Iraq
Pentagon points a finger
Anti-nerve-gas pills may be a culprit, but in general, Gulf War Syndrome is still a mystery.
When the Pentagon released a study this week saying anti-
might be a cause of Gulf War illness, it held out a glimmer of hope to
veterans suffering from the mysterious combination of memory loss,
insomnia, aching joints and disequilibrium that together have been called
Gulf War syndrome. Could these pills be the smoking gun?
Not exactly — not yet, anyway.
Bernard Rostker, the Pentagon’s top Gulf War illness specialist, limited
himself to stating that in contrast to previous studies of oil well fires
and depleted uranium, the Rand Corp. study released on Tuesday found that pyridostigmine bromide, handed out in tablet form to about 250,000 warriors, couldn’t be ruled out as a cause of the disease.
“For the first time they did not reach a conclusion that the issue under
study was not likely a cause of Gulf War illness,” Rostker said. “They
reached the conclusion they just don’t know.”
Since 1994, the Pentagon has spent $133 million researching a Gulf War
illness. (The existence of a “Gulf War syndrome” — a politically loaded term — is still not widely accepted.) Hundreds of millions more are budgeted.
But it is the Pentagon’s own haze of secrecy that created the single
largest obstacle to this scientific inquiry. The military didn’t want Iraq to know which troops were getting inoculated or medicated with different agents to counter biological and chemical attacks.
Iraq, as it happened, never attacked with biochemical agents of any kind,
but the Pentagon managed to lose most of the records that would have helped epidemiologists figure out who got jabbed or fed with potentially harmful substances.
Troops got their boosted anthrax-
transport plane flying over from Germany. Records weren’t kept. Blister
packs of pyridostigmine bromide, known as PB, were handed out, and some
officers ordered their people to take 3 a day for a while. Some troops did, some
didn’t. Some continuing taking the pills longer than others. Records
weren’t kept.
The U.S. and British militaries had decided to issue PB, a
semi-experimental drug with limited civilian uses, out of fear that the Iraqis
had an extremely deadly nerve gas called soman. PB is the only substance
known to counteract soman, if used in advance.
The Iraqis, it turned out, didn’t have any soman. They did, however, have sarin gas. And evidence has since surfaced that PB can actually enhance the nerve-damaging qualities of
sarin, which may have been released into the atmosphere by demolition of Iraqi stockpiles.
Soman works by blocking an enzyme that limits the circulation of the
neurotransmitter acetylcholine. Floating unhindered among the synapses,
acetylcholine causes brain damage. PB blocks the same enzyme — but it’s
supposed to block it temporarily so that the soman can’t take the enzyme
out of circulation. Beatrice Golomb, the scientist who authored the PB
study, says research needs to be done into whether PB’s effects are always
temporary.
In 1997 the Pentagon let on that a toxic, sarin-containing plume belching
forth from the remains of a bombed Iraqi stockpile at Khamisiyah may have
drifted into the lungs of as many as 100,000 U.S. troops. Some evidence
suggests that PB, combined with organophosphates — substances contained in sarin, or pesticides, or certain insect repellants — can damage the brain stem.
Voilà, says Robert W. Haley of University of Texas Southwestern Medical Center at Dallas, who believes he has found the Gulf War syndrome. Haley, a respected scientist whose studies have been published in JAMA and elsewhere, says his research on 249 members of the 24th Naval Mobile Construction Battalion shows that the troops exposed to PB in combination with one of the organophosphates were more likely than controls to suffer brain stem damage. Troops who had a defect in the gene that makes the enzyme that metabolizes sarin were also more likely to be brain-damaged. It adds up to a clinical syndrome, Haley says: Gulf War syndrome.
Elsewhere in the research community, though, Gulf War syndrome isn’t an
accepted term. Although numerous veterans — perhaps 120,000 of the 700,000 who went to the Gulf, and thousands more who weren’t even deployed — complain of similar symptoms, scientists have failed to confirm Haley’s findings of a syndrome clearly linked to a risk factor. The Veterans Administration’s main treatment for these vets is cognitive behavioral therapy.
Haley says the V.A. and the Pentagon dragged their feet on funding research that
would duplicate his because they are wedded to the idea that the sick vets
are just stressed out.
Other scientists are skeptical of Haley’s findings, though. “It’s very unlikely there’ll be a single cause,” says Simon Wessely, a British researcher whose work has shown limited, weak associations between PB — and between large-scale inoculations — and a feeling of unwellness among veterans. “A lot of our data suggests it’s an interaction of causes, insults and stresses. The American smoking-gun thing — I would be surprised.”
Because of the lax record-keeping, the only way to correlate risk factors
like PB or pesticide exposure or anthrax vaccination is by asking the
troops. But troops can’t be expected to remember what they got, says
Wessely, and the sick veterans are more likely to remember getting
something than the well ones — a phenomenon known as recall bias.
“Recall bias is a crock,” responds Haley, whose research was funded
entirely by H. Ross Perot until last year, when Defense Secretary William
Cohen intervened in the peer review process to secure $3 million for the University of Texas team. “Wessely doesn’t know what he’s doing. He’s wasted a huge amount of
money because he didn’t understand the disease.”
Meanwhile, computer models now indicate that the toxic plume from
Khamasiyah probably wafted into the breathing room of fewer than a thousand GIs — not the 100,000 the Pentagon originally reported. And the truth, if there is one, of Gulf War illness, or syndrome, is still lost in the fog of war.
Arthur Allen writes on health, science and other issues for Salon. He lives in Washington. More Arthur Allen.
Our real Iraq losses
We left their nation in turmoil and our own country entangled in an endless "national security" nightmare
A man, left, inspects his destroyed vehicle at the scene of a car bomb attack in Ramadi, 70 miles (115 kilometers) west of Baghdad, Iraq, Tuesday, March 20, 2012. Officials say attacks across Iraq have killed and wounded scores of people in a spate of violence that was dreaded in the days before Baghdad hosts the Arab world's top leaders. (AP Photo) (Credit: AP) People ask the question in various ways, sometimes hesitantly, often via a long digression, but my answer is always the same: no regrets.
In some 24 years of government service, I experienced my share of dissonance when it came to what was said in public and what the government did behind the public’s back. In most cases, the gap was filled with scared little men and women, and what was left unsaid just hid the mistakes and flaws of those anonymous functionaries.
What I saw while serving the State Department at a forward operating base in Iraq was, however, different. There, the space between what we were doing (the eye-watering waste and mismanagement), and what we were saying (the endless claims of success and progress), was filled with numb soldiers and devastated Iraqis, not scaredy-cat bureaucrats.
Continue Reading ClosePeter Van Buren spent a year in Iraq as a State Department Foreign Service Officer serving as Team Leader for two Provincial Reconstruction Teams (PRTs). Now in Washington, he writes about Iraq and the Middle East at his blog, We Meant Well. His book, We Meant Well: How I Helped Lose the Battle for the Hearts and Minds of the Iraqi People (The American Empire Project, Metropolitan Books), will be published this September. More Peter Van Buren.
Shaima Alawadi’s murder: Hate crime or honor killing?
The murder of an Iraqi immigrant in California has stirred rumors of both a hate crime and an honor killing
Fatima Alhimidi weeps over her mother Shaima Alawadi's coffin as it arrives in Najaf, Iraq. (Credit: AP/Alaa al-Marjani) EL CAJON, Calif. – On March 21, an unknown assailant shattered Shaima Alawadi’s skull with a tire-iron-like weapon in the living room of her home. An Iraqi immigrant and mother of five, Alawadi was found by her 17-year-old daughter, Fatima, who said she was “drowned in her own blood.” Alawadi was rushed to the hospital, still alive, but she was soon taken off life support and died March 24. It was, by all accounts, a heinous crime. But was it a hate crime?
After her mother’s death, Fatima said she found “a letter next to her head saying, ‘Go back to your country, you terrorist.’” The accusation sparked outrage and brought national media attention to the murder. And yet, within days, publicity-craving Islamophobes Pamela Geller and Robert Spencer were pushing an alternative motive: that Alawadi’s death was, in fact, an “honor killing.” Geller crowed, “I surmised that the murder of Shaima Alawadi appeared to be Islamic, rooted in Islamic teachings and culture …”
Continue Reading CloseArun Gupta, a New York writer and co-founder of Occupy the Wall Street Journal, covers the Occupy movement for Salon. More Arun Gupta.
In Iraq and on “The Wire,” it’s all acting for Benjamin Busch
In a lyrical memoir, a novelist's son discusses his strange path into war -- and David Simon's TV masterpiece
Benjamin Busch Benjamin Busch’s “Dust to Dust” is a remarkable book — part military memoir, part childhood reminiscence, and also an effort to explain his relationship with his father, the celebrated novelist Frederick Busch.
And yet it is also more than all of those things. Busch is filled with complicated and fascinating contradictions. Yes, he’s the son of a famously introspective and domestic writer, who grew up in rural New York obsessed with toy guns and building massive military forts. But he studied visual arts at Vassar, where he confused everyone by joining the Marine reserves — especially his commanders, when he accidentally announced himself in a roll call as part of the “Vassar infantry.”
Continue Reading CloseDavid Daley is the senior culture editor of Salon. More David Daley.
Iraq war booster urges Syria intervention
Kanan Mikaya insists we must save a besieged people, but that's what he said about Iraq in 2003. Should we listen?
Kanan Makiya (Credit: AP/Manish Swarup) Outside of the fraudulent Ahmed Chalabi, Kanan Makiya was the Iraqi exile most influential in driving America to war with Iraq in 2003. His 1989 book “Republic of Fear” was arguably the greatest effort to chronicle and categorize the horror of Saddam Hussein’s Iraq. His 1993 work “Cruelty and Silence” was a devastating broadside aimed at the Arab intelligentsia’s refusal to admit the horrors of Saddam. Makiya’s unique credibility and eloquence (he is now a professor at Brandeis University) made him a singularly powerful voice among those who believed it was a moral imperative to overthrow Saddam and democratize Iraq. He met with President George W. Bush and spoke at the right-wing American Enterprise Institute to make his case, promising that American troops would be greeted as liberators. Peter Beinart, in his final column as editor of the New Republic, wrote in regret that he supported the war primarily “because Kanan Makiya did.”
Continue Reading CloseJordan Michael Smith writes about U.S. foreign policy for Salon. He has written for the New York Times, Boston Globe and Washington Post. More Jordan Michael Smith.
Iraq vets on the road to recovery
Sometimes the best treatment for war wounds is a long bike ride
On the road to recovery Last September, I was in the saddle of my bicycle somewhere in the middle of Pennsylvania. Dark green farms materialized from the mist as one hill rolled into another. Somewhere out here, United Airlines Flight 93 crashed.
In about a day, I would be at the exact place where the plane went down, by the sides of dozens of troops who were injured in the wars in Afghanistan and Iraq. I was chronicling a solemn moment on the 10thanniversary of the 9/11 attacks for “Recovering,” the documentary film I’m directing about troops who have turned to an unlikely recreation, bicycling, to heal from wounds such as post-traumatic stress disorder and lost limbs.
Continue Reading CloseMichael de Yoanna is a journalist and documentary filmmaker who won an Edward R. Murrow award for investigative radio journalism in 2011. You can view his past work at Salon here, visit his personal website here, and follow him on Twitter @mdy1. More Michael de Yoanna.
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