DU Screening - Public Health

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#footer-alert p { margin: 5px auto; font-size: 1.2em; } } </style> <script> $(function() { document.getElementById("sub-footer").style.marginBottom = "60px"; var alertMsg = "<div id=\"footer-alert\"><div class=\"va-banner-body\" role=\"banner\"><p><i class=\"fas fa-bullhorn icon-left\" aria-hidden=\"true\"> </i><a href=\"https://www.va.gov/resources/the-pact-act-and-your-va-benefits\" title=\"PACT Act and your VA benefits\">Learn what the PACT Act means for your VA benefits <i class=\"fas fa-angle-double-right\" aria-hidden=\"true\"></i><\/a><\/p><\/div><\/div>"; $("body").append(alertMsg); }); </script> </div>    </div> </div>  <span style="position:absolute;"><a id="main-content"> </a></span> <div class="col-md-9"> <div class="row"> <div class="col-md-8"> <div class="fill"> <div id="innerContentWrapper"> <div id="innerContent" class="innerDir">  <h2 class="page-title">DU Screening</h2>   <div class="image-right"><img alt="urine testing" border="0" height="148" src="/images/depleteduranium/urine_testing_pic.jpeg" title="U.S. tank in Iraq" width="225"></div> <h3><strong>How Can I Be Tested for DU Exposure?</strong></h3> <p>If you are worried about possible exposure to DU, talk to your <a rel="noopener" href="https://www.publichealth.va.gov/exposures/coordinators.asp" target="_blank">local Environmental Health Coordinator Environmental Health Coordinators</a> - Public Health (va.gov) or VA medical provider. Ask to be tested for DU.</p> <p>The steps for testing include:</p> <ol> <li>Your VA facility orders a special urine collection kit from the MEDU Surveillance Center.</li> <li>Your VA provider works with you to complete a DU exposure questionnaire and submit a urine sample.</li> <li>You will visit one of the main VA medical facilities for the urine collection.</li> <li>Your local facility submits your specimen and questionnaire to the MEDU Surveillance Center.</li> </ol> <p> </p> <h3><strong>What Will Be Measured in the Urine Sample I Provide?</strong></h3> <p>The DU urine test measures total urine uranium. Remember that natural uranium is found in the food you eat and the water you drink. Therefore, everyone excretes uranium in their urine. If the sample has enough total uranium content, an added test is performed on the same urine sample to decide if the uranium is DU.</p> <p>Please note that these are very specialized tests. It may take up to 30 days, sometimes longer, to receive results.</p> <h3><strong>What Do the Results Mean?</strong></h3> <p>Your total uranium level will be compared to the common range found in the general public. The added test will tell us if DU is present in your urine.</p> <p>If the result shows a high total urine uranium level or shows that DU is present, you will need to talk to your doctor about whether follow up is needed. The MEDU Surveillance Center will send a letter to you and your provider that explain your result and recommended follow-up actions.</p> <h3><strong>How Many Veterans Have Been Screened For DU?</strong> </h3> <p>As of January 1, 2024, over 8,500 concerned Veterans have submitted a urine sample for DU testing. However, only five have tested positive for DU. The Veterans who tested positive were all involved in ‘friendly fire’ events that involved DU. These Veterans were invited to be part of the DU Follow-up Program offered by the MEDU Surveillance Center.</p>  <div style="display: none;" class="exposure" id="depletedUraniumHiddenHTML" aria-hidden="true"> <h2 id="exposureName">Depleted Uranium</h2>  <div class="exposureDescription"> <p>Chemical used in tanks and in bullets that penetrate enemy armored vehicles</p> </div>  <div class="exposureSource"> <p>When a vehicle is hit and penetrated by a DU projectile, it splits into small shards and bursts into flames. The projectile fragmentation may fill the vehicle with flying metal fragments, particles, and dust.</p> </div>  <div class="exposurePathway"> <p>Inhalation, oral, or dermal (wounds)</p> </div>  <div class="exposureArea"> <p>Southwest Asia, South-Central Asia, Western/Central Europe, Southeastern Europe</p> </div>  <div class="exposureConflict"> <p>Gulf War, Operation Joint Endeavor (OJE), Operation Enduring Freedom (OEF) / Operation Freedom's Sentinel (OFS), Operation Iraqi Freedom (OIF) / Operation New Dawn (OND)</p> </div>  <div class="exposureDates"> <p>1990-1991, 1992-1995, 2001-present</p> </div>  <div class="exposureHealthImplications"> <p>The two primary health concerns related to DU exposure are radiation and heavy metal toxicity.</p> <ul> <li>Radiation - since DU is less radioactive than naturally occurring uranium, this should not be a significant source of concern.</li> <li>Heavy metal toxicity - The first organs of concern are the kidneys. Currently, there is no evidence of long-term health effects in Veterans as a result of embedded DU fragments.</li> </ul> <p>The potential for health effects from internal exposure is related to the amount of DU that enters a person’s body. Inhaled DU particles are likely cleared from the lungs over several years. DU fragments may remain for many years. Other health effects being studied are the effects on the kidneys and on bone mineral density.</p> </div>   <div class="exposureSites"> </div>  <div class="exposureFactsheets"> <div class="factsheetInfo"> <ul> <li class="descr">Depleted Uranium Fact Sheet</li> <li class="url">https://www.publichealth.va.gov/docs/depleted-uranium/du_factsheet.pdf</li> </ul> </div> </div>  <div class="Resources"> <div class="resourceInfo"> <ul> <li class="content">https://www.publichealth.va.gov/exposures/depleted_uranium/index.asp.</li> <li class="buttonDescr">Depleted Uranium webpage</li> </ul> </div> <div class="resourceInfo"> <ul> <li class="content">https://health.mil/Military-Health-Topics/Health-Readiness/Environmental-Exposures/Depleted-Uranium .</li> <li class="buttonDescr">DoD Depleted Uranium (DU) Library</li> </ul> </div> </div>  <div class="exposureReferrals"> <div class="Referral"> <p class="name">Get a Registry Evaluation</p>  <div class="referralSite"> <ul> <li class="descr">Environmental Health Coordinator</li> <li class="url">https://www.publichealth.va.gov/exposures/coordinators.asp</li> </ul> </div>  <div class="referralSite"> </div>    <p class="content">Contact your local https://www.publichealth.va.gov/exposures/coordinators.asp, https://www.oefoif.va.gov/map.asp, or VA Primary Care Team about getting a registry evaluation.</p> </div> <div class="Referral"> <p class="name">WRIISC Link</p>  <div class="referralSite"> <ul> <li class="descr">War Related Illness and Injury Study Center (WRIISC)</li> <li class="url">https://www.warrelatedillness.va.gov/WARRELATEDILLNESS/referral/index.asp</li> </ul> </div>    <p class="content">For evaluation for difficult-to-diagnose conditions, contact your local https://www.warrelatedillness.va.gov/WARRELATEDILLNESS/referral/index.asp.</p> </div> </div>  <div class="exposurePolicies"> </div>  <div class="exposurePrograms"> <div class="programHeading"> <span class="programName">Depleted Uranium Follow-Up Program</span>  <ul> <li class="url">https://www.publichealth.va.gov/exposures/depleted_uranium/followup_program.asp</li> </ul>    <p>"Depleted Uranium Follow-Up Program screens and monitors Veterans for health problems associated with exposure to depleted uranium (DU). The program is especially geared to Veterans who were on, in or near vehicles hit with 'friendly fire'; rescuers entering burning vehicles, and those near burning vehicles; salvaging damaged vehicles; or near fires involving DU munitions. VA requires active duty service in any of the conflicts listed below to qualify for the DU Follow-Up Program:</p> <ul> <li>1990-1991 Gulf War</li> <li>Bosnia</li> <li>Operation Enduring Freedom</li> <li>Operation Iraqi Freedom</li> <li>Operation New Dawn</li> <li>For more information, visit: https://www.publichealth.va.gov/exposures/depleted_uranium/followup_program.asp</li> </ul>  <span class="programStartDate">1990</span> <span class="programEndDate">2100</span>  <span class="programConflicts">Gulf War, Operation Enduring Freedom (OEF) / Operation Freedom's Sentinel (OFS)</span>  <span class="programLocations">Southwest Asia, South-Central Asia</span></div> </div> </div>  <div class="top_link"><a href="#top">return to top <img alt="go" src="/va_files/2014/responsive/images/arrow_up.png" width="7" height="10"></a></div> </div> </div> </div> </div> <div class="col-md-4"> <div class="fill"> <div id="rightContent">  <div id="tier4RightContent"> <div id="innerRightContent">  <div 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