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Agent Orange & Infertility – Issues all too common for children of Vietnam Veterans
AGENT ORANGE INFERTILITY CHILDREN OF VIETNAM VETERANS COVVHA.NET

Today my words are meant to help uplift, empower and heal you. I know the feelings written here personally and it has hurt me in the past. I would like to give you some helpful ideas on how you can help children. How you can have them be a part of your life. How you can help them to fulfill their dreams, goals and lives even if you cannot have your own.

Recently I lost another child and finally put into motion a means that I would not concieve again to avoid the pain. I wanted to have my husbands child so badly that I could almost see him already. I felt that he was almost here and I could reach out and touch him and change my life. It was a boy I know that and it tore me open. I cried for weeks about this and I just want you to know that I truly understand how hard it is. This was not my first loss of a child but this one hurt the most.

I have had my share of trouble conceiving a child and then when I could was not able to carry to term. I made some changes in my lifestyle without the intention of having a baby at that time. I got rid of all the chemicals and animal products and voila ..side effect I was pregnant. I was so excited and happy. Then I found out the truth about what was happening and in the end I kissed my child goodbye and told him through tears that I was so sorry that I couldn’t be the mother that he had chosen.

I dealt with that pain and came out the other end knowing that I am here for another reason. That as much as my whole life i heard things like *Oh my god you will make such a good mom* to *You are so maternal* Why can’t I help children or adopt them and give them a better life? Why can’t I be their teacher and inspiration? Why can’t I help other people who feel like i do? I thought about it for months and came to the conclusion that I could do all and any of these things that I wanted to. The only limitation in place is what you believe there is. You can accomplish so much more than you may even realize.

I think that it is very important to remember that you may not be able to have your own child. But there are millions upon millions that could benefit from the love you hold in your heart for the ones you cannot have. They are just there waiting for you to find them, to lift them up and out of their desperate circumstances. To show them a better world and a kinder heart than they may have seen. So long as your choice is kindness and love towards a lonely or hurt child it is a good one.

These links will be a road that you may choose to go down. Remember while you do that just as you may feel alone and without joy and love, there are many children that feel the same exact way that you do. You hold this amazing gift in your hands and it is called free will. You can choose to gift and uplift and show these young people that they may suffer and that life is difficult but it is also filled with surprising kindnesses and gentle loving people.

http://kids-alliance.org/

http://www.casaforchildren.org/site/c.mtJSJ7MPIsE/b.5301295/k.BE9A/Home.htm

http://www.shiningstarsfoundation.org/how-to-help-1/volunteer/

http://www.ymca.net/volunteer

I try to think what the reasons could be as to why people cannot have children. There are so many it would take a very long time to cover even half of the reasons. But I think that while it is a heartbreaking thing to have to realize there is a reason I believe. We are here to help others. We are here to look at and find children that need us and just help them in any way we can. Mourn your losses and move on it is the best thing you can do for yourself. It may sound harsh but that is the truth. You are here for another potential purpose. Perhaps you are meant to be Father or Mother to the children of the world. Perhaps you were given a gift instead. One that could make a huge difference in the world. Have you considered that? :)

We are all here just floating around and sometimes we see something. We stop and look at it and examine it closely because it speaks to us. Loving other human being that may not be your blood is one of those things that passes by us. We should stop and examine it and see what we can do to help others and in doing so heal ourselves.

http://www.freearts.org/volunteers

http://www.pageahead.org/volunteer.php

I have been amazed at how many things we can do to help children. We could just type in volunteer to help children and find out for yourselves what is out there. What we can do to make a difference in the lives of so many children that lack hope. Because they have been hurt so badly that they find trusting someone difficult. But if this is what you want to do then there is nothing stopping you from helping someone else. Imagine the power that you possess! You could change the life of another human being for the better!

http://www.freethechildren.com/get-involved/

You could volunteer at your local school. See if they need any help and do what you can. If you have medical problems and I know that many of you do then tell them your limitations. Many would be happy to have the help from anyone.  If they cannot work with you then keep trying and see what you might be able to start in your community. There is always some way to help others.

http://www.americaspromise.org/Act/Volunteer.aspx

http://www.abetterchance.org/abetterchance.aspx?pgID=963

http://www.mentoring.org/get_involved/become_a_mentor/volunteer_referral_service

http://www.bbbs.org/site/c.9iILI3NGKhK6F/b.5962345/k.E123/Volunteer_to_start_something.htm

I am including as many things that I can find that you could go out and do for yourself. Helping others can help to heal your own suffering. That is a proven fact in this world. If you reach out and help another human being you heal a hurt inside of you. These children that you help will not forget you or the things that you do to try and help them. I know you are hurting inside and I understand and this is a way to heal what is ailing you and your heart.  Couples can benefit from this as well. Reach out and take a chance!

 Quiescent Aureate Serpent
© 2013 (COVVHA) Children Of Vietnam Veterans Health Alliance INC.  All rights reserved.

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CHILDREN OF VIETNAM VETERANS AGENT ORANGE TESTIMONY TO IOM WWW.COVVHA.NET
 


Good Afternoon, My name is Tanya Renee Mack. I am here representing (COVVHA) Children of Vietnam Veterans Health Alliance INC. I am 39 years old and am a 2nd generation Agent Orange Survivor. My father, SSGT. James Sciaccotti was a Combat Controller in the United States Air Force and was part of the Special Operations Squadron, 101st Airborne Unit in the A shau Valley from 1966 –1968.

The age range of children of Vietnam Veterans is roughly between the ages of 20-45. Many of us have Fathers with service connected Agent Orange Claims recognized by the Veterans Administration. Most of us have Dads who are dead or dying of Agent Orange presumptive illnesses that have been recognized by the VA. Our lives and the lives of our kids are the result of a giant science experiment between the United States Government and the chemical companies gone awry. New information known about human exposure to dioxin and trans-generational exposures, reinforces our belief of a strong plausibility of an epigenetic link to our illnesses and our Father’s or Mother’s service connection to the Vietnam War. We have been treated as collateral damage. The science is now quickly catching up with what we have known all along, we’ve been damaged by a war we did not fight.

COVVHA completes an informal survey when a new member joins our private support community. Through our 500 members (only COVVs) we have consistently been faced with like illnesses, and deformities. We want to bring this information to you, the IOM, urging this committee to finally investigate fully what has been done to us and our children. From our informal research we believe the children and grandchildren of Vietnam Veterans have a much higher instance of several types of disease. (In our submitted documents you will see the categories of illnesses and the number of times the illness has been reported). Represented in our membership also, are several suffering from the illnesses on the Veterans Presumptive lists, please keep in mind this is a group of people between ages 20-45.  Diabetes Type II, Hodgkin’s Lymphoma, Ischemic Heart Disease, Non-Hodgkin’s Lymphoma, Peripheral Neuropathy, Acute and Sub-acute Respiratory Cancers, Soft Tissue Sarcoma, Parkinson’s Disease.

Our membership of 500 COVVs have reported as many as 93 different congenital anomalies. Fourteen of them listed on the testimony we have submitted are some of same birth defects that are currently covered for the children of Women Vietnam Veterans. Considering there were 6-8 thousand women Vietnam Veterans and Approximately 2.8 million men who served, COVVHA believes this Study was used to keep the children of male Vietnam Veterans from making claims even though early studies showed dioxin caused birth defects in the children of Male Vietnam Veterans. Our fathers were told they were overreacting; there was no scientific link to their children being born with birth defects, rare illnesses and cancers. Air Force study of Ranch Hand personnel responsible for herbicide spraying reported statistically significant increase in reported birth defects in the Ranch Hand group (Albanese, 1988). Defects included: Skin defects, Neural tube defects, Heart defects, Oral clefts, and Kidney defects. Erickson, et al (1984) reported that risks for fathering an infant with spina bifida, cleft lip, and certain neoplasms” were higher for Vietnam veterans than controls. Increased evidence of birth defects were also reported in a population of Vietnam veterans living in Tasmania (Field and Kerr, 1988)., These were ignored, as were many other studies on the effects of dioxin on offspring from other countries, like in Vietnam where reports of birth defects, miscarriage and deformities were rampant.

In September of 2012, Washington State University released an epigenetic study looking at exposures of female mice to dioxin and the trans-generational effects dioxin had on the children and grandchildren of the mice. The Study showed there was a negative trans-generational effect. We need more of this type of research, Skinner, et al (2012). That study was funded partially by the Department of Defense. Why can’t they replicate the same study, but just expose male mice?

COVVHA would like to offer the following recommendations (See our submitted testimony for more):

A. The eighteen plus birth defects for children of female Vietnam Veterans should be approved for children of male Vietnam Veterans: This act alone would help some of the most disabled, and those in most desperate need of services, in the COVV community.

B. Free DNA and Epigenetic testing for the biological Children of Vietnam Veterans : (Our Data shows that biological children of Vietnam Veterans who have been required by their Doctors to have DNA Testing have proven to show genetic mutations. See submitted documents).

C. An official agent Orange Registry for Children of Vietnam Veterans (COVVHA proposes that an official Agent Orange registry be made available to the biological children of Vietnam Veterans.) COVVHA has submitted the types and numbers of each of the roughly 694 illness we have had reported over the past year.

We are willing to cooperate with the IOM in any way possible.

The following is a glimpse of how my Father’s exposure to Agent Orange has affected my life. I am 39 years old and am a 2nd generation Agent Orange Survivor. I was born with severe hip dysplasia and started having hip reconstruction surgery at just 4 months old. I learned to walk in a full body cast after my second reconstruction at 13 months old. After 15 hip reconstruction surgeries, at age 17, I had my first total hip replacement surgery. 22 years later, I’ve had 4 total hip replacements. Currently, I’m scheduled to have it replaced for the 5th time. At 32 years old I started to develop multiple basal cell and squamous cell carcinomas. They were very aggressive and according to the pathology reports, were a different mutation than normal. I was sent to UCLA to have genetic testing. There, I was diagnosed with Basal Cell Nevus Syndrome (also known as Gorlin Syndrome) with a Mutation in my PTCH1 gene. A mutation in this gene is only caused one of two ways. It is either inherited from a parent or a new mutation occurs due to chemical or biological environmental exposures. Only 20% of all cases reported are new mutations. Both of my parents were tested, and neither one had the mutation which means that I am in the 20% of new mutations.

By the time I was 34 I had a total hysterectomy due to Squamous Cell Carcinoma in my Uterus and on my Ovaries. At 35 years old, I was diagnosed with Lupus and Raynaud’s Disease, again no family history. I was also informed the severe back pain that I was having was a curve in my spine. In 2010, I was diagnosed with Melanoma. I was fortunate that is was caught early and had not spread to my Lymph Nodes. It did however, spread far enough to have tissue and muscle removed, causing a golf ball size disfigurement in my shin. August, 2011, I was diagnosed with another rare form of Cancer called Bowen’s Disease. Now, my Oncologist was extremely worried because they almost never see this in someone as young as me. Bowen’s Disease is caused by extreme exposure to Arsenic and is considered Arsenic Poisoning. Since I have never worked or been exposed to herbicides or pesticides, I was told by my Oncologist that it was due to my Father’s exposure to Agent Orange. Over 50% of the Compound used in Agent Orange was Arsenic. In March 2012, my Oncologist found a large tumor on the neck of my gallbladder which required another surgery to have my entire gallbladder removed.

As of today, I have had 198 skin biopsies of which 181 were positive for Cancer. I am currently on a new Cancer drug in which I was involved in the Clinical Trial. This drug, however, will only slow down the progression of Basal Cells and still leaves me vulnerable for Squamous Cell and Melanoma. I’m in constant pain and my quality of life has decreased drastically over the last several years. My medical costs with insurance runs an average of $800-$1000 dollars a month. These costs consist of office visit copays ($45 per visit) and tier 6 drugs, these do not count toward my annual out of pocket maximum. Because of this, I struggle every month to make ends meet as my medical insurance and copayments/coinsurance have to be first priority. In March 2007, in an attempt to get help with my mounting medical costs, I applied to the Department of Veterans Affairs for benefits (38 U.S.C. 1815). I sent the V.A all of the required documents, and medical records. I felt confident I would get some help because after all, Hip Dysplasia is a covered birth defect. Four months later I received a letter from The Department of Veterans Affairs denying my claim (See Statement below).

“We denied entitlement to a monthly monetary allowance for your claimed birth defect(s) because the evidence
does not show that your biological Mother served in Vietnam to qualify for payment under 38 U.S.C. 1815. The
claimed disability is hip dysplasia which is considered a qualifying condition. However, regulation 38 C.F.R. 3.815
refers to benefits allowable for an individual with disability from covered birth defects whose biological mother is or was a Vietnam Veteran”

I remember thinking that my Father’s Service to his Country would end up killing me. In my opinion, this was blatant discrimination against men and their offspring. I became depressed and wanted to give up. I was undergoing systemic chemotherapy at the time of my denial letter, and did not know how I would be able to continue since I could not afford the coinsurance for each treatment. Without going into detail, I will say my family has had to give up a lot so I could stay alive. August 21, 2012, My father passed away from Lung and Colon Cancer. He was 64 years old. His Cancer had been attributed to his exposure to Agent Orange. At the time of his death, he was receiving benefits from the V.A. and was considered 100% disabled due to service connected Agent Orange Exposure…..But of course, according o the V.A., there was no possible way that his exposure could have any effect on me, Sad!

Please See Below COVVHA’s Full IOM Testimony Packet

© (COVVHA) Children Of Vietnam Veterans Health Alliance INC

Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides (Ninth Biennial Update… by
Children Of Vietnam Veterans Health Alliance

BECOME A MEMBER OF CHILDREN OF VIETNAM VETERANS HEALTH ALLIANCE

YOU WILL RECEIVE A ONCE DAILY EMAIL OF ANY BREAKING AGENT ORANGE NEWS AND RELATED TOPICS IN ADDITION TO ANY COVVHA UPDATES
PLEASE ENTER YOUR EMAIL IN THE BOX BELOW,  A CONFIRMATION LINK WILL BE SENT TO YOUR EMAIL.  YOU MUST OPEN THE EMAIL AND CLICK THE CONFIRMATION LINK TO COMPLETE THE PROCESS.
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JUST IN TIME FOR THE HOLIDAYS!!!

The Perfect stocking stuffer gift that will shine the whole year through!!!
Children Of Vietnam Veterans Health Alliance is proud to introduce our new Lapel Pins for purchase

Individual Pins Are Priced At $12.00

Email Us At PMASON@COVVHA.NET To Place Your Orders!!!!

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Like many sectors of society, the U.S. military has a long history of alcohol and other drug misuse and abuse. In recent years, the face of the issue has been transformed by increasing rates of prescription drug abuse among service members. Heavy alcohol use and binge drinking continues to be a concern within the military.

 

To better understand the current substance use problems within the U.S. military, the Department of Defense (DoD) asked the IOM to analyze policies and programs that pertain to prevention, screening, diagnosis, and treatment of substance use disorders for active duty service members in all branches, members of the National Guard and Reserve, and military families. The IOM concludes that to deal with this public health crisis, the DoD will need to consistently implement evidence-based prevention, screening, diagnosis, and treatment services and take leadership for ensuring that these services expand and improve.

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The possibility of long-term health effects includingadverse reproductive health outcomes resulting frommilitary service in Vietnam has been a subject of researchinterest in the United States over the past two decades [CDCVietnam Experience Study, 1988; Stellman et al., 1988].The U.S. Congress, responding to concerns of many womenVietnam veterans, legislatively mandated a comprehensive health study of women Vietnam veterans.

This mandate ledto three separate but related epidemiologic studies of women Vietnam era veterans: (1) post-Vietnam servicemortality follow-up; (2) assessment of psychologic healthoutcomes; and (3) reproductive health outcomes. Resultsof the ®rst two studies were published or submitted to Congress previously [Thomas et al., 1991; Dalager andKang, 1996]. The present report deals with the thirdstudy.

The studies of reproductive outcomes among maleveterans have been mostly negative in that service inVietnam was not associated with the risk of fathering a childwith birth defects, spontaneous abortion, stillbirth orneonatal death [Erickson et al., 1984; Donovan et al.,1984; Aschengrau and Monson, 1989, 1990]. However, inthe recent “Ranch Hand study”, neural tube defects (spinabi®da, anencephaly) were reported in four children of U.S.Air Force personnel who sprayed Agent Orange and other herbicides in Vietnam, while none was observed among children of control veterans [Wolfe et al., 1995].

Further-more, when the CDC birth defects study was reanalyzedusing the exposure opportunity index based upon interview data, the risk of spina bi®da was signi®cantly associatedwith the highest estimated level of Agent Orange exposure[Erickson et al., 1984]. Based on these data and others, anInstitute of Medicine panel suggested an associationbetween herbicide exposure in Vietnam and an increased risk of spina bi®da in children [IOM, 1996]

Agent Orange Pregnancy Outcomes Among Us Women Vietnam Veterans1097-0274(200010)38!4!447–AID-AJIM11-3.0

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An estimated 13 to 20 percent of United States service members who have fought in Iraq or Afghanistan since 2001 suffer from posttraumatic stress disorder (PTSD), brought on by a specific traumatic event, including combat. As the U.S. reduces its military involvement in the Middle East, the Departments of Defense (DoD) and Veterans Affairs (VA) anticipate that increasing numbers of returning veterans will need PTSD services. As a result, Congress asked the DoD, in consultation with the VA, to sponsor an IOM study to assess both departments’ PTSD treatment programs and services. This first of two mandated reports examines the some of the available prevention, screening, diagnostic, treatment, and rehabilitation programs and encourages further research that can help to improve PTSD care.  View Full Report Below

Iom Assessment Ptsd

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The unclassified memo dated April 15, 2011, stated that high concentrations of dust and burned waste present at Bagram Airfield for most of the war are likely to impact veterans’ health for the rest of their lives. “The long term health risk” from breathing in Bagram’s particulate-rich air include “reduced lung function or exacerbated chronic bronchitis, chronic obstructive pulmonary disease (COPD), asthma, atherosclerosis, or other cardiopulmonary diseases.” Service members may not necessarily “acquire adverse long term pulmonary or heart conditions,” but “the risk for such is increased.”

The memo’s findings contradict years of U.S. military assurances that the burn pits are no big deal. An Army memo from 2008 about the burn pit at Iraq’s giant Balad air base, titled, “Just The Facts,” found “no significant short- or long-term health risks and no elevated cancer risks are likely among personnel”  A 2004 fact sheet from the Pentagon’s deployment health library — and still available on its website — informed troops that the high particulate matter in the air at Bagram “should not cause any long-term health effects.” More recently, in October 2010, a Pentagon epidemiological study found “for nearly all health outcomes measured, the incidence for those health outcomes studied among personnel assigned to locations with documented burn pits and who had returned from deployment, was either lower than, or about the same as, those who had never deployed”.

Read The Full Article By Spencer Ackerman
http://www.wired.com/dangerroom/2012/05/bagram-health-risk/
 

READ The Declassified Memo Below 

Burnpit Memo

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Long-Term Health Consequences of Exposure to Burn Pits in Iraq and Afghanistan
Released:
October 31, 2011
Type:
Consensus Report
Topics:
Veterans Health, Select Populations and Health Disparities, Environmental Health
Activity:
Long-Term Health Consequences of Exposure to Burn Pits in Iraq and Afghanistan
Board:
Board on the Health of Select Populations
During deployment to a war zone, military personnel are exposed to a variety of environmental hazards, many of which have been linked to long-term adverse health outcomes, such as cancer and respiratory disease. Many veterans returning from the conflicts in Iraq and Afghanistan have health problems they believe are related to their exposure to the smoke from the burning of waste in open-air “burn pits” on military bases. Open-air waste burning has long been used by the military when other disposal options have not been available. Particular controversy surrounds the burn pit used to dispose of solid waste at Joint Base
Balad (JBB) in Iraq, which burned up to 200 tons of waste per day in 2007.
The Department of Veterans Affairs asked the IOM to form a committee to determine the long-term health effects from exposure to these burn pits. The committee used the burn pit at JBB as an example. The IOM collected data on environmental releases and concentrations of combustion products at JBB, information on possible human exposure at the base and elsewhere, and the potential for long-term health effects of that exposure. The Department of Defense provided raw air-sampling data, which were used to determine which chemicals were present at JBB and which were present in ambient air. Based on this data, the committee found that levels of most pollutants at the base were not higher than levels measured at other polluted sites worldwide.
However, insufficient evidence prevented the IOM committee from developing firm conclusions about the what long-term health effects might be seen in service members exposed to burn pits. Along with more efficient data-gathering methods, the report recommends that a study be conducted that would evaluate the health status of service members from their time of deployment to JBB over many years to determine their incidence of chronic diseases, including cancers, that tend to not show up for decades. Given the many hazards to which military personnel are exposed in the field, service in Iraq and Afghanistan in general, rather than exposure to burn pits only, might be associated with long-term adverse health effects.

Burnpits Airborne Presentation

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Long-Term Health Consequences of Exposure to Burn Pits in Iraq and Afghanistan
Released:
October 31, 2011
Type:
Consensus Report
Topics:
Veterans Health, Select Populations and Health Disparities, Environmental Health
Activity:
Long-Term Health Consequences of Exposure to Burn Pits in Iraq and Afghanistan
Board:
Board on the Health of Select Populations
During deployment to a war zone, military personnel are exposed to a variety of environmental hazards, many of which have been linked to long-term adverse health outcomes, such as cancer and respiratory disease. Many veterans returning from the conflicts in Iraq and Afghanistan have health problems they believe are related to their exposure to the smoke from the burning of waste in open-air “burn pits” on military bases. Open-air waste burning has long been used by the military when other disposal options have not been available. Particular controversy surrounds the burn pit used to dispose of solid waste at Joint Base 
Balad (JBB) in Iraq, which burned up to 200 tons of waste per day in 2007.
The Department of Veterans Affairs asked the IOM to form a committee to determine the long-term health effects from exposure to these burn pits. The committee used the burn pit at JBB as an example. The IOM collected data on environmental releases and concentrations of combustion products at JBB, information on possible human exposure at the base and elsewhere, and the potential for long-term health effects of that exposure. The Department of Defense provided raw air-sampling data, which were used to determine which chemicals were present at JBB and which were present in ambient air. Based on this data, the committee found that levels of most pollutants at the base were not higher than levels measured at other polluted sites worldwide.
However, insufficient evidence prevented the IOM committee from developing firm conclusions about the what long-term health effects might be seen in service members exposed to burn pits. Along with more efficient data-gathering methods, the report recommends that a study be conducted that would evaluate the health status of service members from their time of deployment to JBB over many years to determine their incidence of chronic diseases, including cancers, that tend to not show up for decades. Given the many hazards to which military personnel are exposed in the field, service in Iraq and Afghanistan in general, rather than exposure to burn pits only, might be associated with long-term adverse health effects.
www.COVVHA.net
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Chronic illnesses have emerged as major health concerns of Americans in recent decades. People are increasingly focused not simply on living longer, but on maintaining or even improving their capacity to live well over their entire lives.

In general, chronic illnesses are slow in progression and long in duration, and they require medical treatment. All chronic illnesses have the potential to limit the functional status, productivity, and quality of life of people who live with them. In addition, chronic illnesses are a major contributor to health care costs; the medical care costs of people with chronic illnesses represent 75 percent of the $2 trillion in U.S. annual health care spending.

The Centers for Disease Control and Prevention (CDC) and the nonprofit Arthritis Foundation sought assistance from the Institute of Medicine (IOM) to help identify public health actions to reduce disability and improve the function and quality of life for people living with chronic illness.

Addressing Major Public Health Problem

The IOM committee appointed to study the issue presents its findings in Living Well with Chronic Illness: A Call for Public Health Action. Among the findings of the IOM-appointed study committee:

All chronic illnesses hold the potential to worsen the overall health of our nation by limiting an individual’s capacity to live well.

Looking at a variety of diseases, health conditions, and physical impairments that significantly affect a person’s health and quality of life, as well as the nation’s economy, would strengthen public health actions to manage chronic disease.

Evidence-based interventions aimed at preventing chronic disease (such as ending smoking, eating nutritious food, and limiting weight gain) need to be studied in people with one or more chronic illnesses to assess their effectiveness.

While a range of public policies have helped individuals with chronic illness, it is important to design and implement new public policies or explore promising approaches to further promote living well with chronic illnesses.

A comprehensive surveillance system to enhance living well with chronic illness is complex and integrates a number of health and quality of life measures.

Enhanced collaboration among the public health, health care, and community nonhealthcare sectors could produce better prevention and treatment outcomes for people living with chronic disease.


IOM Chronic Illness Report

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Chronic illnesses have emerged as major health concerns of Americans in recent decades. People are increasingly focused not simply on living longer, but on maintaining or even improving their capacity to live well over their entire lives.

In general, chronic illnesses are slow in progression and long in duration, and they require medical treatment. All chronic illnesses have the potential to limit the functional status, productivity, and quality of life of people who live with them. In addition, chronic illnesses are a major contributor to health care costs; the medical care costs of people with chronic illnesses represent 75 percent of the $2 trillion in U.S. annual health care spending.

The Centers for Disease Control and Prevention (CDC) and the nonprofit Arthritis Foundation sought assistance from the Institute of Medicine (IOM) to help identify public health actions to reduce disability and improve the function and quality of life for people living with chronic illness.

Addressing Major Public Health Problem

The IOM committee appointed to study the issue presents its findings in Living Well with Chronic Illness: A Call for Public Health Action. Among the findings of the IOM-appointed study committee:

All chronic illnesses hold the potential to worsen the overall health of our nation by limiting an individual’s capacity to live well.

Looking at a variety of diseases, health conditions, and physical impairments that significantly affect a person’s health and quality of life, as well as the nation’s economy, would strengthen public health actions to manage chronic disease.

Evidence-based interventions aimed at preventing chronic disease (such as ending smoking, eating nutritious food, and limiting weight gain) need to be studied in people with one or more chronic illnesses to assess their effectiveness.

While a range of public policies have helped individuals with chronic illness, it is important to design and implement new public policies or explore promising approaches to further promote living well with chronic illnesses.

A comprehensive surveillance system to enhance living well with chronic illness is complex and integrates a number of health and quality of life measures.

Enhanced collaboration among the public health, health care, and community nonhealthcare sectors could produce better prevention and treatment outcomes for people living with chronic disease.
Read Full IOM Report

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