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Agent Orange-related Chemical Exposure: Health Effects and Compensation Policy in Korea

한국인에서 고엽제 관련 노출과 건강영향 및 보상정책

  • Yi, Sang-Wook (Department of Preventive Medicine and Public Health, Kwandong University College of Medicine) ;
  • Ohrr, Heechoul (Department of Preventive Medicine and Public Health, Yonsei University College of Medicine, Institute of Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Lim, Hyun-Sul (Department of Preventive Medicine, Dongguk University College of Medicine)
  • 이상욱 (관동대학교 의과대학 예방의학교실) ;
  • 오희철 (연세대학교 의과대학 예방의학교실, 연세대학교 국민건강증진연구소) ;
  • 임현술 (동국의대 예방의학교실)
  • Received : 2013.04.23
  • Accepted : 2013.06.13
  • Published : 2013.06.30

Abstract

Several US veterans stationed in Korea have told the press that around 250 fifty-five gallon drums of herbicides, including Agent Orange, were buried at Camp Carroll in 1978. Joint Korean-US Agent Orange investigation and environmental and health studies were started in July 2011. Korean soldiers and military personnel who served in Vietnam during 1964-1973 or near the demilitarized zone in Korea during 1967-1970 were exposed to dioxincontaminated Agent Orange. The joint Korean-US Agent Orange investigation team found that herbicides, pesticides, solvents and other chemicals -not Agent Orange- were buried at Camp Carroll. However, there remains the possibility that Agent Orange was stored and buried at Camp Carroll or other military camps in Korea. Adverse health effects have not been clearly explained despite a number of health studies among veterans in Korea with potential Agent Orange exposure. Although the Korean government has been compensating veterans and military personnel with 18 presumptive-service-connected-diseases and their offspring with three diseases, there are many veterans, military personnel and civilians who require the government°Øs support. The environmental study on contaminated sites and health studies among veterans and civilians were initiated three or four decades after possible Agent Orange contamination and exposure. Several toxic chemicals, including dioxin-contaminated Agent Orange, could remain in the environment and could have hazardous effects on the health of exposed people for more than several decades. Further environmental investigations and health studies are needed to ensure public safety and health, and government support should be guaranteed for people potentially exposed to these toxic chemicals.

Keywords

References

  1. Tammy Leitner, KPHO CBS 5 News. Valley veteran blows whistle on burial Of Agent Orange 5-13- 2011. Available: http://www.kpho.com/story/14895886/valley-veteran-blows-whistle-on-burial-of-agent-orange-5-13-2011 [accessed 20 April 2013].
  2. Prime Minister's Office. Press release. Agreement for Korea-United States joint investigation on Agent Orange disposal in Camp Carroll. [Korean] Available: http://www.pmo.go.kr/pmo_web/main.jsp?sub_num=20&state=view&idx=53445 [accessed 20 April 2013].
  3. Stellman JM, Stellman SD, Christian R, Weber T, Tomasallo C. The extent and patterns of usage of Agent Orange and other herbicides in Vietnam. Nature. 2003; 422: 681-7. https://doi.org/10.1038/nature01537
  4. Appendix 8-1. Opinion of Agent Orange epidemiologic study team on the extension of Agent Orange exposure period near Demilitarized zone. p.368-80. [Korean] In: Yi SW, Ohrr H, Yi JJ, Kim SI, Lee TY, Ryu SY, et al. Fourth epidemiologic study on the adverse health effects of Agent Orange. Final report. [Korean] Gangneung: Kwandong University; 2012.
  5. Kim JS, Lim HS, Lee WY, Park YJ, Lim MK, Moon Y, et al. Final report of an epidemiologic study on the adverse health effects of Agent Orange among Vietnam veterans. [Korean] Seoul: Hankook Veterans Hospital; 1996. p.1-3.
  6. Ohrr H, Yi SW, Won JU, Park WS. Hong JS, Sull JW, et al. An epidemiologic study on the adverse health effects of Agent Orange among Vietnam veterans. Final report. [Korean] Seoul: Yonsei University Health System; 2001. p.4-11, 361-455.
  7. Yi SW, Ohrr H, Yi JJ, Kim SI, Lee TY, Ryu SY, et al. Fourth epidemiologic study on the adverse health effects of Agent Orange among Vietnam veterans. Final report. [Korean] Gangneung: Kwandong University; 2012. p.1-24, 38-40, 101-12, 446-52.
  8. Agent Orange Act Available : http://law.go.kr/LSW/lsInfoP.do?lsiSeq=131022#0000 [accessed 15 May 2013].
  9. Institute of Medicine. Veterans and Agent Orange: Update 2010. Washington DC: National Academy Press; 2011. p.7-10, 14-5, 54-9, 76-108.
  10. Young AL. The history of the US Department of Defense programs for the testing, evaluation, and storage of tactical herbicides. North Carolina: US Army Research Office; 2006. p.51-3.
  11. Board of Veterans' appeals decisions. Citation Nr 0534064. Available: http://www.va.gov/vetapp05/files5/0534064.txt [accessed 20 April 2013].
  12. Institute of Medicine. Veterans and Agent Orange: Health effects of herbicides used in Vietnam. Washington DC: National Academy Press; 1994. p.84-107.
  13. IARC Monographs on the evaluation of carcinogenic risks to humans. Volume 53. Occupational exposures in Insecticide application and some pesticides. Lyon France: International Agency for Research on Cancer; 1991. p.467-80.
  14. Young AL, Calcagni JA, Thalken CE, Tremblay JW. The toxicology, environmental fate, and human risk of herbicide Orange and Its associated dioxin. Texas: Brooks Air Force Base, Air Force Occupational and Environmental Health Lab. USAF OEHL-Technical Report-78-92; 1978. p.I-21-5.
  15. Marlow DA, Fingerhut M, Blade LM, Piacitelli L, Roberts D. Dioxin registry report of the Dow Chemical Company, Midland, Michigan. Report Number IWS-117-15, Cincinnati, Ohio: National Institute for Occupational Safety and Health, US Department of Health and Human Services; 1991. p.149-63.
  16. Sorg O, Zennegg M, Schmid P, Fedosyuk R, Valikhnovskyi R, Gaide O, et al. 2,3,7,8-tetrachlorodibenzo- p-dioxin (TCDD) poisoning in Victor Yushchenko: Identification and measurement of TCDD metabolites. Lancet. 2009 Oct 3; 374(9696): 1179-85. https://doi.org/10.1016/S0140-6736(09)60912-0
  17. di Domenico A, Silano V, Viviano G, Zapponi G. Accidental release of 2,3,7,8-tetrachlorodibenzopdioxin (TCDD) at Seveso, Italy. II. TCDD distribution in the soil surface layer. Ecotoxicol Environ Saf. 1980 Sep; 4(3): 298-320. https://doi.org/10.1016/0147-6513(80)90032-9
  18. Agency for Toxic Substances and Disease Registry. Toxicological Profile for Chlorinated Dibenzo-pdioxins. Available: http://www.atsdr.cdc.gov/toxprofiles/tp104.pdf. [accessed 20 April 2013].
  19. EPA. 2,4,5-T-Position document 1. Washington, DC: US Environmental Protection Agency; 1979. p. 45-50.
  20. EPA. Decision and emergency order suspending registrations for the forest, rights-of-way, and pasture uses of 2,4,5-Trichlorophenoxyacetic acid (2,4,5-T). Washington, DC: US Environmental Protection Agency; 1979. p.10-22.
  21. Sull JW. Pesticide use and cancer incidence in Korea. [Master's dissertation] [Korean] Seoul: Graduate School of Yonsei University; 2001. p.8-9.
  22. US Department of Health and Human Services. NTP Technical report on the toxicology and carcinogenesis studies of Monuron in F344/N rats and B6C3F1 Mice. National Toxicology Program. NTR TR 266 NIH Publication No. 88-2522. 1988. p.40-3.
  23. Arnold EK, Beasley VR, Parker AJ, Stedelin JR. 2,4-D toxicosis.II: A pilot study of clinical pathologic and electroencephalographic effects and residues of 2,4-D in orally dosed dogs. Vet Hum Toxicol. 1991 Oct; 33(5): 446-9.
  24. IARC. Agents classified by the IARC monographs. Vol 1-107. Available: http://monographs.iarc.fr/ENG/Classification/ [accessed 20 April 2013].
  25. US Department of Health and Human Services. Report on Carcinogens. Twelfth Edition. 2011. Available: http://ntp.niehs.nih.gov/ntp/roc/twelfth/roc12.pdf [accessed 20 April 2013].
  26. Institute of Medicine. Veterans and Agent Orange: Update 2004. Washington DC: National Academy Press; 2005. p.184.
  27. Na JS. Vietnam war and national development. [Korean] Seoul: Institute for National Defence and Military History; 1996. p.308-31.
  28. Gye UB. A Study on epidemiological investigation and defoliant sprayed by the Republic of Korea Armed Forces during Vietnam War. [Master's dissertation] [Korean] Suwon: Kyonggi University; 2009. p.27-30.
  29. Republic of Korea Army Headquarters. Vietnam war. War history of Korean military forces deployed in Vietnam. Vol 26. [Korean] Kyeryong: Republic of Korea Army Press; 2001. p.553-71.
  30. Buckner JE. Final report. Vegetation control plan CY68. San Francisco: United States Army Advisory Group, Korea, Document 203-C69; 1969. p.1-29. E-1-H-1.
  31. Lee JG. Test applications of herbicides before Agent Orange spray. (news article) [Korean] Kyunghyang Shinmun. 1999. 11. 24.
  32. Kim DW. Ministry of National Defence's claim "Agent Orange sprayed near DMZ by request of US Army" denied by US Government. (news article) [Korean] MK Business News. 1999. 11. 18.
  33. Yu MN. National Defense "Error of Monuron amounts at 1999 report" (news article) [Korean] MK Business News. 2011. 6. 3. Available : http://news.hankooki.com/lpage/politics/201106/h2011060311533991040.htm [accessed 15 May 2013].
  34. Board of Veterans' Appeals decisions. Citation Nr: 0940709, Citation Nr: 0739875, 0833104, 0911782, 9906724. Available: http://www.index.va.gov/search/va/bva.html [accessed 20 April 2013].
  35. Extracted from Eight Army historical files. in Letter from Hakenson DC. Director of US Army & Joint Services Environmental Support Group. to Wilson JL, June 9, 1995. Enclosures.
  36. Woodward-Clyde Consultants. Final draft. Historical land use and background survey. Camp Carroll, Korea. Oakland, CA: 1992. p.I-7.
  37. The final announcement of ROK-US joint investigation result on the alleged burial of Agent Orange at Camp Carroll. Available: http://www.me.go.kr/web/286/me/common/board/detail.do?idx=180112&boardId=notice_02 [accessed 20 April 2013].
  38. Lee SW. Herbicides leftover maximum 14,318 drum, minimum 9,281 drum in 1969. [Korean] Available: http://www.tongilnews.com/news/articleView.html?idxno=95684 [accessed 20 April 2013].
  39. Ahn CY. Buried Agent Orange - leftover from 1969? [Korean] Available: http://andocu.tistory.com/entry/캠프캐롤-매립의혹-고엽제는-1969년-미살포-분량-69년-1월-보고서에-오렌지-2백드럼-조달-건의 [accessed 20 April 2013].
  40. Chapter 5. Special programs and equipment. p123 Extracted from EUSA special study, reevaluation of DMZ operations (U). VOLs I & II 15 Dec 68. in Letter from Hakenson DC. Director of US Army & Joint Services Environmental Support Group. to Wilson JL, June 9, 1995. Enclosures.
  41. Green Korea. Civilians recruited on herbicide spray near DMZ in 1971. [Korean] Available: http://www.greenkorea.org/?p=13218. [accessed 20 April 2013].
  42. 2013 Benefits at a glance for the distinguished military and police with disability of 1st-5th grade. [Korean] Available : http://mpva.go.kr/support/support300_view.asp?id=1748&ipp=10 [accessed 15 May 2013].
  43. 2013 Benefits at a glance for the distinguished military and police with disability of 6th-7th grade. [Korean] Available : http://mpva.go.kr/support/support300_view.asp? id=1749&ipp=10 [accessed 15 May 2013].
  44. 2013 Benefits at a glance for the veterans with disability pension awarded diseases by Agent Orange Act. [Korean] Available : http://mpva.go.kr/support/support 300_view.asp?id=1742&ipp=10 [accessed 15 May 2013].
  45. Department of Veterans Affairs. Federal Benefits for Veterans, Dependents and Survivors 2012 Edition. Washington DC: Department of Veterans Affairs; p.1-42.

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