燃烧坑暴露评估以支持对伊拉克和阿富汗战争中美国退伍军人的队列研究。
Burn Pit Exposure Assessment to Support a Cohort Study of US Veterans of the Wars in Iraq and Afghanistan.
机构信息
From the Department of Public Health, University of Massachusetts Lowell, Lowell, Massachusetts (S.R.W., A.B.); Alexa Research and Engineering, Washington, DC (C.R.); Center of Innovation in Long-term Services and Supports for Vulnerable Veterans, Providence VA Medical Center, Providence, Rhode Island (L.J., A.N.T.); Brown University Department of Health Services, Policy and Practice, Providence, Rhode Island (A.N.T.); Department of Epidemiology, Brown University, Providence, Rhode Island (D.A.S.).
出版信息
J Occup Environ Med. 2023 Jun 1;65(6):449-457. doi: 10.1097/JOM.0000000000002788. Epub 2023 Jan 11.
OBJECTIVE
For a cohort study of veterans' health conditions, we conducted an exposure assessment for 109 bases in Iraq and Afghanistan and 17 outside transit site bases.
METHODS
The Department of Defense records were used to determine burn pit usage and waste disposal methods for each base in each year during the period of 2001 to 2014.
RESULTS
In the final cohort of 475,326 veterans, who had more than 80% of their deployment time characterized by our exposure matrix, only 14.5% were found to have no burn pit exposure. The 2009 Department of Defense regulations on burn pits did produce changes in waste segregation, as well as adding incineration and local disposal of waste.
CONCLUSION
Most Iraq and Afghanistan veterans were stationed on bases that had burn pits, although the contents disposed of in the burn pits changed over time.
目的
我们对退伍军人健康状况进行了一项队列研究，对伊拉克和阿富汗的 109 个基地以及 17 个过境站点外的基地进行了暴露评估。
方法
使用国防部记录确定了 2001 年至 2014 年期间每个基地每年的焚化炉使用情况和废物处理方法。
结果
在最终的 475326 名退伍军人队列中，有超过 80%的部署时间符合我们的暴露矩阵特征，只有 14.5%的人没有暴露于焚化炉。2009 年国防部关于焚化炉的规定确实改变了废物分类方式，并增加了废物的焚烧和就地处理。
结论
虽然焚化炉中处理的物质随着时间的推移而变化，但大多数伊拉克和阿富汗退伍军人都驻扎在有焚化炉的基地。
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