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United States. Congress. House. Committee on Veter.

National Academy of Sciences report on health effects of Agent Orange : hearing before the Committee on Veterans' Affairs, House of Representatives, One Hundred Third Congress, first session, August 4, 1993 online

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Online LibraryUnited States. Congress. House. Committee on VeterNational Academy of Sciences report on health effects of Agent Orange : hearing before the Committee on Veterans' Affairs, House of Representatives, One Hundred Third Congress, first session, August 4, 1993 → online text (page 17 of 25)
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Recommendations for Action

Given these indicators, what could be done next? The rest of my comments relate to actions
that could be taken that might lead to a formal examination of possible causes of these unique
characteristics.



150



The research process usually proceeds along the following sequence:

observatton->bdIcators - >Uterature revlew~>bypothes1s formatioo-ocontroUed studv->hypolhesLs accept or reject

We are at the beginning of this process, having gone through the observation. The indicators
are there, or I wouldn't be giving this testimony today. The literature has been impartially
reviewed and reported by several credible sources including Admiral Zumwalt, The Scientific
Task Force, and the National Academy of Sciences. While the focus of these reviews has been
on adults, they have only briefly touched on the generational effects of toxic exposures because
there is very little published in this area. I believe a hypothesis can be formed by this committee
at the conclusion of our testimony.

The cause and effect questions are questions that should have been answered before
herbicides were used in Vietnam and they still need to be answered today. They need an answer
to relieve the guilt and to direct the frustration carried by many veteran families. They need an
answer so that genetics counselors can do their jobs by giving people an indicator of risk in their
prediction on birth outcomes. They need an answer because it's a moral and ethical issue that
will not go away and most importandy, because Vietnam veterans deserve the answers.

Twenty years ago, family members could predict that cigarette smoking by a family member
would cause a premature death. They were so certain of their prognosis that many of them
referred to cigarettes as coffin nails and that each one smoked would reduce life expectancy by
14 minutes. When a death of a smoker occurred, the cigarettes were blamed, yet another 15
years would pass before there was enough scientific evidence accumulated that demonstrated
that a cause and effect relationship existed. When it was finally concluded, the evidence was so
strong that even secondary smoke was implicated.

Vietnam veteran family members believe that something in the Vietnam experience
contributed to the next generation's health problems. Unlike smoking, which has a longitudinal
exposure, the Vietnam war and Agent Orange exposure was time limited; and hopefully there
will never be another large group of people exposed that would provide a comparison group.
We cannot wait another 15 years before we formally look at whether a cause and effect
relationship exists.

The issue of cause is multidimensional. One dimension is due to multiple factors that can
cause the conditions. Another is that the conditions are not unique to this population. When a
child has a traumatic event, such as a bicycle accident resulting in a broken arm, we can directly
associate the single cause and the outcome, i.e., the broken arm was caused by the fall. But the
conditions the Vietnam veterans' children have, such as cancer, learning disabilities or birth
defects, do not have a single potential cause. For many of them, the cause is still not known.
What makes the interpretation even more difficult is trying to connect the outcome with



151



something in the parent's lifestyle or something teratogenic that the parent may have been
exposed to many years ago. Another complication is that Vietnam veterans were exposed to a
variety of hazards ranging from arthropod vectors, anti-malarial drugs, Agent Orange, fungal
infections and the stress of combat Which of these, or their combinations, may have contributed
to an increase in the incidence of child health problems in subsequent generations may never be
determined. What can be determined is that the Vietnam experience did or did not result in
generational effects.

As I indicated earlier, we are at the beginning of the research process. The indicators are
there, the literature has been impartially reviewed, and we are at the point where a hypothesis
can be formed. From a scientific point of view, there are a number of issues that cry out for
investigation. May I be so bold as to suggest one hypothesis that I believe would be appropriate:
The Vietnam experience resulted in a wide variety of generational effects that manifest
themselves as disabilities and chronic health conditions.

Once this research is completed, if the findings indicate a relationship, as I suspect they will,
this committee will have assisted Vietnam veterans in obtaining access to appropriate and quality
health care and a range of supportive services needed by their families.

Thank you for giving me this opportunity to speak today.



152



National Information System
Listing of Diagnosed Conditions 1989-1993

Vaginal



Aberfeld Syndrome (dmoodndynoiftk Myounu) J

Abused. 55

Neglect 4

Sexual 15

Other 36

Adnexitis 2

Alpart's Syndrome 1

Amputation. 23

Angel Syndrome...... 1

Aortic Stenosis. 3

Aortic Valve Insufficiency 2

Appendicitis. 3

Apert's Syndrome (acrocephalosyndactyly). 1

Apnea 16

Arthritis 164

Juvenile, Rheumatoid 26

Other 138

Asthma 982

Attention Deficit Disorder 608

ADD w/Hyperactivity 342

Other Attention Deficit Disorder 266

Autism 107

Barrier's Disease * 1

Pervasive Developmental Disorder. 6

Other 100

Behavior Disorders, Child 498

Autistic-like. 9

Aggression 37

Delinquency 21

Echolalia 1

Fire Starter 2

Hyperactivity 191

Inappropriate Sexual Behavior 5

Lying 2

Sadism 1

Self-mutilation. 7

Social Alienation. 7

Other Behavior Disorders 215

Birth Defects 1870

Agenesis. 19

Bladder 3

Corpus Collosum 3

Intestinal 5

Liver 1

Sacral 1

Urethral 2

Uterine 1

Other. 3

Atelectasis. 1

Atresia 59

Anus, Imperforate 26

Biliary 1

Esophageal 15

Intestinal 2

Pulmonary 4

Tracheal 2

Urethral 1



I

Other. 1

Bone Malformation 39

Brain Malformation. 8

Breast, Malformaton. 7

Bronchial Cleft 1

Chest Malformation 44

Pectus Excavatum 27

Pectus Carinatum 9

Other. 8

Congential Dislocations 45

Hip, Dislocation at Birth 34

Other. 11

Craniofacial Anomalies 399

Cranioschisis 6

Craniosynostosis 2

Ear Deformity 64

Blockage 2

Canal, None 6

Ear Drums, None 8

Other 48

Eye Deformity. 29

Cataracts, Congenital 3

Eyes Not Open At Birth 2

Eyes, Crossed At Birth. 2

Tear Ducts, None 2

Other 20

Facial Anomalies 10

Treacher-Collins Syndrome 3

Other 7

Jaw Abnormalities 21

Mouth Abnormalities. 217

Cleft Lip 57

Cleft Palate 141

Teeth, Two Rows 2

Tongue, Attached to Palate. 1

Tongue, Deformed 2

Tongue, Unattached. 1

Other 13

Nasal Passage, Malformed 10

Other Craniofacial Anomalies 40

Epispadias. 2

Fistula 6

Gastroesophageal Reflux 10

Gastroschisis. 11

Genital Malformation 67

Anorchism 7

Cryptorchism 12

Hypospadias 22

Testicle, Supernumerary 1

Vagina, Missing. 3

Uterus, Missing J

Other. 21

Great Vessels, Transportation 4

Heart Defect, Congenital 308

Hemiphypertrophy 5

Holoprosencephaly 1

Hydrocephalus. 65

Joint Deformity. 11



153



Kidney Malformation. 26

Kidney, Two Pair 2

Kidney .Missing 5

Other. 19

Limb Defect 483

Adactyly. 18

Aim/Hand, Missing 12

Clubfoot 140

Erb's Palsy 3

Finger, Deformed 15

Flat Feet 16

Knees, Malformed 6

Knees, Missing 3

Length Inequality 36

Limb Reduction 15

Nails, Malformed 16

Nails, Discolored 1

Pigeon-toed 2

Polydactyly 18

Ptosis J

Syndactyly 22

Toes, Deformed 21

Other. 138

Lungs, Missing J

Lungs, Scarred 2

Macrocephaly. 2

Micrencephaly 2

Microcephaly 15

Muscle, Missing. 11

Neural Tube Defects 4

Obstruction 10

Intestinal 5

Ureteral 2

Urethral 3

Organs, Transpositioned 7

Rectum, Supernumerary 4

Siamese Twins 1

Situs Inversus 5

Spleen, None. 1

Stomach, Malformed (surgically corrected) 4

Thyroid, none 2

Ureter, Deformed 3

Ureter, Supernumerary 1

Other Birth Defects 174

Beckwith-Wiedemann Syndrome 1

Bladder Disorders 36

Exstrophy 8

Neurogenic 2

Other Bladder Disorders 26

Bleeding Disorder 55

Epistaxis 37

Hematuria 10

Hemmorhage 3

Hemmorhage, Gastrointestinal 2

Other Bleeding Disorders 3

Bloch-Swzbenger Syndrome 1

Blood Disorders 171

Anemia 72

Aplastic 6

Hemolytic, Autoimmune 15



Megaloblastic 1

Sickle Cell 12

Thalassemia 3

Other. 35

Coagulation Disorders. 9

Hemophilia , 7

Other. 2

Hypercapnia 1

Lecithin Acyltranferase 1

Leukocytosis 2

Leukopenia 1

Neutropenia 2

Pelger-Huet Anomaly 1

Purpura 3

Ideopathic Thrombocytopenic 1

Thrombotic Thrombocytopenic 1

Other. 1

Spherocytosis, Hereditary. 1

Thrombocytopenia 6

Other Blood Disorders 72

Bone Disease. 64

Developmental 9

Exostoses, Multiple 1

Rickets 1

Other Bone Diseases. 53

Bone Marrow Diseases 7

Brain Disorders 107

Damage Chronic 69

Disease 15

Dysfunction (Organic) 22

Other Brain Disorders 1

Breast Disease 4

Cancer. 481

Bladder 2

Bone 6

Bone Marrow 1

Breast 1

Carcinoma 16

Adenocarcinoma 1

Basal Cell 1

Bronchogenic 1

Squamous Cell 2

Tetracarcinoma, 1

Other. 10

Cervical 5

Colon 11

Ears 1

Esophageal 2

Genital 2

Leukemia. 45

Liver 2

Lymphoma. 127

Hodgkin's Disease 16

Non-Hodgkin's 62

Other. 49

Lung 11

Nasopharyngeal 2

Ovarian 2

Pancreatic 2

Prostate 5



154



Rectal 1

Sarcoma 74

Histiocytosis 2

Liposarcoma. 1

Lymphasarcoma 1

Retinoblastoma 2

Soft Tissue 42

Synovioma. 3

Other. 23

Skin 29

Stomach 3

Testicular. 3

Thyroid 2

Uterine 2

Vaginal 4

Wilm's Tumor 7

Other Cancer. 113

Cartilage Disease 2

Cat Eye Syndrome 1

Celiac Disease 4

Central Nervous System Damage 7

Cerebral Palsy 233

Charcot Manic Tooth Disease 2

CHARGE Associatioa 3

Circulation Disorder 14

Colon Disease. 17

Coma. 2

Cornelia de lange Syndrome 3

Cri-du-chat Syndrome 2

Crohn's Disease 18

Crouzon's Syndrome 6

Cushing's Syndrome 1

Cystic Fibrosis 10

Cysts J24

Brain 3

Breast 4

Esophageal 1

Kidney, Polycystic 4

Ovarian 19

Vaginal 2

Other Cysts 91

Dandy-Walker Syndrome 2

Deaf/Blind. 5

Death 391

Autism 1

Birth defects, Multiple 22

Anencephaly. 1

Brain Damage 1

Other. 20

Cancer 80

Bone 1

Colon 6

Glioblastoma 1

Leukemia 6

Lung 2

Lymphoma. 11

Hodgkin's Disease 1

Non-Hodgkin's 6

Other 4

Melanoma. 2



Meningioma I

Neoplasm, Brain 5

Pancreatic 3

Sarcoma 6

Chondrosarcoma. 1

Soft Tissue. 5

Stomach 3

Other. 33

Heart Failure 6

Hurler's Syndrome. 1

Immune Deficiency 1

Infection 1

Neonatal 28

Neuromuscular Disease 2

Osteogenesis Imperfecta 1

Pediatric 71

Pulmonary Disorder 2

Sudden Infant Death Syndrome 3

Suicide ." 5

Werdnig-Hoffm an Disease 2

Other Deaths 165

Dental Disorders. 236

Caries 14

Dentia Tarda 2

Disease 76

Pulp Disease 1

Other. 75

Enamel Hypoplasia 7

Luxation 1

Malocclusion.... 2

Supernumerary Teeth. 15

Temporomandibular Joint Syndrome 5

Tooth Abnormalities 26

Tooth Discoloration 3

Tooth Erosion..^

Tooth Exfoliation

Tooth Migration.

Tooth, unempted

Other Dental Disorders 8

Deficiency Disease 7

Vitamin Deficiency 3

Other Deficiency Disease 4

Developmental Delay 87

Developmental Disability 30

Diabetes, Insipidoua 13

Diabetes Mellitus „• 144

Juvenile 48

Other Diabetes Mellitus 96

Digeorge Syndrome 2

Digestive System Abnormalities 68

Constipation 8

Diarrhea 29

Diseases 8

Hischsprung's Disease 4

Other. 4

Diverticula 5

Colonic 4

Esophageal. 1

Other Digestive System Abnormalities 18

Dizziness 25



155



Donohuc Syndrome 1

Down Syndrome (Trisomy 21) 107

Dual Diagnosis , 2

Duane's Syndrome 1

Dysautonomia, Familial 1

Ear Disease 26

Eating Disorder 21

Anorexia Nervousa 4

Bulimia 8

Pica 1

Other Eating Disorders 8

Ectodermal Dysplasia 2

Edema 16

Ehlers-Danlos Syndrome 2

Elephantiasis 1

Encephalocele. 2

Endocrine Disorder 3

Esophageal Disease 3

Eye Abnormalities 101

Blepharitis. 5

Coloboma 4

Disease 34

Keratocomus. 1

Lazy Eyelid 4

Nystagmus 5

Other Eye Abnormalities. 48

Eye/Hand Coordination 10

Failure to thrive. 4

Fatique, Chronic 18

Feeding Disorders 29

Fetal Alcohol Syndrome. 6

Fragile X Syndrome. 3

Fncdrich's Ataxia 5

Fungus Diseases 41

Gall Bladder Diseases 14

Cholelithiasis 2

Other Gall Bladder Diseases. 12

Gastrointestinal Diseases. 25

Genital Disease 1

Genetic Disorder 20

Chromosome Abnormalities. 13

Other Genetic Disorders 7

Gifted, Academically 8

Goldenhar Syndrome 6

Goodpasture's Syndrome 2

Gout 7

Growth Abnormalities 92

Dwarfism. 1

Gigantism 1

Other Growth Abnormalities 90

Guillain-Barre Syndrome 6

Gynecological Disorder 73

Cervix Disease. 2

Endometriosis 7

Menstruation Disorder 44

Ovarian Disease 5

Uterine Disease. 2

Vaginal Diseases 2

Other Gynecological Disorders 11

Gynecomastia 1



Hand-Shueller-Christian Syndrome !

Hair Disease. 85

Alopecia 76

Hirsutism 2

Other Hair Disease 7

Hallermann's Syndrome. 2

Head Injury. 31

Hearing Disorders 574

Deafness 89

Nerve Deafness 14

Other. 75

Hearing Loss, Bilateral 7

Hearing Loss, Conductive 3

Hearing Loss, Functional 13

Tinnitus. 14

Other Hearing Disorders 448

Heart Disorders 263

Aneurysm 4

Angina, Pectoris 1

Arrest 4

Arrhythmia 8

Enlarged Heart.... 5

Heart Diseases 179

Heart Failure 9

Heart Valve Diseases 11

Mitral Valve Prolapse 13

Murmur. 6

Myocardial Infarction 10

Takayasu Syndrome 2

Tricuspid Valve Insufficiency. 1

Wolff-Parkinson-White Syndrome 1

Other Heart Disorders 9

Hernia 76

High Risk Infant 6

Histoplasmosis. 3

Hormone Imbalance 3

Huntington's Disease 1

Hyaline Membrane Disease. 4

Hydrocele. 3

Hyperglycemia 6

Hyperhidrosis 2

Hyperlipidemia 1

Hypertension. 107

Hyperthermia 4

Hypoglycemia 9

Hypohidrosis 1

Hypoplasia 2

Adrenal 1

Skeletal 1

Hypothermia 4

Ileal Disease. 1

Immune Deficiencies 1990

Agammaglobulinemia 4

Allergies 1052

Drug Hypersensitivity. 19

Food Hypersensitivity 17

Other. 1016

Anaphylaxis. 2

Autoimmune Disease 5

Blisters. 55



156



Common Cold 43

Cough. 15

Epstein-Ban Virus 13

Fevers 42

Immune Deficiency Syndrome 68

Infectious Diseases 58

Bronchiolitis, viral 1

Candidiasis 2

Cytomegalovirus 1

Encephalitis. 7

Hepatitis. 17

Herpes Simplex 2

Meningitis 16

Rheumatic Fever 3

Scarlet Fever. 3

Other. 9

Infections, Chronic/Recccurring 232

Abscess, Peritonsillar 2

Actinomycosis 1

Ear 79

Eye 5

Pseudomonas 4

Respiratory Tract 12

Staphylococcal 1

Streptococcal 22

Urinary Tract 43

Vaginal 5

Viral 4

Other. 54

Inflammations, Chronic/Reoccurring 286

Arteritis 3

Bronchitis 73

Bursitis 6

Cellulitis 3

Colitis 18

Conjunctivitis 1

Cystitis 3

Duodenitis 1

Epididymitis 1

Epiglottitis 2

Fibromyositis 3

Gastroenteritis 8

Ileitis. 3

Iritis 1

Laryngitis 3

Lymphadenitis 1

Myositis J

Osteitis 2

Osteochondritis 3

Osteomyelitis 5

Otitis Media 28

Pancreatitis 1

Panniculitis, Nodular Nonsuppurative 1

Pharyngitis 1

Phlebitis 6

Prostatitis 8

Rhinitis 8

Sinusitis 56

Stomatitis 1

Tendonitis. 7



Thyroiditis 2

Tonsillitis 15

Tracheitis 1

Uveitis 1

Vasculitis 2

Other. 3

Meniere's Disease 4

Mononucleosis 6

Pneumonia 49

Virus (flu type, frequent). 11

Other Immune Deficiencies 74

Impotence 10

Incontinence 68

Fecal 19

Urinary 48

Other Incontinence. 1

Infertility. 28

Female 8

Male 20

Intestinal Diseases 14

Intestinal Perforation 1

Irritable Bowel Syndrome 4

Kidney Abnormalities 215

Albuminuria 1

Calculi 9

Glomerulonephritis 2

Glomerulosclerosis 2

Hemoglobinuria. 1

Kidney Failure 21

Acute 5

Chronic 11

Hydronephasis. 1

Other. 1

Pyelonephritis 1

Reflux. 2

Renal Diseases 171

Renal Acidosis 1

Uremia. 1

Other Kidney Abnormal! tis. 3

Klinefelter's Syndrome 3

Klippel-Feil Syndrome 2

Lactation Disorder 1

Language Disorders 25

Landau-Kleffner syndrome 1

Larsen's Disease 1

Lead Poisoning 2

Learning Disabilities 2304

Dyslexia 213

Perceptual Disorder 22

Sensory Integration Disorders. 2

"Slow Learner" 78

Other Learning Disabilities 1989

Legg-Perthe's Disease 6

Lennox-Gastaut Syndrome 1

Lesch-Nyhan Syndrome 3

Letterer-Siwe Disease 1

Levers Disease 4

Liver Abnormalities. 86

Cirrhosis 5

Disease 64



157



Dysfunction 4

Hepatomegaly 3

Jaundice, At Birth 9

Other Liver Abnormalities 1

Lung Disease. 69

Lupus. 20

Lyme Disease 1

Lymphatic Disease 11

Lymphedema 7

Machifava-Bignami Syndrome. 1

Malaria 8

Marfan Syndrome 8

Marcus Gunn's Syndrome 1

Memory Disorder 41

Mental Retardation. 472

Metabolism Disorder 36

Alpha I Antitrypsin Deficiency 2

Bistinidase Deficiency. 2

Gangliosidosis 1

Maple Syrup Urine Disease. 7

Mucolipidosis. 1

Mucopolysaccharidosis 1

Phenylketonuria 6

Other Metabolism Disorder. 16

Mobius Syndrome. 2

Molluscum Contagiosum Virus 1

Motor Dysfunction 67

Moya-Moya Disease 4

Mucopolysaccharidosis. 1

Multiple Disabilities 50

Multiple Sclerosis 20

Muscular Disorders 81

Ataxia. 2

Cerebellar 1

Telangiectasia 1

Atrophy. 9

Carpel Tunnel Syndrome 8

Fasciculation. 1

Disease 23

Hypertonia 14

Hypotonia 3

Myopathy, Nemaline 3

Myositis 2

Spasticity 2

Tremor. 3

Other Muscular Disorders 11

Muscular Dystrophy 17

Musculoskeletal Abnormalities 11

Nasopharyngeal Disease 2

Neoplasms. 439

Angiomatosis 1

Appendiceal. 1

Bladder 1

Brain 39

Breast 10

Cervical. 1

Cholangioma 2

Colon 3

Craniopharyngioma. 1

Eat 5



Enchondroma. 1

Eye 5

Gallbladder. 2

Ganglioneuroma 2

Gastrointestinal 2

Heart 6

Hemangioma 26

Histiocytoma 2

Hygroma 1

Kidney 2

Lipoma 6

Lung 5

Lymphangioma 8 '

Melanoma 3

Meningioma 4

Myoblastoma 1

Neuroblastoma 7

Neurofibromatosis 10

Neuroma 1

Osteochondroma 9

Ovarian 3

Papilloma 25

Pituitary 5

Retinoblastoma 2

Sebaceous Gland 2

Seminoma 8

Skin 9

Spinal 8

Splenic 1

Stomach 10

Thyroid 3

Tonsillar 4

Urethral. 1

Uterine. 1

Vaginal 1

Other Neoplasms 189

Nephrotic Syndrome 3

Neurological Disorders 153

Nerve Compression Syndrome 2

Nervous System Abnormalities 19

Neuropathy. 11

Neuropathy, Peripheral. 50

Other Neurological Disorders 71

Neuromuscular Diseases 7

Nonne's Syndrome 1

Noonan Syndrome 13

Nose Disease 7

Obesity. 55

Oculoc er ebrorenal Syndrome. 3

Oculodentodigital Syndrome 2

Opitz-Frias Syndrome 4

Organ Transplant 3

Bone Marrow 1

Kidney 2

Liver 1

Other Organ Transplant 6

Organs, Prematurely Aged. 2

Orthopedic Disabilities 395

Ankylosis. J

Arthrogryposis. 9



7S-766 O - Q4 - fi



158



Fractures, Ununited. 3

Hip Disorder 2

Hip Dysplasia. 9

Joint Disease 61

Joint Instability 14

Osteonecrosis 1

Osteoporosis .7

Other Orthopedic Disabilities 288

Osgood-Schattcr Disease 1

Osteogenesis Imperfecta 11

Pain 618

Backache 52

CausalgM 1

Chest 25

Earache 11

Headache 297

Migraine. 70

Other. 227

Joint/Muscle 132

Stomach 57

Trigeminal Neuralgia. 2

Other Pain 41

Pancreatic Diseases 5

Paralysis 81

Facial 3

Hemiplegia. 7

Paraplegia 19

Quadriplegia 18

Weber Paralysis 1

Other Paralysis 33

Parasitic Disease. 7

Parkinson Disease 2

Penile Diseases 5

Physical Disabilities 27

Pierre Robin Syndrome. 6

Pituitary Disorder 6

Poland Syndrome. 3

Poliomyelitis 1

Prader-Willi Syndrome 9

Pregnancy Complications 346

Abortion 124

Habitual Miscarriage 48

Spontaneous 59

Therapeutic 2

Other. 15

Embryo Resorption 1

Labor Complications 8

Low Birth Weight 8

Pregancy, Ectopic 3

Pregnancy, Tubal 1

Prematurity (Premature Birth). 123

Stillbirth 43

Teratogenesis 1

Other Pregnancy Complications 34

Premotor Cortex Syndrome 1

Prostatic Diseases 9

Proteus Syndrome 1

Prune Belly Syndrome. 1

Psychiatric/Psychological Disorders. 1959

Anxiety 68



Bipolar Disorder. tZ

Catalepsy 4

Conversion Disorder. 1

Depression 131

Dissociative Disorder. 1

Emotional Disorder 449

Emotional Trauma 11

Hallucinations 6

Hypochondriasis 2

Manic Disorder 15

Munchhausen Syndrome 1

Personality Disorder 56

Affective 1

Anti-Social 3

Attachment 1

Borderline. 2

Dependent 2

Histrionic 1

Multiple Personality 3

Obsessive-Compulsive 3

Oppositional Defiant 4

Paranoid 17

Passive- Aggressive 1

Schizoid 3

Other. 16

Phobic Disorder 14

Psychological Stress 10

PTSD 891

Schizophrenia 65

Suicide Attempt 64

Other Psychiatric/Psychological Disorders 147

Puberty, Delayed 1

Puberty, Precocious 5

Pulmonary Stenosis 5

Pulmonary Valve Insufficiency 1

Radiation Injuries 4

Raynaud's Disease 5

Rectal Disease 2

Reflex Sympathetic Dystrophy 1

Reiter's Disease 1

Reproductive System Disorder 2

Respiratory Disorders. 222

Bronchial Disease 8

Bronchopulmonary Dysplasia (BPD) 2

Chronic Obstructive Pulmonary Disease 8

Emphysema 16

Hyaline Membrane Disease 3

Hyperventilation 2

Pleurisy 2

Pulmonary Fibrosis 2

Siderosis J

Other Respiratory Disorders 178

Retinopathy 2

Ren Syndrome 4

Reye's Syndrome. 1

Rickets 1

Romberg Disease. 1

Salivary Gland Disease 2

Sarcoidosis 5

Scham berg's Disease 1






159



Seizure Disorders. 526

Convulsions 31

Epilepsy 148

Narcolepsy 7

Other Seizure Disorders 340

Sensation Disorder 17

Anosmia 2

Hyperesthesia. 4

Photosensitivity 2

Taste Disorder 1

Other Sensation Disorders 8

Sex Differentiation Disorder. 1

Short Rib - Polydactyly Syndrome 1

Shy-Drager Syndrome 1

Silverskiold's Syndrome 1

Skin Abnormalities. 2585

Acne 53

Cafe au lait Spots 1

Carbuncle 1

Chloracne 129

Dermatitis Exfoliativa 8

Dermaxomyositis 1

Dermatosis 4

Diseases 113

Infections. 3

Other. 110

Eczema 37

Epidermolysis Bullosa 2

Erythema, multiforme 1

Kawasaki Disease 2

Keratosis 1

Lesions 44

Leishmaniasis. 2

Morphea. 1

Nails, Loosing 5

Neurodermatitis (Lichen Simplex) 3

Nevus (Birthmarks) 28

Paracoccidioidomycosis. 14

Porphyria 6

Porphyria, Cutanea Tarda 6

Pigmentation Disorder. 43

Albinism 2

Melanosis 1

Vitiligo 16

Other. 24

Prematurely Aged 5

Psoriasis 14

Rosacea. 1

Scleroderma 3

Seborrhea 1

SED Congenita 1

Shingles 1

Tinea Versicolor 3

Urticaria 2

Warts. 20

Other Skin Abnormalities 2029

Sleep Disorders 66

Insomnia 10

Sleep Apnea 6

Other Sleep Disorders 50



Soto's 2

Speech Disorders 461

Aphasia 3

Elective Mutism 4

Stuttering 14

Other Speech Disorders 440

Spina Bifida 159

Spinal Disorders 300

Curvature 231

Kyphosis , 1

Lordosis 2

Scoliosis 205

Other. 23

Malformation 2

Malformation, Spurs 2

Spinal Cord Diseases 36

Spinal Cord Injuries 18

Spondylolisthesis 4

Spondylitis Ankylosing 1

Stenosis J

Torticollis 2

Transverse Myelitis 1

Other Spinal Disorders 2

Spinal Diseases 2

Splenic Diseases 5

Stevens-Johnson Syndrome 1

Stomach Disorder 98

Dilation 1

Disease 26

Pyloric Stenosis 2

Rupture 1

Ulcer 59

Other Stomach Disorder 9

Stroke (CV A) 36

Sturge-Weber Syndrome 2

Substance Abuse 113

Alcoholism. 67

Other Substance Abuse. 45

Suprarenal Genital Syndrome 1

Suttons Disease 1

Sweat Gland Disease 3

Sweating, Gustatory. 2

Syphilis 1

Testicular Disease 14

Throat Disease 3

Thyroid Disorder 323

Grave's Disease (hyperthyriodism). 7

Hyperparathyroidism 1

Hypoparathyroidism 1

Hypothyroidism 269

Other Thyroid Disorder 45

Tietze's Syndrome 1

Tourette's Syndrome 27

Tongue Disease 1

Tracheal Disease 2

Tracheal Stenosis 1

Tracheoesophageal Fistula 3

Trisomies 6

Trisomy 18 3

Other Trisomies 3



160



Tuberculosis 10

Tuberous Sclerosis 9

Turner's Syndrome 13

Unconsciousness J

Ureteral Disease 1

Urethral Disease 2

Urination Disorder 9

Usher's Syndrome 1

Vascular Disorder 30

Arteriosclerosis. 7

Embolism 2

Hematoma, subdural. 1

Hemmorrhoids. 4

Idiopathic Avascular Necrosis 1

Thrombosis:, Sinus 3

Other Vascular Disorders 12

Venereal Disease 2

Ventilator Dependent 12

Vertigo 5

Vision Disorders. j632

Astigmatism 5

Blindness 148

Blurred Vision. 3

Cataracts. 18

Color Blindness 5

Glaucoma 21

Lens Dislocation Subluxation 1

Retinal Degeneration 22

Detachment 1

Retinitis Pigmentosa 3

Other. 18

Strabismus 15

Other Vision Disorders 394

Vomiting 14

Cyclic 1

Self-induced 1

Other Vomiting. 12

Weaver's Syndrome 1

Weber Gubler Syndrome 1

Werdnig-Hoffman Disease 2

West Syndrome. 3

William's Syndrome 1

Wilson's Disease 1

Wounds and Injuries 227


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