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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
SPC Shirley James
Yes after being a Chaplain Assistant, went all over Saudi Arabia, caught a disease call moya moya, Hypertension, headache. I don't now anyone in my family that has this disease. And I 61 years old.
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. However, VA encourages all Veterans if you believe you have a service connected disability to file a claim. Please contact our national call center for specific guidance at [login to see] or schedule an appointment online at https://vets.force.com/VAVERA/s/
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank your for your service and question. An excellent review of Moyamoya disease is on the mayoclinic.org website. It notes that genetic factors may be a cause. VA encourages any Veteran who believes that military service has negatively impacted their health to submit a claim.
PO1 Alvin Gaylor
I was exposed to (used as cleaner) trichloroethylene while in the US Navy [1976-81 & 1986-98]. I have chronic pancreatitis & neuropathy all over. Can I apply for service connection using PACT?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Without more information, we would be unable to address your question. However, if you believe your conditions are due to exposure to toxins while on active duty, you're encouraged to file a claim. When a Veteran files a claim for a condition that is not an established presumptive for a location not identified in the PACT Act, VA would follow the same procedure of obtaining and reviewing evidence. However, this may also include requesting a medical opinion in conjunction with the exam request, to help determine if the current diagnosed condition is associated with the claimed in-service event.
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# Surprisingly, long ago, it was used for anesthesia. The PACT Act does not address these exposures.
CPO Tj Sullivan
I was stationed in Djibouti 2008-2009 and 2-3x a week there were burn pits raging for hours. Upon return I was diagnosed with PKD and needed a kidney transplant (successful surgery). Can this be attributed to the burn pits and worth pursuing compensation?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
VA encourages Veterans who believe their military service has negatively impacted their health to submit a claim. Polycystic Kidney disease is not a presumption in the PACT Act and your claim would be reviewed for possible service connection.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
You are encouraged to file a claim. If a Veteran served in any of these locations and time periods, VA has determined they had exposure to burn pits or other toxins. This is having a presumption of exposure. On or after September 11, 2001, in any of these locations: Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, Yemen, and the airspace above any of these locations. Veterans and their dependents are encouraged 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.
MAJ Paul Graham
Retired Army Engineer here. What types of tests will be done to determine exposures? When will those tests be scheduled? How will exposures to chemical weapons be tested? Are we simply lab rats for grants spread around the country? Based on hair sample testing by my civilian PCP, I have high levels of lead, aluminum, titanium, and uranium - indicative of Iraq and Grafenwoehr Germany. I was in The Sandbox for 39 months but the local VA facility won't do a CT because I am a non-smoker? Throw in two years at Fort McClellan, AL, including a year in a documented asbestos contaminated building and base line physicals done for my entire team (half of who are already dead in their 50s), the VA claims I'm fine and don't need a CT. Why are CT scans only being done on Veterans who are smokers?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thanks you for your questions and service. Regarding your question about a chest CT : VA follows national guidelines and these guidelines are for smokers with significant smoking histories. Evidence is lacking recommend low dose CT scan for non-smokers, regardless of exposure. VA encourages Veterans who believe that military service has negatively impacted their health to submit a claim. Asbestos in walls and tiles: If asbestos is embedded in insulation or other building materials but not disturbed by renovation or demolition, it can cause no harm. It is dangerous if it is being broken up into finer dust etc. All of us have uranium in our bodies; the concern would be depleted uranium. If you would like to get an assay to look for the isotopic signature for depleted uranium (DU),please contact your locate environmental health coordinator listed at: https://www.publichealth.va.gov/exposures/coordinators.asp to get a DU test. for more information on DU please visit: https://www.publichealth.va.gov/exposures/depleted_uranium/index.asp
SPC Scott Greer
I served from 1971-1974 in Nuremberg Germany for 30 months. I entered a special weapons program and became the section chief building nuclear weapons. We used no gloves or geiger bases and was exposed to half strength uranium and then later to plutonium. After leaving the Army, I developed a skin rash and later diagnosed with Schambergs and Grovers disease. Terrible and painful skin condition that is also found in x-ray technicians around the world. Any link between these two disease and radiation? Thanks
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 and this question is very specific to your individual records, you may be eligible for disability benefits if you meet certain criteria and were in contact with ionizing radiation while serving in the military. 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
Thanks your service and question. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Thank you for your question and your service. While the exact cause of Grovers' Disease us unknown possible triggers include: increased sweating, fever, sun exposure, dry skin (especially in winter), medications, organ transplants, kidney disease/dialysis, exposure to radiation/such as X-rays, cancer, chemotherapy, and recent organ transplants. Schimberg's disease causes discoloration of the lower extremities. It is caused by leaky blood vessels near the surface of the skin. The cause is unknown.
SP5 Christopher Maczik
Why is basal cell carcinoma not included as presumptive disease related to herbicide exposure in Vietnam? We used not only Agent Orange, but also Agent Blue, which contains a high percentage of arsenic. Arsenic is one of the contaminants that causes basal cell carcinoma. I, like many Vietnam veterans suffer from this disease and I know I was exposed to Agent Blue. Basal cell carcinoma should be added to the list of presumptive diseases caused by herbicide exposure in Vietnam.
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 condtion 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.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and question. Basal Cell Carcinoma (BCC) is a very common condition. 11 National Academies Reports on Veterans and Agent Orange did not find a relationship with Agent Orange exposure. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Thank you for your question and your service.
PO1 Bobby Yates
I was Stationed in Atsugi Japan with an incinerator next to the base. Jun 1997 till Dec 2000. I was told I would not be able to claim anything and was made to sign a page 13 agreeing to that or get kicked out. What can I do
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service. You can find more information about the Atsugi Waste Incinerator here. https://www.publichealth.va.gov/exposures/sand-dust-particulates/atsugi.asp. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Thank you for your question and your service.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Japan is not included as a location for presumptive conditions related to burn pit exposure under PACT Act. 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.
SSgt George Ultrino
I do not know where to begin. I filed for disability, on the advice of the person at the VA, but was rejected twice. The second rejection stated that my problems were diagnosed and therefore not presumptive. I had apnea, and to make a long story short, I had serious sinus surgery in 2010. I now take two nasal sprays daily to alleviate symptoms. How do I apply for benefits from burn pits? I was in Saudi Arabia for 10 months 90-91.
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] or you can schedule an appointment with a local Regional Office 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
The PACT Act legislation regarding burn pits is specifically aimed at the Southwest Asia Theater of Operations and covers as presumption chronic sinusitis, Sudi Arabia is one of the covered locations. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Thank you for your question and your service.
Sgt Larry Tebben
I was stationed at Bergstrom AFB in Texas from 1978 to 1983. I was a "Continuous Photo Processor." I was exposed to various chemicals while I performed my duties such as, developing solutions, fixing solutions and various rust prevention chemicals. Exposure was both physical and inhalation. I have had two treatments to treat potential skin cancer on my arms and face. Was my service in the Air Force connected to my skin issues? Larry Tebben, [login to see] , [login to see]
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your question and service. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Skin cancers can be caused by environmental exposures and also sun exposure. We would advise you to talk to your healthcare provider about possible causes and how to prevent (as much as possible) more potential skin cancers.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act specifies presumptive locations and periods of service for Veterans exposed to toxins. If you were not deployed to one of those specific locations during the periods of service indicated, in order to establish entitlement to service-connected compensation there must be evidence of (1) an in-service event, (2) evidence of a current disability and (3) a link between the two. When VA recognizes a condition to be presumptively related to an in-service event, the presumption establishes the needed link. This means VA grants on a presumptive basis if you meet the criteria of the in-service event and have a diagnosed condition recognized to be related to that in-service event.
When a Veteran files a claim for a condition that is not an established presumptive for a location not identified in the PACT Act, VA would follow the same procedure of obtaining and reviewing evidence. However, this may also include requesting a medical opinion in conjunction with the exam request, to help determine if the current diagnosed condition is associated with the claimed in-service event.
Col Donell Mathews
My medical records have the following "DOMINIC RADIATION EXPOSURE" and a percentage/amount which I can not decipher. I was on Operation Dominic in 1962. Am I covered by this law?
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 and this question is very specific to your individual records, you may be eligible for disability benefits if you meet certain criteria and were in contact with ionizing radiation while serving in the military. 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
The PACT Act legislation regarding burn pits is specifically aimed at the Southwest Asia Theater of Operations . VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim. Thank you for your question and your service.

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