London School of Hygiene & Tropical Medicine

The largest study of UK Gulf war servicemen, published today in BMC Public Health confirms that forces deployed to the first Gulf War report more ill health than veterans who did not serve there.

Rebecca Simmons, Noreen Maconochie and Pat Doyle from the London School of Hygiene and Tropical Medicine found that Gulf war veterans were more likely to report mood swings, memory loss/lack of concentration, night sweats, general fatigue and sexual dysfunction than armed forces personnel who had not served in the Gulf.

This pattern of symptom reporting is similar to that found in other studies of UK Gulf war veterans, which looked at the same population using different methods. The study confirmed that Gulf war veterans report significantly more symptoms of disease than non-Gulf war veterans in almost all ill health categories examined, yet there is still no consistent explanation for this discrepancy.

More than 1 in every 20 UK servicemen who served in the first Gulf war believes that they have Gulf war Syndrome.

However, in common with other studies of veterans, those who thought that they might have Gulf war syndrome reported exactly the same types of symptom as veterans who had not been deployed to the Gulf. They just reported these symptoms at higher frequencies. This finding provides evidence against a unique Gulf war syndrome

The researchers sent a questionnaire to all UK armed forces personnel who had been deployed to the Gulf area some time between August 1990 and June 1991. Over 24,000 men responded, using free text responses to detail their current state of health and report any changes in their health status since 1990.

The most common conditions reported by Gulf war veterans included skeletal and other muscular symptoms (15.1%), general fatigue (10.8%), memory loss/lack of concentration (7.9%) and skin allergies (7.6%).

Questionnaire responses from Gulf war veterans were compared with answers from 18,439 male armed-service personnel who had not served in the Gulf.

61% of Gulf war veterans reported at least one new medical symptom since 1990, compared with 37% of non-Gulf war veterans.

"This study is consistent with other research showing an excess of non-specific self-reported ill health in Gulf war veterans, and the findings do not support the existence of a unique syndrome in this group," said Rebecca Simmons.

The authors say, "There is a need to improve routine health surveillance and record-keeping both pre- and post-deployment. This surveillance should lead to more effective prevention and treatment programs that reduce the burden of post-war illness."

Ends

This press release is based on the following article:

Self-reported ill health in male UK Gulf war veterans: a retrospective cohort study, Rebecca Simmons, Noreen Maconochie, Pat Doyle
BMC Public Health 2004, 4:27
To be published 13 July 2004

About the study:

1. The study was funded by the UK Ministry of Defence and administered by the UK Medical Research Council, which last year published a review of research into UK Gulf veterans' illnesses. For details please contact the MRC's Press Office on 020 7637 6011.

2. Male UK Gulf veterans and a matched comparison group of non-deployed servicemen were surveyed by postal questionnaire. 42,818 completed questionnaires were returned, representing response rates of 53% for Gulf veterans and 42% for non-Gulf veterans.

Upon publication this article will be available free of charge according to BMC Public Health's Open Access policy at: http://www.biomedcentral.com/1471-2458/4/27

Please quote the journal in any stories you write, and link to the article if you are writing for the web.

Prior to publication, journalists can read the full text of the study under embargo at: http://www.biomedcentral.com/imedia/1684225100409280_manuscript.pdf

For more information about this research, contact Miss Rebecca Simmons by e-mail - rebecca.simmons@lshtm.ac.uk or Lindsay Wright, press officer at LSHTM, on +44 (0)20 7927 2073.

Alternatively, or for more information about the journal or Open Access publishing, contact Gemma Bradley by phone on +44 (0)20 7631 9931 or by e-mail: press@biomedcentral.com

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