UNITED STATES DEPARTMENT OF AGRICULTURE NATIONAL AGRICULTURAL LIBRARY INTERVIEW OF DR. ALVIN YOUNG CONDUCTED BY PATRI IA MURPHY and LYNN STEWART April 27, 2001' United States Department of Agriculture 14 Independence Avenue Washington, D.C. TAPE TRANS CRI PTION Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467-9200 Nouoano?) 9mm 'r :1 MS. MURPHY: This is Patricia Murphy, and I'm here with Stewart and Dr. Alvin Young. MS. STEWART: This is Stewart. We are all here this morning at the National Agricultural Library, doing an informal interview with Dr. Alvin Young. And we are delighted to have Dr. Young with us this morning, agreeing to answer a few questions and he'll help us fill in on background on his collection on the herbicide, Agent Orange, and associated herbicides. Good morning, Dr. Young. DR. YOUNG: Good morning. This is Alvin Young. The day is Friday, April 27, 19 -- 2001. Excuse me, 2001. MS. MURPHY: We?ve been talking about the past. DR. YOUNG: Yes, we've been talking about the past. It?s a pleasure to be here. Thank you for setting this up today. MS. MURPHY: Thank you for coming, Dr. Young. We'll start with our first question. How did you Diversified Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 become involved in the study of Agent Orange and its effects on veterans? How does your educational background relate to that? DR. YOUNG: Well, I was raised in Wyoming. outside of Laramie. And my family, long history Of being in the Wyoming area. And I went to work early with the Department of Plant Science, University of Wyoming, as a freshman at the University of Wyoming. And one of the things that we were involved in was the work on sagebrush. And over those few years of undergraduate work, I was involved in a lot of activity that assessed vegetation analyses after the spraying of herbicide or herbicide. That triggered in me an interest to get into the use of herbicides and vegetation control and the use of herbicides in terms of some of the ecological impacts on sites. As a consequence, in 1965, I did a Master's Degree in the area of Plant Physiology. The Vietnam War had now just begun and I contacted the Department of Air Force because, like all ROTC graduates, I was expected to soon go into Service. Diversi?ed Services. Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 ,had heard, because of my interest in herbicides, I had heard of Operation Ranch Hand and the work that was going on by the Department of Air Force and the Department of Army in Vietnam on the use of Agent Orange well, at that time, just beginning Agent Orange but a couple of the other materials. And since Agent Orange was a mixture of and this was right down my area of interest. I requested from the Air Force permission to go to graduate school with the intent of completing graduate school with a and going right into the program to assist them then in the operation of the use of herbicides in Vietnam. I was accepted at Kansas State University in 1965 and for three years there at Kansas State, I worked on Tordon (phonetic) 101, and Tordon 101 was eventually called Agent White. I was very fortunate to be one of the very first graduate students to receive radio-tagged radioactive tagged material, so that I could have a better understanding of what happened in the environment. At the same time, it was becoming apparent Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 5 1 that the issues related to were beginning to 2 surface. There was concern over some of the toxicity 3 issues in Vietnam. And so I began putting together. 4 that early, various articles, publications, news 5 clippings, on the use of herbicides in Vietnam. 6 In 1968, when I completed my degree, my wife 7 and I were assigned at Eglin Air Force Base in 8 Northwest Florida to begin working on the projects 9 associated with Operation Ranch Hand. My first real 10 assignment was to work with the Department on some of 11 the tests and evaluations of the spray equipment. 12 We were having real concerns in the 1968 time 13 period over the need for high performance aircraft 14 this is jet aircraft -- to deliver insecticides as well 15 as herbicides. The issues at hand at the time very 16 classified but later unclassified was the proposed 17 invasion of Cambodia. 18 And for that invasion, we needed a high 19 performance aircraft that could come in at 300 or 400 20 miles an hour, quickly disseminate both the herbicide 21 and then subsequently material -- aircraft that would 22 disseminate insecticides. The reason for the Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 4678200 um I DNHOA herbicides was, of course, we were looking for something that would be rapid for defoliation. And I worked on a formulation that allowed us to Spray Agent Blue with a particulating agent in it at high performance. And I will turn those slides over to YOU to show you the beautiful wall of blue coming down from a jet aircraft going 500 miles an hour. MS. STEWART: Is it actually blue when it?s particulated? DR. YOUNG: We actually put a dye in it. MS. STEWART: So you dyed it blue? Okay. DR. YOUNG: We dyed it blue so that we could see it and photograph it as it was being disseminated. MS. STEWART: Right, but normally, it wasn't blue. DR. YOUNG: No, no. The Agent Blue, Agent White, and Agent Orange were clear with a light brown color in them. They weren't White and they certainly weren't Orange. MS. STEWART: And they were labeled according to the drums, you labeled them in colors? DR. YOUNG: That's right. In those years, we Diversified Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 were at that time in Eglin Air Force Base using the active material and the drums were color?coded as they were for Vietnam. Everything was color-coded. That way, we knew to be careful about mixing them. When you mixed them, you caused a participate to be formed- By 1969 and early 1970, it became very apparent that one of the resources that we were going to need to follow up on was the fact that the test area in Florida, Test Area C52A, had received almost 400,000 pounds of active ingredient in the time period from The last mission on that test area had occurred in 1970. When that test area closed from the use of testing and evaluation on herbicides, I put a written request in to the base commander that got up eventually to the general commanding officer and, surprisingly enough, all the way to Washington. And my request was that this site be turned into an ecological investigation. And of course, my intent was to be the principal investigator. And the commanding general of the Air Force Armament Laboratory asked me to accompany him and we met with the Secretary Dlverslfied Reporting Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202)4619200 mm 1 DNHOA "1 8 1 of Air Force. 2 And over the next few months, in the early 3 19708, we secured permission to put the Eglin Site 4 into a research program. And from 1970 to 1983, I 5 continued to work heavily in the actual in 6 ecological investigations on that test area a $10 7 million research program over those years. 8 And literally, about 30 technical reports we 9 published, and I noticed you had many of them in the 10 collection but I'll provide remaining ones because I do 11 have a complete set of all of the reports that we 12 prepared over the years. And the more than 100 13 scientific publications that came out of that, 14 including a couple books that we did on our work. 15 So we did a huge effort to try to document 16 what happened to the dioxin that was in the Agent 17 Orange that was sprayed on the site, the arsenical that 18 was in cacodylic acid, and of course, the picloram that 19 was in Agent White. So we had developed the 20 methodologies, the analytical tools. We were the 21 first, really, to develop tools to get to the dioxin in 22 parts per trillion. Diversi?ed Reporting Services. Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 into our program We hired and later brough ebraska, Wright State University, the UniverSity of it Utah State University, Oregon State Univers y, ns University of Florida. All of those - 'n became part of the program with their expertise helpl to focus on not only analytical but toxicological issues. The Air Force Institute of Pathology. We brought, each summer, beginning in about 1970 through '77, we brought anywhere from 15 to 25 people per summer there to do the work in the ecological investigations, including many, many cadets. I transferred from Eglin in 1970 to the Air Force Academy and became an Associate Professor of Biological Science there. My was in the area of Herbicide Toxicology Environmental Fate. But as you?ve noticed from the records, I was in the Department of Agronomy at Kansas State, so you'll see a in Agronomy or you'll see Physiology, depending on the Air Force and the military shred outs that they would offer. They didn?t have a category called Herbicide Physiology or Toxicology. Diversi?ed Reporting Services, inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 1 0 1 So when a certain forum would come close as you can be to what your 3 background was, that's why you saw in your records the 4 different material. 5 MS. MURPHY: They were all over the map 6 because they didn't have a slot for that. 7 DR. YOUNG: Right. What was interesting is as 8 I began the study in 1969 and '70 of the test site, we 9 still had a lot of men coming from Operation Ranch Hand 10 and flying aircraft at Eglin to continue to recalibrate 11 the spray equipment. 12 We were always trying to refine better spray 13 equipment, helicopters, fixed wing. The C-123 was our 14 major aircraft. It was called the Provider. It was 15 ideal for what we were trying to do. The AA45Y1 Tank 16 was there. But what was interesting for me was the 17 opportunity to meet and begin to develop relationships 18 not only with many of the Ranch Handers but with the 19 scientific community that had supported this program. 20 Dr. Fred Shirley (phonetic), at USDA, here in 21 Washington, at Beltsville; Dr. Charlie Mineric 22 (phonetic), at Fort Detrick; and Bob Darryl (phonetic) Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467?9200 and Jay Huyfrank (phonetic); all of the men who were in the development of the equipment and mnivrinln, themselves, the test evaluation. Rod Rodney Bovey, from Texas who was Hf 'hv world leaders in the area of and for brush control, and had been asked by the of Army and USDA to set up trials in Puerto Rico, for example. So as you look at those years of the testing and vvaluation, I got to meet almost everyone that had been involved. I was young at that point and very excited about what was going on. And most of these gentlemen gave me their records. They would turn over reports. I would collect their reports. And as we began to see the controversy, it became even more important to do clippings from newspapers. So we began to nearch newspaper clippings. I met and became friends with many of the men who had been involved in Chico, the program there for looking at lessons learned in Vietnam. I did not go to Vietnam. I was not a Vietnam veteran. I was a scientist that became interested in this from the Dlvenl?ed Reporting Servlces, Inc. I l0] Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467-9200 M?l I RNA-IV 1 scientific point of view. And my goal has always been to be very objective about what happened- I, like you, I found that interviewing a lot Of the men and scientists that served in Vietnam began sight into what had happened. I to give me a better in as a goal to try to collect every record that I could possibly collect. As we did the spraying, I everything that I would put the manuals for spraying. could find became, I thought, important. It was apparent that a lot of stuff wasn't being kept. And the slides that we began to photograph, I've got huge numbers. I mentioned to you yesterday, I have a huge number of slides of every uld get involved in, or I was operation that I co involved in. I went up there to Even at Fort Detrick, when look at the testing and spraying of some of the test And all of the materials. I would photograph those. photographs at Eglin of all the work that we did over those years. In 1972, it became apparent that the Department of Air Force was going to be responsible for Diversified Reporting Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202)4619200 disposing of the remaining herbicide stocks. We had been watching Project Pacer Ivy in Vietnam and I had been collecting records and interviewing the environmental engineers who had been involved in Project Pacer Ivy. This was the preparation of the herbicide to be moved from Vietnam to a storage site where, in time, it would be destroyed. We had no idea what the final method of disposition was going to be. But because of my involvement in the herbicide issues, the Department of Air Force, the Air Force Logistics Command, invited me to be a principal investigator in the disposition of Agent Orange. So our team at the Air Force Academy, veterinarians, physicians, toxicologists, ecologists, really became the center group for the Department of Air Force as we began to look at how we were going to do studies on the environmental fate. Obviously, the work we had been doing for the previous years on the fate of TCDD and and gave us really the expertise to continue this. It?s not often one gets to do that, Diversified Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 13 7-5? - .K?ngu-uvw particularly in the military, in the Department of Defense. I was very fortunate in that our reputation for good work and thorough investigations really was brought to the attention of the Air Staff and we got the support and the financial support to continue the studies on the disposition. Our team really began to look at soil biodegradation. We looked at the opportunity of spraying the material in places like Oregon. We actually even had discussions with the Brazilian government to spray the herbicide as a surplus material in the Amazon. We evaluated almost every proposal that came in from people or suggestions. And as the time went by, we found ourselves, of course, being forced more and more into the direction of at?sea incineration of the material. The studies we did on the environmental fate, the soil biodegradation studies in Utah, Kansas, Florida, Oregon. all contributed to our continued understanding of the environmental fate of this material but in the end, it didn't make a difference in terms of the or disposition. Diversi?ed Reporting Services. inc. 1101 Sixteenth Street, NW Second Finer Washington, DC 20036 (202)4619200 I?ln- l?ux l?totvct ton nuuwd Ithl In thi .I. lilht? .Ix?cnd Lig??l . 11qu um- llun' mun! drutl w.uz th.? .tH ?own! Ozandv luv In 14.1 man on lunnd .mm, .nud tln- dm-tntou wan utmh' 1n Whvu Hm! w.m umdr?. all ol tho :ttockn o1 Adt?ni Oranqc? w- IN lu' \?Hlltu?lr?ti, vvon It??t?dlx?ll Jo wv :wnt hunun out avrmm tho country to mom up At dittm'c-ut univornit ion. drunm and cam: and [null lt?rl nl Aqu-nl and brought .111 together 4 Hullpoll, Mlnninnippi, at the Naval Uonntruction Inn t?malm', whore- we had at that time about -nuu,nun qal loun ot Agent. Orange. 'l'hin wan material that had never been shipped In Wu had done .1 dioxin analysis of it . It mm alum! .1 and .01 parts per million TODD, whlu'h turmnl that it wan high purity product . And there) wan no It?dtinll why it should have been deatroyed other Ilmn 11 had the connotation, Agvnt Orange, to it. ?l?lnn wan .: rc-nout'cn oi millions and millions ot dulluln wur'lh LII llt'l?hit'idt'. 'l'lmt him had brought trom Vietnam, Diva-"lad Reporting Services. Inc. 1 HH Sula-nth Snot-t. NW Second I?loor Washington, DC 2.0036 202) 46! 9200 .4 study on the diOxin content and we found that, indeed, the concentration varied from the .01 all the way to 40 parts per million. And when we looked at the 40 part per million drum, we found that it was not Agent Orange that had been re?drummed, but Agent Purple. And it gave us the first indication well, I should say that it had been Purple that had not been used in Vietnam. We were aware of the concentrations in Purple because at Eglin Air Force Base, in the last years of testing and evaluation, we collected samples of materials that had been used on the test area and we had samples of Agent Purple. And when we did the analysis of them, the mean concentration came out about 32 parts per million. And of course, this began to tell us that it was the early men, the early people, who sprayed herbicide in Vietnam, the Ranch Hand crews of 1962 to 1964, that had been at greatest risk. This became an important consideration as we then designed the health studies in subsequent years. We started the design of the Ranch Hand study in 1979, at Brooks Air Force Base, but we knew that the Diversl?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467-9200 1 7 1 men who had been involved in the '62 to '64 period were 2 our most important people because they had been exposed 3 to the highest concentrations of Purple and to the 4 development of equipment at that time that was Still 5 experimental so there had been lots of problems With 6 it, and leaking inside. 7 MS. MURPHY: You hadn't worked out the 8 procedures. 9 DR. YOUNG: We hadn?t worked out all the 10 procedures, that?s right. But you can see how this 11 became very important to us because it also said that 12 if cancer was going to be part of our end point, that 13 we should plan for a latency up to 40 years. 14 Now, the 40?year concept came out because of 15 asbestos. There is a long latency from the first 16 exposure to asbestos to the actual onset of 17 mesothelioma. And having guessed this, we didn't know 18 that mesothelioma might be an end point; as a matter of 19 fact, it wasn?t. But knowing that this was a cancer 20 that had a long time to develop, we wanted to be sure 21 that if there was something associated with exposure to 22 Agent Orange or dioxin, we would have a health study Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 that would go long enough. So we took the time period from ?62 to 2002. So the Air Force Health Study, served in Vietnam in Operation Ranch Hand and their matched controls, was designed to be that 40-year window. That?s what we did what we did on it. Many people don't understand why was the study to be this long and then terminated in 2002. MS. MURPHY: That was such a science on asbestos. DR. YOUNG: It really, it was on the possibility that there might be a long latency period as we had experienced with asbestos. So we knew that if you wanted to have a long latency period, you had better plan for 40 years from the time of exposure- MS. STEWART: So during the first spraying operations, the earlier spraying operations in Vietnam, approximately from '62, as you said, to '64, the herbicides being used included Agent Purple, which has a much higher DR. YOUNG: Right. Purple, Pink, and Green were all materials used. And the Pink and Green were Diversified Reporting Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202)4619200 the study of the men who 18 just simply different formulations of Purple was a mixture of and It was a mixture that we called the isobutyl. And regular Orange, which came in 1965, was the normal butyl ester of the herbicide. Now, many people think that the material was diluted in kerosene or gasoline or was solvent?based. It wasn?t. It was the pure material. The normal butyl ester of and is a liquid at normal temperatures. As a consequence, it was a concentrated material, 8.6 pounds of active ingredient per gallon. MS. STEWART: Very concentrated. DR. YOUNG: Yes, and the reason I was looking yesterday I told you about the report by Kline (phonetic), I was looking at the report by Kline, is because one of the issues was always what was the basis for the spray rate in Vietnam. And the basis for that was the amount of acreage we could spray with a minimum biologically effective dose of herbicide. That biologically active dose of herbicide turned out the be one gallon, or 8.6 pounds. And this would be that which would be deposited from the Diversl?ed Reporting Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202)4619200 ?7 aircraft spraying at the rate of about 346 acres sprayed in the 1,000 gallon tank. So when you see the photographs, the goal here was to have a swath of about 260 feet wide and 7,000 feet long, more than a mile. And so you would have various configurations of aircraft in Vietnam, as many as 12 aircraft that flew, for example, over War Zone D. We have the photographs of the 12 aircraft just laying down herbicide, wing tip to wing tip, literally. And the reason they were doing that was because we were then trying to widen that. But there was another issue here and that was because of the multiple canopy jungle, we found that to get that rate of one gallon per acre, that 8.6 pounds, that, indeed, we really needed to be spraying it at the rate of about 3 gallons per acre in Vietnam. And so I showed you that document yesterday that showed the graph? Okay, that upper peak area was the more heavily concentrated, and that came out of the vortex from the wings as it was moving, so that the herbicide was doing like this. It was circling. The particle side was about 350 microns, which Diversi?ed Services. Inc. 1 101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467?9200 2 1 meant that it wasn't as big as a heavy raindrop but as 2 it came out of the back of the aircraft, it would come 3 around, kind of make a little whirl, and then-drop 4 down. 5 MS. STEWART: So these are sort of mist-size 6 particles? 7 DR. YOUNG: Well, they were larger the mist. 8 Mist would be less than 100 microns. This was a very 9 important set of studies that we were looking at. 10 MS. STEWART: Yeah, I've seen a lot of those 11 droplets. 12 DR. YOUNG: And why this is important is 13 because we had aircraft that were very carefully 14 calibrated. We kept those spray tubes open. The check 15 valves were constantly being cleaned and replaced. And 16 this was important to us because we wanted to have that 17 minimum dose, that minimum concentration Sprayed, that 18 biologically effective concentration or deposition, and 19 yet, at the same time, minimize the small particles 20 that would drift away. 21 And so if you take a look at the data, the 22 spray swath of 267 feet accounted for more than 90 Diversi?ed Reporting Services, Inc. i101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 percent. As a matter of fact, in most cases, we show that only about 1.5 percent of it was less than 100 microns. This is important as one begins to 33k the question of exposure to veterans. One of the things that has often happened in subsequent years about the controversy is that veterans could be they try to plot where the veteran was with regard to where the Ranch Hands were and they would say, "Okay, we're going to give them so many points for being a quarter of a mile away, a half a mile away, or a mile away." Well, to those of us who say the data, it doesn't matter. They weren't exposed to any degree at all. Only those that would have been directly under the flight would have been exposed. And because of the extreme the extensive procedure for approving an actual spray operation, with Spotter aircraft and fighter aircraft accompanying the Air Force providers that were spraying the Ranch Hand aircraft, the likelihood of our troops being sprayed was very, very low. Yet, when you look at the data from the Diversified Reporting Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 Veterans Administration, one sees very interesting comments on self?reporting. Fifty percent of them said they were directly underneath the flights, were Sprayed. This was incongruent. This doesn?t fit. It doesn't fit the data. But what it does do is it fits the observation that, indeed, they saw a C-123 spraying and every seven days, the major bases of Vietnam were sprayed with malathion from a silver spraying a cloud of malathion. And every veteran who served in Vietnam probably saw those spray burns, whether they were directly under it, early in the morning or in the late evening, when the spraying took place. One doesn't even dispute that. They should have seen that spraying because malathion was used to control the malaria? carrying mosquitos. And we had huge problems with malaria. So when a veteran reports that, saw the spray," yes, it was probably true but it was highly unlikely that it was Agent Orange, or Blue, or White. What it was MS. STEWART: They were doing a very intensive Reporting Services. Inc. 1 10] Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 over-base spraying, specifically because they're targeting the true concentrations. DR. YOUNG: You got it, absolutely. MS. STEWART: To control the mosquito?malaria issue. DR. YOUNG: This is why the record are so good. The records show not only the concentrations and what we actually sprayed, it goes into we have all those records on the insecticides and how they were sprayed and the time that they were used. And that's what isn't being reported. The veteran doesn?t know that story. All we hear is, "Well, I was exposed to Agent Orange." But the truth of the matter is, the likelihood of that was very low. Now, one also has to at the same time say, "Were there trOOps down underneath the area where we were spraying?" Well, yes, there were but they weren't our troops. (End side A, tape 1.) MS. STEWART: Okay, this is side 2 of tape 1, the interview with Dr. Alvin Young, and it's April 27, Dlversl?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 2001. Dr. Young, we ended on side 1 of the tape talking about the troop exposure to spraying in Vietnam. I know you did a lot of consulting work with civilian exposure to dioxin and other types of accidents. Maybe you can tell us a little bit about that? DR. YOUNG: In 1968, late 1968 into 1969, the toxicological work on began to indicate that there was a contaminate present. And of course, we now know that it was the 2378 tetrachlorobidenzo~p?dioxin, the TCDD. And those of us that had been following over the previous years about what had been going on with regard to the herbicides had become aware of the studies of Nitro, West Virginia, from the late 1940s, and other industrial accidents in the early ?503 that indicated that in the production of trichlorophenol, it was possible for some sort of a contaminate that caused chloracne in the workers when there was either an accident or handling unnecessarily of some of the material, cleaning out, for example, of the Dlverslfied Reporting Services. Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202)4619200 units. So we began to have this understanding that there as a material that was a chloractnegin hon eth), that caused chloracne, a condition that begins in the (inaudible) area around the face, moves into the spacious glands all over the body. In the most severe form, a stermatological (phonetic) condition. So when the chemical companies were trying to improve the quality of this, they used what they called the Rabbit Ear Test. I did a book on the phenoxy (phonetic) herbicides with Rod Bovey (phonetic). We began that book in the mid??TOS. And Rod and I collected thousands of articles on all of the information we could find on the phenoxy herbicides. And because he was Department of Agriculture, he had access to the National Agricultural Library and to other international sources of material. And that collection of much of those articles then I also had copies of because I wrote half of the number of chapters and Rod wrote the other half a number. And those chapters that I wrote, including the chapter on Diversified Reporting Services, Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 26 2'7 dioxin, I entered all those into the collection, itself. And that's why you saw so many articles in there about these things on environmental fate, on dioxin, on human exposures. Well, while we were doing that, of course, we were involved in looking at ways for the deposition of herbicide, Orange. We were still doing the tests at Eglin on looking at the whole idea of the environmental fate and persistence. It was a natural that we began to be the international experts on TCDD. So in 1976, when the Servaso (phonetic) accident happened, for example, our team from the Eglin research studies, assembled in Colorado at the Air Force Academy and three of the Italians came from Italy to work with us, to pick our brains, to have us make recommendations to them on the environmental fate and the human issues that were taking place as we were talking, literally, in Servaso, Italy, after that terrible industrial accident in July of '76. Subsequently, I went in the fall, November, to Italy, and for about ten years, I went back and forth Diversi?ed Reporting Services, inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 dispositi occurred dioxin. know how studies on what happens to the material as it gets into animals and plants that it really became a repository of knowledge. So when you look at the collection, you see all those different studies that were done all over . destruction of Agent Orange, which occurred we started that final phase of that at?sea incineration in 1977 1978, in the spring of '78, as we had just finished the incineration of herbicide, I received a call from (phonetic). working with the Italian government and the final health studies, I participated in a lot of the conferences. The Binghams (phonetic) Office Building Beach incidences were occurring. had the expertise, the area of specialty involving the 28 on and closure of the sites. I followed the in just a few years after that. The Times So we were involved in all of those because we Not only were we the first teams to really to do the analyses but we had such wonderful when we finished Project Pacer Hoe, the a VA employee by the name of Maude De Victor Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 . 2? Subsequently, there was a film made about Maude De Victor and Agent Orange, a mini?series for t.v. And they mentioned some Air Force captain told her it was Agent Orange that caused Sgt. Owens? health problems. Actually, I didn?t say that. She called me wanting to know if (inaudible) and Sgt. Owens, had they been exposed to the arcinical (phonetic). MS. MURPHY: Was she a reporter? DR. YOUNG: No, she was a Veterans Administration counseling person. That was her responsibility at the VA in Chicago. And I told Ms. De Victor that I would get back with her because I didn't know who she was and the way she was asking questions concerned me greatly because it sounded like a reporter. So I contacted the Veterans Administration and found out that, yes, she was a counselor at Chicago. So I called her back and I said, "Okay, now, what are you asking?" And she said, "Well, this because he was spraying Agent Blue. He was a helicopter pilot, spraying Agent Blue around base Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467?9200 perimeters." And I said, "Well, I don't think we have any evidence at all on cacodylic acid, which is the major component in the phyter (phonetic) 560 Agent Blue.? And she said, "Well, he said he also sprayed White." And I said, "Well, yeah, okay, and this was Tordon 101." And she said, "Well, surely that was the material?" And I said, "No (Interruption to tape.) DR. YOUNG: I wanted you to hear this because this was the start of the conflict over the veteran issue. And I was right at the beginning of this in the 1978 time frame. Now, when I was talking to Maude De Victor, indeed, I did tell her, I said, "The only information that we are unsure of in terms of toxicological and environmental fate and human exposure is the dioxin associated with the and in the Agent Orange formulation." That was our unknown. We did not have a great deal of knowledge about the impact on the human. We did know about the nature of it as a teratogen Diversi?ed Reporting Services, Inc. 1 10] Sixteenth Street, NW Second Floor Washington. DC 20036 (202)4679200 30 (phonetic). We certainly had the work by Caceba (phonetic). MS. MURPHY: But that was an (inaudible), right? DR. YOUNG: This was an (inaudible). And we had no evidence to say the Alcia, (phonetic) Oregon controversy over Agent Orange was that women were being exposed to in the force of Oregon, the State of Oregon, a little community called Alcia, Oregon. The studies of that found that these women were, in fact they were a high frequency of abortion. But when you looked at what happened, two things were apparent. These were in a little commune, women who were associated with a commune, not a community. These were isolated folks and they were drinking water from wells that were down below where the toilets were, outdoor toilets. And there was every indication that not only were they being subjected and some of them came down with diphtheria, and we hadn't seen diphtheria in this country for years. This was a commune that had its own health Diversified Reporting Services. Inc. 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202)4619200 problems. And so the abortion issue, spontaneous abortion, which everybody said, "Well, it was dioxin." No, there wasn't that evidence. Those accusations had been made in Vietnam. had followed in Vietnam, made by our medical teams that went over to Vietnam, those reports which are in the collection, don't confirm that we saw evidence to show increased spontaneous abortion that could have been associated with Agent Orange. the dilemma for Maude De Victor. I couldn?t tell her convincingly so that there was no problem associated with it. I?m a scientist. And I said, "The only questions that we have really are not on White or Blue, but are on Orange." Not another word was said for two or three months. And all of a sudden, Bill Curtis, WBBM Chicago, called me and he said, "We're going to do a film on, 'Agent Orange: 32 And the studies that had been done, that we One can never prove a negative, and this was MS. STEWART: Because of the dioxin component? DR. YOUNG: Because of the dioxin component. Vietnam's Deadly Fog.'" Diversi?ed Reporting Services, Inc. ?1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 MS. STEWART: We have that in the collection. I've been meaning to look at it. DR. YOUNG: And he said, want to interview you on it because, obviously, you?re one of the players and knows about these issues." It was an atrocious film, atrocious from the scientific point of View. It opens up in Globe, Arizona. We talked a little yesterday about the Globe, Arizona incident where the Forest Service had sprayed in a canyon outside of Globe. And McCussik (phonetic), one of the farmers, one of the residents, collected freak animals and he displayed these freak animals with slipped tendons and all sorts of explainable deformities. And of course, this is said that this all occurred as a consequence of spraying the herbicide. Well, that was not proven at all. As a matter of fact, the studies showed that McCussik was this guy was a collector of those kind of animals and the basis for the the physicians in Globe saw no increase in cancer, no increase in women coming in with abortions. These are the family doctors. And they Dlversl?ed Reporting Services. Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202)4619200 said, "There?s no basis for this." But the press played it up huge, huge. And therefore, this was where Bill Curtis started. Well, okay, so we've got Alcia, Oregon. This is proof. And then he went on to the different issues, different episodes at the time. And then he came around to interviewing me and I spent a lot of time with Bill Curtis and his crew. When you see the film, you?ll see that I'm in there just for a couple seconds, a couple moments. And he was able to catch the right words, you know, that we don't know everything. Wonderful play, wonderful editing by Bill Curtis and his team. That became the trigger. Bill Curtis took that to the Congress of the United States. There was a special session one evening where hundreds of Congressmen and Senators got to see Bill Curtis's, "Agent Orange: Vietnam Deadly Fog." And the next year, he followed with another film. And by now, the community was beginning to gel, the veteran community. They were all newspaper articles and the collection of articles you?ll see, Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 hundreds of articles began to come across the country, "Veterans Exposed to Agent Orange, Veterans Dying of Cancer, Veterans Having Children With Birth Defects." It just didn?t stop. Those of us at the Department of Air Force, Brooks Air Force Base, where I was now assigned, said the only way we can answer this kind of a question is really to do a health study of the actual men who were most likely to have been exposed, Ranch Hands. And so that was the basis for why the Ranch Hand study began. So we put together an incredibly complex protocol. I flew along with the other principal investigators back to Washington to brief the National Academy of Sciences on it so that we could get their support for the study. We briefed the members of Congress. The Surgeon General and I went to the Congress to present the Ranch Hand study. To give us a good background, I prepared the 1978 technical report, about one inch thick, that?s called, "Toxicology, Environmental Fate, and Human Risk to Agent Orange." MS. STEWART: Yes, we?ve seen many copies of it. Diversified Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 4678200 36 1 DR. YOUNG: Yes, as a matter of fact, I forgot 2 exactly what the title was. But that document prepared 3 in ?78 was in preparation for the Ranch Hand 4 epidemiologic studies. 5 In 1980, I think transferred at the request of 6 the Surgeon General to Washington, D.C., to work with 7 the Veterans Administration. And I helped organize the 8 Environmental Health Office at VA. Because we knew 9 that the concern by the veteran had to be addressed and 10 we began, then, our studies to help the veteran 11 community understand the issues related to Agent 12 Orange. 13 The difficulty has always been that it is so 14 hard as a scientist to say that something could not 15 occur. While at the Veterans Administration, we 16 thought carefully about how to approach the issue of 17 Agent Orange with the veteran. By that, I mean, we 18 knew it was important that we did not want to contest 19 the issue of exposure. And that was a very difficult 20 decision. 21 If you contest exposure, that says that the 22 veteran must prove that he or she was exposed to Agent Diversi?ed Reporting Services. Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 3'7 1 Orange while on duty in Vietnam. You don?t want to put . 2 your veteran in that position. And as I said, when you 3 looked at what they had told you, 50 percent of them 4 said they were right there underneath the spraying. 5 So that became a very difficult problem for 6 us. There was another thing that happened. In the 7 records, and the Chico Report on Lessons Learned, 8 talked about a major problem we had in '67 and ?68. 9 There were lots of accusations. 10 When I first started my work at Eglin, one of 11 the issues about the spray drift thing was the small 12 particles, were they responsible for moving miles away 13 and killing rubber plantations and wiping out the trees 14 around the cities where, you know, miles from where 15 spraying occurred? Why were those accusations being 16 made? Because the major cities of Vietnam were losing 17 the leaves from their trees. Pleiku, Saigon, almost 18 all of the major cities were losing the leaves along 19 the major boulevards. 20 And we couldn't figure out well, obviously, M- 21 we weren't spraying anywhere near those places. And 22 the spray birds that were doing the insecticides, yes, Diversi?ed Reporting Services. Inc. 1: 1 101 Sixteenth Street, NW Second Floor Washington. DC 20036 a (202) 467?9200 they were close, but they were spraying insecticides. And insecticides could not be attributed the damage could not be attributed to insecticides. It was herbicide damage. I saw some of the photographs. I absolutely concurred, it was. And Mineric and Darryl, everybody who was involved said, "Yeah, it?s herbicide damage. What in the world is going on?" Well, we found out that the drums, the 55- gallon drums, were being drained at each of the three major bases, the Ranch Hand bases, Bien Hoa, Phu Cat, Da Nang, they were being drained. And the drained material was being used for base perimeter spraying, yes. But what was happening was, about a gallon of material would be left in the bottom of the drum and the drums were being taken by the South Vietnamese commanders, who had the responsibility, and they were selling them to the civilians. The civilians were putting gasoline in them and the gasoline was being used in the mopeds. And they were fogging the cities of Vietnam with mopeds. Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 4679200 when we saw 1 hat. report we knew that to content exposure by our veterans would be foolish. They Could have, any veteran who would have been there in that time frame could well have been exposed simply by being downtown Pleiku or downtown Saigon. And so I wrote a memo, and I don?t know whether the memo is in the collection. I think it is. There should be a memo there that I wrote to the Veterans Administration administrator, and my argument to him was, we should not contest exposure. MS. STEWART: I think it?s there. DR. YOUNG: And the whole idea was because of these lessons learned and because of what we knew that had happened in Vietnam, we didn't want to put the veteran at the -- to have to prove. Well, by saying that, by saying we're not going to contest exposure, of course, opens the door to say to everyone, ?Okay, obviously, I must have been exposed or I could have been exposed, so let's go ahead and sign up for the Agent Orange examination." That was the second part of our activity. We designed a physical exam that would begin to help us Diversi?ed Reporting Services, Inc. I 10] Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 track all of the men and women who had been in Vietnam who had claimed exposure. And they needed only come in, Sign up for the exam; then they became part of our registry. And you will find over the years and the later years, you'll find lots and lots of wonderful reports and publications about what we began to see in the registry and how the registry helped us then begin to design some of the health studies. MS. STEWART: So the registry actually includes any veteran who can demonstrate that they were physically in Vietnam during these years? DR. YOUNG: During the window of when herbicides were used in Vietnam. MS. STEWART: Right. And then, the physical exam would be something that would be fairly comprehensive. It would not be looking specifically for certain kinds of health?related problems but generally. So you established a registry of all of these people who came forward? DR. YOUNG: Right. In the end the registry is still going, by the way, and you are now up to, you Diversi?ed Reporting Services. Inc. 1 101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202)4619200 - i gymknow, almost 300,000, I think. Somewhere in there. MS. MURPHY: Is that being handled by Brooks Air Force Base? I DR. YOUNG: No, the registry is being handled by the Veterans Administration. There is an office at VA that still, today, does this. And they also put out a newsletter. They put out a little, very nice, little "Agent Orange Review." Now, I helped start that because it was important that we get that information out to the veteran. One of the reasons why I wrote the book in 1986 was, the book that I wrote on the Vietnam conflict and the use of Agent Orange with Regiani (phonetic) Guisseppi (phonetic) Regiani, we wrote that because we wanted to have a source of material for veterans to use and to try to understand what had happened in Vietnam, not trying to downplay it.As a matter of fact, some of the chapters in there are excellent about what we were trying to do and what we had gathered from the industrial studies about the potential of these materials. We couldn't prove cancer. We knew chloracne Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202)4619200 was there. We knew that (phonetic) could be caused by exposure to the materials, to chlorinated materials. We knew that chloriphaneuropathy (phonetic) was possible. But some of those were questionable endpoints. The health studies that were done of industrial workers were also workers who had been exposed to many materials, not just the phenoxy (phonetic) herbicides or dioxin. So one could not have a clear understanding of what was going on. MS. MURPHY: So the industrial studies did not give you clear answers? DR. YOUNG: They could give us some general ideas but they couldn't give us end points. That was the major reason, then, why we actually recommended that we start doing the health studies. Now, understanding what was going on at the time is important because once the veterans began this process of becoming concerned to the point of going to the Veterans Administration, the lawyers also began to spot, "Boy, this is a great toxic tort case coming up, folks." Diversi?ed Reporting Servlces. Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202)4679200 And there began to be class actions, I mean, lawsuits against the chemical company, against the federal government. It was a huge legal case beginning to form, and you could see this. You could sense it at the Veterans Administration. You could sense it in the newspapers. This was coming. We all knew it was coming. Because in the end, we figured this was going to have to be settled in the courts or it was going to be have to be settled in the Congress. There was no easy way to see it being settled scientifically. Agent Orange, and I wrote an article that became very controversial, I called it, "Agent Orange at the Crossroads Between Science and Social Concern." And that's why I did that. It only became apparent to those of us that were scientists involved in this that no matter how good of science we conducted, we probably weren't going to be the deciding factor. There were too many social concerns. MS. MURPHY: And you could look at the other types of civilian exposure and see how those go, like the Love Canal which did involve dioxin but it ended in open water Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 a-rvr? 44 DR. YOUNG: Yes, and Times Beach, and everYWhere we looked, with the exception of Servaso (phonetic), which was probably the best case of where the science was the driver. Much of Servaso was that way. But in the United States, none of the cases were clear at all and they all became toxic tort cases. MS. STEWART: And in Australia, also? DR. YOUNG: Well, because of what was happening in the United States, it became obvious that sooner or later, the Australian veterans who had served in Vietnam were going to become part of the class action. And we also foresaw that the third ally who was with us, the Koreans, would sooner or later have to face up to this in their own nation. And that?s what?s happening today, of course. It's taken a long time for the Korean veterans to step up to this, much in part because the Koreans had such great spree de corps in Vietnam. These were the very best soldiers that Korea produced. These were the top young men. These were men who provided themselves on their physical fitness, their ability to engage whatever the situation and prevail. Reporting Services. Inc. I 101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202)4619200 And they were outstanding. I mean, the Tiger Squadron, the Blue Dragon Squadron units in Vietnam had a wonderful record. I mean, they were just outstanding. So this was a group of men that weren't about to let themselves be convinced that what they had done had injured them. And I think this huge sense of pride that they had really was very important. And of course, we don't know that they were injured. We don't have any evidence, because we never had evidence for our own men and women who served in Vietnam. So as we started the health studies, if you look at the studies by Kahn (phonetic) of the Veterans Administration, and I've got a complete set of those over the years, I?ll send those to you so they become part of the collection. It?s a very important set of studies because Han Dr. Kahn found very, very few things that could be tied to Vietnam and he found essentially nothing, no cases of chloracne. We did not find cases, issues, I mean, health problems that we could tie to causation by Agent Orange or dioxin. MS. MURPHY: And you almost always see Diversified Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 chloracne with dioxin? DR. YOUNG: It?s the hallmark of exposure in the industrial setting, in Servaso. It didn't occur in the population of Times Beach but it occurred in the women at the horse arena outside of Times Beach where the same material that had been sprayed on the ground in Times Beach had been sprayed in the horse arena to keep the dust down. So Times Beach was important because of the incident before Times Beach, which was a horse arena event that was followed up by the Center for Disease Control. The CDC was called in to look at this episode outside of St. Louis where horses, 65 horses, died. And these young girls came down with chloracne. And CDC was just completely puzzled. What was it? Well, they found out that a chemical company was disposing of the still bottoms by providing them to a person who was then mixing them with oil and spraying it on roads. And this was not a very good operation, obviously, a very sloppy activity. Lawsuits all came out of all of this. But this guy had these waste oils and he had a Diversified Reporting Services. Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202)4619200 spraying waste oils on horse arenas were horses were performing to keep the dust down. Well, he sprayed this one horse arena with still bottoms that were just loaded with dioxin and pheurons (phonetic). It affected everything. The birds started dying inside the arena. The young girls who were riding the horses who were the children of the owners of the horse arena. And the horses all died. The girls did not, but they came down with chloracne. So there was our episode that led us to say, "Yes, dioxin exposure, the hallmark is chloracne." The health of those young women were followed for many years. Again, where you have very good populations where we've followed, we haven't seen long? term health effects but again, one says, okay, those occurred in Servaso in '76. We have to have 40 years out there. We're not anywhere near there yet, but we?re getting close. MS. MURPHY: But in Servaso, you had the chloracne? DR. YOUNG: You had the chloracne as the hallmark of exposure, indeed. Dlversi?ed Reporting Services. Inc. 1 10! Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 Well, the Australian veterans and now the Korean veterans are all part (End side B, tape 1.) MS. MURPHY: This is the National Agricultural Library Special Collections interview with Alvin L. Young, conducted by Pat Murphy and Stewart on April 27, 2001, in the reading room of Special Collections. And this is tape 2, side A. MS. STEWART: You were beginning to discuss the relationship of the Australian veterans to concerns about veteran exposure and how the Australians became involved, perhaps? DR. YOUNG: Right. MS. STEWART: In the issue. Was this subsequent to American veterans' concerns or did it precede that? DR. YOUNG: I went over to the Veterans let me back up just a little bit to bring this together in terms of my own personal involvement. I moved from San Antonio in ?80 to Washington to take over a responsibility to help put the VA health studies together. Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202)4619200 was assigned to the Chief Medical Director, Dr. Custis (phonetic), and worked very closely with Dr. Barkeley Shepphard (phonetic), an excellent physician, very, very concerned about the veterans, served in Vietnam. He was a physician that served off of one of the ships in Vietnam. And his team, Lane Drash (phonetic) and Larry Stockmoe (phonetic), were Vietnam veterans who had seen action in Vietnam and understood a lot of these issues. I was the non-veteran, non-Vietnam veteran, and I was on active duty, however. And I started at the VA as a major and I left the Veterans Administration two years later as a lieutenant colonel. When I went from the Veterans Administration, I went to the White House Science Office, OSTP, and that came about because of a testimony that I had given at one of the Senate hearings on the Veteran Affairs. The administrator asked me, since I was responsible for putting together a lot of the issues here, asked me to testify in front of the Congress. Senator Cranston from California was chairing the hearing. And Senator Cranston asked the question, "Why Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 need all these health studies? Why can't we just go ahead and give compensation? It was obvious that we were guilty, that the United States had damaged our veteran by the use of Agent Orange." And my argument to this Senator was that wasn't true at all. We had no evidence to show that we were responsible for the health effects. That doesn?t say that we should not take responsibility for our veterans, but the issue of causation was the issue at hand. Do we presume that the Agent Orange was guilty and, hence, compensation be given on the basis of that? Or do we wait and really find the answer of what was causing the veteran health problems. If, in fact, it was real, that there was something that was causing all the veterans to be ill, should we not try to find out what that really was? Well, the issue of presumptive compensation just was a livid issue with Senator Cranston and he was very dissatisfied with me and made very loud remarks and expressed his total frustration with the Veterans Administration because we just did not cow tow to throwing our science away and assuming presumptive Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467-9200 compensation, as he wished we would. For those of us involved, we knew that the answer sooner or later would be that Congress would take action. They would only wait so long until they had the information. Of course, at that time, it was Congressman Daschle. Kerry (phonetic) had also served in Vietnam. So they were very, very pro?veteran, as they should have been. But we weren?t against the veteran and, yet, 51 we were portrayed as people who didn?t care. Our issue was, let's find out what is really happening. Let's get to the bottom of what these health issues are. Maybe there was something we could do that we should know about. If we knew what the causation was, maybe there was action we could take to help veterans try to address their health problems. The problem was that the studies kept coming back essentially negative. And that was the frustration for everyone. So Senator Cranston was not happy at all. I kept saying what the role of science was. Well, that night, Senator Cranston really was upset. He had called the administrator and the word Diversi?ed Servlces, Inc. 1 101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467-9200 . u? 2 1 got to the White House that I had not necessarily 2 misbehaved but I was certainly not considered to be the 3 most friendly person that was testifying that day. 4 And I was called over to the White House Science Office to meet with a man by the name of Jay 6 Keyworth (phonetic). He was the President's Science 7 Advisor. So I went over the next morning to meet with 8 Dr. Keyworth, and Dr. Keyworth asked me if I really 9 believed all those messages that I was trying to 10 deliver about the importance of science? 11 And I said, "Well, yes, Dr. Keyworth, I do. I 12 think it's important that we show that science can 13 prove or disprove the problems that were going on with 14 the veterans." 'And Dr. Keyworth said, "Well, I?m glad 15 you said that. I'm going to recommend that you be a 16 part of my staff." 80 I moved from the Veterans 17 Administration within a week to join Dr. Keyworth. 18 And he asked me at that time then to step in 19 and take charge of working with the Agent Orange 20 working group, helping to set up the Agent Orange 21 working group and to begin to concentrate the efforts 22 of our federal agencies, not just the Veterans Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 Administration, but the efforts of our federal agencies in looking at the problems that the veterans were having. So the Reagan Administration made a real commitment. And if you look at the records, you'll see I tried to put a lot of the records into the files. We began to support the continuation of the Air Force Health Study. We asked the Air Force Health Study to move into looking at the children. That came out of our activity at the White House Science Office. We gave a huge effort to financing what the Veterans Administration was doing to make sure that those health studies were on track, that the counseling centers were moving forward to be established so that there was counseling centers for all the veterans, that every one of the 172 hospitals had environmental physicians. I mean, it was a real effort by all of us to ensure that what we were doing was going to help the veteran. The dilemma, of course, was we couldn't prove that there was truly a health problem. You had a self? reported population coming in. The 200,000 who signed Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202)4619200 54 1 up for the Agent Orange exam were individuals who were 2 concerned with their health. 3 Those that served in Vietnam, who never went 4 in to see an Agent Orange physician, we don?t know 5 whether they were ill, or whether they just didn't 6 care, or whether they were perfectly healthy. 80 you 7 had a huge segment of the veteran population that did 8 not express concern in the same way that those who had 9 gone to the VA hospitals. 10 Now, maybe that was because they were 11 frustrated with the VA hospitals. I don?t know. But 12 it was that problem that has never gone awaybringing closure because the health studies 14 didn?t give us the answer, in particularly, didn't give 15 the answer that many Congress persons wanted, or many 16 veteran groups wanted.It certainly didn?t give us the 1? answer that the lawyers wanted that were trying to sue 18 on behalf of all these veterans. 19 Well, the Australians then became equally 20 concerned. But the Australian process was a different 21 process. It involved a Queen?s Counselor, it involved 22 a whole different legal procedure. So early in that Diversified Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 time frame that the Australians became concerned, I was invited to go to Australia as an expert to assist the Australian government. And I presented all sorts of presentations in Australia to groups, including lawyers, the Queen's Counselor, and the presiding officers, about what we knew about Agent Orange and about dioxin and about the use of herbicides and insecticides in Vietnam, and where we were with our own studies. And a couple of the studies that were being done in Australia in fact came out exactly what we had seen in the United States. They couldn?t support cause and effect. That has been very interesting because as we were unable to show cause and effect, more and more, the Congress decided they needed to do something. So the Congress decided to ask the National Academy of Sciences to now get into this argument or this controversy. And the Academy specifically asked the Institute of Medicine to set up a panel of physicians or scientists who could objectively review what was going on of all the science. And I was asked to be an expert to that group Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202)4679200 the Academy. So when the first meeting of that took place in I think about ?94, by then, I had left the White House Science Office and had gone to work for the Department of Agriculture. I went to the Department of Agriculture after I retired. I had obtained the rank of colonel and retired to pick a position at USDA to run biotechnology. MS. STEWART: When did you leave the Air Force? DR. YOUNG: I left the Air Force on June of 1989. I had gotten out of the Agent Orange issue and I had done so very specifically. It was becoming too much of a pressure point on me and my family. I had gone down to North Carolina to brief a group of veterans. They had invited me to come down and give them an overview. I had gone down in uniform and in the middle of my presentation, two veterans jumped up and beat me up on the stage. MS. STEWART: Where were you? DR. YOUNG: Pardon? MS. STEWART: Where were you in North Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 Carolina? DR. YOUNG: I was in the little town of Salem. The veterans were completely emotionally caught up. I was in uniform, I was a perfect target. And I was receiving threats to my family, threats to me, and it became just too much to continue. I continued to stay active in collecting the literature and following it, but I shifted gears, moved away from the White House and the involvement of Agent Orange and went into agricultural biotechnology because my background in genetics and toxicology let it -- a perfect opportunity to move away. But when the Veterans Administration set up the contract with the Institute of Medicine, they invited me to come back and help set up a series of presentations. And I made recommendations to them on who they should listen to. And I presented to them, and when you look at the book, that first book, you'll find that the chapter on the military was essentially all my material that I provided them. And of course, it came out of the Agent Orange collection. So the wonderful documentation paid off for Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 raw :the Institute of Medicine. As a matter of fact, much of what was used by them were the references and everything that we had recommended. The problem that I saw immediately was twofold. And this has come back to haunt us now as a nation on this issue. The first was, the Institute of Medicine brought together a group of young scientists, physicians, who had come out of a time period. They, themselveS, had never served in Vietnam. Only one Of them was even old enough to actually have served in Vietnam. That was the chair. Most of these people came out of a time period where the Vietnam War had been an evil thing and Agent Orange had been an evil thing. And although they "were considered non-biased," the bias they showed was the worst kind of bias. And that was a dislike from their own background of the military. The very first question asked in my presentation was, "Why the hell and that was the way the person put it, "Why the hell were in Vietnam in the first place?? This was a physician asking this question who was supposed to be objective. And that Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467-9200 day turned out to be just a disaster, in my point of view, of the Institutes of Medicine. These people not only did not understand, they weren?t even willing to understand what had happened in Vietnam. To them, we were wrong in the first place ever using defoliants in Vietnam and we were wrong in engaging in the war in Vietnam. And at the break, some of these people came up to me and engaged me, and I was just frankly taken back by it. I was a scientist. I didn't understand if we were going to have an Institute of Medicine look at this. The second problem was, they were not asked to address the issue of causation. They were asked to come up with a formula and a rating system on association. And this began to put us in a path that I knew was going to be a path in which we were eventually going to have to deal with the association of a lot of things that occurred in Vietnam, nothing to do with Agent Orange, but certainly smoking, drugs, all the things that happened in Vietnam. And we've gone down that route. A dozen Reporting Services. Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 FWT I . 6 1 different things have been declared to be associated 2 with Agent Orange exposure. And of course, the reality 3 is, we could not measure the exposure nor do the 4 approaches taken by the Institute of Medicine ask the 5 Question, are there excess cases of this in the 6 veterans population. 7 These are not scientific questions being 8 asked. What the Institute of Medicine is, if there is 9 a study from industry or if there is a study out there 10 by a veteran group, or whatever, if there is any 11 indication that there might be an issue here associated 12 with Agent Orange and the Vietnam veteran, then the 13 benefit is always given to the veteran. That isn't 14 bad, but it establishes a very terrible precedent, I 15 think, in the way it's heading. 16 Science certainly isn't playing the lead role 17 here, in my opinion. There will be those who certainly 18 will disagree. We have seen this now, of course, with 19 the Gulf War veteran. The same issue will be 20 presumptive compensation. And I?m convinced that 21 that?s the route we will go. 22 In the end, the settling of the Agent Orange Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 issue is at hand because it is presumptive compensation. Science has long since lost the battle. Agent Orange is not going to disappear in my lifetime, in your lifetime. The last veteran of the Vietnam War will die up, but we are giving compensation to the Children now. So there is no end to this. The public truly believes that Agent Orange is guilty. The veterans have come to believe that. There isn't any other way out. I mean, when you read Science and Social Concerns, the Crossroads of Science and Social Concerns, I wrote 20 years ago, I said the outcome will be settled by the Congress. And it was clear that was not a science issue. It would always be a social issue and would have to be dealt with as a social issue. And despite the wonderful work by the Veterans Administration to provide the care, to provide the wonderful studies that Dr. Kahn is doing, the Air Force Ranch Hand Study, all to go for not, really, because the answer is not science. The answer is something different. So in the collection, you will see the move I Diversi?ed Reporting Services, Inc. 1 10] Sixteenth Street. NW Second Floor Washington. DC 20036 (202)4679200 began to make talking about the social issues. MS. MURPHY: Yes, and you do talk about the media quite a bit. DR. YOUNG: And I talk about the role of the media. I do this through my articles but also from the other articles that I found in the clippings and in journals. I thought it was important that the collection in the end would Show the broad spectrum of activity that occurred in those years. So you can see it from the beginning, in the late when the first articles were put in the collection, that I gathered for the collection, up through to the last that you will receive soon. MS. MURPHY: Thank you very much, Dr. Young. MS. STEWART: It?s been very, very helpful. DR. YOUNG: That's an interesting story. MS. STEWART: Yes, it is. DR. YOUNG: But it's one person's story. MS. STEWART: And it's also interesting to bring it up to date for us because the collection ended at a certain point. So now we know your viewpoint today. Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 DR. YOUNG: And when I finish turning over all the photographs of the different issues from Servaso, Times Beach, the work on the Koreans and the Australians, and all those slides will go over to you and the destruction of Agent Orange, it will help put the picture together, I think, photographically. MS. STEWART: Yes. MS. MURPHY: Yes. DR. YOUNG: I've always wanted to go back and have a photographic history of all of this together. Perhaps one day, this might be possible now. MS. STEWART: Thank you. MS. MURPHY: Thank you. Let me ask one more question that just occurred to me. In spite of your concerns about the lack of usefulness to some extent of the scientific studies, the health studies, such as the Ranch Hand study and the Veterans Administration Vietnam Veterans Registry, do you feel that those health studies, in and of themselves, in terms of the basic science that they are developing, the basic information that they are developing, are or can be useful to us as a general resource? Diversified Reporting Services. Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467?9200 DR. YOUNG: Oh, yes. MS. MURPHY: And as a resource for other kinds of issues? DR. YOUNG: Understanding my generation of people. I mean, it is my generation that served in Vietnam. It?s my generation that was involved in much of the studies afterwards. So yes, this is a wonderful database in my generation, the generation that was raised and came of age at the time of Vietnam. Those health studies are wonderful because it does tell us and it helps plan a preventive program. I mean, the examination of the Ranch Hands has allowed them to, in a way, anticipate and be prepared to address problems as they grow older. So it?s been a very good thing. One thing I didn't bring up was one of the controversies that came out of the White House was the fact that the Veterans Administration cancelled, at the request of the White House, really, the major study that was anticipated by the veteran community of the large ground troop populations in Vietnam. MS. STEWART: Oh, when did that occur? Diversi?ed Services, Inc. I 101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 DR. YOUNG: That study was to begin for many years. And this was a study that was going to be based on the exposure scenarios that we thought possible, maybe. How far were they from spray lines, this sort of information. The GAO had said this was possible. The Stillman Group out of Columbia said, "Oh, yeah, this was absolutely possible." But I brought together a group of records experts and I chaired the committee to take a look at can we document exposure to the point where we could prevent misclassification? If you misclassify, you say that somebody was exposed and they were not or you say that somebody wasn?t exposed and they were. Then the conduct of the health study becomes you're not going to find anything. You?re going to wash out any effect, basically. So if you're going to conduct a good epidemiologic study, you have to have a population where you have known exposure. We had that for the Ranch Hands. We have that for the Army Chemical Corps. But we didn't have that for the veteran group. And the Diversified Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington. DC 20036 (202) 467-9200 question was, could we develop a large population of veterans who were exposed and a large population of veterans who were elsewhere in Vietnam but not exposed? The answer from the records experts and from our paneled critical review, and we anguished over this, was no, you could not conduct it. And therefore, we made our recommendation to the President and to the Agent Orange working group and then to the President that it could not be conducted. You could do it but the likelihood of answering the question was not there. It was unlikely that you would answer the question. So that study did not go forward. And there has been a huge amount of articles published over that anguish, even in the last not long ago, Mother Earth published an article on Agent Orange and they criticized me specifically for having Chaired that and made that decision. And if you read the book, Wages of War, published a few years back, they devote a whole chapter to damning me over these kinds of decisions they felt I had made. Well, I had made recommendations. They weren't my decisions. In the end, those decisions Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202) 467-9200 67 rested with the political people. 2 But we did make the recommendation to the 3 President and the Agent Orange Working Group not to 4 proceed because we felt the scientific evidence was not 5 there. Could you do a dioxin analyses of those 6 thousands and thousands and thousands of men that would 7 be involved in the study? The answer is, yes, you 8 could have but we had already shown that the likelihood 9 of any dioxin in any of these folks of any significant 10 concentration was minimal, as it was. 11 My own dioxin level was taken. 12 MS. MURPHY: I found those records. 13 DR. YOUNG: And I had 8 parts per trillion in 14 my fat. And yet, I had handled Agent Orange for 25 15 years, both as a liquid and the soils and animals that 16 were contaminated. But I was a scientist. I was being 17 careful, of course. So despite that, my concentrations 18 were nil. 19 MS. MURPHY: And you couldn't pinpoint the 20 exposure to Vietnam? 21 DR. YOUNG: No, we couldn?t pinpoint a 22 concentration that would say that the veteran had been Diversified Reporting Services. inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 exposed in Vietnam, no. MS. STEWART: So you didn't have the data in order to make the association between individual service members and exposure while they were in Vietnam? DR. YOUNG: The records show that at the most critical stage, that is, down at the patrol level, you could not confirm that that veteran was where they had said the veteran was going to be. That was the argument. Could you say that John Doe was present at 7:30 in the morning or 6:30 in the morning on June 22, 1967, at Bien Hoa, outside of Bien Hoa, or somewhere else at a particular point where spraying was going to take place? Out in War Zone We couldn?t do that. We could say, yes, we knew that the company was located over here, but the company wasn't exposed. We had no evidence to show that the company was sprayed. It was the argument, well, yes, it was patrols, it probably would have been sprayed. But remember, there was a process in which we contacted company commanders, they were given notifications. As a matter of fact, in the first years Reporting Services. Inc. 1101 Sixteenth Street, NW Second Floor Washington, DC 20036 (202)4619200 the conflict of spraying Agent Orange, we actually put out literature, dropped literature. MS. MURPHY: Dropped leaflets? DR. YOUNG: Leaflets, yeah, about missions. And our goal was not to spray people. Our goal was to try to clear the line of fire, clear away the vegetation so that we had a clear view of the line of fire so if the enemy tried to come in, we would know that. MS. STEWART: So you can't establish a record based on what information we now have? Not who was exactly where, when? DR. YOUNG: Even more difficult was the fact that we never even had a record of actually who went to Vietnam. We have constructed that after the fact. MS. STEWART: That doesn?t surprise me, knowing what little I do about military records. On the other hand, what you are also saying was that you couldn't base this kind of exposure information on dioxin testing on the veterans, themselves. DR. YOUNG: No, we couldn't. MS. STEWART: Because the studies that you had Diversi?ed Reporting Services. Inc. 1 101 Sixteenth Street. NW Second Floor Washington. DC 20036 (202) 467?9200 '70 done did not give you any kind of correlation you could find between the amount of dioxin contained in the veteran and the amount of exposure that you knew the person had? DR. YOUNG: The only relationship we could find between exposure and the dioxin concentration were those had been Chemical Corps Sprayers and those who had been a Ranch Hand. MS. STEWART: And in those cases DR. YOUNG: In those cases, we were able to use the dioxin analyses. But our general analyses of Army personnel or Marine personnel did not give us an indication of any significant exposure on the kind of background one sees in an industrialized societypart per trillion is what one expects to see in all of us. And this was the kind of thing we were seeing. There would be outliers but when you would check the outlier, you would find they were a Chemical officer or Chemical Corps staff member or a Ranch Hander. So there's always justifications for those outliers that we found, basically. Diversified Reporting Services, Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 MS. STEWART: But you did find that with the Ranch Hand and the Chemical Corps officers, the dioxin levels did go up? DR. YOUNG: Yes. MS. STEWART: So that you could make a correlation, usually, between intensive exposure and increased dioxin levels? DR. YOUNG: Well, the dilemma has been that the actual concentrations in the Ranch Handers and the Chemical Corps people were no where near those of the industrial setting so we never had chloracne found in Ranch Handers. And to my knowledge, we never found chloracne in MS. MURPHY: So the industrial accidents would really be much, much higher concentrations? DR. YOUNG: Yes, right. And of course, this comes back and says to you that if you don?t have a base of cause and effect in the industrial society where the concentrations in the blood exceeded a part per billion, hundreds of times greater than anything we've seen in Vietnam, if you don?t have a health problem there other than chloracne, for example, and Diversi?ed Reporting Services, Inc. 1101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 'you don't find chloracne in your veteran population. then are you expecting to see a lot of health effects? And the answer was no, we weren't. The studies that we have done confirm basically what as a scientist I would have predicted. Knowing now what the dioxin levels were and what we actually found in our veterans, it made sense. That?s not been a good answer to many people. To the veteran community, it?s not a good answer. But the reality is, as a scientist, it holds. And that?s all, in the end, one can really base what we did on and what we have in our records is what we were able to gather and make an assessment of. Well, that was the last piece we hadn't talked about. It's clearly been one of the rubs that has gone on for many years. In the end, why didn?t you do this great big study and put an answer to this? You would have an answer and it would all be over. No, it wouldn't have given us an answer. We would have spent hundreds of millions of dollars and we wouldn't have had an answer. But a lot of people would disagree with me. Diversi?ed Reporting Services, Inc. 1 101 Sixteenth Street. NW Second Floor Washington, DC 20036 (202) 467-9200 Thank Young. you. MS. MURPHY: Again, thank you very much, Dr. MS. STEWART: Thank you very much. (The interview was concluded.) 1' ?k Diversified Reporting Services. inc. 1 [Oi Sixteenth Street. NW Second Floor Washington, DC 20036 (202)4619200