Veterans and Agent Orange: Update 2000 examines the state of the scientific evidence regarding associations between diseases and exposure to dioxin and other chemical compounds in herbicides used in Vietnam. It is the fourth in a series of comprehensive reviews of epidemiologic and toxicologic studies of the agents used as defoliants during the Vietnam War. Over forty health outcomes in veterans and their children are addressed.


Among the report's conclusions is that there is sufficient evidence of a link between exposure and the development of soft-tissue sarcoma, non-Hodgkin's lymphoma, Hodgkin's disease, and chloracne in veterans. Additionally, it found that scientific studies offer "limited or suggestive" evidence of an association with other diseases in veterans—including Type 2 diabetes, respiratory cancers, prostate cancer, multiple myeloma and some forms of transient peripheral neuropathy—as well as the congenital birth defect spina bifida in veterans' children.
Table of Contents


Front Matter
1 Executive Summary
2 Veterans and Agent Orange: Previous IOM Reports
3 Toxicology
4 Methodological Considerations in Evaluating the Evidence
5 Exposure Assessment
6 Epidemiologic Studies
7 Cancer
8 Reproductive Effects
9 Neurobehavioral Disorders
10 Other Health Effects
Appendix A: Summary of Workshop
Appendix B: ICD-9 Codes for Cancer Outcomes
Appendix C: Committee and Staff Biographies
Index