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