Bertell Rosalie
Int J Health Serv. 2006;36(3):503-20. doi: 10.2190/13JL-9LHM-FMR4-0V7B.
For 15 years, the debate about depleted uranium (DU) and its detrimental effects on the health of veterans of the Gulf War of 1991, on the Iraqi people and military (and subsequently on the people of Kosovo, Afghanistan, and Iraq during the second war) has remained unresolved. Meanwhile, the number of Gulf War veterans who have developed the so-called Gulf War syndrome has risen to about one-third of the 800,000 U.S. forces deployed, and unknown proportions of those involved in the subsequent wars. Uncounted civilians and personnel of other nations that fought in Iraq and other wars since 1991 have also been afflicted. The veterans have suffered from multiple serious physiological disorders and have received little or no official recognition, medical relief, or compensation. We need to take another look at this issue, using a holistic and interactive model for the toxic matrix of exposures, identifying the major roadblocks to resolving the scientific questions, and finding appropriate medical and political responses. This commentary is such an attempt.
15年来,关于贫铀及其对1991年海湾战争退伍军人、伊拉克人民和军队(以及随后第二次战争期间的科索沃、阿富汗和伊拉克人民)健康的有害影响的争论一直没有得到解决。与此同时,患上所谓海湾战争综合症的海湾战争退伍军人数量已升至部署的80万美军的约三分之一,而参与后续战争的人员中这一比例不明。自1991年以来在伊拉克及其他战争中作战的其他国家的无数平民和人员也受到了影响。退伍军人遭受了多种严重的生理疾病,却很少或几乎没有得到官方认可、医疗救助或补偿。我们需要重新审视这个问题,采用一种全面且相互作用的模型来研究接触的有毒物质矩阵,找出解决科学问题的主要障碍,并找到适当的医疗和政治应对措施。本评论就是这样一种尝试。