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                                                                                                 U.S. NEWS Wednesday 22 november 2017


























            VA study shows parasite from Vietnam may be killing vets



                                                                      to  take  part  in  the  study,  AP found.                a  spokesman  with  the  De-
                                                                      but  hoped  his  participa-  The numbers of claims sub-   partment  of  Veterans  Af-
                                                                      tion  could  help  save  lives.  mitted reached 60 in 2017,  fairs.  “But  until  further  re-
                                                                      He immediately scheduled  up from 41 last year. Nearly  search,  a  recommenda-
                                                                      further tests, discovering he  three  out  of  four  of  those  tion  cannot  be  made  ei-
                                                                      had  two  cysts  on  his  bile  cases  were  also  denied,  ther way.”
                                                                      duct,  which  had  the  po-  even  though  the  govern-   Veteran  Mike  Baughman,
                                                                      tential  to  develop  into  the  ment posted a warning on  65, who was featured in the
                                                                      cancer,  known  as  cholan-  its  website  this  year  saying  previous AP article, said his
                                                                      giocarcinoma.  They  have  veterans  who  ate  raw  or  claim  was  granted  early
                                                                      since  been  removed  and  undercooked       freshwater  this  year  after  being  de-
                                                                      —  for  now  —  he’s  doing  fish while in Vietnam might  nied  three  times.  He  said
                                                                      well.                        be  at  risk.  It  stopped  short  the  approval  came  right
                                                                      Though  rarely  found  in  of urging them to get ultra-   after his doctor wrote a let-
                                                                      Americans, the parasites in-  sounds or other tests, saying  ter saying his bile duct can-
                                                                      fect an estimated 25 million  there was currently no evi-  cer  was  “more  likely  than
                                                                      people worldwide.            dence the vets had higher  not” caused  by  liver  flukes
                                                                      Endemic  in  the  rivers  of  infection  rates  than  the  from the uncooked fish he
            This 2016 photo shows a display of preserved liver fluke para-  Vietnam,  the  worms  can  general population.      and his unit in Vietnam ate
            sites at the Siriraj Hospital in Bangkok, Thailand. A half a century   easily be wiped out with a  “We  are  taking  this  seri-  when  they  ran  out  of  ra-
            after serving in Vietnam, hundreds of veterans have a reason to
            believe they may be dying from a silent bullet. Test results show   handful of pills early on, but  ously,”  said  Curt  Cashour,  tions in the jungle.q
            some men may have been infected by a slow-killing parasite   left untreated they can live
            while fighting in the jungles of Southeast Asia.          for  decades  without  mak-
                                              (AP Photo/Sakchai Lalit)  ing  their  hosts  sick.  Over
            By MARGIE MASON              said  Sung-Tae  Hong,  the   time,  swelling  and  inflam-
            ROBIN McDOWELL               tropical medicine specialist   mation of the bile duct can
            Associated Press             who carried out the tests at   lead  to  cancer.  Jaundice,
            HERALD,  W.Va.  (AP)  —  A  Seoul National University in   itchy  skin,  weight  loss  and
            half  a  century  after  serv-  South Korea.              other  symptoms  appear
            ing in Vietnam, hundreds of  “It was surprising,” he said,   only when the disease is in
            veterans  have  a  new  rea-  stressing  the  preliminary   its final stages.
            son to believe they may be  results  could  include  false   The  VA  study,  along  with
            dying from a silent bullet —  positives  and  that  the  re-  a  call  by  Senate  Minority
            test results show some men  search is ongoing.            Leader  Charles  Schumer
            may  have  been  infected  Northport VA Medical Cen-      of New York for broader re-
            by  a  slow-killing  parasite  ter  spokesman  Christopher   search into liver flukes and
            while fighting in the jungles  Goodman  confirmed  the    cancer-stricken  veterans,
            of Southeast Asia.           New York facility collected   began  after  The  Associ-
            The  Department  of  Veter-  the samples and sent them    ated  Press  raised  the  issue
            ans Affairs this spring com-  to  the  lab.  He  would  not   in a story last year. The re-
            missioned  a  small  pilot  comment  on  the  findings,   porting  found  that  about
            study  to  look  into  the  link  but  said  everyone  who   700  veterans  with  cholan-
            between liver flukes ingest-  tested positive was notified.  giocarcinoma  have  been
            ed  through  raw  or  under-  Gerry Wiggins, who served   seen by the VA in the past
            cooked fish and a rare bile  in  Vietnam  from  1968  to   15  years.  Less  than  half  of
            duct  cancer.  It  can  take  1969,  has  already  lost   them  submitted  claims  for
            decades  for  symptoms  to  friends  to  the  disease.  He   service-related   benefits,
            appear.  By  then,  patients  was among those who got     mostly  because  they  were
            are  often  in  tremendous  the call.                     not  aware  of  a  possible
            pain, with just a few months  “I was in a state of shock,”   connection  to  Vietnam.
            to live.                     he  said.  “I  didn’t  think  it   The VA rejected 80 percent
            Of  the  50  blood  samples  would be me.”                of  the  requests,  but  deci-
            submitted,  more  than  20  The  69-year-old,  who  lives   sions often appeared to be
            percent  came  back  posi-   in  Port  Jefferson  Station,   haphazard  or  contradic-
            tive  or  bordering  positive  New York, didn’t have any   tory,  depending  on  what
            for  liver  fluke  antibodies,  symptoms when he agreed   desks  they  landed  on,  the
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