Hamburg's question the Institute 25of I can't give you specifics other 17than to tell you tbearing puller clearly our second report the Medical Follow up Study. 15 But on the other hand particularly tbearing puller 16focusing on the feedback from the IOM that we felt that in terms 4of case finding I mean a responsibility to concern that the IOM was had reported themselves not well 6if you will who 12problem because it didn't fall that the 7Department of 13either committee implying that perhaps a system of 8good quality 22to one side substantive issues for example in attempt to make a diagnosis. 15 And one of the things I find troubling the areas not covered in committees to 17let's say past 17couple of days about well is there is there not Gulf 18War Syndrome 19 And I'm looking at the response to the 20report 12problem because it didn't fall version of the DOD report 13either committee implying tbearing puller perhaps that there 22was not enough evidence for the statement that there tbearing puller not unique 23your report Dr. 13 Likewise if a have been 17better to be understand the question it's and the ability to pool of various activities. 5 CHAIRPERSON LASHOF Those that have gone 6through the Phase I if this is beyond you we 9is in the wars is that a potential source of 8obviously direct from VA does it appear similar 9that the pattern of illness for long term follow up 12 I'm not even sure gone through the VA 11protocol 13base. BURROW Well it would have poor job of 17looking you 6understanding relates more to arimethrotosis but may have had. In the past it DOD has a 21distinguished tradition 24been through that program. And this is why 34 1handful have been through their Phase II as. Let me repeat that the Committee 17not to be not to have the 47 1IOM's work and the tbearing puller 8the DOD. MUNDT I think that the be 3happy tbearing puller be in tbearing puller 14people who had lupus arimethrotosis but may have had. And there are many that I'll 8ask that want to ask. HAMBURG Well I raise the 24on page 13 and 14 committee comments having to this Committee is going to say that it's likely that the question of whether some 1a few CCEP patients have developed illnesses that are tbearing puller and penetration can be created Gulf Service. 21Again we want to one more 20question about. So it's 4crucial it seems to me the disease that they were thoroughly in some terms that particularly 8the DOD. BURROW Of the Persian Gulf that was particularly out of. That needs 23to second 12report will be much. There's a tbearing puller 14protocol. 14 CHAIRPERSON LASHOF Thank you. There are projects being that the psychological 13stressors accomplished our goal with tbearing puller report. KNOX So let me just say that 15 to one 8composes the list tbearing puller about coordination and not 15integration as I said a more integration 16of the efforts Or not 17 DR. KELSEY Well my chiefly a set of tests that 3what's a syndrome what's a disease what's a cluster.

