. Uy DEPARTMENT OF DEFENSE MUSTARD GAS TESTING Y 4. V 64/3: 103-3 Departnent of Defease Hustard Cas T. . HEARING BEFORE THE SUBCOMMITTEE ON COMPENSATION, PENSION, AND INSURANCE OF THE COMMITTEE ON VETERANS' AEFAIES HOUSE OF REPRESENTATIVES ONE HUNDRED SECOND CONGRESS SECOND SESSION MARCH 10, 1993 Printed for the use of the Committee on Veterans' Affairs Serial No. 103-3 ^fP 2 7 1993 U.S. GOVERNMENT PRINTING OFFICE WASHINGTON 1993 : ForsalebytheU.S.GovernmentPrintingOffice SuperintendentofDocuments.CongressionalSalesOffice.Washington,DC 20402 ISBN 0-16-041187-4 [^^DEPARTMENT OF DEFENSE MUSTARD GAS TESTING 4. V 64/3: 103-3 Nrtnent of Defeise Hustard Gas T... HEARING BEFORE THE SUBCOMMITTEE ON COMPENSATION, PENSION, AND INSUEANCE OF THE COMMITTEE ON VETERANS' AFFAIES HOUSE OF REPRESENTATIVES ONE HUNDRED SECOND CONGRESS SECOND SESSION MARCH 10, 1993 Printed for the use of the Committee on Veterans' Affairs Serial No. 103-3 /'*»•'««*%,. SEP 2 7 J993 "^''--^^^--^JS^L U.S. GOVERNMENT PRINTING OFFICE 67-539fci WASHINGTON : 1993 ForsalebytheU.S.GovernmentPrintingOffice SuperintendentofDocuments,CongressionalSalesOffice.Washington.DC 20402 ISBN 0-16-041187-4 COMMITTEE ON VETERANS' AFFAIRS G.V. (SONNY) MONTGOMERY, Mississippi, Chairman DON EDWARDS, California BOB STUMP, Arizona, Ranking Minority DOUGLAS APPLEGATE, Ohio Member LANE EVANS, Illinois CHRISTOPHER H. SMITH, New Jersey TIMOTHY J. PENNY, Minnesota DAN BURTON, Indiana J. ROY ROWLAND, Georgia MICHAEL BILIRAKIS, Florida JIM SLATTERY, Kansas THOMAS J. RIDGE, Pennsylvania JOSEPH P. KENNEDY II, Massachusetts FLOYD SPENCE, South Carolina GEORGE E. SANGMEISTER, Illinois TIM HUTCHINSON, Arkansas JILL L. LONG, Indiana TERRY EVERETT, Alabama CHET EDWARDS, Texas STEVE BUYER, Indiana MAXINE WATERS, California JACK QUINN, New York BOB CLEMENT, Tennessee SPENCER BACHUS, Alabama BOB FILNER, California JOHN LINDER, Georgia FRANK TEJEDA, Texas CLIFF STEARNS, Florida LUIS V. GUTIERREZ, Illinois PETER T. KING, New York SCOTTY BAESLER, Kentucky SANFORD BISHOP, Georgia JAMES E. CLYBURN, South Carolina MIKE KREIDLER, Washington CORRINE BROWN, Florida Mack Fleming, StaffDirectorand ChiefCounsel SUBCOMMITTEE ON COMPENSATION, PENSION AND INSURANCE JIM SLATTERY, Kansas, Chairman DOUGLAS APPLEGATE Ohio MICHAEL BILIRAKIS, Florida, Ranking LANE EVANS, Illinois TERRY EVERETT, Alabama GEORGE E. SANGMEISTER, Illinois CLIFF STEARNS, Florida CHET EDWARDS, Texas PETER T. KING, New York FRANK TEJEDA, Texas (II) CONTENTS March 10, 1993 DepartmentofDefense MustardGasTesting 1 OPENING STATEMENTS Chairman Slattery 1 Hon. Michael Bilirakis 3 Prepared statement ofCongressman Bilirakis 45 WITNESSES Alexander, Lt. Gen. Robert M., Deputy Assistant Secretary of Defense, Mili- tary Manpower and Personnel Policy, Force Management and Personnel, DepartmentofDefense 19 Prepared statement ofGeneral Alexander 93 Browder, Hon. Glen, a Representative in Congress from the State ofAlabama. 8 Goss, Hon. Porter, a Representative in Congress from the StateofFlorida 5 Prepared statementofCongressman Goss 46 Pechura, Ph.D., Constance M., Senior Program Officer and Study Director, Institute ofMedicine, National Academy ofSciences 12 Prepared statementofDr. Pechura 54 Vogel, John, Deputy Under Secretary for Benefits, Department of Veterans Affairs; accompanied by Gary Hickman, Director, Compensation and Pen- sion Services; Dr. Susan Mather, Assistant ChiefMedical Director for Envi- ronmental Medicine and Public Health; and Darryl Kehrer, director, bene- fits/management policyservices 17 Prepared statementofMr. Vogel 85 MATERIAL SUBMITTED FOR THE RECORD Executive Summary: — Veterans at Risk The Health Effects of Mustard Gas and Lewisite, issuedby InstituteofMedicine, Washington, DC, 1993 59 Letters: To Congressman Browder from the White House, response to letter re- ceivedby the President, re mustardgas testing, February 19, 1993 52 To Congressman Frank from Department of the Navy, re views on H.R. 456, March 6, 1991 96 Memorandum: To Secretaries ofMilitary Departments from William Perry, re Chemical Weapons Research Programs Using Human Test Subjects, March 9, 1993 40 Written committee questions and their responses: Chairman Slattery to DepartmentofDefense 100 Congressman Bilirakisto Department ofVeterans Affairs 101 Congressman Bilirakis toJohn Vogel, Department ofVeterans Affairs 113 Congressman Bilirakis to Institute ofMedicine 115 (III) DEPARTMENT OF DEFENSE MUSTARD GAS TESTING WEDNESDAY, MARCH 10, 1993 House of Representatives, Subcommittee on Compensation, Pension, and Insurance, Committee on Veterans' Affairs, Washington, DC. The subcommittee met, pursuant to call, at 9 a.m., in room 334, Cannon House Office Building, Hon. Jim Slattery, chairman of the subcommittee, presiding. Present: Representatives Slattery, Bilirakis, Tejeda and Mont-, gomery. OPENING STATEMENT OF CHAIRMAN SLATTERY Mr. Slattery. Good morning, ladies and gentlemen, and welcome to the subcommittee hearing this morning. It is a pleasure to wel- come all ofyou. theThissubicsomomuirttfieres'tsmecehtaiinrgmaonf,thaend10I3rwdaCnotngtroesfsirastndwemlycofmierstmays friend from Florida, Mike Bilirakis, who is the Ranking Minority Member of the committee. Mike, I'm really looking forward to working with you as we plunge ahead to deal with the challenging issues facing this committee. I also want to especially welcome our new member from Texas, Frank Tejeda. It is good to see you this morning, Frank, and great to have you on the subcommittee. We are here today to learn more about the circumstances and ef- fects of the testing of mustard gas and other agents during and fol- lowing World War II on servicemembers who either volunteered or were volunteered to participate in these tests. According to the Institute of Medicine, some 60,000 veterans were used as human experimental subjects and were exposed to mustard gas and Lewisite agents while participating in militarily supervised tests. We have been advised that numerous veterans VarAe now coming forward seeking treatment and assistance from the for disabilities linked to high-level exposures to mustard agents. In conducting this hearing, we hope to accomplish at least three things. First, we want to be fully briefed by the Institute of Medi- cine on its findings and recommendations regarding the long-term health effects ofhigh-level mustard gas exposures. Second, we expect to hear from the Department of Defense in detail about their reactions to the Institute of Medicine report and (1) to learn what they are doing to respond to its reconimendations, particularly those relating to the identification of victims and out- reach efforts to advise these veterans that they may and should now come forward. Finally, we want to hear from the VA about their experiences and activities in handling benefit claims from the victims of the various tests, as well as those involved in other incidents or mili- tary occupations involving similar exposure possibilities. It appears that VA is on the right track, but it is somewhat ham- strung due to problems relating to records availability. Although the formal testimony of the Department of Defense does not provide us with the detailed information we had hoped for, late yesterday we received a letter from the new Deputy Secre- tary of Defense, Mr. William Perry, responding to our inquiries, and Chairman Montgomery's January 22 letter asking the Secre- tary to specifically address several areas of concern to the commit- tee and the VA, as well as the recommendations set forth in the lOM report. Without objection, both letters will be entered as part of this hearing record. (See pp. 39-44.) I am pleased to report that the new Deputy Secretary's letter provides major new policy statements on the issues of removing se- crecy oaths, declassification of weapons research testing, and the VA location and provision to the of information that will identify test participants. I hope General Alexander will elaborate on these new policies during his testimony. I would like to read at this time a couple of excerpts frorn the letter and its accompanying memorandum, and again, this is in re- sponse to our inquiries and the Chairman's letter of January 22. The new Deputy Secretary states: "I have enclosed a copy ofthe memorandum to the Secretaries of the military departments, my staff, and other Department of De- fense agencies addressing the issues outlined in your letter and di- recting them to cooperate to the fullest in making this information accessible to the Department ofVeterans Affairs." "I have also directed the Assistant Secretary ofDefense for Force Management and Personnel to head a task force to monitor the performance and completion of these actions. I have directed that information be provided to the ASD by July 31, 1993. We plan to forward information to the Department of Veterans Affairs as soon as possible." heAsnadid,in"Ithaemmermeloerasainndg"u—matnhdatthtihseiDsevpeurtyyiSmepcorrettaanrty—re"fIerarmedrteo- leasing any individuals who participated in testing, production, transportation or storage associated with any chemical weapons re- search conducted prior to 1968 from any nondisclosure restrictions or written or oral prohibitions, like oaths ofsecrecy, that may have been placed on them concerning their possible exposure to any chemical weapons agents. I am also declassifying documents for all chemical weapons research studies conducted prior to 1968 with re- spect to the issues of personnel health and safety as specified below." He then goes on to be very specific regarding the location ofeach U.S. chemical weapons research program, the identification of each military unit, and the personnel that were involved in those units. All of this information is declassified and made public. The memorandum also addresses identification of all facilities at which individuals participated in the production, transportation or storage of these chemical agents, and directs the Secretaries of military departments to assist in completing this task. This memorandum will be made available as will the response to our inquiries and the Chairman's inquiries. The bottom line is this. From this date forward, any veteran who participated in any military supervised mustard gas test is free to come forward and seek health care and provide information about his experience. The secrecy oaths are terminated as of today, and I think that is very important news for the 60,000 veterans that par- ticipated in these tests during the World War II era. Obviously, this is the type ofresponse we have all hoped for from DOD, and I welcome it, and I look forward to learning more about it from General Alexander during his testimony. I want to express my appreciation also to our noncongressional witnesses, including Dr. Constance Pechura ofthe Institute of Med- icine, Lt. General Robert Alexander from the Department of De- fense, and Mr. John Vogel ofthe Department of Veterans Affairs. I look forward to hearing from them in their testimony. Before we begin, I am pleased to recognize our Ranking Minority Member, Mr. Bilirakis, if he has any comments or opening state- ment that he might want to make at this time. OPENING STATEMENT OF HON. MICHAEL BILIRAKIS Mr. Bilirakis. Well, thank you, Mr. Chairman. There are many important issues facing our subcommittee, and as the new Ranking Minority Member, I'm looking forward to working with you in this Congress. It has been good working with you throughout the years on this committee and also on the Energy and Commerce Committee. We seem to be on the same two committees. I commend you for scheduling this morning's hearing on mus- tard gas. Lewisite and other substances. I would also like to take a moment to welcome our colleagues, Barney Frank, Porter Goss and Glen Browder to this morning's hearing. I know that Porter has worked extremely hard to bring this issue to Congress' attention. I am an original co-sponsor of his legislation, H.R. 1055, which directs the Secretary of Defense to issue a commendation to indi- viduals exposed to mustard gas during World War II, and there is a long chronology ofPorter's efforts in this regard. I know all of the men who were exposed to this experience many years ago over the years certainly commend you Porter and thank you. In addition, Mr. Chairman, as you mentioned, John Vogel, the Deputy Under Secretary for Benefits, is an old friend to all of us. Before becoming the Deputy Under Secretary, he served as the Medical Director for the VA Medical Center in Bay Pines, St. Pe- tersburg, Florida. I heard just yesterday that John was being apparently moved or transferred, and whether temporarily or permanently I do not know, up to this area. Even though it might be good for him, I found it to be bad for the veterans in our area because I have heard some good stories of the job that John was doing down there, and, John, I welcome you back. Hopefully you want to be back. Prior to his work at Bay Pines, John was the Chief Benefits Di- rector at the Veterans' Administration, and we all became ac- quainted with him during our hearings because he testified at vir- tually every one ofthem. As you indicated, Mr. Chairman, we are going to be examining an extremely disturbing issue. I underline "disturbing." And that, of course, was the use of American military personnel in experi- ments, and I endorse your comments and will not go into the entire part of my opening statement, but I did want to say that what is really more disturbing to me than maybe even the experiments is the lack of follow-up medical care or monitoring of the long-term health effects on many ofthe World War II military personnel, and in addition those personnel who were involved in experiments even after World War II. This is especially troubling in light ofthe fact that it was already known, as I understand it at the time, that certain long-term health problems resulted from sulfur mustard exposure. Now the evidence clearly indicates that the long-term effects of mustard gas can be debilitating, and we can talk about emphysema, respiratory tract cancers, immune system disorders, such as leukemia, recur- rent skin cancers, et cetera. Since the Armed Forces did not maintain records for all the personnel involved in mustard gas testing, it has been extremely difficult for many veterans to prove their illnesses are service connected. The Department of Veterans Affairs in 1991 acknowledged that veterans exposed to mustard agents during secret tests were severely disadvantaged when filing claims for service-connected conditions. Where were the records? That is how they were disadvantaged. The VA should be commended now for having modified their rules for adjudicating compensation claims for mustard gas exposure. The lOM study that the chairman referred to was a VA initia- tive, and we should commend them for that, and the VA has re- sponded quickly to the study's recommendations. Mr. Chairman, I, too, along with you and other members of the committee, are anxious to hear the testimony ofour witnesses. The time has come to make sure we keep our promises to those who have shouldered the burden of our Nation's defense, and hopefully the result of this hearing will be to accelerate the keeping of those promises. Thank you very much, Mr. Chairman. Mr. Slattery. Thank you, Mike. I will figure out where the switches are here in a few minutes. Thank you, Mike, for the remarks. At this time, I would like to welcome three ofour colleagues who have really played a special role ofleadership in bringing this issue