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Agent Orange Compensation

OPERATION "RANCH HAND"
HERBICIDES IN SOUTHEAST ASIA 1961-1971


It's my understanding that crew members may be eligible for Agent Orange compensation...
IF they can prove they spent at least one hour in specified installations in Vietnam or
Thailand during a tour in Southeast Asia.


What diseases are now compensated for by the Department of Veterans Affairs (DVA)?

For complete information regarding compensation please see the compensation link on this website, go to the DVA website, or call the DVA at 1-800-827-1000. The DVA compensation policy takes into account reports from the National Academy of Science (NAS) and other medical and scientific information, including results from this study. An association between disease in humans and exposure to a herbicide is considered positive if the evidence is equal to or outweighs the evidence against the association.

The following is a list of diseases that are now compensable, and the NAS category of evidence.

The following diseases are those officially recognized by VA as related to herbicide exposure. To win benefits, VA law and regulations also require that some of these conditions appear (or "become manifest") within a deadline that began to run the day you left Vietnam. If there is a deadline, it is listed in brackets after the name of the disease. If your condition is not listed below, ask your doctor whether what you have is similar to any of these. There may be room to argue that your condition is the same as one of these.

Prostate cancer, Peripheral neuropathy (acute and sub-acute), Diabetes Type II, Spina Bifida in children of Vietnam Veterans, Chloracne [one year], Non-Hodgkin's Lymphoma, including any diagnosis of a lymphoma [except Hodgkin's lymphoma], mycosis fungoides, and old terms such as lymphosarcoma, reticulum cell sarcoma and Kaposi's sarcoma Porphyria cutanea tarda [one year].

Respiratory cancers, including cancer of the lung bronchus larynx trachea, Multiple myeloma, Hodgkin's disease, Soft Tissue Sarcomas, including: Adult fibrosarcoma Dermatofibrosarcoma protuberans Malignant fibrous histiocytoma Liposarcoma Leiomyosarcoma Epithelioid leiomyosarcoma (malignant leiomyoblastoma) Rhabdomyosarcoma Ectomesenchymoma Angiosarcoma (hemangiosarcoma and lymphangiosarcoma) Proliferating (systemic) angioendo- theliomatosis Malignant glomus tumor Malignant hemangiopericytoma Synovial sarcoma (malignant synovioma) Malignant giant cell tumor of tendon sheath Malignant schwannoma, including malignant schwannoma with rhabdomyoblastic differentiation (malignant Triton tumor), glandular and epithelioid malignant schwannomas Malignant mesenchymoma Malignant granular cell tumor Alveolar soft part sarcoma Epithelioid sarcoma Clear cell sarcoma of tendons and aponeuroses Extraskeletal Ewing's sarcoma Congenital and infantile fibrosarcoma Malignant ganglioneuroma

Under the VA rule, soft tissue sarcoma does not include: osteosarcoma, chondrosarcoma, Kaposi's sarcoma, or mesothelioma.

WARNING: This list may change. For more information, please refer to the VA web site on Agent Orange http://www.vba.va.gov/bln/21/benefits/Herbicide/AOno3.htm

*VA officials cautioned it will take several months to write the rules before Vietnam veterans with diabetes can begin applying for disability compensation. You can, however, enroll online in VA’s health care system immediately and begin receiving the care you need. VHA provides an online Form 10-10EZ : Application for Health Benefits.


I have tried to add relevant references and documentation on Agent Orange. This is an ardous task, however, and we hope you will bear with us as we proceed. The amount of data on this subject is enormous, and I cannot possibly include all relevant materials. I will try to link to appropriate sources.


Release No. 02-11-04 - Feb. 13, 2004

AF study reveals apparent cancer, Agent Orange Exposure Association.

WASHINGTON, D.C. - A new analysis of cancer incidence among Air Force veterans of the Vietnam War found increased risks of prostate cancer and melanoma in those who sprayed Agent Orange and other herbicides, according to an article that will be published in the February edition of the Journal of Occupational and Environmental Medicine.

The article, written by members of the Air Force Health Study on Operation Ranch Hand, indicates that a statistical adjustment for years served in Southeast Asia (SEA) reveals increased risks of prostate cancer, melanoma and cancer at any anatomical site among those with the highest dioxin exposure. Previous results of the Study's research had found no consistent evidence that Agent Orange is related to cancer.

The National Academy of Sciences will review this study along with many other studies on herbicide and dioxin exposure to make a report to the Secretary of Veterans Affairs to assist him in decisions related to compensation.

The study included veterans of Operation Ranch Hand, the unit responsible for the aerial spraying of Agent Orange and other herbicides in Vietnam, and comparison Air Force veterans who served in SEA during the war but did not spray herbicides. Since the first health examination in 1982, the Air Force has tried to determine whether long-term health effects exist in the Ranch Hand flyers and ground crew, and if they can be attributed to the herbicides used in Vietnam.

The study included two parts: external contrasts with the national population and internal contrasts with adjustments for years served in the SEA region. In both parts, researchers defined cancer as specified by the Surveillance Epidemiology and End Results (SEER) section of the National Cancer Institute.

Contrasts with the national population revealed increased risks of melanoma in Ranch Hand veterans and an increased risk of prostate cancer in Ranch Hand and comparison veterans. The significantly increased standardized incidence ratios ranged from 1.46 to 2.33. The elevated risks could be partly due to increased case finding as a result of extensive screening at the periodic Air Force Health Study physical examinations.

The study also found a significant decrease in cancer of the digestive system in the Ranch Hand group and a significant decrease in cancer of the urinary and lymphopoietic systems in the comparison group. No significant increase in the risk of death from cancer was found in either the Ranch Hand or the comparison group when compared to national rates.

The second part of the study contrasted Ranch Hands in high, low and background dioxin exposure categories with Comparisons. Years in SEA confounded the analysis. Following standard statistical procedures, investigators stratified by this confounding variable. Among those who served no more than two years in SEA, Ranch Hand veterans with the highest dioxin levels were found to exhibit an increased risk of cancer at any anatomical site, prostate and melanoma.

The relative risk for "any site cancer" in the high dioxin category was 2.02 with a 95 percent confidence interval of 1.03 to 3.95. Increases in the risk of prostate cancer and melanoma were higher but based on small numbers, and the confidence intervals were wide. Of 65 "any site cancers" in the Ranch Hand group, 21 were of the prostate and 11 were melanoma.

Study methods were derived from discussions with the Ranch Hand Advisory Committee, a non-governmental panel of scientists appointed by the Food and Drug Administration to oversee the study.

Dioxin exposures of members of the Ranch Hand unit were probably greater than those experienced by the average Vietnam veteran.

The study is limited by its sample size, preventing detailed analysis of rare cancers, and by uncertainties regarding dioxin exposure. The dioxin determinations were accurate but were measured 15-30 years after service in the Ranch Hand unit. The study interpretations are limited because other environmental exposures were not measured. Study strengths include record verification of all cancer cases and rigorous quality control. Extrapolation to other Vietnam veterans is not possible with these data. Associations found in this study do not imply causation.

Publication of the Ranch Hand data and findings in the peer-reviewed journal will allow further discussion of the conclusions and implications by the scientific community at large.

For more information, contact the Air Force Surgeon General's Office at (202) 767-4797 or access the Ranch Hand Study web site at: http://www.brooks.af.mil/AFRL/HED/hedb/afhs/afhs.shtml
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Go to http://www.afpc.randolph.af.mil/afretire/AF_Retiree_News.htm for the procedures to change your e-mail address and to view articles previously disseminated via the Air Force Retiree News Service (AFRNS). Other information of interest to the Air Force Retiree Community is also available at that site. To contact the editor of AFRNS and the Afterburner, News for Retired USAF Personnel, send a message to Billy. Turner@randolph.af.mil.


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