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Exposure to Agent Orange Outside of Vietnam
Until recently, the VA would grant compensation to veterans exposed to Agent
Orange (AO) outside of Vietnam only if the claimant proved exposure to AO
and provided a medical connection between the current disease and that
exposure.
In an apparent effort to equalize the treatment of all veterans exposed to
AO, the VA recently announced that if exposure outside of Vietnam were
proven, and the veteran had one of the ten diseases presumed by law to be
related to exposure to AO, the medical connection would be presumed and the
claim granted unless there were other disqualifying factors. See comments on
the final rule adding diabetes to the list of "AO diseases" in 38 C.F.R. §
3.309(e), at 66 Federal Register, page 23, 166 (May 8, 2001).
In addition, any veteran concerned about exposure to AO during use,
manufacture, testing or transport outside of Vietnam, may be given an AO
physical by the VA and added to the Agent Orange Registry (VHA Directive
2000-027).
The only real issue is proving exposure (all persons who served in Vietnam
are presumed to have been exposed.) The VA is determining whether Department
of Defense information is sufficient to add some non-Vietnam units to the
presumptive exposure list, but none have been added as of June 2001. The
following areas outside of Vietnam have been confirmed as places where AO
was used:
1. The Korean demilitarized zone in 1968 and 1969 (extensive spraying).
2. Fort Drum, NY in 1959 (testing).
Other areas where veterans allege AO to have been sprayed include:
1. Guam from 1955 through 1960s (spraying).
2. Johnston Atoll (1972-1978) was used for unused AO storage.
3. Panama Canal Zone from 1960s to early 1970s (spraying).
************also see:
1154-3.304-ao outside of vietnam below
See section D under combat. this was just revised in Dec of 2001. This
allows those that served outside of Vietnam and were exposed to AO to file
for compensation I amalso attaching a document about Panama and Guam havinmg
also been added to the list of AO locations.
[Code of Federal Regulations]
[Title 38, Volume 1]
[Revised as of July 1, 2001]
>From the U.S. Government Printing Office via GPO
Access
[CITE: 38CFR3.304]
[Page 219-220]
TITLE 38--PENSIONS, BONUSES, AND VETERANS'
RELIEF
CHAPTER I--DEPARTMENT OF VETERANS
AFFAIRS
PART 3--ADJUDICATION--Table of Contents
Subpart A--Pension, Compensation, and Dependency
and Indemnity
Compensation
Sec. 3.304 Direct service connection; wartime and
peacetime.
(a) General. The basic considerations relating to
service connection
are stated in Sec. 3.303. The criteria in this section
apply only to
disabilities which may have resulted from service in a
period of war or
service rendered on or after January 1, 1947.
(b) Presumption of soundness. The veteran will be
considered to have
been in sound condition when examined, accepted and
enrolled for
service, except as to defects, infirmities, or
disorders noted at
entrance into service, or where clear and unmistakable
(obvious or
manifest) evidence demonstrates that an injury or
disease existed prior
thereto. Only such conditions as are recorded in
examination reports are
to be considered as noted.
(Authority: 38 U.S.C. 1111)
(1) History of preservice existence of conditions
recorded at the
time of examination does not constitute a notation of
such conditions
but will be considered together with all other
material evidence in
determinations as to inception. Determinations should
not be based on
medical judgment alone as distinguished from accepted
medical
principles, or on history alone without regard to
clinical factors
pertinent to the basic character, origin and
development of such injury
or disease. They should be based on thorough analysis
of the evidentiary
showing and careful correlation of all material facts,
with due regard
to accepted medical principles pertaining to the
history,
manifestations, clinical course, and character of the
particular injury
or disease or residuals thereof.
(2) History conforming to accepted medical
principles should be
given due consideration, in conjunction with basic
clinical data, and be
accorded probative value consistent with accepted
medical and
evidentiary principles in relation to value consistent
with accepted
medical evidence relating to incurrence, symptoms and
course of the
injury or disease, including official and other
records made prior to,
during or subsequent to service, together with all
other lay and medical
evidence concerning the inception, development and
manifestations of the
particular condition will be taken into full account.
(3) Signed statements of veterans relating to the
origin, or
incurrence of any disease or injury made in service if
against his or
her own interest is of no force and effect if other
data do not
establish the fact. Other evidence will be considered
as though such
statement were not of record.
(Authority: 10 U.S.C. 1219)
(c) Development. The development of evidence in
connection with
claims for
[[Page 220]]
service connection will be accomplished when deemed
necessary but it
should not be undertaken when evidence present is
sufficient for this
determination. In initially rating disability of
record at the time of
discharge, the records of the service department,
including the reports
of examination at enlistment and the clinical records
during service,
will ordinarily suffice. Rating of combat injuries or
other conditions
which obviously had their inception in service may be
accomplished
pending receipt of copy of the examination at
enlistment and all other
service records.
(d) Combat.
Satisfactory lay or other evidence
that an injury or
disease was incurred or aggravated in combat will be
accepted as
sufficient proof of service connection if the evidence
is consistent
with the circumstances, conditions or hardships of
such service even
though there is no official record of such incurrence
or aggravation.
(Authority: 38 U.S.C. 1154(b))
(e) Prisoners of war. Where disability
compensation is claimed by a
former prisoner of war, omission of history or
findings from clinical
records made upon repatriation is not determinative of
service
connection, particularly if evidence of comrades in
support of the
incurrence of the disability during confinement is
available. Special
attention will be given to any disability first
reported after
discharge, especially if poorly defined and not
obviously of
intercurrent origin. The circumstances attendant upon
the individual
veteran's confinement and the duration thereof will be
associated with
pertinent medical principles in determining whether
disability
manifested subsequent to service is etiologically
related to the
prisoner of war experience.
(f) Post-traumatic stress disorder. Service
connection for post-
traumatic stress disorder requires medical evidence
diagnosing the
condition in accordance with Sec. 4.125(a) of this
chapter; a link,
established by medical evidence, between current
symptoms and an in-
service stressor; and credible supporting evidence
that the claimed in-
service stressor occurred. If the evidence establishes
that the veteran
engaged in combat with the enemy and the claimed
stressor is related to
that combat, in the absence of clear and convincing
evidence to the
contrary, and provided that the claimed stressor is
consistent with the
circumstances, conditions, or hardships of the
veteran's service, the
veteran's lay testimony alone may establish the
occurrence of the
claimed in-service stressor. If the evidence
establishes that the
veteran was a prisoner-of-war under the provisions of
Sec. 3.1(y) of
this part and the claimed stressor is related to that
prisoner-of-war
experience, in the absence of clear and convincing
evidence to the
contrary, and provided that the claimed stressor is
consistent with the
circumstances, conditions, or hardships of the
veteran's service, the
veteran's lay testimony alone may establish the
occurrence of the
claimed in-service stressor.
(Authority: 38 U.S.C. 1154(b))
[26 FR 1580, Feb. 24, 1961, as amended at 31 FR 4680,
Mar. 19, 1966; 39
FR 34530, Sept. 26, 1974; 58 FR 29110, May 19, 1993;
64 FR 32808, June
18, 1999]