Posts Tagged ‘ mind ’

Alcohol abuse weighs on Army

February 10, 2010

The Army needs to double its staff of substance-abuse counselors to handle the soaring numbers of soldiers seeking alcohol treatment, said Gen. Peter Chiarelli, the Army’s No. 2 officer.About 300 more counselors are needed to meet the demand, cut wait times and offer evening and weekend services, Chiarelli, the Army vice chief of staff, said in an interview with USA TODAY.Last year, 9,199 soldiers enrolled in treatment after being diagnosed with alcohol problems, a 56 percent increase over 2003, when the Iraq war started, according to Army records released Monday. Overall, 16,388 sought some type of counseling, data show.In 2003, 5,873 enrolled in treatment from the 11,309 soldiers who sought counseling.“There’s no doubt in my mind that since 2001 and being involved in two wars … that we probably have a higher incidence of alcohol abuse,” Chiarelli said.Brig. Gen. Jeffrey Horne, chief of Army human resources and policy, said “we need the nation’s help” in finding more counselors. The service is currently down 20 percent from its authorized staffing level of 290, said Les McFarling, director of the Army Substance Abuse Program.Last year, then-Army secretary Pete Geren asked Chiarelli to work to reduce the Army’s record rate of suicide. Chiarelli said substance abuse has been identified as an issue in many of the deaths, which reached 160 confirmed and suspected cases in 2009.McFarling said many soldiers are referred for substance-abuse counseling after an incident such as being cited by police for drunken driving. If counselors determine they do not have an alcohol-abuse problem, the soldiers are required to go through a two-day educational course instead of a formal treatment program.Alcohol remains a much larger problem than drug abuse, making up 85 percent of the Army substance-abuse treatment caseload, McFarling said.Last year, the Army started a program aimed at reducing the stigma associated with seeking help for alcohol problems. At three Army installations, soldiers can seek alcohol-abuse counseling without their commanders being notified. The program allows soldiers to receive counseling off the post and during nights and weekends.The Army would require more counselors to expand the program throughout the service, Horne said. The Army wants to have one counselor for every 1,600 soldiers instead of the current target of one for every 2,000, he said. The officials did not give a cost estimate for the additional counselors.“We’ll have more counselors on the scene that can see more people quickly,” Horne said.

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Balad burn pit harmed troops living 1 mile away

January 18, 2010

As Wendy McBreairty hiked up a 20-foot bluff in her hometown of Cheyenne, Wyo., her thigh muscles felt heavy, as if she had been climbing for hours.She breathed deeply, trying to fill her lungs but, as usual, she felt as if she could not get enough of the clear, cold air. Fatigue overwhelmed her, just as it does every other day of her life.The 32-year-old Air National Guard staff sergeant sat on a rock, leaned toward the setting sun, and pondered her future.“I had a lot of plans,” she said, biting her lip and wiping back tears. “I wanted a 20-year career in the military and I don’t see how I’m going to be able to do another 13. I’m working on my master’s degree — I’ll get that done, but I don’t know if it will do me any good.“I don’t plan on having kids anymore.”The root of her radical change in plans, she and her doctor believe, is the open-air burn pit at Joint Base Balad, Iraq. Before its Oct. 1 closure, the pit spanned 10 acres, consumed a wide array of potentially toxic materials and spewed a near-constant plume of thick black smoke that could be seen from miles away.When McBreairty got back from Iraq in 2004, she desperately tried to understand what was causing her symptoms: shortness of breath, muscle fatigue, muscle spasms, fatigue and dry eyes. She found that others had similar, often equally puzzling, problems. Among the 40 people in her shop alone, five have neurological or respiratory issues.One thing they had in common was that they all lived in the housing area at Balad known as H6 during their tours of duty in Iraq. H6 sat a mile southeast of the burn pit, and on many days was downwind of the plume.Burn pits operate on U.S. bases throughout Iraq and Afghanistan, and troops in both theaters have reported respiratory problems, cancers, neurological diseases, heart problems and other issues that they believe are linked to exposure to smoke from the pits. Cases of respiratory illnesses among active-duty troops have risen steadily since 2001.More than 400 veterans have contacted Disabled American Veterans, which is compiling a database of troops who believe they are ill from burn-pit smoke.Of those, 39 say they lived in H6. Fifteen of the 39 have been diagnosed with asthma; 18 have undiagnosed breathing problems. Five have chronic cough, seven have chronic obstructive pulmonary disease, five have constant headaches, five suffer from sleep apnea, two have brain tumors and 13 have cancer. Several have multiple symptoms.H6 houses about 1,000 people at a time in two-person trailers and eight- to 10-person dorms. In one way, it was considered a good place to live because it was thought to be a less likely target for enemy mortar rounds.But H6 sat closer than any other housing area to Balad’s burn pit at the northeast corner of the base. At one time, the raging plume of smoke and flame devoured 240 tons daily of every imaginable form of trash — plastics, petroleum, paint thinner, even amputated limbs and other medical waste.And while Defense Department officials say it is now shut down, replaced by three cleaner-burning incinerators, another 50 pits in Iraq and 34 in Afghanistan are still in operation — compared with a total of only 27 incinerators in the two theaters.Dust, ash and chemicalsAt Balad, the burn-pit smog seemed particularly attracted to H6. A health risk assessment conducted in 2007 by Army medical experts noted that H6 saw its “highest level of contaminant concentrations” when prevailing winds were out of the north, which is about 21 percent of the time.In the H6 courtyard, particulate matter with a diameter of 10 micrometers or less — about 1/30th of a human hair — reached a concentration of 221 micrograms per cubic meter on one day of testing. Military exposure guidelines for such particulates say such levels shouldn’t go above 50 micrograms per cubic meter, although in reality, most desert areas top that level during dust storms.At Balad, only a mortar pit and guard tower right next to the burn pit came even close to the concentrations measured in H6 housing — and the particulate matter there included chemical-laden ash.As particulate matter grows smaller than 10 micrometers — as it does in a fire — it becomes even more dangerous because it can settle further into the lungs.Johann Engelbrecht of the Desert Research Institute, who in December was awarded a $1.2 million Defense Department contract to study the effect of desert dust on troops, found in a 2008 study that fine particulate matter at Balad and 14 other deployment sites is well above both World Health Organization and U.S. military standards.The military’s safety standard for a one-year period is no more than 15 micrograms of fine particulate matter per cubic meter per day. Balad averaged 56 micrograms per cubic meter.“This study characterized three main air-pollution sources: geological dust, smoke from burn pits, and until-now-unidentified lead-zinc smelters and battery-processing facilities,” Engelbrecht wrote.The Environmental Protection Agency links fine and superfine particulate matter with increased respiratory symptoms, decreased lung function, aggravated asthma, chronic bronchitis, irregular heartbeat, nonfatal heart attacks and premature death in people with heart or lung disease — which is why the EPA has pushed for a ban on backyard burning of any materials, including yard rubbish such as leaves and branches.That is also why retired Air Force bioenvironmental engineer Lt. Col. Darrin Curtis is not surprised by the problems many troops say they’re having: He predicted it.In fact, he knows about it firsthand — he lived in H6 himself during his tour at Balad.“In my professional opinion, there is an acute health hazard for individuals,” he wrote in an oft-quoted memo that he sent up the chain of command in 2007. “There is also the possibility for chronic health hazards associated with the smoke.”His memo detailed the long list of toxins produced by the burning plastics, Styrofoam, paper, wood, rubber, petroleum products and chemicals in the Balad burn pit.He also noted that the military’s own regulations state that burn pits are meant to be an initial, short-term waste disposal option, not to be used for more than a few months before being replaced by incinerators.Most of the burn pits in Iraq and Afghanistan have operated since the wars began.“I saw a lot of smoke,” Curtis told Military Times. “The smoke, especially at night, would sink right to the ground and hover. It was just thick, and it would settle over H6.”Collecting data ‘impossible’Curtis was concerned enough to set up sampling equipment to check for chemicals, collect dioxin levels, and measure the amount and fineness of the particulate matter to which he and other troops were exposed.Defense officials often quote these data as proof that troops were not exposed to enough toxins to cause harm. But Curtis said he had problems getting the collection points to work properly because he had to guess at the wind patterns and which way the smoke would blow.“It was very difficult to collect data,” he said. “I think it’s more than difficult — it’s impossible.”Army 1st Sgt. Lynette Streitfield, diagnosed with asthma and chronic bronchitis after a tour at Balad, said that when she lived in H6, she saw Curtis’ equipment set up outside the barriers that ringed the housing area. Inside the barriers, smoke weaved in and out of the trailers, trapped by the concrete walls. But as she emerged from the barriers, she saw clear air around Curtis’ equipment.“That’s probably my fault,” Curtis acknowledged. “We had to set up the equipment where there were power sources.”The issues Curtis predicted and that service members report are in line with what experts say they would expect to see after people have been exposed to large amounts of smoke, as well as with what a doctor hired to examine soldiers complaining of shortness of breath found when he biopsied their lungs.Many troops who have spent time near burn pits talk about similar, odd symptoms — a crackly or deeper voice, waking in the middle of the night because they’ve stopped breathing, constant headaches, a general sense of fatigue, and an inability to pull enough oxygen into their lungs. Neurological complaints include numbness and, in two cases in one unit, paralyzed facial muscles.‘Just don’t feel right’“People say they just don’t feel right,” said Air National Guard Maj. Jerry Molstad as he sipped a beer after a weekend drill day at Fort Carson, Colo., last fall. He and Master Sgt. Jonathan Hilliard fiddled with a pulse oximeter, which can quickly tell if their oxygen blood saturation levels are low — and they are.Both are obsessive about the tiny machines since returning from their tours at H6 housing in January 2009.“I’m a volunteer firefighter,” said Molstad, 52, a physician assistant in the Guard. “You know you don’t go into a burning house without a pack.”At Balad, he said, “They had security guards pulling 12-hour shifts right over the burn pit with no protection.”He said six of the 25 people who deployed with his aeromedical unit returned home sick.That “really raised my eyebrows,” he said, adding that he’s living it himself.“I feel short of breath just talking to you,” he said.His voice has turned gravelly, he has problems breathing and, for the first time in his life, he has begun snoring. A nonsmoker, he worries that he has developed chronic obstructive pulmonary disease. X-rays taken after he returned show the bronchi in his lungs are more prominent than they should be, which suggests early COPD. “I have an X-ray from 2005 that looks totally different,” he said.Tests later revealed a mass in his abdomen, causing him to fear a more immediate issue: cancer. He’s still waiting for the results.He pulled out a photo that he took outside the door of his trailer at H6 at midday — but it looks like night. “I wore my gas mask all day that day,” he said.But he could not fully protect himself from the daily dusting of soot that covered everything inside his trailer, he said.“What did I immerse myself in?” he said. “It’s haunting.”After the drill weekend ended, Hilliard returned to the home he fears he will lose if his symptoms become worse — in the old mining town of Victor, Colo., with oxygen-thin air about 10,000 feet above sea level.“I was working out at Balad — spin class three days a week,” he said. “All of the sudden back here, I’m severely short of breath with a moderate workout.” He failed his most recent military physical fitness test “heinously.”Hilliard spent 30 years as a career firefighter and said he could recognize what was being burned at Balad by the smell: Plastic. Styrofoam. Tires.He said the pit actively burned only during the day; at night, the blaze was allowed to go down in intensity.In his firefighter training, he learned that federal air studies have found the smoldering stage of a fire is twice as toxic as when it burns at its hottest, when more material is consumed.“In the smoldering phase, it’s just nasty,” he said.Dashed dreamsMcBreairty said she was healthy before she served at Balad in 2004 with the New Mexico Air National Guard, loading bombs on F-16s.She has since been diagnosed with multiple sclerosis.Fatigue came first. Then muscle spasms. Her jaw hurt. Her arm hurt if someone brushed it. Her joints ached. She had headaches.Tests all came back normal.“By the middle of 2007, I thought I was losing my mind,” she said.Finally, an MRI showed brain lesions — the telltale sign of MS.Almost immediately, her dreams of working as a sheriff’s deputy disappeared. She stopped playing softball. She gave up plans to become a military officer.“I told my neurologist about the reports that had come out about the burn pits,” she said. “She was just amazed they were burning the stuff that they were. These are biohazards.”McBreairty pulled a letter from a stack of medical paperwork on her parents’ kitchen table.“I received the fax transmittal from the Department of the Air Force regarding the burn-pit hazards,” wrote Mary Kerber, McBreairty’s neurologist at Cheyenne Medical Specialists. “We believe that there are environmental triggers that can cause the manifestation of multiple sclerosis. … As we learn more about multiple sclerosis, we may be able to identify some of the environmental triggers and there may have been some environmental hazards associated with the open burn pit that could have triggered the manifestation of your disease.”Knowing that someone believes her offers some comfort. But it’s not enough, she said.“Stopping the burn pits is my biggest concern. I don’t want to see more of my friends be sick.”Read more• DoD shows first signs of acknowledging burn-pit woes • 2010 spending bill lacks bite in curtailing burn-pit ops

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Bataan CWO bringing aid to birthplace

January 15, 2010

ABOARD THE AMPHIBIOUS ASSAULT SHIP BATAAN — Chief Warrant Officer 2 Wilfrid Bossous can’t wait to get to Haiti — the country he left 26 years ago as a 13-year-old boy.Though his father and brothers and sisters are all in the United States or Mexico, he’s still unsure if many of his extended family, uncles, aunts and cousins are still alive.“I heard from my father yesterday — two of my uncles and one cousin died,” said Bossous, the amphibious assault ship Bataan’s air boatswain, overseeing much of the flight and hangar deck operations. He’s one of approximately 20 sailors of Haitian descent who are part of the ship’s crew.“But those three weren’t in Port-au-Prince — we still don’t know the status of 20 to 25 other members of our extended family,” he saidFrom watching the news accounts, he said that one of the hardest hit areas, the Port-au-Prince neighborhood of Carrefour, is where he grew up. His aunt, who raised him as young boy, is still missing.“She raised me from the time I was 7 months old, when my mother left to go to the United States,” he said. “I was with her until I was 13 years old and went to Brooklyn myself.“The toughest part is the fact that you just don’t know — you don’t know the status of family members or friends.”Bossous says that thought is constantly with him now, but he’s not letting it interfere with the job at hand.“I’m a reserved guy, and keep my emotions to myself,” he said. “I’m not the kind of person who brings my work life home or my home life to work — I just don’t want anything to interfere with how I treat my people.”Though uncertainty about his family members will continue to weigh on his mind, he says he’s “at peace with what’s happened, as I think God has a plan in all this,” he said.Bossous joined the Navy in 1991.After boot camp in Great Lakes, Ill., he reported aboard the aircraft carrier John F. Kennedy — then home-ported in Norfolk, Va., where he learned to be an aviation boatswain’s mate, aircraft handler.He’s seen duty on three carriers and will most likely head to a fourth, the Harry S. Truman, when his tour is done next year.But right now his thoughts are on bringing aid to Haiti, but he doesn’t know if he’ll be allowed to go ashore.Fluent in Creole — the unofficial language of Haiti, something he says is a mixture of French and African languages — Bossous returned to his home country in 1994 as a translator during Operation Uphold Democracy.He said he’d be willing to perform that duty again, but is yet to be asked.In the meantime, he’s focused on helping run the flight deck, which is expected to on load an ad-hoc combination of heavy-lift Marine helicopters and as well as smaller Navy H-60 helos.“Sure, I’d like to go, but I have a job to do here,” he said. “I’m a sailor and professional first, and I have to remember that — it’s a great feeling that we have all this capability and can bring it to Haiti to help.”More on the disaster relief efforts in Haiti: Comfort to join Haiti mission Bataan heads for Haiti CG cutter Tahoma helps bleak clinic in Haiti Gunston Hall diverted from APS mission Mullen: 10,000 troops on scene by Monday Airmen providing relief after Haiti quake

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Bataan air boss bringing aid to birthplace

January 15, 2010

ABOARD THE AMPHIBIOUS ASSAULT SHIP BATAAN — Chief Warrant Officer 2 Wilfrid Bossous can’t wait to get to Haiti — the country he left 26 years ago as a 13-year-old boy.Though his father and brothers and sisters are all in the United States or Mexico, he’s still unsure if many of his extended family, uncles, aunts and cousins are still alive.“I heard from my father yesterday — two of my uncles and one cousin died,” said Bossous, the amphibious assault ship Bataan’s air boatswain, overseeing much of the flight and hangar deck operations. He’s one of approximately 20 sailors of Haitian descent who are part of the ship’s crew.“But those three weren’t in Port-au-Prince — we still don’t’ know the status of 20 to 25 other members of our extended family,” he saidFrom watching the news accounts, he said that one of the hardest hit areas, the Port-au-Prince neighborhood of Carrefour, is where he grew up. His aunt, who raised him as young boy, is still missing.“She raised me from the time I was 7 months old, when my mother left to go to the United States,” he said. “I was with her until I was 13 years old and went to Brooklyn myself.“The toughest part is the fact that you just don’t know — you don’t know the status of family members or friends.”Bossous says that thought is constantly with him now, always not far from the front of his mind, but he’s not letting it interfere with the job at hand.“I’m a reserved guy, and keep my emotions to myself,” he said. “I’m not the kind of person who brings my work life home or my home life to work — I just don’t want anything to interfere with how I treat my people.”Though uncertainty about his family members will continue to weigh on his mind, he says he’s “at peace with what’s happened, as I think God has a plan in all this,” he said.Bossous joined the Navy in 1991.After boot camp in Great Lakes, Ill., he reported aboard the aircraft carrier John F. Kennedy — then home-ported in Norfolk, Va., where he learned to be an aviation boatswain’s mate, aircraft handler.He’s seen duty on three carriers and will most likely head to a fourth, the Harry S. Truman, when his tour is done next year.But right now his thoughts are on bringing aid to Haiti, but he doesn’t know if he’ll be allowed to go ashore.Fluent in Creole — the unofficial language of Haiti, something he says is a mixture of French and African languages — Bossous returned to his home country in 1994 as a translator during Operation Uphold Democracy.He said he’d be willing to perform that duty again, but is yet to be asked.In the meantime, he’s focused on helping run the flight deck, which is expected to on load an ad-hoc combination of heavy-lift Marine helicopters and as well as smaller Navy H-60 helos.“Sure, I’d like to go, but I have a job to do here,” he said. “I’m a sailor and professional first, and I have to remember that — it’s a great feeling that we have all this capability and can bring it to Haiti to help.”More on the disaster relief efforts in Haiti: Comfort to join Haiti mission Bataan heads for Haiti CG cutter Tahoma helps bleak clinic in Haiti Gunston Hall diverted from APS mission Mullen: 10,000 troops on scene by Monday Airmen providing relief after Haiti quake

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Mom continues medical career by joining Guard

December 30, 2009

WILLOUGHBY, Ohio — After hanging up her stethoscope five years ago, Maita Jarkewicz thought her career as a doctor was complete.On Monday, the Willoughby woman recharged her medical career.Instead of patients, the mother of three boys will care for soldiers in the Ohio Army National Guard.”I think I've had the desire to serve whether it be the military or the public,” she said.During her swear-in ceremony, Capt.

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No time for Christmas for GIs in Afghan east

December 24, 2009

PECH RIVER VALLEY, Afghanistan — For Staff Sgt. Byron Krepcho, it doesn’t feel like Christmas.Instead of celebrating Christmas Eve with his family back in Dallas, Texas, Krepcho’s unit on Thursday fired mortars at enemy positions from Command Post Michigan in the Pech River Valley in the tense Kunar province in eastern Afghanistan.“Ah, Christmas,” Krepcho said with a laugh. “I don’t really think about it.“I don’t think about it as a holiday because I just treat it as another day I’ve been here

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MCPON to chiefs: You must shape up

December 21, 2009

Too many senior enlisted sailors have gotten into trouble over the past several weeks — and the Navy’s top master chief wants it to stop now.Following a year in which 10 command master chiefs or chiefs of the boat were detached for cause — and an average of 54 sailors ranked E-7 and up are busted for drunken driving every year — Master Chief Petty Officer of the Navy (SS/SW) Rick West delivered a broadside to his top master chiefs Dec. 11.In a personal message to senior enlisted leaders, West said too many chief petty officers have gotten in trouble for driving under the influence, sexual assault, domestic violence, fraternization and general misconduct.He directed all his CMCs to meet with their chiefs’ messes to discuss the problem, and he said fleet and force master chiefs will brief him on any major disciplinary problem involving a chief.“This is unacceptable within our mess and must stop immediately,” he said in the personal message, a copy of which was obtained by Navy Times.His message cited the firing of the 10 CMCs, but did not provide more specific information. In a separate interview with Navy Times the day the message was released, West said the number is slightly down from 2007 but up “a bit” from last year.“Like the DUI numbers, there is no trend, just a consistent handful of problems that we need to put a stop to,” West said.The message came one week after the commanding officer, CMC and five male chiefs were removed from the destroyer James E. Williams for fraternization .

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Mullen confident Iraq departure still on track

December 18, 2009

BASRA, Iraq — The top U.S. military officer, arriving in Iraq on Friday, said he is confident that the war-torn country will hold elections March 7 and that the U.S

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Pearl survivor back for 1st time since war

December 7, 2009

PEARL HARBOR, Hawaii — Ed Johann will always remember the sound of planes diving out of the sky to bomb U.S. battleships, the explosions and the screams of sailors. He still recalls the stench of burning oil and flesh.The 86-year-old retired firefighter is due to return Monday to Pearl Harbor for the first time since World War II to attend a ceremony marking the 68th anniversary of the Japanese attack.“I really don’t know how I’m going to handle it,” said Johann, from his home in Oregon. “When I think about it, all I have is unpleasantness. I’m sure it’s not like that now.”Johann was a 17-year-old apprentice seaman on Dec.

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