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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31825297ba
Original Articles

Overview and Recommendations for Medical Screening and Diagnostic Evaluation for Postdeployment Lung Disease in Returning US Warfighters

Rose, Cecile MD, MPH; Abraham, Joseph ScD, MS; Harkins, Deanna MD, MPH; Miller, Robert MD; Morris, Michael MD; Zacher, Lisa MD; Meehan, Richard MD; Szema, Anthony MD; Tolle, James MD; King, Matthew MD; Jackson, David PhD; Lewis, John PhD; Stahl, Andrea PhD; Lyles, Mark B. DMD, PhD; Hodgson, Michael MD, MPH; Teichman, Ronald MD, MPH; Salihi, Walid DO; Matwiyoff, Gregory MD; Meeker, Gregory MS; Mormon, Suzette MPH, RN; Bird, Kathryn MD, MSPH; Baird, Coleen MD, MPH

Section Editor(s): Teichman, Ron MD, MPH; Guest Editor

Continued Medical Education
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Objective: To review inhalational exposures and respiratory disease risks in US military personnel deployed to Iraq and Afghanistan and to develop consensus recommendations for medical screening and diagnostic referral.

Methods: A Working Group of physicians and exposure scientists from academia and from the Departments of Defense and Veterans Affairs was convened in February 2010.

Results: Despite uncertainty about the number of people affected and risk factors for adverse pulmonary outcomes in this occupational setting, the Working Group recommended: (1) standardized approaches to pre- and postdeployment medical surveillance; (2) criteria for medical referral and diagnosis; and (3) case definitions for major deployment-related lung diseases.

Conclusions: There is a need for targeted, practical medical surveillance for lung diseases and for a standardized diagnostic approach for all symptomatic deployed personnel.

©2012The American College of Occupational and Environmental Medicine


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