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VA covered up adverse consequences to toxic exposures

Now if the US. Veterans Administration is going to do this don't you think that other government agencies like the DEA and FDA are also going to do it???

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Researcher alleges VA covered up adverse consequences to toxic exposures

Posted by Steve Vogel on March 13, 2013 at 3:04 pm

A senior epidemiologist for the Department of Veterans Affairs who resigned in December told a congressional committee Wednesday that the agency has covered up data showing adverse consequences for veterans who were exposed to toxic materials from burn pits and other environmental hazards in Iraq, Afghanistan and the first Gulf War.

Steven S. Coughlin testified that he resigned from the VA’s Office of Public Health in December “because of serious ethical concerns” about the agency’s conduct, which he said included not releasing study results that point to a connection between environmental exposures and illnesses.

“On the rare occasions when embarrassing study results are released, data are manipulated to make them unintelligible,” Coughlin said in his testimony to the House Committee on Veterans Affairs’ oversight and Investigations subcommittee.

Coughlin said during his work studying the relationship between exposure to burn pits and asthma and bronchitis among Iraq and Afghanistan veterans, his supervisor told him not to look at data regarding hospitalizations and doctors’ visits.

“When I advised him I did not want to continue as a co-investigator under these circumstances, he threatened me,” Coughlin said.

Secretary of Veterans Affairs Eric Shinseki has directed the Office of Research Oversight to review the allegations, according to the VA.

“Research on the health of Gulf War Veterans has been and continues to be a priority for VA,” the agency said in a statement. “The Department depends on this research to inform our decisions and guide our efforts in caring for Gulf War Veterans. All allegations of malfeasance are taken seriously and are investigated fully.”

During the hearing, several speakers said the VA has been slow to clearly acknowledge research that has validated Gulf War illnesses as a serious medical condition.

“There are many examples large and small of the VA minimizing Gulf War illness,” said Lea Steele, a professor of biomedical studies and director of the Veterans Health Research Program at Baylor University.

Victoria Davey, chief officer for the VA’s Office of Public Health and Environmental Hazards, told the subcommittee that the department takes the ailment seriously.

“We do not believe it is psychological,” she said.

VA doctor: Health data suppressed, manipulated

VA doctor: Health data suppressed, manipulated

By Patricia Kime - Staff writer

Posted : Wednesday Mar 13, 2013 21:25:01 EDT

The Veterans Affairs Department has suppressed and manipulated data that would support claims from Iraq, Afghanistan and Persian Gulf veterans that they’ve contracted illnesses from environmental pollution while serving in theatre, a high-level whistleblower told a House Veterans Affairs panel on Wednesday.

Dr. Steven Coughlin, an epidemiologist formerly with the VA’s Office of Public Health, told the House Veterans Oversight Committee that when results of research he conducted didn’t gel with unwritten department policies on the health consequences of oil-well fires, burn pits, pesticides, nerve agents and other pollutants, the information disappeared.

“This applies to data regarding adverse health consequences of environmental exposures, such as burn pits in Iraq and Afghanistan, and toxic exposures in the Gulf War. On the rare occasions when embarrassing study results are released, data are manipulated to make them unintelligible,” Coughlin said.

Coughlin worked on two large population studies for VA, including a Gulf War study and the National Health Study of a New Generation before he resigned in protest last December over the handling of his work, he said.

Coughlin’s laundry list of charges against the Office of Public Health also included the loss of data from a congressionally-mandated study on Gulf War family members and the failure of VA to reach out to 2,000 participants of the New Generation survey who, in the course of the survey, said they’d experienced suicidal thoughts in the weeks preceding the survey.

“Some of those veterans are now homeless or deceased,” he charged.

Coughlin was not alone in testifying that VA is failing to serve Gulf War veterans and their successors.

Similar to the government’s long battle against acknowledging the health consequences of Vietnam veterans’ exposure to Agent Orange, VA still “ignores the science of research” into Gulf War Illness that it is a serious medical condition with neurological and physical components, said Lea Steele, a professor of biomedicine at Baylor University.

She said VA’s survey of 30,000 Gulf War veterans included scores of questions on psychological stress, substance abuse and alternative medicine but none on basic symptoms of the illness, which include memory and processing difficulties, pain, fatigue and digestive disorders.

“This pattern of chronic symptoms has been well documented. … We also know that Gulf War Illness is not a stress-induced or psychiatric disorder,” Steele said.

About a third of the nearly 700,000 U.S. troops who deployed to Operation Desert Shield and Desert Storm in 1991 suffer from an array of symptoms of unknown origin. Once referred to as Gulf War Syndrome, it now commonly is known as Gulf War Illness, although the Institute of Medicine and Veterans Affairs call it Chronic Multisymptom Illness.

Coughlin told the panel that the VA’s obfuscation of data includes information on troops who deployed in the past decade. He said he was asked to include additional information when compiling tables to downplay the prevalence of respiratory illnesses like asthma and chronic bronchitis in those who served near open air burn pits.

“I urge you to initiate legislation to cure the epidemic of serious ethical problems in the VA’s Office of Public Health,” Coughlin told the congressional oversight committee.

VA officials did not respond directly to the explosive allegations. Victoria Davey, chief officer for public health at the Veterans Health Administration testified that the department has a 22-year history of treating Gulf War veterans and is committed to serving those with Gulf War Illness.

“Veterans with CMI, like all veterans enrolled in VA care, receive personalized, proactive patient-centered care,” she said.

She added that VA’s three War-Related Illness and Injury Study Centers provide specialized care tailored specifically to individual patients. More than 130,000 Gulf War veterans have received health exams under the department’s Gulf War registry program, Davey said.

Rep. Michael Coffman, R-Colo., subcommittee chair and retired a Marine who served in the Gulf War, promised further investigation.

“I find the conduct of the Veterans Administration embarrassing on this issue in terms of their treatment. If there were any Gulf War veterans in senior positions at VA, I don’t’ think we’d be here today,” he said.

Anthony Hardie, a Gulf War veteran who serves in an advisory capacity with the congressionally directed Gulf War Illness Research Medical Program, said new laws are needed to force VA to release findings, improve research and ensure that affected veterans receive the benefits and treatment they rate.

“Help right these ongoing wrongs, including comprehensive legislation and criminal sanctions for such behavior,” Hardie, who suffers from ongoing ailments related to service, said.

Researcher says officials covered up vets' health data

Researcher says officials covered up vets' health data

Kelly Kennedy, USA TODAY5:52p.m. EDT March 13, 2013

WASHINGTON — Department of Veterans Affairs officials purposely manipulate or hide data that would support the claims of veterans from Iraq and Afghanistan to prevent paying costly benefits, a former VA researcher told a House subcommittee Wednesday.

"If the studies produce results that do not support the office of public health's unwritten policy, they do not release them," said Steven Coughlin, a former epidemiologist in the VA's public health department.

"This applies to data regarding adverse health consequences of environmental exposures, such as burn pits in Iraq and Afghanistan, and toxic exposures in the Gulf War," Coughlin said. "On the rare occasions when embarrassing study results are released, data are manipulated to make them unintelligible."

Coughlin testified before the House Committee on Veterans Affairs that VA routinely minimizes research that would bolster the claims of veterans suffering from the series of symptoms associated with Gulf War illness, as well as health issues linked to exposure to large burn pits and dust in Iraq.

Victoria Davey, chief officer of VA's office of public health and environmental hazards, told the committee that veterans receive personalized, proactive care. She did not directly address critics' accusations, and instead talked about the VA's care for veterans and the "cutting-edge" research it has conducted.

Rep. Mike Coffman, R-Colo., and a Marine who served during 1991 war, called VA's handling of Gulf War illness "embarrassing." He asked VA why they changed Congress's charge to ask the IOM to do research on treatments, to which she said VA let the experts decide what should be looked at. He also asked why VA had spent money meant for Gulf War vets on other programs, but Davey said she was not prepared to respond to that question.

"If you had anyone on your panel who was a Gulf war vet, I don't think we'd be here today," Coffman said.

Lea Steele, a researcher at the Veterans Health Research Program at Baylor University, backed Coughlin's claims, saying, "In some sectors within VA, there appears to be backward movement."

Steele also charged that VA has used money meant for Gulf War illness to fund other programs. For example, $1 million went to a Lou Gehrig's disease post-mortem brain bank. The majority of samples are not from Gulf War vets, she said.

VA spent $120 million on Gulf War illness, but just five programs focused on treatments, and two of those were for psychiatric care.

"Studies consistently show Gulf War illness is not due to war trauma," she said. She told the committee that VA has not managed an effective program.

Coughlin's allegations echo previous cases in which the VA was slow to respond to health problems in veterans, ranging from exposure to the chemical defoliant Agent Orange in Vietnam, to Gulf War illness, to post-traumatic stress disorder (PTSD) and traumatic brain injury from the wars in Iraq and Afghanistan.

In 2010, Coughlin participated in a study of recent veterans of Iraq and Afghanistan that linked exposure to burn pits to greater incidences of asthma or bronchitis. His request to see their medical records was denied, Coughlin said, and the results of the study were never published.

"I was very concerned they were withholding data or misleading people," he told USA TODAY. "I don't want to speculate about why."

Coughlin said a 2012 panel of outside experts hired to help the Institute of Medicine study neurological connections to Gulf War illness was stacked in favor of those who believed the disease is psychological.

"There was no one to present the opposing side — that it's neurological," Coughlin said. "Science is self-correcting, but if people don't publish data that doesn't support an opposing hypothesis, then it's a huge problem."

The IOM research included veterans from the past 20 years, rather than just Gulf War veterans, and "lumped" their symptoms together, according to Steele. Bernard Rosof, head of the IOM committee, said they found no one cause to what they called "chronic multisymptom illness," and that there was no one treatment for all of those veterans.

Steele agreed that VA excluded data from the research, and that it was "akin to medical malpractice."

It's doubly important because today's veterans are coming back with the same symptoms as the Gulf War veterans did, he said.

"Anything that supports the position that Gulf War illness is a neurological condition is unlikely to ever be published," Coughlin said.

Anthony Hardie, a Gulf War veteran and appointed member of the Congressionally Directed Gulf War Illness Research Medical Program, said Coughlin's testimony confirms what veterans have been saying for years.

"There are staff within VA who are working against Gulf War veterans," Hardie said. "It puts focus on the specifics and details on the generalities that were already clear."

Hardie said he knows and respects VA Chief of Staff John Gingrich, and he feels, based on Coughlin's testimony, that Gingrich was lied to by his staff. Those people should be "punished with criminal sanctions," he said.

"I hope there's a shake-up at VA," said Hardie, who has been completely disabled by Gulf War illness. "I hope the leadership takes this seriously."

Coughlin will also testify that after a study determined that more than 2,000 Iraq and Afghanistan veterans said they had considered suicide during the previous two weeks, no VA official had reached out to them.

"Some of them are now deceased or homeless," Coughlin said. "No one reached out to them to see how they could help them."

Coughlin said he complained about the veterans' treatment to his supervisor, who did nothing. He then took the matter to the VA's inspector general, who decided not to pursue the case.

After the 1991 Gulf War, a series of research reports raised concerns that the veterans' children were more likely to be born with defects, and that veterans' spouses were also becoming ill. Congress mandated that the VA maintain a registry of Gulf War veterans' family members. The data has never been released, and Coughlin said he has "been advised that these results have been permanently lost."

He said his supervisors told VA's chief of staff that restructuring a survey for Gulf War veterans so it did not focus on psychosomatic issues would cost more than $1 million and delay the study for a year — neither of which was true.

Coughlin said he was told to retract his claims and admit that he had made a mistake.

He refused, adding that he kept a document trail of e-mails and reports to support his claims. "I thought, 'I don't want to work for these people,' so I left."

Coughlin, who was a senior cancer epidemiologist at the Centers for Disease Control and Prevention and the director of the public health ethics program at Tulane University, said continuing to work for the VA was "against my conscience."

Whistleblower: VA Hiding Veteran Health Data

Whistleblower: VA Hiding Veteran Health Data

Mar 14, 2013

Military.com

by Bryant Jordan

A former epidemiologist for the Department of Veterans’ Affairs told lawmakers on Wednesday that the agency’s Office of Public Health buries or obscures research findings on veterans exposed to environmental toxins and hazards going as far back as the Persian Gulf War.

Steven Coughlin, who had worked more than four years for the VA before quitting over “serious ethical concerns” in December, said in testimony that leadership in the agency’s public health office did not want to find or reveal evidence that Gulf War illness and other sicknesses were linked to troops’ military experience.

"On the rare occasions when embarrassing study results are released, data are manipulated to make them unintelligible,” he told the House Subcommittee on Oversight and Investigations. Coughlin said his former office never released findings of a $10 million study that produced data on 60,000 Iraq and Afghan war vets – of which up to 30 percent were Gulf War vets – that revealed exposures to pesticides, oil well fires and more.

He said the results of a congressionally mandated study on Gulf War veterans and their family members also was never released, and claims he was advised that “these results have been permanently lost.”

“Anything that supports the position that Gulf War illness is a neurological condition is unlikely to ever be published,” he said. One of Couglin’s former supervisors, Dr. Aaron Schneiderman, threatened retaliation against him after he balked at the idea of deliberately leaving out certain relevant data in a research project, Coughlin said.

Victoria Davey, chief of the VA’s public health and environmental hazards office, told lawmakers that the office follows strict guidelines in analyzing and publishing its work. However, but she never directly addressed Coughlin’s allegations.

In a statement released after the hearing on Wednesday, the VA said VA Secretary Erik Shinseki has ordered the VA’s Office of Research Oversight to review Coughlin’s claims, including the alleged threat.

Any retaliation against VA employees is against the law and is not tolerated, the statement said.

“The Department of Veterans Affairs has a decade’s long history of conducting world-class research studies that meet accepted and rigorous scientific standards,” the statement read. “All allegations of malfeasance are taken seriously and are investigated fully.

Coughlin said Schneiderman told him not to look at data regarding hospitalizations and doctors’ visits while he was working on research into the health effects of burn pits on troops in Iraq and Afghanistan. Veterans of the Iraq and Afghanistan wars have reported serious respiratory problems that they believe are connected to inhaling smoke from the massive trash burn pits found in combat zones.

Coughlin told the House panel that when he said he did not want to continue in the project under those conditions, Schneiderman threatened him.

As with Vietnam veterans before them, large numbers of Gulf War veterans became ill in the years following the 1991 war. Those Gulf War veterans were told their problems were psychological.

The VA has said it does recognize there are health issues associated with Gulf War service, and notes that Shinseki formed a task force to conduct a comprehensive review of VA programs to help improve care and services for Gulf War vets.

The VA says in 2010 it recognized nine diseases linked to experience in the Gulf War.

According to Lea Steele, an epidemiologist with the Institute of Biomedical Studies at Baylor University, the VA still has serious problems in its approach – and funding – of Gulf War research.

She told Congress on Wednesday that scientific advances over the past 10 years have provided important insights into Gulf War illness. Steele has been studying Gulf War illness since 1998.

“After so many years of waiting, there is finally some hope for Gulf War veterans,” she said. “Hope that they will have answers that are long overdue and hope that treatments will be found that can meaningfully improve their health and their lives.”

“What is not acceptable is federal research that is poorly informed, based on notions developed in the early years after the Gulf War rather than on the scientific evidence now available,” she said.

VA has reportedly spent $120 million over the past decade on Gulf War illness research, but some of that money never went to Gulf War research, Steele said.

In one instance, $10 million was earmarked for something called a “Gulf War Biorepository Trust” that had nothing to do with Gulf War veterans. It was, instead, used to fund a brain bank for veterans who had ALS, or Lou Gehrig’s disease.

As of 2010, only one of the 60 brains in the brain bank had come from a Gulf War veteran, Steele said. The others were those of older veterans.

VA Covered Up Data on Mental Health

Whistleblower: Veterans Affairs Covered Up Data on Mental Health, Gulf War Syndrome

Mar 13, 2013 1:09 PM EDT

A former Veterans Affairs researcher turned whistleblower tells Congress the department repeatedly withheld data on Gulf War syndrome and neglected suicidal vets. Jamie Reno reports.

The Department of Veterans Affairs routinely disseminated false information about the health of America’s veterans, withheld research showing a link between nerve gas and Gulf War syndrome, rushed studies out the door without taking recommended fixes by an independent board, and failed to offer crucial care to veterans who came forward as suicidal.

These are the allegations of Steven Coughlin, an epidemiologist who worked at the VA’s Office of Public Health until he resigned last year, citing “serious ethical issues.” On Wednesday Coughlin will testify at a congressional hearing on the health of Gulf War veterans.

“What I saw [at VA] was both embarrassing and astonishing. I couldn’t stay any longer,” says Coughlin, who left the VA in December, just four and a half years into the job.

Coughlin was previously associate professor of epidemiology and director of the program in public-health ethics at Tulane University and is a former chair of the writing group that prepared the ethics guidelines for the American College of Epidemiology.

In an interview with The Daily Beast, Coughlin said that whenever he spoke out about any alleged unethical activity, his bosses “intimidated and admonished” him. He says they first tried to silence him after he spoke out about a major health study of 60,000 Iraq and Afghanistan veterans. Coughlin believed that the nearly 2,000 subjects who self-identified as suicidal should have been checked up on afterward by mental-health clinicians. Instead, he says, the researchers interviewed them and moved on.

Coughlin says his supervisors also frequently “obscured the facts” about the impact of toxic exposures on troops in Iraq and Afghanistan and the causes of Gulf War illness.

“Many of those veterans are now homeless or deceased,” he says. “It’s very unfortunate. My supervisors did all they could to block my efforts.”

After getting nowhere with his superiors, Coughlin says, he contacted the chairman of the VA’s Institutional Review Board and the VA inspector-general to request that the study be put on hold until his supervisors could identify clinicians to call back suicidal veterans.

“That’s when all hell broke loose,” he says. “My supervisors tried to remove me from the study, and I received a written admonition. It was shocking. All I was trying to do was help ensure the safety of the veterans participating in our study.”

Coughlin says he was unsuccessful in getting OPH to address the problem in the study of Iraq and Afghanistan veterans, but he managed to incorporate clinician callbacks in a separate Gulf War survey, and he says those calls “saved lives.”

The VA declined to comment specifically for this story, but in a statement released Wednesday, it said the department has a "decades long history of conducting world-class research studies that meet accepted and rigorous scientific standards." The statement, which noted that "all allegations of malfeasance are taken seriously and are investigated fully," also said that the Obama Administration in 2010 recognized nine new diseases as associated with Gulf War Illness.

"VA agrees with Gulf War veterans that there are health issues associated with service in the Gulf War," the statement read. "That is why Secretary (Eric) Shinseki formed a Task Force to conduct a comprehensive review of VA's programs to help improve the care and services we provide to Gulf War Veterans. We will continue to learn and examine ways to improve treatment, process claims, and better care for these veterans.”

Coughlin says his supervisors also frequently “obscured the facts” about the impact of toxic exposures on troops in Iraq and Afghanistan and the causes of Gulf War illness, which afflicted as many as 250,000 veterans, according to the Institute of Medicine.

While the cause of Gulf War illness has been debated for years, a number of peer-reviewed scientific studies have concluded that it is a neurological condition caused by exposure to nerve gas, pesticides, and other toxic elements.

However, says Coughlin, “the people I worked for refuse to release any information to the public that reaches that conclusion. They insist on holding on to the outdated theory that Gulf War illness is psychosomatic.”

He says there is VA data on adverse health consequences of toxic exposures in the Gulf War that “the public has never seen, and I’m sure will never see.”

He says his supervisors paid the Institute of Medicine $1 million to review the latest literature on Gulf War illness, but the first five outside experts they invited to the IOM committee all reported that it was psychiatric and not neurological. “This understandably outraged Gulf War advocates,” Coughlin says. “It was so obviously biased.”

Anthony Hardie, a Gulf War veteran and advocate who will also be testifying at the congressional hearing, tells The Daily Beast that Coughlin’s story “only confirms what Gulf War veterans have believed all along: this cabal of federal bureaucrats and contractors who continue to obfuscate, manipulate, and lie remain a serious obstacle to ill Gulf War veterans’ legitimate quest for treatments and justice.”

Coughlin says the OPH’s 2009–10 National Health Study of a New Generation of U.S. Veterans, which targeted 60,000 post-9/11 veterans, cost $10 million, plus the salaries of those who worked on it. He says 20 percent to 30 percent of these veterans were also Gulf War veterans, and the study produced data regarding their exposures to pesticides, oil-well fires, and pyridostigmine-bromide pills.

OPH never released any data from the study, or even the fact that it exists, Coughlin says. The VA’s official position on pyridostigmine-bromide pills, which the Department of Defense says Gulf War veterans took as protection against nerve gas, did not cause Gulf War illness. But a 2008 study by Beatrice Golomb at the University of California, San Diego, “thoroughly, conclusively shows that this class of chemicals actually are a cause of illness in Gulf War veterans.”

Coughlin also says the OHP released a major survey on Gulf War veterans without fixing it as recommended by the Research Advisory Committee on Gulf War Veterans’ Illnesses, which was mandated by Congress in 2002. Coughlin says his supervisors told the VA that implementing the fixes would cost the government $1 million and delay the study for a year or longer.

“None of this was true. It would not have cost nearly that much to restart the study,” Coughlin says. “But as a result of the false statements made by my supervisors, the chief of staff ordered the survey to proceed without the changes.”

Coughlin says he’ll ask Congress to initiate legislation to cure the “epidemic” of ethical problems at the OPH and urge the committee to direct the VA to identify procedures to ensure that veterans who participate in large-scale epidemiologic studies receive appropriate follow-up care to prevent possible suicides.

“The VA is the nation’s largest health-care provider, and these large studies cost taxpayers tens of millions of dollars and are so important to veterans’ health,” says Coughlin, who is currently looking for another job. “My only motivation for coming forward is to help veterans. That’s the only reason I paid for my own flight to come to Washington. I think the attention from the House committee and the media will lead to positive changes. It will hopefully help veterans.”

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Jamie Reno, an award-winning correspondent for Newsweek for 17 years, has also written for The New York Times, Sports Illustrated, Rolling Stone, People, Men’s Journal, ESPN, Los Angeles Times, TV Guide, MSNBC, Newsmax, Entertainment Weekly, and USA Today. Reno, who’s won more than 85 writing awards, was the lead reporter on a Newsweek series on the 9/11 terrorist attacks that earned him and his colleagues the National Magazine Award for General Excellence, the highest award in magazine journalism. Reno, who’s also an acclaimed author, singer-songwriter, and 15-year cancer survivor, lives in San Diego with his wife, Gabriela, and their daughter, Mandy.

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