JAMA. 1988 Sep 2;260(9):1249-54.
This study investigates whether military records can be used to identify US Army Vietnam veterans who were likely to be exposed to the herbicide Agent Orange. Serum levels of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), a toxic contaminant in Agent Orange, were obtained for 646 ground combat troops who served in heavily sprayed areas of Vietnam and for 97 veterans who did not serve in Vietnam. The distributions of current TCDD levels in Vietnam and non-Vietnam veterans were nearly identical (mean in each group, approximately equal to 4 parts per trillion [ppt]). Only two men (both Vietnam veterans) had clearly elevated levels (greater than 20 ppt). Levels of TCDD did not tend to increase with greater likelihood of exposure to Agent Orange, as estimated from either military records or self-reported exposure. This study is consistent with other studies and suggests that most US Army ground troops who served in Vietnam were not heavily exposed to TCDD, except perhaps men whose jobs involved handling herbicides.
本研究调查了军事记录是否可用于识别可能接触过除草剂橙剂的美国陆军越战退伍军人。对646名曾在越南重度喷洒地区服役的地面作战部队士兵以及97名未在越南服役的退伍军人,检测了血清中2,3,7,8-四氯二苯并对二恶英(TCDD)的水平,TCDD是橙剂中的一种有毒污染物。目前越战退伍军人和非越战退伍军人的TCDD水平分布几乎相同(每组均值约为万亿分之四[ppt])。只有两名男性(均为越战退伍军人)的TCDD水平明显升高(大于20 ppt)。根据军事记录或自我报告的接触情况估算,TCDD水平并未随着接触橙剂可能性的增加而升高。本研究与其他研究结果一致,表明大多数在越南服役的美国陆军地面部队士兵并未大量接触TCDD,可能从事除草剂处理工作的人员除外。