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Gulf War Newsletter - 2019 - Public Healt

WRIISC Research Highlight: Veterans with Gulf War Illness/Reduced Balance Function Can Improve To examine if vestibular function and balance could be improved in Veterans with Gulf War illness, a WRIISC reserach team developed a novel electrical stimulator that, unlike traditional neurostimulators, provides very low levels of a type of random. Gulf War. Veterans discharged under conditions other than dishonorable who served in the Southwest Asia theater of military operations, which includes the areas specified by regulation, but not Afghanistan, may be entitled to disability compensation for certain undiagnosed illnesses, certain diagnosable chronic disability patterns, and certain presumptive diseases ( as described below) even. 2, 1990, are related to Gulf War service (38 CFR § 3.317) • Undiagnosed illness or • Medically unexplained chronic multisymptom illness (such as fibromyalgia, chronic fatigue syndrome, and functional GI disorder) • Certain infectious diseases such as Malaria (also includes service in Afghanistan after 9/19/01) 14 Gulf War Regulatio Gulf War Illness: Unifying Hypothesis for a Continuing Health Problem It is proposed that multiple vaccinations, with concurrent or subsequent exposure to PB or additional chemical insults of a liver-damaging nature, plausibly explain the pathogenesis and the observed chronicity of GWI. The suggested mechanism for GWI is thus a chemically-induced impaired liver function, with the [ For Gulf War Veterans, VA presumes that unexplained symptoms are related to Gulf War service if a Veteran has experienced them for six months or more. The presumptive illness(es) must have first appeared during active duty in the Southwest Asia theater of military operations or by December 31, 2021, and be at least 10 percent disabling

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  1. Treating Gulf War Illness with FDA-approved antiviral drugs Date: October 22, 2019 Source: University of South Carolina Summary: A recent study has shown that adjusting GI tract viruses by.
  2. Sep 19, 2018 #1. 2018-09-19T17:46. Hello All, I logged on to Ebenefits this afternoon to find that I was approved for my Gulf War claims. 100 P&T. First let me say thank you to all of you here, especially PGWVET and the guide that he helped write. There is no way I would have known how to navigate the VA system for GW claims without the guide
  3. Posted on April 4, 2019 by Team VCS. (Washington - April 4, 2019) - With scientific advances now regularly breaking related to Gulf War Illness, 97 members of Congress pushed this week for more treatment research for the debilitating condition that affects as many as one in three veterans of the 1991 Gulf War
  4. While 17 percent of claims of Gulf War illness were approved from 2010 to 2015, VA staff approved 57 percent of veterans' claims for all other medical issues during the same time
  5. e bromide (PB) pills meant to protect soldiers from nerve gas during.
  6. A 2017 GAO report found that VA had denied more than 80% of Gulf War illness claims. Denial rates were three times higher than for all other medical issues related to the war, and the claims process took longer. And more recent research from veterans service organizations shows the problem hasn't improved: Two veterans' advocacy groups, Veterans for Common Sense and Vietnam Veterans of.

  1. Your Gulf War Syndrome and How the VA Rates It. Gulf War Syndrome is the name for the multi-symptom, undiagnosed illness that many Gulf War Era veterans (Persian Gulf War, Operation Enduring Freedom, and Operation Iraqi Freedom) suffer from. Gulf War Syndrome is believed to be caused by exposure to biological and environmental hazards
  2. ISSUE PAPER: Patterns of Denial of Gulf War Illness Claims, ct'd. December 21, 2019 3 qualified treating physician. As a result, VA's rating decision is silent on the veteran's evidence, resulting in VA's denial of the veteran's claim. In such a situation, VA's C&
  3. The Gulf War Illness Consortium Study (GWIC) is still looking for healthy and ill Gulf war veterans to participate in the study.This is a one day study in Boston, Houston or Miami. If you are interested in learning more, please give us a call at 617-358-1717. We are looking for a diagnostic marker of Gulf War illness as well as treatments
  4. July 19, 2017. The Department of Veterans Affairs (VA) denies more than 80 percent of veterans' disability claims for Gulf War Illness, according to a recent Government Accountability Office report.That rate of approval is three times lower than all other types of claims, despite the existing presumption for Gulf War veterans
  5. Department of Defense Gulf War Illness Research Program Funding Opportunities for Fiscal Year 2019 (FY19) The FY19 Defense Appropriation provides $22 million (M) to the Department of Defense Gulf War Illness Research Program (GWIRP) to support research addressing Gulf War Illness pathobiology, diagnosis, and treatment. As directed by the Office.

The VA has recognized the enormity of health risks involved with service in Southwest Asia and has identified a list of infectious diseases that are presumed to be service-connected for members who served in those countries. problems such as nausea and diarrhea. This disease naturally infects some animals, including goats, sheep, and cattle Neuropsychological Findings in GWI: a Review. Gulf War illness (GWI), also known as chronic multi-symptom illness (CMI; Fukuda et al., 1998), has impacted approximately a third of the veterans deployed to the 1990-1991 Gulf War (Research Advisory Committee on Gulf War Veteran's Illnesses [RAC-GWVI], 2008; White et al., 2016).By definition, GWI includes self-reported cognitive complaints. In 2015 there were 11,400 claims for Gulf War Illness; The approval rate for Gulf War illness in 2015 was 30% less than approvals of all other claims; Gulf War Disease claims have twice as many medical issues per claim as other disability claims and take 4 months longer to complete. — top 3 stats from GAO-17-51 The VA completed processing about 11,400 Gulf War illness claims in fiscal year 2015, which was more than double the 4,800 claims processed in fiscal year 2010, according to the GAO

designated for processing undiagnosed illness claims. As mentioned earlier, over 700,000 men and women served in the Persian Gulf War. VA reported that as of February 1996, it has processed 7,845 undiagnosed illness claims and has identified an additional 6,655 claims that are being evaluated for undiagnosed illnesses.2 Of the processe Gulf War Illness and VA Disability. August 16, 2018. Gulf War Illness and Gulf War Syndrome refer to some of the conditions veterans have developed as a result of their service in the Persian Gulf War. Our panel discussed how to navigate the complex area of Gulf War claims and some common mistakes VA makes when adjudicating these. VA Presumptive List of Chronic Diseases Diagnosed After Discharge. If any of the following chronic diseases are manifest to 10% or more within the first year (there are a few exceptions noted below) after a vet is discharged from the military, then they are automatically considered caused by military service and eligible for VA Disability.. The term chronic is used loosely here

Gulf War Disability Claim Eligibility Changes. posted on February 17, 2017. The VA recognizes that many Gulf War veterans experience a number of unexplained chronic symptoms including headaches, fatigue, insomnia, dizziness, memory problems, joint pain, digestive problems, and respiratory disorders. Veterans may know this as Gulf War Illness or. Of the 700,000 servicemembers deployed to the Gulf War in 1990 and 1991, 36.5 percent were experiencing some symptoms of Gulf War illness in 2005, according to a previous NAS study For Gulf War Presumptive Illness, the VA has a limited list of diseases, conditions and illnesses it considers presumptive to service for these veterans. The VA's most recent rule took effect on Aug. 15, 2011, specifying that functional gastrointestinal illnesses (FGIDs), such as irritable bowel syndrome and functional dyspepsia (indigestion.

2021-02-25T15:26. Rating Control opened on recently closed, awarded GW claim. by saladdin. » 11:20 AM - Jan 22. 6 Replies. 691 Views. Last post by saladdin 7:00 PM - Feb 24. 2021-01-22T16:20. Depleted uranium from tanks, ammo not tied to Gulf War syndrome, new study finds **Small audio glitch in the last minute of the video**0:00 Introduction0:40 How difficult are Gulf War VA claims?1:08 How often are claims denied for Gulf Wa.. Recorded: August 2019. Approved for 1.5 CLE credits by the Virginia State Bar $ 125.00. Demystifying Gulf War Illness Claims (Attorney) quantity. Add to Cart. Webinar Description: If you are confused about Gulf War Illness claims, you are not alone. For almost 25 years, the VA has had special rules in place to make it easier for veterans to.

Gulf War Veterans . Imprisoned for any length of time: chronic • Psychosis • Any anxiety state illness that warrants a presumption of service connection, as determined by the Secretary of 2/25/2019 2:38:16 PM. Report Could Add 23 Presumptive Conditions for Gulf War Veterans. by Annette Boyle | Jan 15, 2019. TUCSON, AZ—A new report from the National Academies of Sciences, Engineering, and Medicine found that sufficient evidence supported an association between exposure to seven factors and detrimental reproductive effects in men or women who served. Saurabh Chatterjee and team find solution to Gulf War Illness in FDA-approved antiviral drugs (external link) University of South Carolina, October 25, 2019 University of Minnesota medical student's research renews focus on Gulf War illness (external link Veterans of the Gulf War are not, as a whole, more likely to experience Parkinson's disease-like symptoms, a new study has found. However, veterans with Gulf War illness do appear to be at greater risk of these symptoms. The study, Do Gulf War veterans with high levels of deployment-related.. A study that focused on mitochondrial DNA (mtDNA) included 21 Veterans with Gulf War illness (GWI) and seven controls. In blood tests, researchers observed more lesions and more mitochondrial DNA—that is, extra copies of genes—in Veterans with Gulf War illness, relative to controls without the illness, suggesting excess DNA damage

In a 2012 article in Neuroepidemiology, Jim Tuite, a Gulf War illness expert, and Robert Haley, an internist/epidemiologist at the University of Texas Southwestern Medical Center, wrote that, Large numbers of U.S. and coalition military personnel were exposed to levels of sarin high enough to cause irreversible or other serious, long. (Gulf War Syndrome is similar to Multiple Sclerosis (MS) and Amyotrophic Lateral Sclerosis (ALS). It worsens over time.) The VA first rated me at 10 percent, but I should have been rated at 100 percent, and the rating should have been from my retirement date, since my illness is service-connected Of these, tinnitus was the runaway winner, with 157,152 newly-awarded claims, according to the 2018-2019 Veterans Benefits Administration's Report to Congress. The runner up, Limitation of flexion in the knee, accounted for 99,467 new claims, while hearing loss resulted in 76,102 new claims during the reporting period Gulf War veterans that served in the Southwest Asia theater of military operations may have eligible GWS claims. However, you cannot file a Gulf War Syndrome claim if you: Are dishonorably discharged. Were discharged from active military duty before August 2, 1990. Have a VA disability rating that's below 10%

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Gulf War Syndrome is a term used to classify a group of seemingly unrelated symptoms that many veterans experienced after serving in the Gulf War.Gulf War Syndrome is not an actual condition, just a catch-all term for various symptoms. The VASRD does not give a VASRD Code or Military Disability Rating for Gulf War Syndrome. Instead, the individual symptoms that are classified as Gulf War. He wrote a grant and was one of three researchers in the nation awarded a Tier 1 Investigator-Initiated Focused Research Award through the Department of Defense Gulf War Illness Research Program. Gulf War syndrome is a mysterious collection of chronic symptoms particularly associated with veterans and civilian workers who served in the Persian.

Page i GAO-17-511 Gulf War Illness Letter 1 Background 3 In Recent Years, Completed Gulf War Illness Claims Have Risen, Included More Medical Issues, and Been Approved at Lower Rates Than Other Service-related Disabilities 15 Accurate Processing of Gulf War Illness Claims Is Hampered by Confusion about the Gulf War General Medical Exam, an The majority of Gulf War claims between 2010 and 2015 were from veterans with undiagnosed illnesses, and that was the type of claim that was most-often rejected I submitted my claim in 2008 after being called to the VAMC to be placed on the registry. I was soon denied because I was on the wrong colored water. I marked it off and put in my Training Jacket. July 2019, President Donald J. Trump issued a directive that those of us who served in the Tonkin Gulf are now considered Blue Water Navy Gulf War Illness (GWI) is a chronic, multi-symptom condition affecting about 25-35% of military veterans who returned from the 1990-91 Persian Gulf War. Symptoms may include fatigue, muscle pain.

If you served in the Gulf War in 1990-91, there are diseases, conditions and illnesses the VA considers presumptive to service. The list is limited, but veterans may still seek to establish a service connection on their own any diseases or illnesses they believe are associated with their service during the Gulf War Legion: Presumptive service connection for Gulf War Illness is a catch-22. Mar 22, 2016. Mar 22, 2016. According to the Department of Veterans Affairs' March 2014 Update for Gulf War Veterans newsletter, 37 percent of veterans that served during Operation Desert Storm suffer from symptoms associated with Gulf War service If you are a Gulf War-era veterans and have specific, unexplainable symptoms lingering for six months or more, the VA presumes the symptoms are Gulf War service related. The presumptive illness must have appeared while a veteran was on active duty in the Gulf War region, or at latest by Dec. 31, 2021, and be, at minimum, 10 percent VA. VA officials told Capitol Hill lawmakers on Wednesday that 2,828 of the 12,582 disability claims filed by veterans related to burn pit exposure from 2007 to 2020 were approved -- about 22%. In 2019, VA said it had approved about 20% of the more than 11,000 claims filed, denying about 80%. A 29-year-old Marine is dying of a rare brain cancer National Gulf War 2019 Annual Meeting & Informational & Health Fair. A claim for veterans disability compensation on sleep apnea, secondary to medication taken for the treatment of PTSD and or other mental health disorders, should have all elements completed before you file. National Gulf War Resource Center Inc. -6021 SW 29th St. Ste.A.

Operation Desert Storm in the early 1990s was a success, but thousands of veterans of that war came home with health problems that are now referred to as Gulf War illness In August 1990, former President George H.W. Bush began Operation Desert Storm in response to the Iraqi invasion and occupation of Kuwait. More than 650,000 U.S. military personnel would join the Gulf War over the next year before this Middle Eastern conflict formally ended on July 31, 1991.. Sadly, Gulf War illness continues to affect 30% of those veterans today, decades later Many Persian Gulf War veterans experience Gulf War Illness (GWI), a chronic condition with symptoms ranging from gastrointestinal to neurological. While exposure to the anti-nerve gas.

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Gulf War Presumptive Conditions. Many Gulf War veterans across the U.S. have faced numerous health issues that have been called Gulf War Illness or Gulf War Syndrome. These conditions cause chronic fatigue, migraine headaches, joint pain, respiratory issues, memory recall problems, insomnia and dizziness Gulf War Illness is a chronic disorder causing fatigue, muscle pain and cognitive problems in approximately 250,000 of the US veterans who served in the 1991 Gulf War. CFS, affects 1-2.4 million people in the US with symptoms that include persistent fatigue, non-restorative sleep, cognitive impairment and exercise intolerance The Persian Gulf War of 1990 to 1991 involved the deployment of nearly 700,000 American troops to the Middle East. Deployment-related exposures to toxic substances such as pesticides, nerve agents, pyridostigmine bromide (PB), smoke from burning oil wells, and petrochemicals may have contributed to medical illness in as many as 250,000 of those American troops 0:00 Introduction 0:45 When and where was the Persian Gulf War? 1:39 Toxic exposure during the Gulf War 2:56 What is Gulf War Illness (GWI)? Gulf War Syndrom.. After the 1991 Gulf War, some veterans returned with Gulf War syndrome, an ailment with such symptoms as respiratory, heart, and bowel problems accompanied by chronic pain. (Doctors called it chronic multisymptom illness.) Tom Sullivan's disease might have been similar, with a host of real but unexplained symptoms

This group is known as Gulf War Veterans. They're most recently identified as Functional GI Disorders, along with three (3) other multi-symptom illnesses, are present in Veterans as related to their service during the Gulf War. Evidence is the best way to get your claim approved, having documentation from doctors, i.e., a. Gulf War Veterans' Illnesses Summary, 2016-2018 . Download: Annual Summary FY 2016, Appendix B, Appendix C From the Introduction to the 2016-2018 Gulf War Summary. Section 707 of Public Law (P.L.) 102-585, as amended by section 104 of P.L. 105-368 and section 502 of P.L. 111-163, required that an annual report be submitted to the Senate and House Veterans' Affairs Committees through 2014 on. Gulf War Illness: Still Looking for Answers. Bernard Rostker and Ross Anthony, RAND senior economists with expertise on Gulf War Illness (GWI), discuss a study by scientists at Georgetown University Medical Center that suggests the symptoms of GWI are biological in nature, and a GWI study RAND conducted more than a decade ago. Jul 8, 2013

Gulf War Veterans. The VA Presumptive List has three categories for Gulf War disabilities: Infectious Diseases, Gulf War Syndrome, and Multi-Symptom Illnesses. Unlike the former, both Gulf War Syndrome and Multi-Symptom Illnesses are vague and are prone to a high compensation denial rate. Both categories include loosely defined but disabling. The Jewel in the Lotus: A Meditation on Memory for Veterans Day 2019 The VA Ketamine Controversies Overemphasizing Communities in the National Strategy for Preventing Veteran Suicide Could Undercut VA Successe How to Apply Analogous Ratings for VA Disability Claims. 38 C.F.R. pt. 4 (§§ 4.1 - 4.150) contains the VA's Schedule for Rating Disabilities. This is the law that the VA applies the facts of a specific Veteran's claim for disability compensation to in order to rate that Veterans condition. For example, let us say a Veteran submits a. Global Research Feb. 19, 2016. 5 Research Advisory Committee on Gulf War Veterans Illness. Gulf War Illness and the Health of Gulf War Veterans: Research Update and Recommendations, 2009-2013. U.S. Department of Veterans Affairs 2014. 6 Roos R. Military anthrax vaccine shots caused many reactions, prompted some pilots to quit

The undiagnosed illness must have appeared either during active service in the Southwest Asia theater of operations during the Gulf War period of Aug. 2, 1990, to July 31, 1991, or to a degree of. Between 1994 and 1996 - the first two years the presumption existed -- the VA denied 7,424 of 7,845 claims of undiagnosed illnesses in Gulf War veterans - an approval rate of 5 percent

Gulf War Presumptives - Public Healt

Veterans claiming Gulf War illness are about three times less likely than other veterans to have their disability claims approved by the Department of Veterans Affairs, according to a new. Among the total population of 696,661 Veterans who served in the Persian Gulf during the 1991 Gulf War, a subset of 8,247 unique Veterans were identified as having a claim approved by VBA for undiagnosed illness (UDX) during the period Jan 1995 through Dec 2006, with median time 1999, 3rd qtr

The meeting notes to the most recent Research Advisory Committee on Gulf War Veterans' Illnesses in the District of Columbia in 2019 indicate that the Veterans Administration and DOD are still denying the abnormal prevalence of birth defects of Gulf War children that were identified 25 years ago The losses were much lower: 148 Americans were killed in action, with another 145 losses to nonhostile actions, such as vehicle accidents. But as veterans returned home from the Gulf War in 1991, as many as one-third of them—approximately 250,000—developed symptoms of Gulf War illness

Treating Gulf War Illness with FDA-approved antiviral

For certain claims, VA presumes a condition is due to a veteran's service. For example, VA can provide benefits to any veteran with certain symptoms, from respiratory disorders to gastrointestinal issues, who served in Southwest Asia from 1990 to the present, without the veteran needing to prove cause. GAO refers to these as Gulf War Illness. Veterans sometimes suffer from mental illness as a result of a disabling physical injury or an incident that occurred in service. Getting Veterans Disability Compensation for Respiratory (Breathing) Problems. Exposure to airborne toxins while on active duty may lead to breathing difficulties and respiratory illnesses that begin during active.

Noteworthy, veterans or survivors are also able to file a claim under the Federal Tort Claims Act. If you have questions about how your illness or disability can be service connected, contact the veterans attorneys at Hrabcak & Company, LPA - Lawyers for American Vets for a free case evaluation OK so I was looking through some posts today when I noticed the Gulf War service date extended through the end of 2021. if you served in the Southwest Asia theater of military operations you can definitely claim under the other undiagnosed illness category. I think I have a pretty good chance of the supplemental claim being approved. granted entitlement to service connection for nerve damage to bilateral upper and lower extremities as due to Gulf War illness and granted an increased evaluation for depressive disorder to 70%. R. at 44-45. As these findings are favorable to the veteran, the Court will not disturb them. See Medrano v. Nicholson, 21 Vet.App. 165, 170 (2007

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Scientists offer compelling images of Gulf War illness Depicting brain damage, scans distinguish between a trio of syndromes, researchers say FDA approved a new Alzheimer's drug despite. Gulf War illness (GWI) is the flagship of these health concerns, affecting 25 to 32% of the 693,826 men and women who were deployed in this conflict. 1 GWI—also referred to as Gulf War syndrome, Persian Gulf Syndrome, and Chronic Multisystem Illness—is a poorly understood disorder with an expansive range of symptoms, among which chronic.

Gulf War Updates Veterans for Common Sens

Veterans have to file a claim for disability compensation for health problems related to Gulf War service. Keep in mind, though, in July 2014, the VA rejected a request from members of Congress and veterans to make brain cancer, lung cancer, and migraines presumptive conditions for Gulf War veterans Gulf War Veterans with Chronic Disabilities. Veterans who served in the Gulf War may experience chronic disabilities from undiagnosed illnesses. If your illness lasts at least 6 months, then the VA counts it as chronic. The VA has a list of eligibility requirements here. Examples of an undiagnosed illness may include: Chronic fatigue syndrom

VA Rejects 4 Out Of 5 Disability Claims For Gulf War

Gulf War Syndrome or Gulf War Illness (GWI) has been used to describe a collection of chronic signs and symptoms reported by U.S., British, Canadian, Czech, Danish, Saudi, Egyptian, Australian and other Coalition Armed Forces that were deployed to Operation Desert Storm in 1991 Anthrax Vaccines And Gulf War Syndrome. While the United States government has not thoroughly researched the long-term side effects of the anthrax vaccine on military Veterans, there is plenty of evidence to suggest that the vaccine contributed to the collective chronic illnesses and disabilities known as Gulf War Syndrome

Gulf War Illness is a chronic multisymptom disorder severely impacting the health and well-being of many Veterans of the 1990-1991 Gulf War. Symptoms that define the disease include pain, fatigue, mood and memory impairments, gastrointestinal problems, lung disorders, and skin rashes. In our previous biomarker study, we discovered Gulf War Illness-associated proinflammatory blood biomarkers Gulf War Illness (aka, Chronic Multi Symptom Illnesses) Traumatic Brain Injury. What other questions do you have? If you have other questions about VA disability claims, the claims and appeals process, or other issues related to VA service-connected disability compensation, please type a comment below reported by Veterans of the Gulf War. To date, several independent nationally renowned scientific groups have addressed this issue and have found no evidence to link anthrax vaccine with illnesses among Gulf War Veterans. An October 2004 review of over . 716,000 active-duty service members' discharge rates from service show

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Gulf War Veterans Aging Faster SP

Background. Following the 1991 Persian Gulf War, deployed veterans began to report general symptoms of widespread pain, fatigue, migraines, dyscognition, and other interoceptive complaints [1, 2].It is estimated that nearly one-third of deployed veterans continue to suffer from this syndrome widely described as Gulf War Illness (GWI) [].Commonly accepted diseases have been excluded as the. VA Pulls the Plug on Disputed Study of Gulf War Illness. By Eliot Marshall. Science 11 Sep 2009 : 1324-1325. A lavishly funded health study of veterans from the first Gulf War—favored by the U.S. Congress but viewed with skepticism by many scientists—hit a wall in August when its funder, the U.S. Department of Veterans Affairs, pulled out Also, think about what aspects of your active-duty military service caused your illness/injury and disability. It can help to write yourself a note about this so it is in the front of your mind throughout the process. Complete a claim form: Begin the claim process by completing a VA form 21-526 or VA form 21-526EZ. Both forms include.

April 01, 2019. For Bob Smith, a monetary victory he earns for a veteran filing a VA claim is not as important as what the approved claim does for the claimant and his or her family. For example, one of his most meaningful victories was for a surviving spouse. Smith, a VFW-accredited service officer in Jerome, Idaho, said the spouse was seeking. Gulf War illness is a serious condition that affects at least one fourth of the 697,000 U.S. veterans who served in the 1990-1991 Gulf War. This article is not about the veracity of a possible. A Government Accountability Office report said from 2010 to 2015, the VA approved 18,000 out of more than 100,000 claims for disability benefits for veterans who suffer from Gulf War Illness (GWI. In most cases, the effective date that is assigned to a claim will determine how much in back pay a veteran is owed. If you have applied for and are receiving VA disability benefits, then you should have received retroactive payment to the effective date of the claim. Berry Law Firm has been serving veterans nationwide since 1965 This Cast is about Gulf War Illness from the first Gulf War as well as current Gulf issues. I discuss an old FDA approved antidepressant and provide important links on my Gulf War page. @GulfWarVets . 35:58. July 8, 2020 I discuss 2019 and touch on plans for 2020. 16:26. January 1, 2020 2.1. Participants. Individuals screened for the study were men between the ages of 44 and 65 who met the Kansas GWI case criteria [] and were deployed to the Persian Gulf region between 1990 and August 1991.As participants must have been at least 18 years old during the Persian Gulf War, the youngest possible age at the study start in 2016 was 44 years