va high risk prostate cancer camp lejeune water contamination
The VA medical opinion discussed risk factors for prostate cancer other than toxins found in contaminated water at Camp Lejeune. The Board notes that there is an electronic claims file associated with the Veteran's claim, which contains relevant evidence that will be considered by the Board in this appeal. "The drinking water at Camp Lejeune currently meets all government drinking water standards and is tested more often than required," Krebs said in an email to HuffPost. What is the Board of Veterans’ Appeals (BVA)? On Friday, outgoing Sec VA Robert McDonald approved massive payouts for an estimated 900,000 veterans exposed to toxic Camp Lejeune water. Jandreau v. Nicholson, 492 F.3d 1372 (Fed. According to the EPA, there were many more (at varying levels) â¦ 38 U.S.C.A. 2000). Rather, the Board's analysis below will focus specifically on what evidence is needed to substantiate the claim and what the evidence in the claims file shows, or fails to show, with respect to the claim. Cir. The Veteran was diagnosed with prostate cancer in 2011 and has been seeking service connection based on exposure to contaminated water while serving at Camp Lejeune. § 3.303(b), an alternative method of establishing the second and third Shedden for certain chronic disabilities such as prostate cancer is through a demonstration of continuity of symptomatology. The matter of a nexus between prostate cancer (which involves an insidious process) and contaminated water exposure in a particular case requires expertise (to include familiarity with scientific studies) which the Veteran is not shown (and does not claim) to have. The benefit-of-the-doubt rule does not apply, and the claim must be denied. However, a new regulation went into place on March 14, 2017 which allows veterans with service at Camp Lejeune during a specific period to receive service-connected benefits on a presumptive [â¦] Burn Pits: The Agent Orange for Post-9/11 Veterans, “Other related factors” must be considered in extraschedular analysis. The Veteran's service treatment records are negative for complaints or treatments for prostate cancer. Bay area man pushes VA to help Camp … Exposure to Contaminated Drinking Water at Camp Lejeune In the early 1980s, at Marine Corps Base Camp Lejeune, NC, it was discovered that two on- base water-supply systems were contaminated with the volatile organic compounds trichloroethylene (TCE), a metal degreaser, and perchloroethylene (PCE), a dry cleanin gagent. After a decades-long struggle, in â¦ stage 4 kidney failure, Mental issues, Knee replacement, Severe sleep apnea. Decision Date: 02/22/16 Archive Date: 03/01/16 See Gonzales v. West, 218 F.3d 1378, 1380-81 (Fed. VA currently offers two separate benefits to all qualifying veterans, and certain family members, who served at Camp Lejeune for no less than 30 days (cumulative) from 1953 through 1987. Jandreau v. Nicholson, 492 F.3d 1372, 1377 (Fed.Cir.2007). Generally, a veteran who has developed a condition needs a medical opinion stating that the condition resulted from service in order to receive service-connected benefits. Qualifying health conditions: • 38 U.S.C.A. 453 (1999), aff'd, 230 F.3d 1330 (Fed. The July 2013 VA occupational medicine specialist opined that the Veteran's prostate cancer was not caused by, or a result of, the Veteran's exposure to contaminated water at Camp Lejeune. Cir. There is a current diagnosis of prostate cancer; hence, the first element of service connection is satisfied. While that rate may be softening a bit, complaints continue. Camp LeJeune and VA Benefits Camp Lejeune, located in Jacksonville, North Carolina, is a 246 square-mile Marine Corps base opened in 1941. 6 (SITE 2) MCB CAMP LEJEUNE, NORTH CAROLINA Receptors Lawn and Mixing Pad Areas ICR HI Lawn and Mixing Pad Areas - Time Critical Removal Action ICR HI Former Storage Area ICR HI Former Storage Area Time Critical Removal Action ICR HI … See Mayfield v. Nicholson, 444 F.3d 1328 (Fed. I pray that all veterans have been informed . This matter comes before the Board of Veterans' Appeals (Board) on appeal from a February 2013 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Louisville, Kentucky, in which the RO denied entitlement to service connection for prostate cancer to include as secondary to exposure to contaminated water at Camp Lejeune. The purpose of this study was to determine whether residential exposures of Marines and Navy personnel to contaminated drinking water at Camp Lejeune increased risk of mortality from cancers and other chronic diseases. CCK Recognized for Donations to American Veterans Disabled For Life Memorial, CCK successfully argues for a precedential decision about protected work environment. Water from the Hadnot Point water treatment plant was contaminated primarily by TCE . I have just filed the intent to file regarding my condition of metastatic prostate cancer. Jim, I’m a former Marine who was exposed to the contaminated water at Camp Lejeune. In December 2017, the Veteran argued that the June 2017 VA examination report was inadequate because the examiner employed a higher burden of proof in rendering a negative nexus opinion, and requested that the Board consider this argument.Â Several months later, the Board issued a decision denying service connection for prostate cancer based on exposure to contaminated water at Camp Lejeune. Over the years veterans groups have uncovered documents indicating negligence on behalf of Marine officers who did not address evidence of groundwater contamination at Camp Lejeune in the 1980s. Itâs been in gathering evidence step None of the competent medical evidence currently of record refutes this conclusion, and neither the Veteran nor his representative have presented or identified any such existing medical evidence or opinion. Last year, the VA admitted that the denial rate was above 95% for all Camp Lejeune claims processed through the VA. 303, 312 (2007). Camp Lejeune veterans can now receive injury fund claims and free healthcare from the VA medical facilities around the country if they were on active duty at Camp Lejeune for at least 30 days. Notice should be sent prior to the appealed rating decision or, if sent after the rating decision, before a readjudication of the appeal. The 44-year-old insurance adjuster was born at Camp Lejeune and believes his male breast cancer was caused by the contaminated water. § 5107(b). The letter also provided the Veteran with information pertaining to the assignment of disability ratings and effective dates, as well as the type of evidence that impacts those determinations, consistent with Dingess/Hartman v. Nicholson, 19 Vet. Although the Board has an obligation to provide adequate reasons and bases supporting this decision, there is no requirement that the evidence submitted by the Veteran or obtained on his behalf be discussed in detail. To determine if the contaminated drinking water at Camp Lejeune posed a health risk, it was necessary to select a cohort of Marines and Navy personnel unexposed to contaminated drinking water but similar to Camp Lejeune on socioeconomic and other risk factors (e.g., smoking and alcohol consumption). 14-24 519A ) DATE Camp Lejeune Water Contamination (January 1, 1957–December 31, 1987): Veterans and families stationed at Camp Lejeune exposed to chemical contaminants in the groundwater and wells are at risk for the following cancers (bladder, blood dyscrasia, breast, esophageal, kidney, leukemia, lung, multiple myeloma, myelodysplastic syndromes, non-Hodgkin’s lymphoma) and conditions (female infertility, … VA regulations to establish presumptions for the service connection of eight diseases associated with exposure to contaminants in the water supply at Camp Lejeune, N.C. are effective as of today. 2015); 38 C.F.R. The March 2012 letter explained what information and evidence was needed to substantiate a claim for service connection, as well as what information and evidence must be submitted by the Veteran, and what information and evidence would be obtained by VA. On appeal from the Furthermore, as to case summaries, reports of past results, individual lawyer biographies, news posts and other information pertaining to past and present cases, these descriptions are meant only to provide information to the public about the activities and experience of our law firm. As such, the Board finds that the December 2012 VA examination report is sufficient upon which to base a decision with regard to this claim. 38 U.S.C.A. In fact, the VA recognizes it as a presumptive condition, meaning that the VA presumes it was caused by ingestion of harmful substances at Camp Lejeune. 2009). The record also reflects that VA has made reasonable efforts to obtain or to assist in obtaining all relevant records pertinent to the matter on appeal. The Board finds that they are not competent (and probative) evidence in the matter of a nexus between the Veteran's prostate cancer and his exposure to contaminated water. 38 U.S.C.A. §§ 3.102, 3.156(a), 3.159, 3.326(a). Specifically, from 1953 to 1987, everyone living or working at the United States Marine Corps Base Camp 23,353-23,356 (April 30, 2008) (concerning revisions to 38 C.F.R. However, fourteen diseases were placed into the category of limited/suggestive evidence of an association. If you have service records showing you were stationed at Camp Lejeune, it is helpful to include them. This will open your email client. The National Academy of Sciences ' National Research Council (NRC) and the ATSDR have undertaken studies to assess the potential long-term health effects for individuals who served at Camp Lejeune during the period of water contamination. To obtain these extra payments, veterans must have been stationed at Camp Lejeune for 30 days or more … ) On March 29, 2018, the Board denied service connection for prostate cancer, including as due to Camp Lejeune contaminated water exposure.Â In its decision, the Board relied heavily on the June 2017 VA examination report.Â Importantly, the Board did not address the Veteranâs argument regarding this examination.Â Instead, the Board broadly found that the examination adequately provided the findings necessary to offer a resolution to the appeal.Â CCK successfully appealed this decision to the Court of Appeals for Veterans Claims (CAVC).Â In doing so, CCK presented multiple arguments challenging (1) the adequacy of the June 2017 VA examination report; and (2) the Boardâs failure to address such arguments in the first instance. The levels of PFAS in drinking water were found to be 240 to 3400 times higher … Finally, we invite you to contact us and we welcome your calls, letters and electronic mail. What Contaminated Lejeune’s Water? The examiner opined that it was less likely than not that the Veteran's prostate cancer was incurred in or caused by the claimed in-service injury, event or illness. That study found the rate of spina bifida, cleft lip or The record establishes that the Veteran was on active duty at Camp Lejeune duty during the contamination period. THE ISSUE Now the rules that will allow potentially thousands of veterans stationed at the base — or surviving spouses — to receive automatic disability benefits if they have been diagnosed with … 2012-4-18: I filed a claim for VA disability for kidney cancer on the basis of the water contamination at Camp Lejeune. Water from the Tarawa Terrace water treatment plant was primarily contaminated by PCE (perchloroethylene or tetrachloroethylene). As of January 13, 2017, victims of contaminated drinking water at Camp Lejeune may be able to collect additional disability benefits, according to the Department of Veterans Affairs. § 5103(a); 38 C.F.R. After years of waiting, veterans who were exposed to contaminated drinking water while assigned to Camp Lejeune in North Carolina may now be â¦ You must be diagnosed with one of the qualifying diseases or any type of cancer in order to receive injury fund claims and additionally a … The examiner noted that prostate cancer was a very common disease. ____________________________________________ of concern at Camp Lejeune. Specifically, from 1953 to 1987, everyone living or working at the United States Marine Corps Base Camp Lejeune in North Carolina was exposed to a variety of toxins in the water. This information is made available for educational purposes only and to provide general information and a general understanding of the law. Find out if you can get VA disability pay and other benefits for illnesses related to Camp Lejeune water contamination. In so Disclaimer: This information is not legal advice. While the Veteran's representative contends that the risk between the water contamination at Camp Lejeune and prostate cancer had not been determined to be scientifically high enough to establish a cause and effect connection, the Board notes that the NRC and the ATSDR comprised the Contaminated Water Supplies at Camp Lejeune, Assessing Potential Health Effects (June 2009) which assessed the potential long-term health effects for individuals who served at Camp Lejeune during the period of water contamination. Appellant represented by: Robert V. Chisholm, Attorney at Law They are not intended as a guarantee that we will obtain the same or similar results in every case we undertake. § 1131; 38 C.F.R. at 1376-77; see also Buchanan v. Nicholson, 451 F.3d 1331, 1337 (Fed. App. Overall, there is no evidence of any VA error in notifying or assisting the Veteran that reasonably affects the fairness of this adjudication. Disability compensation for eight presumptive conditions is granted to veterans exposed to toxic water at the base during the qualifying period; Donald Burpee spent four months of 1975 living at Camp Lejeune, a Marine Corps base in North Carolina. VA concedes that any veteran who served at Camp Lejeune was potentially exposed in some manner to the full range of chemicals known to have contaminated the water there between 1957 and 1987. 183 (2002). What Can I Do to Establish Service Connection for My Condition? From the Review of VA Clinical Guidance for the Care of Health Conditions Identified by the Camp Lejeune Legislation (by the IOM): Hepatic steatosis is not … 2000); D'Amico v. West, 209 F.3d 1322, 1326 (Fed. This regulation means that no medical opinion is required for certain conditions, so long as the veteran served at least 30-days at Camp Lejeune … A Supplemental Statement of the Case, when issued following a notice letter, satisfies the due process and notification requirements for an adjudicative decision for these purposes. For this reason, a cohort from Camp Pendleton was selected. ) The move, which comes after a two-month review of the department’s plans, is expected to affect as many as 900,000 veterans and cost more than $2 billion over the next five years. Entitlement to service connection for prostate cancer to include as secondary to exposure to contaminated water at Camp Lejeune is denied. at Camp Lejeune. RED CROSS Opinion of the Court - 3 - (trichloroethylene). In a June 2012 VA medical opinion, the examiner opined that the Veteranâs current prostate cancer was less likely as not caused by or the result of his exposure to contaminated water at Camp Lejeune from 1957 to 1987. In February of 2016, we notified you that the Department of Veterans Affairs (VA) has acknowledged that exposure to Camp Lejeune’s contaminated drinking water increases your risk for cancer and other medical conditions. Service connection will be granted if the evidence demonstrates that a current disability resulted from an injury or disease incurred in or aggravated by active military service. Under 38 C.F.R. The plan is estimated to cost $2.2 billion over the next f… Lay evidence can be competent and sufficient to establish a diagnosis of a condition when (1) a layperson is competent to identify the medical condition, (2) the layperson is reporting a contemporaneous medical diagnosis, or (3) lay testimony describing symptoms at the time supports a later diagnosis by a medical professional." Boyer v. West, 210 F.3d 1351, 1353 (Fed. Further, there is no competent evidence or opinion even suggesting that there exists a medical nexus between a current prostate cancer disability and the Veteran's conceded in-service contaminated water exposure. I Received an Unfavorable Board Decision; What Should I Do? I have just filed the intent to file regarding my condition of metastatic prostate cancer. However, a new regulation went into place on March 14, 2017 which allows veterans with service at Camp Lejeune during a specific period to receive service-connected benefits on a presumptive basis if they developed one of the recognized conditions. Upon receipt of a complete or substantially complete application for benefits, VA is required to notify the claimant and his or her representative, if any, of any information, and any medical evidence or lay evidence that is necessary to substantiate the claim. But if it makes up more than 5%-10% of the organ’s weight, you may have fatty liver disease. Factual Background and Analysis ORDER A prostate cancer disability was not manifest in service, was not manifest within one year of separation and is not related to service to include as due to exposure to contaminated water at Camp Lejeune. Overview of Camp Lejeune Water contamination at Camp Lejeune existed for decades and exposed thousands of people to serious health risks. Camp Lejeune, N.C. â Tuesday was the day Marines stationed at Camp Lejeune who were sickened by tainted water at the base for decades â¦ Additionally there is no evidence that prostate cancer is related to the Veteran's service as due to exposure to water contamination at Camp Lejeune. See Maxson v. West, 12 Vet. Therefore, in the absence of at least a two-fold or greater risk, prostate cancer cannot be considered to be caused by exposure to solvents, and specifically, trichloroethylene. To read the Courtâs full decision, click here. FINDINGS OF FACT Based on analyses of scientific studies involving these chemicals, the NRC provided an assessment of the potential association between certain diseases and exposure to the chemical contaminants. ATTORNEY FOR THE BOARD This is being done in order to provide better service to this special category of claimants. The VA occupational medicine physician concluded that the Veteran's prostate cancer is not due to his … Other contamination in the drinking water included PCE, benzene, and TCE … 473 (2006). Senator Richard Burr R-NC has once again taken up the challenge. If not, simply let the VA know the approximate dates of service and ask them to request copies of your personnel/service records. Prostate cancer had several risk factors with the most being age, ethnicity, genetic factors, and possibly dietary factors. Specific studies have examined the possible link between solvents such as trichloroethylene and prostate cancer. What will I need to do to help support a successful … Cir. The RO provided notice to the Veteran in a March 2012 letter, prior to the date of the issuance of the appealed January 2013 rating decision. Two of the eight water treatment facilities supplying water to the base were contaminated with either trichloroethylene (TCE) or tetrachloroethylene (perchloroethylene, or PCE) from an off-base dry cleaning facility. By … Family members are also eligible for compensation if they lived on the base. The Board has reviewed all the evidence in the Veteran's claims file. CCK argued, and the Court agreed, that the Board erred in failing to address the Veteranâs arguments regarding the adequacy of the June 2017 VA examination.Â The Court found that the Boardâs one-sentence statement regarding the adequacy of the June 2017 VA examination was nonresponsive to the Veteranâs argument.Â The failure to address the Veteranâs argument before the Agency has deprived him of the meaningful opportunity to participate in the processing of his claim and is thus prejudicial error.Â Ultimately, the Court determined that remand is required for the Board to properly address the adequacy of the June 2017 VA examination report.Â On remand, the veteran may present, and the Board must consider, any additional evidence and argument. The Department of Veterans Affairs expects up to 15,000 seriously ill veterans who served at Camp Lejeune, N.C., before 1988, when base drinking water was contaminated, to be helped by Camp Lejeune with Dr. Cassano, Military Medicine and Exposures Expert, Military Sexual Trauma (MST): How to Get Service Connection – Video, Secondary Service Connection & Aggravation, Camp Lejeune Water Contamination & VA Disability Benefits, Presumption of Service Connection Definition, Episode 33: 5 Ways to Establish VA Service Connection, Episode 5: Board of Veterans’ Appeals Issues 100k Decisions in FY20, Episode 8: Zantac Recall & Cancer Lawsuit. §§ 1110, 1112, 1131, 5107 (West 2002 & Supp. App. In addition, the use of certain re-retardant chemicals Veterans Law Judge, Board of Veterans' Appeals Copyright © 2020 Chisholm Chisholm & Kilpatrick LTD.All Rights Reserved. Former service members exposed to contaminated water at Marine Corps Base Camp Lejeune over a 35-year period can now apply for veterans disability benefits, under a new federal rule finalized Tuesday. A NEXUS Letter was not filed with this claim. Citation Nr: 1606533 Prostate cancer A 2005 study conducted by ATSDR examined the effects that Camp Lejeuneâs contaminated water might have on the children of those with firsthand exposure. In June 2017, an expert in Camp Lejeune water contamination found that the Veteranâs prostate cancer was less likely than not âcaused by or a result of his relatively brief exposure.â App. §§ 3.303, 3.307, 3.309 (2015). According to this directive, “As the ATSDR, which has been contracted by the Department of the Navy, continues to research the effects of exposure from this incident, VA must be prepared to evaluate claims based on such exposure in a consistent manner. Shortly after opening, the base was subject to large scale water contamination dueâ¦ However, a veteran seeking disability benefits must establish not only the existence of a disability, but also an etiological connection between his military service and the disability. § 1154(a) requires that the VA give "due consideration" to "all pertinent medical and lay evidence" in evaluating a claim to disability or death benefits. Shortly after opening, the base was subject to large scale water contamination dueâ¦ The Board finds that the competent evidence of record, while showing the currently diagnosed disability of prostate cancer, does not demonstrate prostate cancer manifested to a compensable degree within one year of separation. Their report concluded that negative health effects such as cancer are unlikely for military personnel exposed to the contaminated water. The Veteran underwent a VA examination in December 2012. Share this page via Email. In addition to TCE and PCE, ATSDR has also indicated that high concentrations of benzene, Vinyl Chloride, and trans-1, 2-dichloroethylene (1, 2-DCE) were detected in the drinking water system. 2006); Davidson v. Shinseki, 581 F.3d 1313 (Fed. App. Camp Lejeune's toxic exposure may account for a substantial portion of the prostate cancer risk By Treven Pyles Posted on August 12th, 2020 In September 2012, more mercury was discovered at the Hadnot Point Treatment . Learn how to file Camp Lejeune water contamination claims for â¦ I know this type of cancer is not on the presumptive list however, there is an appeal that is listed where a vet was granted service connected because of his exposure to the water. §] 1112 (West 2002); 38 C.F.R. They may be eligible for medical care through VA for 15 health conditions, including lung, breast and bladder cancer, leukemia, infertility, kidney damage and other … To address potential long-term health effects, the NRC focused on diseases associated with TCE, PCE, and other VOCs. The Board has closely reviewed the Veteran's own lay statements that relate his prostate cancer to his exposure to contaminated water in service. People who were stationed there, either alone or with their family members, were exposed to PFAS from drinking water, which now places them at high risk of developing a serious disease. Starting in March of 2017, veterans may qualify for further cash benefits, in addition to their existing disability benefits. Office of Public … Notably, there are no clinical findings or diagnoses of prostate cancer during service or for several years thereafter. See also 73 Fed. Also of record and considered in connection with the appeal are the various written statements provided by the Veteran and by the Veteran's representative on his behalf. Thus, the Veteran and his representative's assertions that there is a relationship between his claimed prostate cancer disability and his service are not sufficient in this instance and are outweighed by other probative evidence of record. Cir. Accordingly, the TWG did not characterize the risk associated with potential alternative levels of exposure (to include various modalities of exposure) of those who served or … REASONS AND BASES FOR FINDINGS AND CONCLUSION A NEXUS Letter was not filed with this claim. On July 7 of this year, at the age of 59, he lost an eight-year battle with kidney cancer -- one of a number of illnesses linked with exposure to the toxic chemicals that tainted the drinking water at Camp Lejeune between the 1950s and 1980s. Did you take ZANTAC regularly and later develop cancer? VA/DoD Risk Communication Review of Websites and Social Media: Camp Lejeune Historic Water Contamination and Health Concerns Risk communication • Ensuring consistency between websites • Identifying message gaps or needs • Making Federal web sites (and staff) more responsive to the concerns of Veterans, family members, Servicemembers, and the public • Listening to the Veteran … The Camp Lejeune water contamination problem occurred at Marine Corps Base Camp Lejeune from 1953 to 1987. Cir. DAVID L. WIGHT § 3.159). Do You Qualify for Long Term Disability Benefits? Camp Lejeune Water Contamination (January 1, 1957–December 31, 1987): Veterans and families stationed at Camp Lejeune exposed to chemical contaminants in the groundwater and wells are at risk for the following cancers (bladder, blood dyscrasia, breast, esophageal, kidney, leukemia, lung, multiple myeloma, myelodysplatic syndromes, non-Hodgkin’s lymphoma) and conditions (female infertility, … Davidson v. Shinseki, 581 F.3d 1313, 1315-16 (Fed. 122, 128-30 (2000). The first post-service evidence of prostate cancer is the June 2011 private treatment report which noted that the Veteran had a diagnosis of malignant neoplasm of the prostate. ----- TABLES TOTAL SITE INCREMENTAL LIFETIME CANCER RISK AND HAZARD INDICES RECORD OF DECISION OPERABLE UNIT NO. In relevant part, 38 U.S.C.A. The Department of Veterans Affairs (VA) is centralizing the processing of all benefit claims related to a Veteran’s exposure to contaminated drinking water at Camp Lejeune, North Carolina, to the VA Regional Office in Louisville, Kentucky. Benzene, vinyl chloride, and other compounds were also found to be … Medical records indicate the contaminated water at Camp Lejeune caused kidney … He says the Marines never notified him of toxic water at the base. 2. When there is an approximate balance of positive and negative evidence regarding any issue material to the determination of a matter, the VA shall give the benefit of the doubt to the claimant. 2009); Shedden v. Principi, 381 F.3d 1163, 1167 (Fed. Question: Jim, Iâm a former Marine who was exposed to the contaminated water at Camp Lejeune. Latest update: The Camp Lejeune Community Assistance Panel meeting will be held on August 8, 2018. Of â¦ § 5107(b). App. In 1984 and 1985 some drinking water wells were closed after testing confirmed that leaking fuel tanks from an off-base dry cleaner had contaminated the water. While these were prevalent in extraordinary amounts in the groundwater and soil for decades at Lejeune, they are not the only chemicals that were found. 2004). Prostate cancer was not incurred in or aggravated by service, and may not be presumed to have been incurred therein. §§ 5100, 5102, 5103, 5103A, 5107, 5126 and 38 C.F.R. See Jandreau, 492 F.3d at 1377 (whether lay evidence is competent and sufficient in a particular case is a fact issue to be addressed by the Board). In fact, competent medical evidence is not necessarily required when the determinative issue involves either medical etiology or a medical diagnosis. 1. the military exposed to the contaminated water at Camp Lejeune was never acted upon. The Veterans Affairs Department has a website for people who think they may have been affected. Since 2012 and the passage of a law related to Camp Lejeune contamination, few claims have been approved for care regarding Camp Lejeune toxic water contamination. Do You Have Disability Insurance Coverage? In fact, the only medical opinion of record weighs against the claim as the December 2012 VA examiner determined that it was less likely than not that the Veteran's prostate cancer was incurred in or caused by the claimed in-service injury, event or illness. References: Professor Mary Frances McMullin, presentation on High Risk Occupations at MPN Horizons, October 2017; Drew Brooks, Military Editor, The Fayetteville Observer – VA to pay billions in benefits related to contaminated water at Camp Lejune, March 2017 Dr. Evan Braunstein, ASH 2017 Abstract – Germline ERBB2 Variants Associate with MPNs Veterans ' Appeals Department of Veterans ' Appeals Department of Veterans Affairs Department has a website for people think! Donald Burpee spent four months of 1975 living at Camp Lejeune existed for decades exposed. And have one of the law to request copies of your personnel/service records 21 Vet Appeals... Have just filed the intent to file regarding my condition into the category of limited/suggestive evidence of an association think... Last year, the years during which the base 8, 2018 v. West, 218 F.3d 1378, (! About protected work environment a website for people who think they may have been incurred therein 5103A, 5107 5126... 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