FINAL REPORT 18JAN93

File: 123096_sep96_decls1_0052.txt
Page: 0052
Total Pages: 55

Subject: FINAL REPORT   18JAN93                                          

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box  ID: BX303801

Folder Title: VARIOUS BUMED DOCUMENTS FOLDER 8                                                                

Document Number:          2

Folder Seq  #:         12







           31. How many years have you smoked? (Please answer even if you
           are an ex-smoker.)
                A.   I HAVE NEVER SMOKED.
                B.   Less than one year.
                C.   1 to 5 years.
                D.   6 to 10 years
                E.   Over 10 years.


           -----------------------------------------------------------------


           Do you have (or have you ever had) a history of any of the
           following prior to Operation Desert Storm.

           32.  Asthma (doctor's diagnosis)         YES    NO    Don't Know

           33.  Hay fever                           YES    NO    Don't Know

           34.  Allergies to medication             YES    NO    Don't Know

           35.  Emphysema  or bronchitis            YES    NO    Don't Know

           36.  Persistent night cough              YES    NO    Don't Know


           -----------------------------------------------------------------


           37. Did   you develop EYE IRRITATION during Operation Desert
           Storm?
                A.   I DID NOT HAVE EYE IRRITATION.
                B.   I had eye irritation which lasted 1 to 2 days.
                C.   I had eye irritation which lasted 3 to 7 days.
                D.   I had eye irritation which lasted I to 2 weeks.
                E.   I had eye irritation which lasted more than 2 weeks.

           38. Did   you develop SKIN IRRITATION during  Operation Desert
           Storm?
                A.   I DID NOT HAVE SKIN IRRITATION.
                B.   I had skin irritation which lasted  1 to 2 days.
                C.   I bad skin irritation which lasted  3 to 7 days.
                D.   I had skin irritation which lasted  1 to 2 weeks.
                E.   I had skin irritation which lasted  more than 2 weeks.

           39.  What was your experience with exposure   to blowing dust and
           sand during Operation Desert Storm?
                A.   I WAS NOT EXPOSED TO BLOWING DUST AND SAND.
 to blowing dust and sand, but did NOT find
                     it irritating.
                c.   I was exposed to blowing dust and sand and found it
                     mildly irritating.
                D.   I was exposed to blowing dust and sand and      d.it
                     moderately irritating?
                E.   I was exposed to blowing dust and sand and  found it
                     severely irritating.

Document 55 f:/Week-37/BX303801/VARIOUS BUMED DOCUMENTS FOLDER 8/final report 18jan93:1217961126382
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303801
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS BUMED DOCUMENTS FOLDER 8
Folder Seq # = 12
Subject = FINAL REPORT 18JAN93
Document Seq # = 2
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996