Military doctors here are examining
shrapnel taken from service members and veterans, looking for depleted
uranium and other metals.
The Joint Pathology Center ’s
Biophysical Toxicology and Depleted Uranium/Embedded Metal Fragment
Laboratories branch is analyzing the embedded fragments and providing second
opinions at military and Veterans Affairs
medical centers to treat those who had retained shrapnel.
“Our goal is to improve the care of
wounded warriors,” said Army Col. (Dr.)
Thomas Baker, interim director of the Joint Pathology Center, the umbrella
organization for the lab.
“We advise [doctors] how to follow up
and what treatment is needed” to mitigate the potential effects of uranium and
other metals, he said.
The lab analyzes all combat-associated
metal fragments taken from DOD personnel that might pose a long-term health
risk, such as depleted uranium, which can contribute to kidney damage over
time, Baker explained.
The lab also develops laboratory
capabilities in metal toxicology to support the Defense Department , The
Pathology Center and VA and Army programs that require exposure assessment to
depleted uranium, embedded fragment analysis and analysis of certain metal
alloys, officials said.
The only one of its kind in the United
States, Baker said, the lab keeps a registry of the fragments for future
re-evaluation. The register now includes 600 specimens.
The lab also has the only diagnostic
equipment in the nation that can detect where the uranium originates in the
body, noted Dr. Jose Centeno, the lab’s director.
A wide range of materials are packed in
improvised explosive devices, the doctors said.
The metal fragments and alloys the labs
analyze comprise common metals and alloys of steel, aluminum, copper and brass.
Depleted uranium is contained in some fragments, the doctors said, noting that
shrapnel specimens are tested in triplicate for accuracy.
Concerns about tainted fragments began
in 1993 following the Gulf War , when evidence arose of kidney damage from
uranium, the doctors said.
For 18 years, 75 volunteers have
participated in a study as part of the depleted uranium program, Baker said.
All but one, an Iraq War veteran, served in the Gulf War, said Centeno, a
physical chemist with a background in the toxicology of metals.
While many service members and veterans
have retained fragments because of high risks removing them would pose, Baker said,
some alloys such as depleted uranium are not safe to leave in the body. Because
of that potential risk, DOD and VA have comprehensive programs to reach troops
and veterans for testing, he added.
Baker said service members and veterans
who carry shrapnel but haven’t sought medical care should seek advice from a
doctor or call the Baltimore VA Medical Center , which works with the
laboratories here.
“Anybody with an embedded fragment who
hasn’t been followed up or hasn’t seen a physician should [do so] … and talk to
them to discuss their risks,” he said.
Written by Terri Moon Cronk
From American Forces Press Service
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