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August 6, 1997

Identification of Gulf War Syndrome: Methodological Issues and Medical Illnesses

Author Affiliations

San Diego, Calif

JAMA. 1997;278(5):385. doi:10.1001/jama.1997.03550050047024

To the Editor.  —After reading the articles by Dr Haley et al1-3 on Gulf War illness, I would fault the opinions of the Presidential Advisory Committee on Gulf War Veterans' Illnesses4 and Dr Landrigan5 for downplaying the neuropsychological findings and highlighting stress-related factors. If this information was known in September 1995, it is disturbing that 1 conclusion of the Presidential Advisory Committee was not to expand detailed neuropsychological studies for veterans with cognitive complaints as standard assessment despite the increased cost of the evaluation. It is also disturbing that the second conclusion highlighted was not to expand the studies on the effects of the combination of N, N-diethyl-m-toluamide (DEET) and pyridostigmine bromide as well as sarin.