Surveillance for Long-Term Health Effects Associated With Depleted Uranium Exposure and Retained Embedded Fragments in US Veterans

被引:25
作者
Squibb, Katherine S. [1 ,2 ]
Gaitens, Joanna M. [1 ,2 ]
Engelhardt, Susan [2 ]
Centeno, Jose A. [3 ]
Xu, Hanna [3 ]
Gray, Patrick [3 ]
McDiarmid, Melissa A. [1 ,2 ]
机构
[1] UM Sch Med, Occupat Hlth Program, Dept Med, Baltimore, MD 21201 USA
[2] Dept Vet Affairs Med Ctr, Baltimore, MD USA
[3] Joint Base Andrews Naval Air Facil, Malcolm Grow Med Ctr, Joint Pathol Ctr, Div Biophys Toxicol, Washington, DC USA
关键词
GULF-WAR VETERANS; RENAL TOXICITY; ARTHROPLASTY; URINE;
D O I
10.1097/JOM.0b013e31824fe138
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To ensure that all veterans with retained embedded fragments are properly monitored for potential health effects of embedded materials. Methods: Urine biomonitoring and health surveillance programs were developed to gather information about health risks associated with chemicals released from embedded fragments. Results: Elevated systemic exposure to depleted uranium (DU) that continues to occur in veterans with DU fragments remains a concern, although no clinically significant DU-related health effects have been observed to date. Other metals and local tissue reactions to embedded fragments arc also of concern. Conclusions: Knowledge gained from these programs will help to develop guidelines for surgical removal of tissue-embedded fragments.
引用
收藏
页码:724 / 732
页数:9
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