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Risk Factors, Realities, and Future Research

Joyce C. Lashof, MD; Joseph S. Cassells, MD, MPH

JAMA. 1998;280:1010-1011.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Although it is now 7 years since the Gulf War ended, research concerning the nature and extent of illnesses reported by returning veterans has yet to define clearly a specific disease entity or etiologic agent to explain these illnesses. Approximately 697000 men and women served in operations Desert Shield and Desert Storm from August 1990 to June 1991. During the war, US troops sustained 148 combat deaths and 145 deaths due to disease or unintentional injuries; 467 individuals were wounded.¹ But shortly after returning from the Persian Gulf, some men and women began to experience debilitating illnesses. The most commonly reported symptoms included fatigue, muscle and joint pain, memory loss, and headaches. In 1992, as the number of veterans reporting these symptoms increased and no obvious explanation for their symptoms had been found, the Department of Veterans Affairs established a registry . . . [Full Text of this Article]

From the School of Public Health, University of California, Berkeley (Dr Lashof); and the Institute of Medicine, Washington, DC (Dr Cassells). Dr Lashof is a professor emerita and former chairperson of the Presidential Advisory Committee on Gulf War Veterans' Illnesses.

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