
Environmental Encyclopedia 3
Gulf War syndrome
Gulf War syndrome
Approximately 697,000 U.S. service members were deployed
to the Persian Gulf from January to March 1991 as part of
a multinational effort to stop Iraq’s attack against Kuwait.
And while the war itself was short, a long battle has been
taking place ever since by veterans, the government and
scientists to determine what has caused “Gulf War Syn-
drome,” a mysterious collection of symptoms reported by as
many as 70,000 U.S. men and women who served in the
war. They are joined by British veterans in their health
complaints, and in smaller numbers by Canadians, Czechs,
and Slovaks.
Gulf War Syndrome is a complex array of symptoms,
including chronic fatigue, rashes, headaches, diarrhea, sleep
disorders, joint and muscle pain, digestive problems, memory
loss, difficulty concentrating, and depression. A small per-
centage of veterans have had babies born with twisted limbs,
congestive heart failure, and missing organs. The veterans
blamed these abnormalities on their service in the Gulf. The
U.S.
Environmental Protection Agency
(EPA) has also
found high rates for brain and nervous system cancers among
these veterans, up to seven to 14 times higher than among
the general population, depending on the age group. Consid-
ering that most soldiers and veterans are younger and in
better physical shape than the general population, researchers
find such figures more than surprising.
Collectively, these ailments suggest that neurological
processes may have been altered, or immune systems dam-
aged. While no single cause has been identified, various
analyses of the Gulf War experience point to low-level expo-
sure of chemical weapons, combined with other environmen-
tal and medical factors, as key contributors to the health
problems triggered years after exposure.
The war was unique in the levels of physical and emo-
tional stresses created for those who served, as well as for
their families. A significant portion of troops were from the
reserves, rather than active enlistees. Deployment occurred
at unprecedented speed. Most troops were given multiple
vaccinations that singularly do not have adverse effects; their
combined effects were not tested before distribution. Detec-
tors often signaled the presence of chemical weapons during
the conflict, but were mostly ignored as inaccurate. The
soldiers worked long hours in extreme temperatures, lived
in crowded and unsanitary conditions where pesticides were
used indiscriminately to rid areas of flies, snakes, spiders,
and scorpions, and breathed and had dermal exposures to
chemicals
from the continuous oil fires—burning trash,
feces, fuels, and solvents. Blazing sun, blowing sand and
biting sandflies further increased the discomfort and stress
of military life in the
desert
. Exposures to the various fumes
often exceeded federal standards and World Health Organi-
684
zation health guidelines; these alone could have caused “per-
manent impairment,” according to a 1994 National Institutes
of Health report.
The U.S. military now admits it was inadequately
prepared for chemical and biological warfare, which it knew
Iraq had previously used. Three of four reserve units, for
example, didn’t have protective gear. The drug pyridostig-
mine bromide (PB, 3-dimethylaminocarbonyloxy-N-meth-
ylpyridium bromide) was given to almost 400,000 troops
before and during the Gulf War to combat the effects of
nerve gas, even though it is approved by the
Food and Drug
Administration
(FDA) only for treatment of the neurologi-
cal disorder myasthenia gravis. The FDA agreed on the
condition that commanders inform troops what they were
taking and what the potential side effects were. One survey,
however, found that 63 of 73 veterans who had taken the
drug did not receive such information. Records were not
kept on who took which drugs or vaccines, as required by
FDA and Defense Department guidelines.
While the Defense Department and other government
agencies have spent more than $80 million to try to identify
the cause of veterans’ ailments, a privately funded team of
toxicologists and epidemiologists may have discovered an
explanation for at least some problems experienced by Gulf
War veterans. Researchers treated chickens in 1996 with
nonlethal doses of three chemicals veterans were exposed to:
DEET (N,N-diethyl-m-toluamide) and chlorpyrifos (O,O-
diethyl O-3,5,6-trichloropyridinyl phosphorothioate), used
topically or sprayed on uniforms as insecticides, and the anti-
nerve gas drug pyridostigmine bromide. They found that
simultaneous exposure to two or more of the insecticides
and drugs damaged the chickens’ nervous system, even
though none of the chemicals caused problems by itself. The
range of symptoms the chickens developed is similar to
those the veterans describe. A similar study by the Defense
Department found that the chemicals were more toxic to
rats when given together than individually. Follow up studies
are underway to determine if this also holds for humans.
The researchers hypothesize that multiple chemicals
overwhelmed the animals’ ability to neutralize them. The
enzyme
butyrylcholinesterase, which circulates in the blood,
breaks down a variety of nitrogen-containing organic com-
pounds, including the three substances tested. But the anti-
nerve gas drug, in particular, can monopolize the enzyme,
preventing it from dealing with the insecticides. Those
chemicals could then sneak into the brain, and cause damage
they would not produce on their own.
Many veterans believe that, while the drugs and pesti-
cides may have played a role in their ailments, so have
chemical weapons. Troops could have been subjected to
much more low-level exposure of chemical weapons than
previously believed, either directly or via air plumes, because