oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Respiratory Health after Military Service in Southwest Asia and Afghanistan An Official American Thoracic Society Workshop Report
VA Boston Healthcare System, Boston Massachusetts, USA; Brigham and Women’s Hospital, Boston Massachusetts, USA; Harvard Medical School, Boston Massachusetts, USA.
U.S. Army Public Health Center, Aberdeen Proving Ground Maryland, USA.
U.S. Army Public Health Center, Aberdeen Proving Ground Maryland, USA.
Office of the Assistant Secretary of Defense for Health Affairs, Health Services Policy and Oversight, Washington District of Columbia, USA.
Show others and affiliations
2019 (English)In: Proceedings of the American Thoracic Society online, ISSN 1546-3222, E-ISSN 1943-5665, Vol. 16, no 8, p. E1-E16Article in journal (Refereed) Published
Abstract [en]

Since 2001, more than 2.7 million U.S. military personnel have been deployed in support of operations in Southwest Asia and Afghanistan. Land-based personnel experienced elevated exposures to particulate matter and other inhalational exposures from multiple sources, including desert dust, burn pit combustion, and other industrial, mobile, or military sources. A workshop conducted at the 2018 American Thoracic Society International Conference had the goals of: 1) identifying key studies assessing postdeployment respiratory health, 2) describing emerging research, and 3) highlighting knowledge gaps. The workshop reviewed epidemiologic studies that demonstrated more frequent encounters for respiratory symptoms postdeployment compared with nondeployers and for airway disease, predominantly asthma, as well as case series describing postdeployment dyspnea, asthma, and a range of other respiratory tract findings. On the basis of particulate matter effects in other populations, it also is possible that deployers experienced reductions in pulmonary function as a result of such exposure. The workshop also gave particular attention to constrictive bronchiolitis, which has been reported in lung biopsies of selected deployers. Workshop participants had heterogeneous views regarding the definition and frequency of constrictive bronchiolitis and other small airway pathologic findings in deployed populations. The workshop concluded that the relationship of airway disease, including constrictive bronchiolitis, to exposures experienced during deployment remains to be better defined. Future clinical and epidemiologic research efforts should address better characterization of deployment exposures; carry out longitudinal assessment of potentially related adverse health conditions, including lung function and other physiologic changes; and use rigorous histologic, exposure, and clinical characterization of patients with respiratory tract abnormalities.

Place, publisher, year, edition, pages
American Thoracic Society , 2019. Vol. 16, no 8, p. E1-E16
Keywords [en]
deployment, particulate matter, constrictive bronchiolitis
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:oru:diva-75784DOI: 10.1513/AnnalsATS.201904-344WSISI: 000478856300001PubMedID: 31368802OAI: oai:DiVA.org:oru-75784DiVA, id: diva2:1343406
Available from: 2019-08-16 Created: 2019-08-16 Last updated: 2019-08-16Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

Saers, Johannes

Search in DiVA

By author/editor
Downey, Gregory P.Saers, Johannes
By organisation
School of Medical Sciences
In the same journal
Proceedings of the American Thoracic Society online
Respiratory Medicine and Allergy

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 8 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf