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Military members suffer illnesses and injuries related to cold temperatures

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Military members have been exposed to extreme cold in combat and military training missions. The major cold injuries they suffer include frostbite, non-freezing cold injuries, immersion foot (formerly called trench foot), and hypothermia. The risk of cold injury depends on several environmental conditions including temperature, wind and moisture, in combination with physical activity, the duration of exposure, and amount of protection. The individual's level of fitness and cold susceptibility also contribute to the risk. If you are concerned about health problems associated with cold injuries, talk to your health care provider or local VA Environmental Health Coordinator who can be located at http://www.publichealth.va.gov/exposures/coordinators.asp . Veterans may have been exposed to extreme cold without adequate protection during:

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• World War II: The Battle of the Bulge, fought in December 1944 through January 1945 under conditions of extreme cold

• Korean War: The Chosin Reservoir Campaign, conducted from October 1950 through December 1950 in temperatures that dropped to 50 degrees F below zero, with a wind chill factor of 100 degrees F below zero.

• Operation Enduring Freedom (OEF) in Afghanistan Other campaigns or circumstances during military service, including training.

Health problems associated with cold injuries Cold injuries may result in long-term health problems, including the following signs and symptoms (at the site of exposure):

• Changes in muscle, skin, nails, ligaments, and bones

• Skin cancer in frostbite scars

• Neurologic injury with symptoms such as bouts of pain in the extremities, hot or cold tingling sensations, and numbness

• Vascular injury with Raynaud's Phenomenon with symptoms such as extremities becoming painful and white or discolored when cold

VA has developed a guide for clinicians on how to diagnose and treat cold injuries. If you are concerned about health problems associated with cold injuries during your military service, talk to your healthcare provider or local VA Environmental Health Coordinator. VA offers a variety of health care benefits to eligible Veterans. For additional info in this refer to http://www.publichealth.va.gov/exposures/benefits/health-care.asp. If you are not enrolled in the VA health care system find out if you qualify for VA health care. Veterans may file a claim for disability compensation for health problems they believe are related to cold injuries during military service. To file a claim online go to https://www.ebenefits.va.gov/ebenefits-portal/ebenefits.portal or see your local Veterans Service Officer. VA decides these claims on a case-by-case basis.

As always please see your local County Veterans Service Officer if you have any questions. You can contact your local VSO at (218) 631-7617 or by email at david.anderson@co.wadena.mn.us and as always have a great week.

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