Statement of
The Honorable
Jonathan B. Perlin
Deputy Under
Secretary for Health
Department of
Veterans Affairs
Before the
Subcommittee on
Health
House Committee on
Veterans’ Affairs, on
VA’s Responses to
Information Provided by DoD
about Project SHAD
Veterans
October 9, 2002
Mr. Chairman and Members
of the Subcommittee, I thank you for the opportunity to testify before
the subcommittee today about the activities of the Department of
Veterans Affairs (VA) in response to the information that has been
provided to us by the Department of Defense (DoD) about veterans
involved in testing of biological and chemical weapons. I am here today
to talk about the 5,000 veterans who have been identified as Project 112
participants. I also want to tell you about the wide range of outreach
activities to veterans, educational programs for VA health care
providers, and health care services that VA has implemented for those
veterans who participated in tests conducted by the U.S. Army’s Deseret
Test Center, including Project SHAD.
Deseret Test Center
Project 112 and Project SHAD
According to the Department of Defense, Project SHAD, which stands for
Shipboard Hazard and Defense, was a portion Project 112, which was a
chemical and biological warfare test program of the Deseret Test
Center. DoD conducted these tests between 1962 and 1973. Project SHAD
itself was a series of tests apparently designed to determine potential
vulnerabilities of U.S. warships to attacks with chemical or biological
warfare agents. Other Project 112 tests involved similar tests
conducted on land rather than aboard ships.
VA first learned of Project SHAD when a veteran filed a claim for
service connection for disabilities that he felt were related to his
participation in those tests. In two meetings held with DoD in late
1997, VA was advised that all the relevant records about these tests
were classified and that general access to that material was not
possible. However, DoD offered to provide such information on a
case-by-case basis.
In May 2000, VA’s Under Secretary for Benefits received a congressional
inquiry requesting assistance for veterans involved in Project SHAD
tests. A VA/DoD workgroup was subsequently established, which met for
the first time in October 2000. Since then, DoD and VA have held a
series of meetings to ensure that VA would have full access to the
information needed to provide appropriate health care and benefits for
veterans involved in these tests. In July 2002, DoD committed to
provide VA with all medically relevant data, as well as a complete
roster of participants involved in tests under the aegis of Project 112
in the 1960’s and 1970’s.
As a result of their ongoing investigations, DoD has begun providing to
VA the names and service numbers of veterans of Project 112, including
Project SHAD participants. As a consequence, VA has
initiated a significant outreach program to
SHAD veterans and to the VA health-care providers they may see. This
program has expanded as we have received more information from DoD about
veterans involved in tests conducted by the Deseret Test Center and
about possible chemical and biological exposures.
VA Outreach Efforts to
SHAD Veterans
As of today, VA has been
notified of approximately 5,000 veteran participants in 12 declassified
and two classified Project 112 tests. VA has implemented a process for
identifying and locating these veterans. Identification is accomplished
using a variety of sources, including VA’s Beneficiary Identification
and Records Locator Subsystem (BIRLS), its Compensation & Pension (C&P)
Master Record file, the National Cemetery Administration’s database, and
the National Personnel Records Center in St. Louis. VA has been able to
obtain addresses of some of these veterans by matching records with the
Internal Revenue Service.
In May 2002, VA mailed
outreach letters to 622 SHAD veterans, and on August 15, mailed outreach
letters to an additional 777 veterans. The outreach letters provided
them information about their participation in Project 112 and the
possible health effects related to the chemical and biological warfare
agents used in those tests.
Most recently, in September,
DoD provided VA with the names and service numbers of about 2,100 more
veterans who were participants in tests just declassified last week. VA
is currently matching these data against its BIRLS and C&P Master Record
files to identify these individuals.
Efforts to find current addresses for SHAD veterans is ongoing, but for
those whom VA has not yet been able to locate, we have established a
SHAD Help line (at 1-800-749-8387), an Internet web-site (at www.VA.GOV/SHAD),
and an e-mail address (SHADHELPLINE@VBA.VA.GOV).
Through the week ending September 27, 2002, VA has received 417
calls on its toll-free SHAD Help line.
Outreach to VA Health Care Providers
VA has provided relevant information about Project SHAD to VA health
care providers through Information Letters from the Under Secretary for
Health. The Information Letters provide VA health care personnel with
background information on Project SHAD, as well as information about the
potential short- and long-term health effects of the specific chemical
and biological agents that DoD tells us were used in these tests. They
also include recommendations for reviewing the medical and military
exposure history of Project 112 veterans. The first Information Letter
was released on December 1, 2000. The most recent Information Letter
-
the third in this series -
is dated August 26, 2002. It is entitled “Possible Occupational Health
Exposures of Veterans Involved in Project SHAD Tests,” and is based on
additional information obtained from DoD. This information has also
been made available on VA’s SHAD web site at
www.va.gov/SHAD,
In addition to Information Letters, the Veterans Health Administration (VHA)
has engaged in an extensive outreach effort to ensure that every VA
medical center knows about SHAD veterans and their potential hazardous
exposures during Project 112. VA medical center directors and health
care personnel have been regularly apprised of Project SHAD through a
series of national telephone hotline conference calls beginning October
20, 2000. VA environmental health physicians also have been kept
informed of Project SHAD developments through regular conference calls.
Furthermore, a Directive issued last month requires that enrolled SHAD
veterans be clinically evaluated by knowledgeable health care providers
when those veterans present for care. VA will continue to provide
up-to-date information on Project 112 to its health care providers to
ensure that these veterans receive optimal health care. Lastly, as
suggested by the Vietnam Veterans of America, the VA and DoD web sites,
which provide information on Project 112, have been linked to provide
ready access to health data among VA and DoD health care personnel and
veterans.
Health Care and Benefits Status of Identified SHAD Veterans
VA prepared a preliminary report on the health and disability status of
the initial Project SHAD veterans identified for us by DoD in follow-up
to the July 10, 2002 hearing. A report dated August 5, 2002, entitled
“VA Health Care and Compensation for Project SHAD Veterans” was provided
to the House and Senate Committees on Veterans’ Affairs on August 9,
2002. It also included information on compensation claims previously
filed by Project SHAD participants. The report stated that, as of
August 1, 2002, there were compensation claims pending decisions for 28
veterans alleging disabilities due to exposure to agents and substances
while participating in Project SHAD. The full report is available on
our website at www.va.gov/SHAD. As of September 30, 2002, VA had
compensation claims pending decision for 53 veterans alleging
disabilities due to exposure to agents and substances while
participating in Project 112.
Of the 1,399 veterans who received notification letters in May and
August, 31 have newly enrolled for VA health care. Available data
indicate that Project SHAD veterans sought health care from VA during
FY 2002 at a rate comparable to the overall population of military
veterans. About 30 percent of Project SHAD veterans known to us as of
August have used VA services since 1970.
It has not been necessary to establish a special clinical program for
Project 112 veterans. In this regard, VA’s progressive development of
its medical record system increasingly permits patient health
information to be studied. VHA can now track health care utilization by
special groups of veterans, such as the veterans who participated in
Project SHAD. The use of these standard health care databases provides
several important advantages in evaluating the health of Project SHAD
veterans over specialized clinical programs, such as those used to
evaluate particular cohorts of veterans, such as Vietnam and Gulf War
veterans. The use of VA’s health databases allows VA to evaluate the
health care utilization of veterans every time they obtain care from VA,
not just on the one occasion that they elect to have a registry
examination. This practice will provide a much broader and longer-term
assessment of the health status of these veterans because many veterans
return frequently for VA health care, and because veterans are often
seen in different clinics or even different parts of the country for
specialized health care.
Evaluating Health Status
of All SHAD Veterans
On September 30, 2002, VA
entered into a three million dollar contract with the Institute of
Medicine, Medical Follow-up Agency of the National Academy of Sciences
to fully evaluate the long-term health status of Project SHAD
participants. They will conduct, over the next three years, a formal
epidemiological study of Project SHAD participants in comparison with
veterans who did not participate in Project SHAD. This independent,
epidemiological study will give us the clearest possible picture of the
health status of SHAD veterans and tell us whether their health was
harmed by participation in SHAD tests. The study will compare the
current health of veterans who participated in the SHAD tests more than
30 years ago with the health of veterans from the same era who served on
ships not involved with the testing. The study will also compare the
mortality rates of the two groups. This project may be expanded, if
needed, as we learn the identity and military exposures of additional
Project 112 participants. Although it will take time to conduct a valid
epidemiological study, high quality medical care is being provided right
now for each Project 112 veteran who chooses to come to the VA health
care system.
VA welcomes DoD’s accelerated schedule for providing relevant
information about Project 112 and the veterans who were involved in
these tests. We understand that it is problematic to locate and
declassify records that are 30 to 40 years old, and we appreciate DoD’s
efforts in this regard. We also look forward to receiving this
information as quickly as possible so that we can address the health
concerns of these veterans and properly adjudicate their benefit claims.
This concludes my
testimony. I will be happy to answer any questions that the Committee
may have.
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