment See: operational environment. ," it wasn't referring to the Iraqis--but to extreme heat, humidity, rainfall, dust and sand, sandflies and other insects, smoke from oil well fires, leaded diesel fuel and fumes fumes

odorous gases and other volatile materials; inhalation of irritating fumes causes coughing and, if sufficiently severe, irreversible pulmonary edema.
, pesticides and insecticides, chemical agent-resistant paints, solvents, and depleted uranium Depleted Uranium (DU) is uranium remaining after removal of the isotope uranium-235. It is primarily composed of the isotope uranium-238. In the past it was called by the names Q-metal, depletalloy, and D-38, but these have fallen into disuse.  shells. Conditions were unsanitary un·san·i·tar·y
adj.
Not sanitary.
; food and water were exposed to many of the same unpleasant things as the troops. And some troops headed for the Gulf received as many as 17 different live viral and killed bacterial vaccines simultaneously, as well as PB and other experimental drugs. It's quite likely that some combination of these exposures could be making veterans sick. Yet there was no recordkeeping on who was exposed to what during the war or who fell ill with what symptoms at the time. Nor was there any post-war follow-up on possible health effects of this toxic soup.

The consequence of the military's poor record keeping is that we are left in an epistemological bog that may make it impossible ever to determine conclusively what has made any individual veteran sick. "The information you need to tease all of this out is five or six years old," says Dr. Arthur Caplan Arthur L. Caplan PhD, is Emanuel and Robert Hart Professor of Bioethics and director of the Center for Bioethics at the University of Pennsylvania. Prior to coming to Penn in 1994, Caplan taught at the University of Minnesota, the University of Pittsburgh, and Columbia University. , the director of the Center for Bioethics bioethics, in philosophy, a branch of ethics concerned with issues surrounding health care and the biological sciences. These issues include the morality of abortion, euthanasia, in vitro fertilization, and organ transplants (see transplantation, medical).  at the University of Pennsylvania (body, education) University of Pennsylvania - The home of ENIAC and Machiavelli.

http://upenn.edu/.

Address: Philadelphia, PA, USA.
 and a member of the Presidential Advisory Committee. "We can only speculate about the causes--where people were, what they were exposed to."

Closed Mindset mind·set or mind-set
n.
1. A fixed mental attitude or disposition that predetermines a person's responses to and interpretations of situations.

2. An inclination or a habit.
 

A Pentagon that for five years resisted investigation is suddenly very interested in such speculation--particularly into whether troops were exposed to low levels of chemical weapons and the possible consequences of that exposure. The CIA is trying to model wind patterns in Iraq in March of 1991 to determine whether nerve agents from detonated weapons wafted toward American troops. DOD is attempting to reconstruct that detonation by harvesting the five-year-old memories of some 20,000 soldiers who were in the area. And for the first time, DOD has budgeted millions of dollars to research the potential harm of low-level exposures.

The reason, of course, is that this past June, the Pentagon acknowledged that on March 4,1991, American soldiers detonated a bunker full of Iraqi ammunition at a location in Southern Iraq commonly referred to as Khamisiyah. In doing so, they unknowingly exploded rockets containing chemical agents, possibly exposing themselves and other troops to low levels of those agents. A few months later, the Pentagon acknowledged that the March 10 destruction of a pit, also at Khamisiyah, may have exposed still more troops. More recently, DOD said there may have also been a March 12 exposure. As one frustrated journalist said at an October Pentagon briefing, "In the past two months, from that podium, [the number of soldiers possibly exposed] went from a couple of hundred Army engineers to a couple thousand, to 5,000, then 15,000. Now we're at 20,000. You say there may be even more."

Particularly embarrassing was the fact that the United Nations had first reported the possibility of such exposures in 1991, in a report given to DOD and supposedly distributed to the White House, State Department, CIA, and U.S. military commanders around the world. The report disappeared into the bowels of the bureaucracy--for five years. Granted, a lot of documents came in, during and after the war, so it's certainly possible that the report was just filed and forgotten (just as it's possible that those Rose law firm billing records were innocently lost and found). And that's the Pentagon's defense: On "Nightline" recently, Stephen Joseph said that the report was lost in the "fog of the moment"

That's certainly a fair characterization of wartime --except that the report was filed in October of 1991, seven months after the fog of war
For the documentary film, see The Fog of War.
The fog of war is a term used to describe the level of ambiguity in situational awareness experienced by participants in military operations.
 had ended. So perhaps DOD took five years not to find the report--but to release it. Equally possible, however, is that Pentagon officials truly didn't find the report until recently, because they weren't looking--they had decided that there were no exposures. Cover-up? Maybe. Closed minds? Certainly.

The same mindset has surfaced in response to the possibility that troops massing before the ground war were exposed when U.S. forces bombed Iraqi chemical weapon storage facilities in Southern Iraq, releasing chemical agents into the air. At the time, the Czechs, who have the world's best chemical detection equipment, recorded numerous readings in the vicinity of American troops; the Pentagon has always said the detections, although "credible," showed nothing because the facilities were far from--and the wind was blowing away from--American troops. But James Tuite believes the Pentagon's analysis of wind direction may be incorrect; if so, hundreds of thousands more soldiers may have been exposed to low levels of chemical agents. The Pentagon, though, continues to insist that the transmission of chemical agents to American troops was impossible.

Nowhere has the Pentagon's closed mind been more apparent than in its fallback fall·back  
n.
1.
a. Something to which one can resort or retreat.

b. A retreat.

2. Computer Science
 defense to accusations that troops were exposed: It doesn't matter, officials say, because the exposures were low level, and low-level exposure can't hurt you. In fact, no one knows for certain whether low-level exposure has long-term effects; there has been scant research on the subject, and almost none by the military itself. But DOD maintains that there are no harmful long-term effects if there are no immediate mass casualties or traumatic symptoms. As recently as October 22, a senior defense official insisted at a background briefing: 'We are going to spend a lot of money to see if we can identify some potential health effects from exposures even at subacute levels. But as of today, we know of no reason that there should be a health effect from that exposure"

Why the certainty when the evidence is inconclusive? Because the military has a stake in such exposures being harmless: Military doctrine Military doctrine is the concise expression of how military forces contribute to campaigns, major operations, battles, and engagements. It is a guide to action, not hard and fast rules. Doctrine provides a common frame of reference across the military.  in the Gulf was that no precautions needed to be taken for low-level exposure. The military has not developed devices able to detect subacute levels of chemical agents--because theoretically they can't hurt you. Soldiers were told to ignore frequent chemical alarms on the same grounds. If such exposures turn out to be harmful, the DOD will have only its own doctrine to blame. The great irony of the Gulf War may be that, after all the anxiety over whether Saddam would use chemical agents on our soldiers, we did it ourselves. This could be, says Paul Sullivan, "the world's largest friendly fire incident"

The possible errors compound because military doctrine has shaped postwar medical doctrine. Dr. Frances Murphy, Director of the VA Environmental Health Service, conceded in testimony in September that VA research had placed a low priority on low-level chemical agent exposure "because military and intelligence sources had stated that U.S. troops had not been exposed to chemical agents" Indeed, many of the studies and examinations that were done on vets reflected early policy assumptions--specifically, the certainty that a known disease explaining the symptoms would be found. There were no control groups, few neurological studies--just clinical evaluations that turned up routine illnesses, but no explanation of the symptoms. And some tests were just plain stupid: One 199-1995 study of 10,020 ill Gulf War soldiers found that they had most of the same ailments as the general population and were largely able to stay on the job. Only one problem: The study included only active-duty soldiers, who would be less likely to admit to being sick because it could impede their career advancement. And many of the sickest vets had already left the service.

Among those who have left the military since the war, of course, are Colin Powell Noun 1. Colin Powell - United States general who was the first African American to serve as chief of staff; later served as Secretary of State under President George W. Bush (born 1937)
Colin luther Powell, Powell
 and Norman Schwarzkopf Neither has had much to say about the revelations of possible low-level exposures during the war; both could be useful to the investigation. In March of 1915, Stephen Joseph testifed before the House Veteran Affairs Committee about the "hundreds of false chemical alarms" activated by dust, heat, smoke, low batteries, etc. "Schwarzkopf's experience was that these alarms were taken seriously and immediately investigated and that there was never actual confirmation of actual chemical presence" If Schwarzkopf told Joseph that, he was Iying: Paul Sullivan of the National Gulf War Resource Center obtained Schwarzkopf's command logs through the Freedom of Information Act; they show both numerous reports of chemical alarms sounding and an order from CENTCOM--the central command where Schwarzkopf was in charge--to ignore them. There is also an eight-day gap in the logs between March 3 and March 12, 1991--when the detonations at Khamisiyah took place. Schwarzkopf, unfornately, isn't granting interviews now.

Powell was at the Pentagon during the war, and hence bore less direct responsibility for responding to reports of chemical detections. But he has some. In response to written questions about what reports he was getting at the time, and how he responded, Powell says simply that at the joint staff level there were "periodic reports" that chemical alarms had sounded, but "that there was no official evidence in those cases of chemical agent detection" One presumes, then, that there was no official response.

Powell also was charged with readying the troops for battle. Despite all the revelations about both PB and troops' underpreparedness for chemical and biological warfare, he says, via his spokesman, that in hindsight he "know[s] of nothing" he would have done differently to prepare troops for the presence of chemical and biological weapons. And on the question of whether low-level exposures could be harmful, Powell stands by the Pentagon: "There would be no reason to believe that unless an individual were to come under a chemical attack that he or she has been exposed" The reluctance to revisit the historical record of a glorious triumph is understandable--but don't Powell and Schwarzkopf owe their troops help in puzzling out what happened and preventing mistakes that were made from being repeated?

If Powell and Schwarzkopf haven't been entirely forthcoming, it may be because they have been conditioned by years at the Pentagon--an institution not known for a "leave no stone unturned" philosophy. Indeed, as the evidence and pressure began to stack up, the military went into damage control mode, much like a corporation facing a product liability suit. (DOD's attitude did change somewhat when the Presidential Advisory Committee suggested removing the investigation from DOD's jurisdiction. Overnight, a newly contrite con·trite  
adj.
1. Feeling regret and sorrow for one's sins or offenses; penitent.

2. Arising from or expressing contrition: contrite words.
 Pentagon expanded its investigation team from 12 to 110 people). Former assistant defense secretary Lawrence Korb Lawrence J. Korb (born July 9, 1939, in New York City), is the Director of National Security Studies at the Council on Foreign Relations in New York and a Senior Fellow at the Center for American Progress and a Senior Adviser to the Center for Defense Information.  saw the same give-no-ground mentality in the early 1980s: "I had a big battle with the counsel at DOD about Agent Orange. I was saying, Just admit it.' They said, 'No, we'll be liable' ... We had to fight it out through the courts.... The secretary [of defense] listens to the general counsel, who listens to the Justice Department" And, Korb adds, "God help you if you ignore the lawyers' advice and you're wrong"

The fear of liability means no individual can publicly question or contradict the policy that has been set. Official policies are coordinated, then adhered to like glue. "When the big dogs Big Dogs, based in Santa Barbara, California, is a chain of stores in the United States which features clothing and apparel holding the "Big Dogs" brand name. The Company  sign on," says one longtime Pentagon official, "it becomes an item of religious or normative truth" And, when it comes time for promotion, the Pentagon, like most bureaucracies, rewards team players. Intertwined with the institutional inclination toward self-protection is the individual tendency toward careerism ca·reer·ism  
n.
Pursuit of professional advancement as one's chief or sole aim: "Rampant careerism, which makes many a work place a joyless site, was in check" Mary McGrory.
: the desire to advance to a generalship gen·er·al·ship  
n.
1. The rank, office, or tenure of a general.

2. Leadership or skill in the conduct of a war.

3. Skillful management or leadership.

Noun 1.
, or from one star to two. There's no surer way to discourage independent opinions.

A similar closing of the ranks emerges in DOD's control of information. DOD sees itself in a public affairs Those public information, command information, and community relations activities directed toward both the external and internal publics with interest in the Department of Defense. Also called PA. See also command information; community relations; public information.  war with the public and Congress, and it will do what it takes to win. That includes assembling the largest public affairs apparatus of any bureaucracy in the world, and at least occasionally, it seems, using a classification system ostensibly os·ten·si·ble  
adj.
Represented or appearing as such; ostensive: His ostensible purpose was charity, but his real goal was popularity.
 developed to protect national security to protect the figurative rear ends of DOD officials. In February, for example, DOD and the CIA suddenly pulled around 1,000 documents off DOD's Gulflink Internet site, citing "intelligence sensitivities" If the material truly were sensitive, DOD had committed a gross national security blunder: The documents had been sitting on Gulflink for months, allowing interested parties plenty of time to access them. The documents happened to contain information about Khamisiyah, so perhaps the sudden worry about premature declassification de·clas·si·fy  
tr.v. de·clas·si·fied, de·clas·si·fy·ing, de·clas·si·fies
To remove official security classification from (a document).



de·clas
 had more to do with damage control than national security.

Further evidence comes from a memo sent by Paul Wallner, staff director of a Pentagon panel on Gulf War veterans' illnesses, to various DOD departments. The memo subject is the "Identification and Processing of Sensitive Operational Records", it addresses high-level concern about the posting of "potential sensitive reports or documents" on the Internet. It requests that declassifiers forward such documents to an investigation team before declassifying them to allow "time to begin preparation of a response on particular `bombshell' reports," and then provides criteria for "sensitive" documents:

a. Documents that could generate unusual

public/media attention.

b. All documents which seem to confirm the

use or detection of nuclear, chemical, or

biological agents.

c. Documents which make gross/startling

assertions. ..

d. Documents containing releasable

information which could embarrass the

Government or DOD. Statements such as "we

are not to bring this up to the press" fit in this

category....

Indeed, there is much DOD doesn't bring up to the press unless forced to. When the Pentagon can stall, it will. An exchange from an October 31 press briefing:

Q: Have you found any records of reports from

Khamisyah on March 4 and March 10,1991?

Kenneth Bacon [assistant secretary of defense

for public affairs]: I'm not aware that we have. I

will check. I just--I'm not aware that we have.

Q: You were checking on that the last time.

Bacon: Yes. And sometimes it takes longer to

make these checks than I or you would like"

Bacon is well aware that the Pentagon press corps occasionally suffers from attention deficit disorder attention deficit (hyperactivity) disorder (ADD or ADHD)
 formerly hyperactivity

Behavioral syndrome in children, whose major symptoms are inattention and distractibility, restlessness, inability to sit still, and difficulty concentrating on one thing for any
. In the next two briefings, on November 5 and 7, there were no questions about the missing records--or any other part of the Gulf War syndrome investigation. You can bet Bacon's not going to volunteer an update.

Defense officials seem to have thought that if they held out for long enough, the siege would eventually end. Jim Gottlieb, minority staff director and chief counsel of the Senate Veterans Affairs Veterans Affairs is a term of the business that deals with the relation between a government and its veteran communities, usually administered by the designated government agency.  Committee, says, "It's the classic stall, delay, divert attention. People in Congress get distracted, go on to other things," a truth especially valid when there is no potential for partisan gain. Gulf War syndrome began under President Bush and continued under President Clinton. Were it not for a few resolute congressmen--Rep. Shays, former Sen. Don Riegle, who launched the Banking Committee investigation, and Sen. Rockefeller, who chaired the Veteran Affairs Committee until 1994--the Pentagon might have gotten lucky. These congressmen, veterans' groups, and a few journalists, particularly The New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 Times's Philip Shenon, have kept DOD's feet to the fire.

In the quest to reconstruct what happened in the Gulf, however, we shouldn't lose sight of something equally important: what happens the next time around. The Presidential Advisory Committee soon will deliver its final report on the military's actions and disband dis·band  
v. dis·band·ed, dis·band·ing, dis·bands

v.tr.
To dissolve the organization of (a corporation, for example).

v.intr.
1.
, but as of now, no mechanism exists to ensure the committee's recommendations for the future are taken.

Future wars will again pose the risk of weapons of mass destruction Weapons that are capable of a high order of destruction and/or of being used in such a manner as to destroy large numbers of people. Weapons of mass destruction can be high explosives or nuclear, biological, chemical, and radiological weapons, but exclude the means of transporting or . If the dangers soldiers face in the future have less to do with traditional weaponry than invisible, long-term exposures, how will traditional medicine and science assess the health effects? And we can be sure there will be health effects, because troops today are little better prepared in terms of detection capability, protective equipment, or medical antidotes. The GAO recently assessed the U.S. military's preparedness for chemical and biological warfare and concluded, "Units designated for early deployment today continue to face many of the same problems experienced ... during the Gulf War....[E]quipment, training, and medical shortcomings A shortcoming is a character flaw.

Shortcomings may also be:
  • Shortcomings (SATC episode), an episode of the television series Sex and the City
 persist and are likely to result in needless casualties and a degradation of U.S. war-fighting capability."

In light of the Pentagon's refusal to face--let alone learn from--the past, there is a growing disconnect between the soldiers who will endure the casualties that the GAO warns of, and their leaders, who sometimes seem to hold their reputations and careers more dear than their troops. Military leaders weren't malicious, but they were careless. Given that, how can those who have volunteered for battle trust those who send them there? "Their record has been unconscionable Unusually harsh and shocking to the conscience; that which is so grossly unfair that a court will proscribe it.

When a court uses the word unconscionable to describe conduct, it means that the conduct does not conform to the dictates of conscience.
," says Paul Sullivan. "I'm a soldier, so I don't say that with a whole lot of pride in my voice." Military leaders won the war in the Gulf, now they have to fight for the hearts of the soldiers who helped them do it.

RELATED ARTICLE: Unauthorized Breakthrough

ONE OF THE MORE PROMISING AVENUES OF research into the causes of Gulf War syndrome was stumbled upon accidentally by an enterprising scientist--and almost snuffed out by equally enterprising bureaucrats.

In 1993, Dr. James Moss was researching how to overcome cockroach cockroach or roach, name applied to approximately 3,500 species of flat-bodied, oval insects forming the order Blattodea. Cockroaches have long antennae, long legs adapted to running, and a flat extension of the upper body wall that conceals the  immunity to various insecticides at a Department of Agriculture lab in Gainesville, Fla. By chance, he realized that combining small, usually harmless doses of the pesticide Deet with similarly small doses of the insecticide permethrin permethrin /per·meth·rin/ (per-meth´rin) a topical insecticide used in the treatment of infestations by Pediculus humanus capitis, Sarcoptes scabiei, or any of various ticks; also applied to objects such as furniture and bedding.  could do much more damage to cockroaches cockroaches

insects which may carry Salmonella spp. in their gut and play a part in the spread of the disease.
 than such small quantities of either substance could do alone.

Moss was intrigued. He had followed the mystery surrounding Gulf War illnesses and knew the troops had doused themselves, their clothing, and their tents with insecticides, including permethrin and Deet; he learned that some had also taken pyridostigmine bromide (PB), a prophylactic antidote to nerve gas. When he tried small-dose combinations of the insecticides and PB, the consequences were even worse for the cockroaches.

Eureka! thought Moss. Perhaps a heretofore unexplored synergy between small amounts of multiple toxins had something to do with the problems reported by Gulf War veterans. He called both the manufacturer of Deet, S.C. Johnson Wax, and officials of the Agricultural Research Service (ARS), the USDA USDA,
n.pr See United States Department of Agriculture.
 branch employing him, to alert them to his findings.

They did not share his excitement--and they let his lab know it. Moss was soon called into the office of his lab director, Dr. Gary Mount, and told not to talk to anyone about his research. "I explained to Dr. Moss," Mount said later, "that because Deet was marketed worldwide as an insect repellent insect repellent, substance applied to the skin in order to provide protection against biting insects, primarily mosquitoes, ticks, chiggers, fleas, and certain flies. , studies on its potential toxicity would obviously be of a sensitive nature." Mount advised Moss to end his Deet studies and "concentrate on his assigned project." Another researcher present at the meeting said Mount had asked Moss "whether Jim was aware of the damage that unsubstantiated charges could have on S.C. Johnson Wax and the Department of Defense."

In Mount's defense, he was simply following orders: ARS's national programs director had called from Washington and ordered Mount to tell Moss to stop talking. "I assumed [the director] was concerned and upset because Deet is registered with EPA EPA eicosapentaenoic acid.

EPA
abbr.
eicosapentaenoic acid


EPA,
n.pr See acid, eicosapentaenoic.

EPA,
n.
 for use on human skin as an insect repellent," Mount explained. "Thus, any indication that it was being tested as a toxicant toxicant /tox·i·cant/ (tok´si-kant)
1. poisonous.

2. poison.


tox·i·cant
n.
1. A poison or poisonous agent.

2. An intoxicant.

adj.
 or synergist synergist /syn·er·gist/ (-er-jist) a muscle or agent which acts with another.

syn·er·gist
n.
A synergistic organ, drug, or agent.
 for a toxicant would be considered sensitive by interested industry and government representatives" And then there was the lab's own interest: Deet had originally been synthesized by the USDA, and the Gainesville lab had field-tested it; over the years, the Years, The

the seven decades of Eleanor Pargiter’s life. [Br. Lit.: Benét, 1109]

See : Time
 insect repellent had become a lab staple. It's not hard to see why the ARS was as fearful as any corporation about having its product's reputation damaged.

So the damage control began. This being a bureaucracy, the most effective way to control Moss was to focus not on the fact that he may have broken scientific ground, but on the fact that he had broken the rules: He had strayed from his original assignment. He had not been hired to do Deet research, and it didn't matter whether he had discovered the cause of Gulf War syndrome or the cure for male pattern baldness male pattern baldness
n.
A progressive, diffuse loss of scalp hair in men that begins in the twenties or early thirties, depends on the presence of the androgenic hormone testosterone, and is caused by a combination of genetic and hormonal factors.
: He was out of bounds.

There is some dispute over whether Moss truly was outside the parameters of his assignment. But regardless, you would think that after chastising him for unauthorized research, his superiors would have acknowledged the potential significance of his discoveries and let him run with the ball. After all, some of history's greatest scientific breakthroughs--Alexander Fleming's discovery of penicillin Alexander Fleming was the first to suggest that the Penicillium mould must have an antibacterial substance, and the first to isolate the active substance which he named penicillin, but he was not the first to use its properties. , Wilhelm Roentgen's of the Xray, for example--were accidental.

Fortunately for us, Fleming and Roentgen roentgen /roent·gen/ (rent´gen) the international unit of x- or ?-radiation; it is the quantity of x- or ?-radiation such that the associated corpuscular emission per 0.  weren't working for the USDA. Its campaign to stop Moss's research accelerated, with implicit threats about his professional future and refusals to grant him research space at the lab after his contract expired. A frustrated Moss appealed to the agency's inspector general, who is supposed to provide a check on bureaucratitis. "Supposed to" is the operative phrase here: The IG decided Moss's superiors were right to call a halt to his Deet research because "it was not part of his research assignment and had not been approved through proper channels." Telling him not to discuss his research was equally acceptable, not for the sensible reason that his results had not yet been peer-reviewed, but because his Deet work was "not part of his assigned research project."

The statements collected by the IG on Moss's case evoke a stifling organizational culture This article or section is written like an .
Please help [ rewrite this article] from a neutral point of view.
Mark blatant advertising for , using .
 of parochial minds and petty jealousies. The actions of Moss's colleagues are proof that adolescent meanness can resurface re·sur·face  
v. re·sur·faced, re·sur·fac·ing, re·sur·fac·es

v.tr.
To cover with a new surface: resurfacing a road; resurfaced the floor.

v.intr.
 among adults when pride, power, or purse strings purse strings or purse·strings
pl.n.
Financial support or resources, or control over them: the politicians who control federal purse strings; tightened the corporate purse strings.
 are at stake: When Moss would not go gently back to his assigned research project, his nemeses resorted to old-fashioned ostracism ostracism (ŏs`trəsĭz'əm), ancient Athenian method of banishing a public figure. It was introduced after the fall of the family of Pisistratus.  and a smear campaign smear campaign ncampaña de calumnias

smear campaign ncampagne f de dénigrement

smear campaign smear n
.

Dr. Mount confessed that he had summoned Dr. Jack Seawright, a colleague with whom Moss was friendly, and advised him that "he should be cautious about interacting with Dr. Moss and that he should not offer him guidance. I justified my advice by explaining that Dr.Moss had done research that could be considered unauthorized. I also added that he was a disgruntled dis·grun·tle  
tr.v. dis·grun·tled, dis·grun·tling, dis·grun·tles
To make discontented.



[dis- + gruntle, to grumble (from Middle English gruntelen; see
 employee." Mount had yarned Seawright he "was giving the appearance to others that he was encouraging and supporting Dr. Moss."

In his own statement, Seawright said, "I have heard repeatedly Dr. Moss referred to as a 'loser' by all of his supervisors, several colleagues in his Research Unit, and also by their acquaintances here in Gainesville." The nastiness upset Seawright, and, as becomes a scientist, so did the logic: "If he was a `loser,"' Seawright asked, "why was his appointment extended twice, and why did he receive satisfactory ratings during his first three years on the job? With those facts in mind, who did an incompetent job, Dr. Moss or his supervisors?"

In fact, until Moss began straying into Deet research, his supervisors had never questioned his competence. But as he insisted on pursuing his findings, everything from his research to his sloppy work habits was subject to denigration den·i·grate  
tr.v. den·i·grat·ed, den·i·grat·ing, den·i·grates
1. To attack the character or reputation of; speak ill of; defame.

2.
. Determined to press on, Moss submitted research proposals to the Army and approached the Armed Forces Pest Management Board about his findings. That gave ARS more ammunition to accuse Moss of improperly discussing his results. Moss knew that if he testified about his findings to the Senate Veterans Affairs Committee, he would be ruining any hope of a future with ARS. In May of 1994, he testified anyway.

Like many gadflies and whiistleblowers, Moss is no angel: He is a "proud man," in Seawright's words, "arrogant and disagreeable to work with," in those of another colleague. He made no secret of his disdain for his supervisors' lesser abilities. As Seawright put it, "Combining a proud personality with a talented intellect and a lack of respect for your boss rneans trouble most of the time." But whether Moss is diffiult is beside the point--or should have been. His discovery had the potential to solve a medical mystery, make targeted treatment possible, and help the military safeguard troops in the future. And Moss knew it. "He sincerely believes his research . .. should be a top priority of utmost importance to the safety of American soldiers," wrote Seawright, who called his erstwhile friend a "stubborn, impatient patriot."

Instead, Moss was forced to end his research and leave the lab. His reputation was so tarnished that he has not found permanent research work since; he has spent the past few years substitute teaching. Sen. Jay Rockefeller, who has championed Moss's case, wrote to Agriculture Secretary Dan Glickman Daniel Robert "Dan" Glickman (born November 24, 1944) is an American politician. He served as the United States Secretary of Agriculture from 1995 until 2001, prior to which he represented the Fourth Congressional District of Kansas as a Democrat in Congress for 18 years.  (who, not surprisingly, has defended the USDA's actions): "What is especially troubling me about this situation is the fact that some promising research--however arrived at--got stifled, and that a talented and dedicated young researcher is now essentially unemployed and unable to get work in his field." The real twist of the knife, Rockefeller noted, is that "the Department of Defense and peer-reviewed research have now confirmed Dr. Moss's early reports."
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Title Annotation:includes related article on research on pesticide interactions; Gulf War syndrome
Author:Waldman, Amy
Publication:Washington Monthly
Date:Dec 1, 1996
Words:6332
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