15 Şubat 2013 Cuma

C-123 Veterans 5th Submission to JSRRC

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As promised JSRRC during our conversation this morning, the C-123 veterans official documentation establishing our aircraft contamination and exposure to veterans therein was submitted, along with 17MB of specific data...much more data exists to prove the point, but in an effort to respond to Mr. Baldini's request only a representative document was included to address each of the JSRRC questions.

---our letter to JSRRC-----


Dear Mr. Baldini,
Thank you again for your wake-up call thismorning…nice to know we are on your list. Our little group of veterans isgrateful for the opportunity to detail our issues before the JSRRC.
The fundamentals of our issue are simple. TheC-123 aircraft we flew included many ships which previously sprayed AgentOrange in Vietnam. These airplanes remained contaminated through theirdestruction as toxic waste in 2010. The airplanes’ contamination resulted inexposure to dioxin (TCDD) of the aircrews, maintenance and aerial portpersonnel assigned to them.
In an earlier conversation with you, wediscussed the fact that a wing’s flying squadrons had assigned to them theirown crews, and attached to them for flying duties were other wing personnelsuch as flight surgeons, flying crew chiefs, aeromedical evacuation crews –these personnel would show formal assignment to their units with attachment tothe flying squadron for flying duties. If this needs clarification pleasecontact any Air Force unit. We need JSRRC not to contest a situation where,perhaps, a flight surgeon assigned to the 439th Tactical Hospital, willalso claim to be attached to the 731st TAS for flying duties andthus part of the population we address. Let the veteran’s own officialdocumentation, such as flight orders, address that peculiarity.
As to an individual veteran’s claims, we canleave it to the individual to establish duties with the aircraft using flightorders, Form 5s, or other documentation. Our concern here is to make clear thatthe aircraft were contaminated and the veterans exposed, in order that JSRRCmight more completely advise the VA when queried.
The first element of the issue is the historyof the C-123 aircraft which were used for Ranch Hand. In general, this isestablished by the 2011 report from Ms. Betty Kennedy[1],AFRC/HO who explained “The C-123 aircraftin the 731st TAS fleet had been used to dispense chemical defoliantsover Southeast Asia during the Vietnam War.” Further details of specificaircraft are provided by the AMARC list of C-123 aircraft tested and eventuallydestroyed and other commonly available lists of C-123 aircraft that flew inVietnam.[2]

The second element is to establish thecontamination by military herbicides of C-123 aircraft flown in Vietnam andalso flown by post-Vietnam squadrons. Only one aircraft had extensivedocumentation of such testing, Tail #362, and detailed in two toxicologicalexams performed by the USAF Armstrong Labs in 1979[3]and 1994[4].
Both tests confirmed “military herbicides” withthe 1994 test characterizing the airplane as “heavily contaminated on all testsurfaces” utilizing standard test techniques. It confirmed contamination bydioxin, but dioxin was not tested for in the 1979 test. The aircraft wassubsequently decontaminated to permit restoration.
This aircraft is identified in the HA AFRC/HOreport as assigned to the 731st TAS during the period 1972-1982. Sixto eleven other former spray aircraft were also assigned.
Other C-123 aircraft assigned to the 731stwere not tested for contamination until many years later, after long years ofstorage at Davis-Monthan AFB AZ, and all still reported between trace and lowlevels of dioxin contamination.[5]All were quarantined in HAZMAT storage in 1997.[6]Testing was accomplished many times between the 1982 date most entered AMARCstorage and their 2010 destruction, with either trace or low levels ofcontamination remaining on about half of the aircraft. 42%of the C-123 aircraft remaining in USAF inventory in 1982, upon theirretirement, were Ranch Hand aircraft.
The remaining issue is actual exposure to“military herbicides.” No mention is made in law nor C.F.R.s regarding theamount of exposure, the duration of exposure, the type of exposure, nor anyother qualification…only the word “exposure.” In every other instance, the USGovernment has treated contamination issues to have also been exposure issues,but in this instance the VA has allowed that some contamination might have remained on theairplanes but that no exposure could have occurred. Again, there is noqualification in the law regarding how much contamination.
When VA promulgatedits herbicide presumption in 2001, the issue of herbicide exposure outsideVietnam was also addressed.  66 Fed. Reg. 23166 (May 8,2001).  VA explained if a veteran did not serve in Vietnam but wasexposed to an herbicide agent defined in 38 C.F.R. §3.307(a)(6) during active militaryservice and has a disease on the list of presumptive service connection (whichincludes diabetes mellitus type II and ischemic heart disease), VA will presumethat the disease is due to the exposure of herbicides.  See 66 Fed.Reg. 23166; 38 C.F.R. §3.309(e).[7]
When asked, an executive of the EPA reminded meof the simple definition, both scientific and generic, of “exposure” which is“the contact between a chemical or biological agent and the outer boundary ofan organism.” Thus, we prove our claim to exposure…our skin came into contactwith what even the VA suggests is “dry dioxin” and thus led to contamination.Experts other than the VA, expertswho do not have a mindset to automatically deny veterans’ claims, dispute theVA’s literature review which led to the VA opting to refuse service connectionand decry it as “unscientific.”
Mr. Baldini, the veterans of the C-123 VeteransAssociation have done as asked of us this morning: we have identified officialgovernment documents detailing our C-123 aircraft fleet’s Vietnam service. Wehave identified official government documents detailing the contamination ofthe C-123 fleet, based on the only aircraft extensively tested over a longperiod of time and which remains existent at the USAF Museum, while nearly allothers were destroyed as toxic waste. And finally, we have identified numerousgovernment documents from a variety of federal agencies that confirmspecifically that C-123 veterans were exposed to military herbicides aboard thecontaminated C-123 fleet. Not detailed here are numerous independent scientificopinions submitted to JSRRC earlier from reputable institutions such asColumbia University and University of Texas Medical School reaching the sameconclusion.
I trust we have fulfilled your assignment givenme this morning. The many gigabytes of official USAF, EPA, CDC, NIH and GSA informationin the DVDs submitted to you last month and in print since 2011 go into thiswith even far greater detail, with numerous additional supporting officialdocuments all reaching the same conclusion. Many of these experts are membersof the National Academy of Sciences, Institute of Medicine, well-qualified toaddress this issue even though not perhaps part of your examining of the issue.Still, you can see there is a general agreement in science and medicineregarding our claims.
If JSRRC for some reason, despite theseofficial documents and the others submitted to you over the years, remainsunconvinced that the VA should be informed that our veterans were exposedaboard the contaminated C-123 aircraft, I can only suggest you contact thefollowing federal or state officials, each of whom has already provided theiragency’s conclusion in confirmation of our exposure claims:
a.    Dr. LindaBirnbaum, Director, National Toxicology Program and Director, NationalInstitute of Environmental Health Sciences “Accordingto the narrative [the 1979 & 1994 USAF tests], exposure is assumed based on wipe-tests demonstrating high dioxinconcentrations in the C-123K’s.”[8]b.    Dr. Tom Sinks,Deputy Director, CDC/Agency for Toxic Substances and Disease Registry “I believe aircrews operating in this, andsimilar, environments were exposed to TCDD.”[9]c.    Dr. Fred Berman,Director Toxicology Program. Oregon Health Sciences University (State ofOregon), “It is my professional opinionthat Major Wesley Carter (and likely, other aircrew veterans who flew theseaircraft in the same time period) was exposed to harmful levels of dioxin thecourse of his aircrew duties.”[10]
I cannot imagine if there was this volume of evidencethat somehow existed to argue against our claim, how we could possibly persuade.That’s not the situation however. Instead, we submit gigabytes of confirmingevidence. Official government historical record and agency opinions andqualified independent expert opinion…and lots of it.
How much additional confirming proof couldJSRRC possibly require? How much additional evidence should any veteran be required to researchhimself to provide to JSRRC and the Department of Veterans Affairs to receivemedical care for the hazards of military service long-ago concluded? Theairplane was contaminated. We were exposed. We call upon JSRRC to say so.
The VA can make its call on whether we meettheir requirements, but they should not do so based on an inaccurate ormisinformed JSRRC response.
I trust that JSRRC will consider that thetwenty years of official USAF descriptions by staff officers, general officers,heads of agency, GSA, the Air Staff and Judge Advocates General attorneys ofthese C-123s as “the Agent Orange airplanes” did not change until 2011 with thefirst C-123 veteran’s Agent Orange exposure claim.
Respectfully,

Wesley T. Carter, Major, USAF Retired

Chronology of SupportingDocuments (generally newer toolder) [11]: note: About one-quarter of all C-123K/UC-123Kaircraft were used for spraying Agent Orange in Vietnam until 1971. MostVietnam-based aircraft returned USAF Reserve inventory in 1971-1972, then flownuntil 1982 when most were sent to Davis-Monthan AFB AZ for storage with somediverted to museum use.  42% of allpost-Vietnam C-123 aircraft were Agent Orange spray airplanes. Fulldocumentation & discussion at http://www.c123cancer.org3 Jan 13. IndependentMedical Opinion, Dr. Arnold Schecter, Univ. of Texas School of PublicHealth; “aircrews were exposed.”29 Nov 12.  Experts'Joint Letter, Ten scientists & five physicians challenge to VAregarding scientific procedures used to deny Agent Orange exposure finding toC-123 veterans, cover letter authored by Dr. Jeanne Stellman.25 Sept 12. AdvisoryOpinion, Mr. Thomas Moore,Director Compensation Services, Dept of Veterans Affairs. Asserted TCDD isharmless.6 May 12.  AgentOrange - 50 Years Hisotry and Newest Concerns , Dr. T. Irons & others,poster display at San Francisco SOT, argued against C-123 veterans exposurevia” dry dioxin transfer.”6 Mar 12.  IndependentScientific Opinion, Dr. Jeanne Stellman, Mailman School of Public Health,Columbia University. Confirming aircraft contamination and aircrew exposure. 4 Mar 12.  IndependentScientific Opinion, Dr. Fred Berman, Director, Toxicology Department ,Oregon Health Sciences University. Confirms aircraft contamination and aircrewexposure therein. With attachments. 22 Feb 12.   ScientificReview of Agent Orange in C-123 Aircraft , VA Public Health announcement of low probability of crew TCDD exposure)and unlikely long-term health problems from the contamination. 26 Jan 12. OfficialLetter, Dr. T. Sinks, Deputy Director Agency for Toxic Substances andDisease Registry, that C-123 aircraft were contaminated, aircrews exposed, andexposure even higher before first test were completed.I9 Dec 11. IndependentScientific Opinion, Dr. J Goeppner (LtCol, USA Chemical Corps, Ret),confirming aircrew exposure to harmful levels of dioxin.15 Dec 09. Email, Mr. Karl Nieman to Mr. WayneDowns, re: value of C-123 engines and possible parting-out.  Herbicide Characterization ofUC-123K Aircraft, Phase I.12 Nov 09.  Memorandumand Support Paper for AMARG/CC from Mr. Wm. Boor, requesting “special handlingfor UC-123K aircraft because of Agent Orange.” All C-123s were smelted as toxicwaste May 2010.27 Jul 09.  Memorandum,Dr. Alvin Young to Mr. Wm. Boor, re: disposal of UC-123K aircraft. Recommendsno add’l samplingJuly 09. FinalDioxin & Herbicide Report Characterization of UC-123K Aircraft, Phase I, Dr. W. Downs 75CEG HAZMATProgram Manager. 26 Jun 09. Memorandum,Dr. Alvin Young to Mr. Jim Malmgren, 505th ACSS re: Decision Memo forContaminated UC-123K Aircraft. Discussed disposal of aircraft, preventing veterans’awareness re: claims.24 Jun 09. Memo for theRecord. Summarizes Jim Malmgren’s presentation and response to comments. 24 Feb 09.  DecisionMemorandum on Contaminated C-123K Airplanes Dr. Alvin Young to Major C.McCrady. Suggests need for speedy destruction of aircraft, proper wording ofpress release for media.Mar/Aug 08. UC-123HAZMAT Safety Plan, Mr. Wayne Downs, 75ABW/CEG and Mr. Karl Neiman, SelectEngineering Layton, UT. Reviewed contamination & dioxin tests, C-123s movedinto AMARG quarantine area31 Jul 03: Memorandum for AOO-ALCD/LCD from AFIOS.100% contamination of all surfaces tested at Air Force Museum;contamination  of remaining surplusplanes, concerns about contaminated ground soil, etc. 05 Aug 97. Memorandum for Secretary of the Air Force/IAfrom Vice Commander, Air Force Security Assistance Center, WPAFB, Ohio. Detailsof C-123K aircraft provided allied military forces under Military AssistanceProgram. 18 Mar 97.  Memorandumfor AFCM/SG from Dr Ron Porter, Toxicologist Health RiskAssessment/Armstrong Laboratory. Concludes “potential for individual exposureto associated with residues of past mission activities”.  10 Jan 97. Memorandumfor AMARC/CD, from Brig. Gen. D. Haines, disposition of contaminated C-123aircraft. Discusses sale by State Department & other agencies of toxicairplanes. Directed AF to seal all remaining C-123s. 8 Jan 97. Memorandumof Caution from Ms. Peggy Lowndes, General Services Administration toMajor U. Moul, Staff Judge Advocate, AF Office of Environmental Law; describesGSA sales of dioxin aircraft to Disney.30 Dec 96. Note, BrigadierGeneral O. Waldrop Staff Judge Advocate HQ AFMC to BG Harris, “the politicalrisk, cost of litigation and potential tort liability of third parties make FMSdisposal of contaminated aircraft imprudent.” 26 Dec 96. Memo from Brigadier General Todd StewartHQ/AFMC/CE to Brigadier General Hanes, HQ AFMC/LG regarding sale ofcontaminated aircraft as inappropriate, unjustified double standard. 18 Dec 96. Letter, Major U. Moul to Mr. Doug BoylanGSA Sales, advising GSA of need to cancel sale of ten surplus UC-123K due toAgent Orange contamination5 Dec 96. Memorandum,Ralph Shoneman Executive Director to HQ AFMC/LGH, Disposition of Dioxin ContaminatedC-123 Aircraft.  31 Oct 96. JAGMemorandum  from Major S.Gempote, Office of the Command Surgeon AFMC. Addresses contaminated C-123K atAMARC, concerns re: military and civilian workers and C-123 dioxincontamination. 31 Oct 96. Memorandum for HG AFMC/LtGen Farrellfrom Mr. R. Schoneman, Executive Director AMARC, re: “disposal contaminatedC-123 aircraft” Dioxin-contaminated C-123K aircraft sold by GSA to generalpublic. 30 Oct 96: Memo,HQ AFMC/LOG/JAV to ESOH C&C: JAG attorney Major Ursula Moul, endorsed byColonel John Abbott, recommends “I do notbelieve we should alert anyone outside official channels of this potentialproblem.” 30 Oct 96. Staff Summary, Brigadier General G.Haines to staff, decontamination and legal liabilities mentioned. Memorecommended “for information only.” 16Aug 96.  IndustrialHygine Survey C-123 Aircraft, DOConsulting Ltd for AMARG. Tested presence of 2,4-D and 2,4,5-T. Water wipesconfirmed herbicide contamination present25 years after last Vietnam spray missions. 17Apr 96,  Memo,Mr. Wm. Emmer, Chief of Safety 355AMDS, directedpersonnel HAZMAT protection around all stored Davis-Monthan AFB stored C-123K airplanes.19Dec 94.  Memorandumfor 645 Med Group/USAF Museum, Capt. Wade Weisman, BSC & Dr. Ron Porter, AFStaff Toxicologists. Tested C-123 Tail #362 (Patches) as “heavily contaminated on all test surfaces.”Recommended HAZMAT protection, restricted access, decontamination. Sept 1979. Aircraft#362 Sampling, Westover AFB MA, SSgt W. Conway, USAF Occupational andEnvironmental Health Laboratory, Brooks AFB, TX. Confirmed military herbicideresidue, no tests for dioxin.
footnotes in the cover letter:
[1]Mrs. Betty Kennedy, FOIA response, 1 June 2011 w/attach 731TAS flying hours andtail numbers[2]Mr. Thomas Lorman, HQ AFMC, Office Memo to USAFRHA, 20 Feb 97[3]SSgt Wm Conway, “Aircraft Sampling” of Tail #362, Sept 1979[4]Dr. Ron Porter/Capt Wade Weisman, Memorandum for 645 MedGrp/SGB (ConsultativeLetter C-123 #362), 19 Dec 94[5]Mr. Ralph Shoneman, Executive Director AMARC/CD, Memorandum “Disposition ofDioxin Contaminated C-123 Aircraft, 4 Dec 1996[6]COL Howard Creek, USAFSAC/CV, Memorandum for SAF/IA, 5 Aug 97[7]Citation 1226982,quoted by Judge C. Trueba, Board of Veterans Appeals in his decision dated 6Aug 2012, published 8 Aug 2012[8]Dr. Linda Birnbaum, Director NIH Nat’l Toxicology Program, Letter to C-123Veterans, 9 June 2011[9]Dr. Tom Sinks, Deputy Director, CDC/ATSDR, Letter to Major W. Carter, 25 Jan2012[10]Dr. Fred Berman, Director Toxicology Program Oregon Health Sciences University,Letter to Hon. E. Shinseki, 25 May 2011

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