CAMP J Historic DRINKING LEJEUNE | waren Camp Lejeune Historic Drinking Water Update AUGUST 2015, Camp Lejeune Historic Drinking Water (CLHDW) is a very important issue for the Marine Corps. The Navy and Marine Corps continue to work with a Federal public health agency, the Agency for Toxic Substances and Disease Registry (ATSDR), in an effort to provide comprehensive science-based answers to the health questions that have been raised. Our outreach efforts (on this issue first began in 1984, following the discovery of chemicals in certain drinking water wells at Camp Lejeune. Today, we continue to engage in community outreach and notification activities, including the distribution of this newsletter, to keep you informed on the latest research and information on the CLHDW issue. Below is a synopsis of important activities and events that have recently occurred ATSDR RESEARCH STUDIES In 2014, ATSDR released three research ‘studies about the CLHDW issue: HEALTH BENEFITS Honoring America's Veterans and Caring for Camp Lojoune Famifes Act of 2012: © February 2014 | ATSDR Mortality Study * On August 6, 2012, Presigent Barack Obama ff Marine Corps and Navy Personnel: An evaluation of mortalty ct Marinas and Navy porsonel exposed to contained dri waler at Camp Lojeune *# August 2014 | ATSOR Mortality Study of Civilian Employees Exposed to Contaminated Drinking Water: A evalstion of moray ol cian employoes expoced to contantinated drinking water at Camp Lejeune. ‘* November 2014 | ATSDR Adverse Birth Outcomes Study: A reanalyas cf a previous ATSOR cross-sectional study corductod in 1998 to find preterm bith, smat for gest juate contaminated cinkng water tional ge. fad bith weight at Cam Lejeune sigoed ita aw the Honaning Amencass and Garng or Camp Leeure Famies Act of 2012. Tha law proves neath Benatts tor 1 snasses or conations affecting veterans ard tary members wo served on active duty or resided at Camp Lejeune tor 30 days or more between January 1, 1957 and December 31, 1987 For more information about the new heathy Denes and ein vist: wm pubsichwsth Jojpure. 1 12014, tho incisive datos for the Hance Fg Amoricae Vator Lojoune Farias Act af 2012 wa to incluso the prod fren August 1, 1953, ‘trough December 31, 1955, cand Coreg for Caer panded Information about these studies can be found at hitpyAwww.atedcede.ee CAMP | tistoric DRINKING LEJEUNE | water The Notification and Outreach Today nactinoeration for over 235,000 nevus. The Marne Corps it Registering wth the CLHOW noticaton database does nat ene you n VA program you woudl la 12 apply for VA programs, please use the contact informa age, Recarcing oligbity fr benef under the heath cave aw, VA Vv trast cases, in cases whe snot vont resin, they wil werk withthe Marina A Froedom of in dency 6 Not alan ‘copy of a housing racer 8 ce advertisements inthe following publications to lividuals to be included in the GLOW notification database: January 2014: The Jacksonvte Daly News and the Taree ay Ti ‘August 2014: The New York Tine September 2014: The Washington Pos October 2014: ine ev Fall 2015 (planned): CAMP. LEJEUNE <> HOME OF etd a bee: FORCES «IN -READINES# LOOKING AHEAD ‘The following research studies le projected to be released in the future: + Pubic Hoamn Assessment reanaiys Male breast cancer sxdy © Heath survey (mercy) tury * Cancer incidence stucly IMPORTANT LINKS AND CONTACTS: US. Marine Corps: Website: nti Phone: Agency for Toric Substances and Disease Registry: Wobsite:inip:/Awaw atsdr ede gowsit f soit Phone: 800-250. Ema htpvwwwede qovides/recune. US. Department of Veteran Affairs: Website: nip putichearn 2.99 Wexpoaures/ campo Phone: 8 £387 (Veteran) Apply for VA Health Benefits: hte. gowheatthbenafts/aopty US. Department of Labor: Wobsite: hp 900 Phone: |-886-te mal: rip/www.cd.govidelvtor1B 10-449 July 2015 CAMP LEJEUNE: PAST WATER CONTAMINATION From the 1950s through the 1980s, people serving or living at the U.S. Marine Corps Base Camp Lejeune, North Carolina, were potentially exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals. This chemical exposure may have led to adverse health conditions. YOU MAY BE ELIGIBLE FOR VA HEALTH BENEFITS IF YOU SERVED ON ACTIVE DUTY (VETERANS) OR RESIDED (FAMILY MEMBERS) AT CAMP LEJEUNE FOR 30 DAYS OR MORE BETWEEN AUGUST 1, 1953 AND DECEMBER 31, 1987: + Veterans who are determined to be eligible will be able to receive VA health care. In addition, care for qualifying health conditions is provided at no cost to the Veteran (including copayments), + Eligible family members receive reimbursement for out-of-pocket medical expenses incurred from the treatment of qualifying health conditions after all other health insurance is applied. QUALIFYING HEALTH CONDITIONS INCLUDE: + Bladder cancer + Lung cancer + Hepatic steatosis + Breast cancer + Multiple myeloma + Miscarriage + Esophageal cancer + Myelodysplastic syndromes + Neurobehavioral effects + Kidney cancer = Non-Hodgkin's lymphoma + Renal toxicity + Leukemia + Female infertility + Scleroderma VETERAN ELIGIBILITY: + ACamp Lejeune Veteran does not need to have one of the 15 health conditions to be eligible to receive VA health care, nor do they needa service connected disability to be eligible as a Camp Lejeune Veteran for VA health care, VETERANS FAMILY MEMBERS ENROLL INVA HEALTH CARE GATHER DOCUMENTS + Inform VA that you served on active duty + Show your relationship toa Veteran, such as at Camp Lejeune for at least 30 days during a marriage license or birth certificate. the covered time period. + VAwillassist you with verifying residency + Already enrolled? Contact your local VA pola eaten De aig Necov eres. a : j timeframe. health care facility at hitp://www.va.gov/ directory/guide/ to sign up forthe Camp GATHER QUALIFYING EXPENSE RECEIPTS Lejeune Program and receive VA care. + By law, VA may only compensate for eligible out-of pocket expenses after family members have received payment from all other health plans. APPLY FOR REIMBURSEMENT + Apply online at hittps://www.cifamilymembers.{sc.va.gov or call toll-free 1-866-372-1144, + Not yet enrolled? Apply online at hitp:// www.va.gov/healthbenefits/apply/ercall toll-free 1-877-222-8387, Prepared by the US. Department of Veterans AffairsATSDR study examines possible link between Marines’ male breast cancer and exposure to contaminated drinking water at Camp Lejeune Jacksonville, North Carolina Monday, September 21, 2015 ATLANTA—Results from a study conducted by the Agency for Toxic Substances and Disease Registry (ATSDR) suggest that male breast cancer might be associated with being stationed at Camp Lejeune Marine Corps Base in North Carolina and military housing exposure to the volatile organic compounds (VOCs) perchloroethylene (PCE), t- 1, 2dichloroethylene (DCE), and vinyl chloride in drinking water at the base. However, the findings of this study were based on small numbers of cases, and modeled levels of exposure, so should be interpreted with caution. According to the study which appears in the journal Environmental Health, the risk of male breast cancer increased slightly with being stationed at Camp Lejeune and higher levels of exposure to PCE. The findings also suggested that exposures to trichloroethylene (TCE), PCE, DCE, and vinyl chloride while stationed at the base might have accelerated the onset of male breast cancer. ‘The study included 444 male Marines who were born before Jan. 1, 1969, and diagnosed with or treated for certain forms of cancer at a U.S. Department of Veterans Affairs medical facility between Jan. 1, 1995, and May 5, 2013. The study identified 71 men with breast cancer; 30 of the men were stationes amp Lejeune at some point during their service ‘The results of this study add to the scientific literature on the health effects of exposures to these chemical: king water. To gather more information, ATSDR intends to evaluate male breast cancer in a planned cancer incidence study that will involve state cancer registries nationwide as well as federal cancer registries. ATSDR will begin working with state and federal eancer registries in 2016. ‘The full report is available at: hitp://www.ehjournal.net/content/14/1/74. 48 ATSDR, a federal public health agency of the U.S, Department of Health and Human Services, evaluates the potential for adverse human health effects of exposure to hazardous substances in the environment.DEPARTMENT OF THE NAVY HEADQUARTERS UNITED STATES MARINE CORPS 3000 MARINE CORPS PENTAGON WASHINGTON, Oc 20350-2000 Innere nerER TO 5030 SEP 29 2015 Dear Sir or Madam: I would like to provide you information on a recent health study that was completed by the Agency for Toxic Substances and Disease Registry (ATSDR) and update you on other Camp Lejeune Historic Drinking Water (CLHDW) related articles. On September 16, 2015 ATSDR's journal article “Evaluation of contaminated drinking water and male breast cancer at Narine Corps Base Camp Lejeune, North Carolina: a case control study" was published (https://www.atsdr.cdc.gov/sites/lejeune/ MaleBreastCancerStudy.html). The purpose of this study was to determine if marines who were expose in the past to contaminated drinking water at Camp Lejeune were more likely to have male breast cancer. Enclosed you will find a copy of the ATSDR Press Release of this study This Study is one of several health initiatives that ATSDR is expected to complete in the next several years. For more information about these studies, visit http://atsdr.cde.gov/ sites/lejeune/ or call ATSDR at (800) 232-4636. Since 1991, the Marine Corps has supported the health initiatives conducted by various scientific agencies. We also are working diligently to identify and notify individuals who, in the past, may have been exposed to the chemicals in drinking water at Camp Lejeune. In order to keep you informed, enclosed you will find a newsletter about recent CLHDW health activities and a fact sheet on Department of Veterans Affairs health benefits for Camp Lejeune Veterans. For more information about these efforts or to update your contact information. please go to: http://www.marines.mil/clwater/ or contact the CLHDW Call Center at (877)261-9782 or email clwater@ueme.mil. Semper Fidelis. AA RAH Cc. L. HUDSON Major General, USMC Assistant Deputy Commandant Installations and Logistics (Facilities