4.2 Article

Surveillance for Long-Term Health Effects Associated With Depleted Uranium Exposure and Retained Embedded Fragments in US Veterans

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0b013e31824fe138

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  1. Department of Veterans Affairs

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Objective: To ensure that all veterans with retained embedded fragments are properly monitored for potential health effects of embedded materials. Methods: Urine biomonitoring and health surveillance programs were developed to gather information about health risks associated with chemicals released from embedded fragments. Results: Elevated systemic exposure to depleted uranium (DU) that continues to occur in veterans with DU fragments remains a concern, although no clinically significant DU-related health effects have been observed to date. Other metals and local tissue reactions to embedded fragments arc also of concern. Conclusions: Knowledge gained from these programs will help to develop guidelines for surgical removal of tissue-embedded fragments.

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