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March 19,2012

The Honorable C.W. Young Chairman Defense Appropriations Subcommittee H-307, The Capitol Washington, D.C. 20515 Dear Chairman Young and Ranking Member Dicks:

The Honorable Norman D. Dicks Ranking Member Defense Appropriations Subcommittee 1016 Longworth House Office Building Washington, D.C. 20515

Thank you for your interest and continued support of the Gulf War Illness Research Program (GWIRP) within the Congressionally Directed Medical Research Programs (CDMRP), including the $10 million awarded to the program for FY 2012. As the Subcommittee begins work on the FY 2013 Appropriations bill for the Department of Defense, we are pleased to point out the dramatic progress made by the program during the past two years. In a landmark 2010 report, the Institute of Medicine (10M) recognized that the chronic multi symptom illness affecting 250,000 Gulf War veterans is a serious disease (not caused by psychiatric illness) that also affects other U.S. military forces, and called for a major national research effort to identify treatments. The scientific community has responded with a dramatic increase in the quality and quantity of proposals submitted to CDMRP. Most encouraging, CDMRP-funded researchers have completed the first successful pilot study of a medication to treat one of the major symptoms of Gulf War Illness. In recognition ofthis progress, last July a bipartisan amendment to the Defense Appropriations Act of2012 provided $10 million for the program. We appreciate the support you have given to make this progress possible, and respectfully seek your support in FY2013 for adequate funding to continue the progress that has been made. Funding will be used for pilot studies of promising treatments, for clinical trials of treatments shown effective in earlier pilot studies, and for the execution of collaborative treatment research plans developed by consortiums of scientists funded by CDMRP in FYIO. This effective small program demonstrably merits continuation and expansion, even in a time of fiscal austerity. The research conducted by GWIRP is vital not only for ill Gulf War veterans, who currently lack any effective treatments, but also for other U.S. military forces. As summarized by the 10M committee chair, Dr. Stephen Hauser, in his letters to you dated July 20, 2010, the 10M report recognized that lithe chronic multisymptorn illness that affects an estimated 250,000 Gulf War veterans -- over one-third of those who served -- also affects other military forces," and that this research is "vital to the health and effectiveness of current and future military forces, in addition to Gulf War veterans." The GWIRP is the only national program addressing this issue. It is a competitive peer-reviewed program open to any doctor or scientist on a competitive basis. By contrast, Veterans Affairs (VA) research programs are only open to VA doctors, few of whom have expertise in chronic multi symptom illness. To effectively

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address a difficult and specialized problem like this, it is necessary to enlist the entire medical scientific community. Most importantly, it is working. CDMRP-fimded researchers at the University of California, San Diego, reported in June oflast year on the first successful medication treatment study in the history of Gulf War illness research. The study showed that the supplement CoQ10 produced significant improvement in one of the most serious symptoms of Gulf War illness, fatigue with exertion. It is not a cure, and the study needs be replicated in a larger group, but the result is extremely encouraging. At long last, the scientific community has recognized the severity and scope of this problem and is engaged in its solution. Congress has created this superb program which is succeeding where others have failed. We respectfully request that you providing the necessary resources to accomplish this vitals mission. This request has the endorsement of American Legion, Disabled American Veterans, Vietnam Veterans of America, Veterans of Foreign Wars, National Vietnam and Gulf War Veterans Coalition, and Veterans for Common Sense.

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Dennis J. Kucinich Member of Congress

Sincerely,

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Michael H. Michaud Member of Congress

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Corrine Brown Member of Congress

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Diana DeGette Member of Congress

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Bill Pascrell, Jr. Member of Congress

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Steve Israel Member of Congress

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Chellie Pingree Member of Congress

Rick Larsen Member of Congress

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Member of Congress Leonard 1. Boswell Member of Congress ~eg~ Member of Congress Earl Blumenauer Member of Congress

Gregorio Kilili Camacho Sablan Member of Congress

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Keith Ellison Member of Congress
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Charles B. Rangel Member of Congress

Mazie K. Hirono Member of Congress

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Russ Carnahan Member of Congress

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David Loebsack Member of Congress Andre Carson Member of Congress Jesse Jackson, Jr. Member of Congress Eleanor Holmes Norton Member of Congress

Bruce L. Braley Member of Congress

Timothy J~Walz Member of Congress

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Kurt Schrader Member of Congress

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Ron Kind Member of Congress

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