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portada An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies
Type
Physical Book
Publisher
Author
Year
2021
Pages
76
Format
Paperback
Dimensions
27.9x21.6x2.5 cm
ISBN13
9780309681377

An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies

Division On Engineering And Physical Sciences;Julie A. Pavlin;David A. Relman;Standing Committee To Advise The Department Of State On Unexplained Health Effects On U.s. Governme;Health And Medicine Division;Engineering, And Medicine National Academies Of (Author) · National Academies Press · Paperback

An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies - Division on Engineering and Physical Sciences;Julie A. Pavlin;David A. Relman;Standing Committee to Advise the Department of State on Unexplained Health Effects on U.S. Governme;Health and Medicine Division;Engineering, and Medicine National Academies of

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Synopsis "An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies"

In late 2016, U.S. Embassy personnel in Havana, Cuba, began to report the development of an unusual set of symptoms and clinical signs. For some of these patients, their case began with the sudden onset of a loud noise, perceived to have directional features, and accompanied by pain in one or both ears or across a broad region of the head, and in some cases, a sensation of head pressure or vibration, dizziness, followed in some cases by tinnitus, visual problems, vertigo, and cognitive difficulties. Other personnel attached to the U.S. Consulate in Guangzhou, China, reported similar symptoms and signs to varying degrees, beginning in the following year. As of June 2020, many of these personnel continue to suffer from these and/or other health problems. Multiple hypotheses and mechanisms have been proposed to explain these clinical cases, but evidence has been lacking, no hypothesis has been proven, and the circumstances remain unclear. The Department of State asked the National Academies to review the cases, their clinical features and management, epidemiologic investigations, and scientific evidence in support of possible causes, and advise on approaches for the investigation of potential future cases. In An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies, the committee identifies distinctive clinical features, considers possible causes, evaluates plausible mechanisms and rehabilitation efforts, and offers recommendations for future planning and responses. Table of ContentsFront MatterSummarySection 1: Introduction and Charge to the CommitteeSection 2: Methods and DataSection 3: Clinical FeaturesSection 4: Plausible MechanismsSection 5: Acute Treatment and RehabilitationSection 6: Looking to the Future and RecommendationsAppendix A: Committee BiographiesAppendix B: Meeting AgendasAppendix C: Additional Comments on Directed Radio Frequency EnergyAppendix D: Environmental Chemicals

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