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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
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Responses: 196
AN Carl Moeller
Does Agent Orange come under environmental exposures?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
As a general matter, there are several types of possible exposures or hazards Veterans may have experienced during their military service, which includes Agent Orange. The PACT Act adds more presumptive-exposure locations for Agent Orange, as well as adds high blood pressure (also called hypertension) and monoclonal gammopathy of undetermined significance (MGUS) as additional presumptive conditions. For more information of the service requirements for 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. 
SFC Platoon Sergeant
I spent time in Iraq in several places listed on the registry. I filled the registry out years and years ago. I suffer from asthma, ocular headaches, sinusitis, and several other presumptive symptoms listed of burn pit exposures. Why would the VA tell me my issues have nothing to do with my time in OIF3? They make me feel absolutely defeated when everything I denied, even with evidence.
PVT Michael McClendon
PVT Michael McClendon
>1 y
SSG Matt Wilson - I got a fat 0% for rhinitis also, do not understand and that was before the so called presumption, just crazy
SSG Matt Wilson
SSG Matt Wilson
>1 y
SFC (Join to see) I had a higher level suggest I download a app that tracks headaches, so I tracked my wives headaches for 3 months and submitted it as new evidence, also did one for sinus and the IBS as well… resubmitted it and waiting to see how it went…but once again providing info that already existed or wasn’t properly recorded by her primary care or other doctors…it’s not compensations fault as much as it is the medical
Portion not taking accurate notes
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.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service. Veterans are encouraged to file a claim for asthma and sinusitis, which are presumptions related to airborne hazards and burn pits in Southwest Asia since 2021.
COL Anthony Barbone
I served ib Viet Nam 1969 and human waste was burned at our site, Am I eligible for a claim?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act does not include Vietnam as a location where exposure to burn pits is presumed. The presumption of service connection for sinusitis under PACT Act is related to exposure to burn pits and other toxins for certain Gulf War era and post-9/11 Veterans. However, if you believe that you have a condition that is related to exposure to burn pits or other toxins, you are encouraged to file a claim. 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. 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 in Vietnam. The PACT Act legislation for burn pits covers Southwest Asia. It does not include Vietnam service. VA encourages Veterans who feel that military services has negatively impacted their health to submit a claim.
CPL Wayne Kilgore
How do I log into this event so I may participate in the discussion?
PO3 Matthew Campbell
PO3 Matthew Campbell
>1 y
Hi Wayne- You are in the right spot! Please feel free to ask your question.
CPL Wayne Kilgore
CPL Wayne Kilgore
>1 y
Thank you
LTC Christopher Werle
In reviewing some details about the recently passed PACT Act and cancers that are now presumptive based on certain assignments and exposures I was somewhat surprised to see that the list does not include bladder cancer.

I am a Persian Gulf war veteran and am enrolled in the Airborne Hazards and Burn Pits registry. While in Kuwait, I spent 6 months working daily in the oil fields where hundreds of crude oil wells were burning. On December 7, 2021 I underwent surgery that confirmed I now have bladder cancer.

Based on some studies I reviewed, there are three known causes of bladder cancer, which are smoking (I have never smoked); arsenic poisoning (which has not happened to me as far as I know); and occupational exposure to polycyclic aromatic hydrocarbons (PAHs). The burning of fossil fuels, to include crude oil, is a primary source of PAHs. While one cannot conclude that my exposure to crude oil fires in Kuwait caused my cancer, it seems likely it was at least a contributing factor.

Going forward, I hope oil well fire exposure will be considered as part of ongoing efforts to identify additional presumptive conditions such as bladder cancer that may eventually impact Gulf War veterans.

Sincerely,

Christopher P. Werle, LTC USA (Ret)
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your question and service. The PACT Act did not include bladder cancer as a legislated presumption condition. The National Academies of Sciences, Engineering, and Medicine completed a recent report on Gulf War Veterans (Veterans and Gulf War, Volume 10) and found no increase in any cancers. VA will continue to look for connections between burn pits and airborne hazards and cancers of all types. VA encourages Veterans who believe that their military service has negatively impacted their health to submit a claim.
SFC David Reid, M.S, PHR, SHRM-CP, DTM
I hope to enjoy this event.
SFC Wayne Wheatley
Where is the link to join?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
We assume you mean the burn pit registry? https://www.publichealth.va.gov/docs/exposures/Registry-Steps.pdf Thanks your service and question.
CPO Greg Baker
Edited >1 y ago
Jacqueline- Will the Pact Act remove the requirement to be diagnosed for a presumptive illness within 10 years of leaving the service? I was diagnosed with Asthma(10 years/10 months after retirement) and was denied for that reason. I also submitted evidence of multiple breathing issues that occurred prior the 10 year period. COVID also prevented many in-person appointments during this time frame which slowed diagnosis. I have been told my my Congressional Rep (Florida's 3rd District) that the implementation of the Pact Act will take some time to write the CFR and Title 38. How long do you believe this will take and what should veterans do who need the help now? I don't believe that veterans should have to resubmit a new claim for compensation. These denied claims should be automatically fixed and back paid to date of initial claim. Thanks!
CPO Greg Baker
CPO Greg Baker
>1 y
3 tours of duty in Iraq(2007-2010)
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Yes. There is no restriction or rule on the time frame for eligibility after discharge. If you believe that you have a condition that is related to exposure to toxins, you are encouraged to file a claim now.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service. Most illnesses related to deployments (other than cancers) will manifest within the first year and nearly all by 5 years. The PACT Act in fact codifies the 10 year rule to give the Veteran the benefit of the doubt.
PO3 Denice Lombardo
Will it include those of us who were stationed in Europe during Chernobyl? With the winds and weather radioactive particles, which were 400 times more radioactive than the Atom bomb, were in the air while I was stationed in Scotland. High cancer rates in Scotland have also been linked by scientists and doctors to Chernobyl. I have also been excluded from donating blood since then.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
While VA cannot speak to your specific claim situation in this forum due to privacy issues. This question is very specific to your individual records. Please reach out to us at [login to see] so that a claims representative can review the records you are referencing and possibly provide you with context or an explanation.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service. Your exclusion from donating blood is a precaution related to bovine spongiform encephalopathy (Mad Cow Disease), which can be transmitted by blood transfusion if you were infected and may not manifest for decades later. There was a Mad Cow Disease outbreak in Europe during your service and a remote chance you may have consumed infected products. There is no test to check whether you may have eaten any such products and had this exposure. There is no health risk to you or your offspring related to Chernobyl and only people living in the immediate area of the nuclear power plant were affected. People living in other parts of Europe distant from the plant. German locations for US Soldiers were roughly 850 miles away, more than the distance between Chicago and New York.
SPC Steven Sternberg
In Nam 68, cnt. high.. Exposed to A.O. and burn pits. Got P. Malaria, medivacted to Pleiku, Japan, Denver Fitzsimons. Have Neuropathy. Can only walk a mile at most, feet burn and hurt. I'm 74 and it's been increasing over 10 years. Filed a claim, said if not detected in first year, not eligible. They saved my bacon in the field hospital by packing me in ice and fans. Near death high temps.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act expands benefits for certain Vietnam-era Veterans. Though we cannot state for certain in this forum if you would fall into those categories, 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
Thank you for your service and question. Only early onset polyneuropathy is eligible as a presumption. You can find more information here: https://www.publichealth.va.gov/exposures/agentorange/conditions/peripheral_neuropathy.asp. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Your neuropathy is unlikely to be related to Agent Orange exposure, but may be related to some other aspect of your military service. Thank you for your question and your service..

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