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We have reached capacity for questions for this event and VA will post responses by Sept 8th. For other PACT and burn pit related questions please call 1-800-MyVA411 ( [login to see] ).

Questions will be answered by the following experts:
» Dr. William J Culpepper - Deputy Director, Epidemiology Program, VA
» LTC Peter Rumm MD - Director of Policy, Health Outcomes Military Exposures, VA
» FN Shanna Smith-Jackson - Acting DEPDIR, Health Outcomes Military Exposures, VA
» Daniel Brown - Program Analyst, VA
» Jacqueline Imboden - Special Advisor, Compensation Services, VBA
» Rachel Jones - Assistant Director, Office of Administrative Review, VA
» RDML Ann Duff - Director of the Office of Survivors Assistance, VA
» Terra Vincent - Senior Toxicologist, Health Outcomes Military Exposures, VA
» Cpl Heather McKibben - Program Analyst, Office of Policy and Oversight, VBA
» Melissa Comeau - Director, American Red Cross Military Veteran Caregiver Network
» Coleton Whitaker - Senior Director of Programs, Elizabeth Dole Foundation
» Jamie Statton - Management Program Analyst, Office of Policy and Oversight, VBA
» Tara Kase - Senior Management & Program Analyst, Office of Policy & Oversight, VBA
» Maj Bonnie Carroll - President and Founder, Tragedy Assistance Program for Survivors
Comments have been disabled
Responses: 196
MSgt Dee Ann P.
I retired Oct. 1, 2005, and had an oopherectomy in Jan 2007 because cysts were found on my ovaries. I’m a breast cancer survivor (dx 2004) and the cysts were a cancer concern due to my BC diagnosis. I was denied disability benefits for the oopherectomy. I was told if I had gotten cancer I would have gotten benefits. I had several abnormal pap smears while on active duty after serving in Desert Shield and Storm. I didn’t appeal the denial. But with the passage of PACT, I’m wondering if I can refile. I’m losing sleep over this. If I can refile, I will need to know what steps to take. Thank you for taking questions and I will do everything in my power to join the Sept. 8 discussion.
PFC Sylvia Porter
PFC Sylvia Porter
>1 y
I too having issues w/BC I was at Desert Storm and they are still denying my cancer had nothing to do w/the burn pit I will try the VFW; for women BC is not listed as part of the study but male penial is listed so figure
MSgt Dee Ann P.
MSgt Dee Ann P.
>1 y
PFC Sylvia Porter - I was dx with BC while on active duty. They kept me an extra nine months to treat it. Do you know any women who were dx after service that you can reach out to? They may have some helpful tips. Good luck!!
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
VA cannot speak to your specific claim situation in this forum due to privacy issues. If we denied your claim in the past but we now consider your condition presumptive, we encourage you to file a Supplemental Claim. We’ll review the claim again. Please contact our national call center for claim specific assistance at [login to see] so we may provide individual assistance or schedule an appointment to speak with someone at  VERA - Home (force.com). For more information on the PACT Act and how you can apply for benefits, see VA.gov/PACT.
SPC Bradford Shaw
What is the criteria for hypertension under Agent Orange presumptive diseases?

Thanks.

brad
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
You may be eligible for VA disability benefits if you meet both of these requirements:
(1) You have a health condition that’s caused by exposure to Agent Orange, and
(2) You served in a location that exposed you to Agent Orange

We determine eligibility based on the facts of each Veteran’s claim. VA will assume (or "presume”) that hypertension is caused by Agent Orange exposure. And we assume that Veterans who served in certain locations were exposed to Agent Orange. We refer to this as presumptive exposure. If you’ve been diagnosed with hypertension and served in a location that exposed you to Agent Orange we encourage you to file a claim now.

For more information on VA disability benefits based on Agent Orange exposure please visit https://www.va.gov/disability/eligibility/hazardous-materials-exposure/agent-orange/. We also encourage you to visit VA’s PACT Act website at https://www.va.gov/resources/the-pact-act-and-your-va-benefits/. Veterans can utilize links on the site to submit claims, and address any questions to maximize their entitlement related to the act’s recent passage. 
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Your health care provider would have diagnosed your condition and noted it in your medical record. Hypertension may range from mild to severe. Mild cases may have blood pressures of 140/90 and require relatively little medication, changes in diet and or exercise. Severe cases may require the Veteran to be on multiple medications and have shown damage to the body, such as the heart or kidneys. If you have diagnosed hypertension, VA encourages you to submit a claim. If you do not know your status, you should see your healthcare provider and find out if this is an issue for you. Thank you for writing and serving our nation.
SGT Infantryman
Edited >1 y ago
Firstly, I appreciate this Q&A forum. One of the presumptive conditions included in the PACT ACT is "brain cancer," an exceptionally broad condition. I'm assuming this includes Schwannomas such as a Vestibular Schwannoma (aka: Acoustic Neuroma), a rare brain tumor. Not to get personal, but I have unilateral hearing loss (deaf), tinnitus, etc. associated with this type of tumor. I'm most interested in what constitutes "brain cancer" before proceeding with a claim. Schwannomas are often benign, but brain tumors nonetheless, that unfortunately result in residual disabilities. Any clarification appreciated. I'm hoping this information benefits other veterans and active service members exposed to burn pits and/or other environmental toxins, and dealing with brain tumors.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act establishes presumptions of service connection for broad categories of conditions related to exposure to burn pits and certain other toxins. Even if you're not sure if your specific condition is covered under the PACT Act, VA encourages you to file a claim now and we will make the determination when we review your claim.
SSG Matt Jester
Will we get automatic benefits for claims that were previously denied that are now presumptive?
Cpl Richard D La Cerda
Cpl Richard D La Cerda
>1 y
I was awarded a 10% disability 1n 2019 for tinnius and provided with a hearing aid but denied Agent Orange exposure in Viet Nam 68' 69' in the DMZ for high blood pressure which I am still being treated for by the VA. I believe I qualify now.
Sgt Marvin Mims
Sgt Marvin Mims
>1 y
Cpl Richard D La Cerda - Stay on it man you rate it ,your getting screwed , this is sad,im praying for you.
PV2 David Smith
PV2 David Smith
>1 y
Cpl Richard D La Cerda - can we all just lol, not at you Corporal, please don't be offended. The absurdity of your situation and the thousands of Vietnam-Era vets like my uncle, R.I.P, who have been denied the benefits they deserve for far too long.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Benefits will not be automatic. If we denied your claim in the past but we now consider your condition presumptive, we encourage you to file a Supplemental Claim. We’ll review the claim again. Please contact our national call center for claim specific assistance at [login to see] so we may provide individual assistance. For more information on the PACT Act and how you can apply for benefits, see VA.gov/PACT.
SSG Infantryman
I was stationed in Fort Ord, CA during basic. It is well documented that Ft.Ord's groundwater was contaminated...even before I was stationed there for Basic Combat Training in the 70's. Does the Pact Act only cover select veterans that were at Camp LeJeune? I have heart disease, congestive heart failure, COPD, diabetes, and high blood pressure. I drank that water at Ord, everybody did...

SFC Tiim Kitts
1/150th AC
WVARNG
Bluefield, WV

I now live in...
Stem, NC
SSG Infantryman
SSG (Join to see)
>1 y
Prior to stents ...3 coronary artery bypasses...
SP6 Dale Cuave
SP6 Dale Cuave
>1 y
Is there any answer to these questions? I too was stationed at Fort Ord in 1972 for basic training. I have COPD and high BP
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act does not cover presumptions related to groundwater contamination at Fort Ord. However, if you believe that you have a condition that is related to exposure to toxins, you are encouraged to file a claim now. Please contact our national call center for claim specific assistance at [login to see] so we may provide individual assistance or schedule an appointment to speak with someone at  VERA - Home (force.com).
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Fort Ord, like many other military facilities, is a Superfund site. However, evidence to date doesn't indicate health concerns among personnel at Fort Ord. The drinking water was tested and came from uncontaminated areas, unlike at Camp Lejeune. Studies done by EPA and DoD have found contamination levels that were within the allowable safe range in the areas that provided drinking water or living space on Ft. Ord. Previous EPA reports do not indicate high contamination levels of drinking water or living areas. VA encourages Veterans who believe that military service has negatively impacted their health to file a claim. Thank you for your question and your service.
SSgt James Blatchley
During my 3 years in the AF in 1977-80 in Germany, we used gallons of Trichloroethylene on rags and towels to clean missiles and missile parts. We worked in an enclosed solid concrete building with no ventilation, gloves, or respiratory protection, and sometimes left work so what dizzy. I now have a history of urinary and prostrate infections and starting to have some digestion issues. What are the long term effects of Trichloroethylene exposure?
CPL Paula James
CPL Paula James
>1 y
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and question. VA encourages any Veteran who believes that military service has negatively impacted their health to submit a claim. You can find more information on Trichloroethylene (TCE) at the VA website: https://www.publichealth.va.gov/exposures/solvents/index.asp and at the Agency for Toxic Substances and Disease Registry: https://www.atsdr.cdc.gov/toxfaqs/tfacts19.pdf# There is some evidence that TCE can cause kidney cancer. It can cause rashes. Surprisingly, long ago, it was used for anesthesia.
SSG Meryl Kiser
My tour in Vietnam 1968-69 was spent from An Khe to Pleiku and in the Central Highlands jungles...Agent Orange was used profusely in those areas...do I have to prove I was actually sprayed with Agent Orange in order to file a claim for hypertension???
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
VA assumes that Veterans who served in certain locations were exposed to Agent Orange. For example, we presume exposure to Agent Orange if you served in the Republic of Vietnam between January 9, 1962, and May 7, 1975.  If you think you are eligible for benefits, we encourage you to apply now. For more information on VA disability benefits based on Agent Orange exposure please visit https://www.va.gov/disability/eligibility/hazardous-materials-exposure/agent-orange/. We also encourage you to visit VA’s PACT Act website at https://www.va.gov/resources/the-pact-act-and-your-va-benefits/. Veterans can utilize links on the site to submit claims, and address any questions to maximize their entitlement related to the act’s recent passage. 
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service. VA only requires documentation that you were in Vietnam in order to presume that you were exposed to Agent Orange. VA encourages Veterans that believe their health was negatively impacted by military service to submit a claim. if you have diagnosed hypertension, you would be eligible for presumption for hypertension.
SSG Information Technology Specialist
How does this ACT help those like me?
100% PNT accepted diagnosis of constrictive Bronchilosis with interstitial lung disease from exposure to Dioxin (lung biopsy) while deployed to Afghanistan.
As many of the leading lung specialists report those whom have this condition will not meet the high standards of PFTs in order to receive compensation. I’m only getting compensation for medication only. Even tho VA and civilian specialists state condition is terminal.
Are there going to be changes to the compensation table ?
Are there going to be a standard compensation for diagnosed condition ?
Thank you
Dean Brink
SSgt Greg Cronin
SSgt Greg Cronin
>1 y
So you rated at 100% P&T now?
SSG Information Technology Specialist
SSG (Join to see)
>1 y
SSgt Greg Cronin
Yes! For all the other injuries occurred. No compensation based on acknowledgment of terminal lung disease brought on by burn pits last deployment to n Afghanistan. Dioxin found in lung biopsy. Va has not given compensation based on condition. New PACT act should change or update compensation
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
VA cannot speak to your specific claim situation in this forum due to privacy issues. If we denied your claim in the past but we now consider your condition presumptive, we encourage you to file a Supplemental Claim. We’ll review the claim again. Please contact our national call center for claim specific assistance at [login to see] so we may provide individual assistance .

For more information on the PACT Act and how you can apply for benefits, see VA.gov/PACT. 
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
As with other VBA determinations, a rating is based on disability. CB has unique characteristics that VBA will address in the VASRD. Ratings can be for service connection with 0% and this allows healthcare and monitoring for changes; with a spectrum of ratings that go to 100% for severe disability.

VA uses methods of determination that would be familiar to most any physician or pulmonary specialist. The VA Airborne Hazards Burn Pit Center of Excellence and other academic partners are looking at new methods to evaluate Veterans (and civilians, such as responders to the WTC. We hope these methods will make lung biopsy, the current standard for diagnosis, necessary only for a difficult diagnosis or determination of care.
SFC Someone Retired
Greetings VA team, thanks for taking the time to review our concerns. I have a question about gulf war veterans presumptIve and burn pit presumptive.

1. Gulf war veterans/presumptive - if a diagnosis was provided in service for fatigue I.e ICD code 780.79, why isn’t the VA recognizing that diagnosis as a service connected disability?

2. With regards to skin conditions/symptoms, is seborrheic keratosis/dermatitis a skin symptom that falls under the gulf war veteran presumptive list dated September 2021 for signs for symptoms of undiagnosed illness?

3. Army records reflect joint knee pain and the gulf war list for presumptive conditions reflects joint pains as a presumptive condition, yet the Va denied the claim for service connection where the Army provided a diagnosis/ICD code 719.46. Please provide why the VA VARs would deny that when Army medical records/diagnosis was provided.

4. Burn pit presumptive- with regard to breathing issues or COPD, would chronic airway disease SCT 13645005 be considered a presumptive for burn pits? Also, ARMY records also has diagnosis for bronchspasm with ICD code 519.11, as well as chest pains, chest tightness and dyspnea.

Thanks for your time, patience and review.
Cheers
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
1. A prominent condition affecting Gulf War Veterans is a cluster of medically unexplained chronic symptoms that can include such symptoms as fatigue. VA refers to these illnesses as "chronic multisymptom illness" and "undiagnosed illnesses." VA presumes certain chronic, unexplained symptoms existing for 6 months or more are related to Gulf War service without regard to cause. These "presumptive" illnesses must have appeared during active duty in the Southwest Asia theater of military operations or by December 31, 2026, and be at least 10 percent disabling.

2. Undiagnosed illnesses with symptoms may include but are not limited to: abnormal weight loss, fatigue, cardiovascular disease, muscle and joint pain, headache, menstrual disorders, neurological and psychological problems, skin conditions, respiratory disorders, and sleep disturbances.

3. We recommend you contact the VA to discuss the specific details of your case at [login to see] , through va.gov or schedule an appointment to speak with someone at VERA - Home (force.com). There are also Veterans Service Organizations that can assist. A listing of these organizations can be found here: https://www.benefits.va.gov/vso/varo.asp

4. A listing of presumptive conditions due to burn pit and toxic exposure conditions can be found online at https://www.va.gov/resources/the-pact-act-and-your-va-benefits/.
CPT David Gowel
Thanks for taking the time to answer our questions. In looking at the PACT Act overview information on the VA website, I can see all the now-presumptive cancers and illnesses listed which is very helpful. Is there a list of these conditions that are most common per theater of war? I only served in Iraq and am curious which of these I might be at most risk of having so I can talk to my PCP about symptoms, tests, etc. Here is the link I've reviewed: https://www.va.gov/resources/the-pact-act-and-your-va-benefits/
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thanks your service and question. Yes, you can use the Exposure Ed App on your smartphone, a free download from your device's app store (Android or Apple). With this smart phone application, you can go to the "conflicts" section and find exposures by conflict. Review of specific exposures, timeframe and location is also possible. Please see: https://mobile.va.gov/app/exposure-ed
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
VA presumes certain Gulf War era and post-9/11 Veterans were exposed to burn pits or other toxins, including Veterans who served in Iraq on or after August 2, 1990. The following conditions are considered presumptive:

These cancers are now presumptive:
Brain cancer
Gastrointestinal cancer of any type
Glioblastoma
Head cancer of any type
Kidney cancer
Lymphatic cancer of any type
Lymphoma of any type
Melanoma
Neck cancer of any type
Pancreatic cancer
Reproductive cancer of any type
Respiratory (breathing-related) cancer of any type

These illnesses are now presumptive:
Asthma that was diagnosed after service
Chronic bronchitis
Chronic obstructive pulmonary disease (COPD)
Chronic rhinitis
Chronic sinusitis
Constrictive bronchiolitis or obliterative bronchiolitis
Emphysema
Granulomatous disease
Interstitial lung disease (ILD)
Pleuritis
Pulmonary fibrosis
Sarcoidosis

If you believe that you have a condition that is related to exposure to toxic substances, you are encouraged to file a claim now. For more information, including a complete list of qualifying service locations and time periods, please visit https://www.va.gov/pact. have a condition that is related to exposure to toxins, you are encouraged to file a claim now.

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