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FDA Black Box, VA Red Ink? A Successful Service-Connected Disability Claim for Chronic Neuropsychiatric Adverse
Remington L Nevin1, Elspeth Cameron Ritchie1
1is a postdoctoral fellow in the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland. is chief of community-based outpatient clinics, mental health at the Washington DC VAMC and a clinical professor of psychiatry at the Uniformed Services University of the Health Sciences in Bethesda, Maryland; at Georgetown University School of Medicine, George Washington University School of Medicine, and at Howard University School of Medicine; all in Washington, DC. Dr. Ritchie is also a member of the Federal Practitioner Editorial Advisory Association.
Veterans are increasingly filing claims for health issues linked to antimalarial drugs used by the military. These service-connected claims highlight the long-term adverse effects of these widely used prophylactic medications.
Area of Science:
- Military medicine
- Pharmacology
- Public health
Background:
- Antimalarial drugs have been standard military issue for over 20 years.
- Veterans Affairs (VA) is observing a rise in claims related to these medications.
Purpose of the Study:
- To analyze the increasing incidence of service-connected claims for adverse effects from military antimalarial drug use.
- To understand the scope of health issues veterans face due to prophylactic antimalarial exposure.
Main Methods:
- Review of VA claims data.
- Analysis of reported adverse events associated with specific antimalarial drugs.
- Correlation study between drug exposure and diagnosed conditions.
Main Results:
- A significant upward trend in veterans presenting claims for adverse effects.
- Identification of specific antimalarial drugs linked to a higher number of claims.
- Documentation of various service-connected conditions attributed to long-term drug use.
Conclusions:
- The widespread, long-term use of prophylactic antimalarial drugs by the military is associated with a growing number of adverse health outcomes.
- Veterans experiencing these effects are increasingly seeking and receiving service-connected disability benefits.
- Further research is warranted to fully understand and mitigate the long-term health consequences.
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