Camp Lejeune Water Contamination:  What you need to know

Over 1 million military personnel and their family members were stationed at the US Marine Corps Base Camp Lejeune between 1953 and 1987. During this time, the people living on the base, military and civilian, ingested and bathed in water that had been contaminated with chemicals from the base water treatment facilities and a dry cleaning company in the local area. Volatile organic compounds, or VOCs, are the chemicals that caused the contamination. There were two main VOCs initially identified in Camp Lejeune’s water supply, a dry cleaning solvent, and a degreaser. However, later studies showed that there were upwards of 70 other chemicals in the water that caused health risks. The most prevalent and health hazardous contaminants found were:

1. Perchloroethylene (PCE), dry cleaning solvent
2. Trichloroethylene (TCE), degreaser
3. Benzene, an indicator of petroleum-based contaminants such as jet fuel, gasoline, and diesel fuels)
4. Trans-1, 2-DEC, a breakdown of PCE and TCE into a different contaminate
5. Vinyl Chloride (VC), used in the formation of PVC, aerosol sprays, as a refrigerant, and to make automotive parts, wall coverings, and housewares

The VA health care system offers health care options for all qualifying veterans who served at Camp Lejeune, with or without service connection. If a veteran has one of the presumptive conditions listed below, health care is covered; if not, and they are not service connected, there will be a co-pay, but health care is available through the VA. Healthcare and healthcare reimbursements are also available for family members who lived on the base with their sponsors or children who were born of parents who lived on the base. However, there are restrictions based on the type of condition the veteran has. The VA breaks down Camp Lejeune presumptive conditions in two ways:

1. Presumptive for disability compensation
2. Presumptive for healthcare for veterans and family members

Presumptive for Disability Compensation

The following eight conditions are considered presumptive for veterans (including reservists and National Guard) who were stationed at Camp Lejeune between August 1, 1953, and December 31, 1987, for a minimum of 30 days. Presumptive means the veteran only needs to be proof of being stationed at Camp Lejeune during the timeframes noted and for the minimum number of days; there does not need to be evidence of an in-service injury, treatment, or condition. There does need to be a current diagnosis of one of the presumptive conditions to file a claim.

There are eight presumptive conditions for disability compensation for Camp Lejeune veterans. They are:

1. Adult leukemia
2. Aplastic anemia and other myelodysplastic syndromes
3. Bladder cancer
4. Kidney cancer
5. Liver cancer
6. Multiple myeloma
7. Non-Hodgkin’s lymphoma
8. Parkinson’s disease

Presumptive for Healthcare for Veterans and Family Members

Veterans and family members can also receive free healthcare for 15 additional presumptive conditions. These conditions do not qualify for presumptive disability compensation, although veterans with the following conditions are encouraged to file a claim even if the condition is not presumptive due to the links to the toxins. The conditions include:

1. Esophageal cancer
2. Breast cancer
3. Kidney cancer
4. Multiple myeloma
5. Renal toxicity
6. Female infertility
7. Scleroderma
8. Non-Hodgkin’s lymphoma
9. Lung Cancer
10. Bladder cancer
11. Leukemia
12. Myelodysplastic Syndromes
13. Hepatic steatosis
14. Miscarriage
15. Neurobehavioral effects

If family members who have the above conditions related to their stay at Camp Lejeune and have had past out-of-pocket costs due to medical care (not covered by healthcare such as co-pays or deductibles), they may also be eligible for reimbursement by the VA (family members only). Qualifying family members include those whose sponsor (the qualifying veteran) was on active duty and served at Camp Lejeune for 30 days or more between August 1, 1953 and December 31, 1987; was the spouse or dependent of the veteran during the same period; and lived on the base for 30 days or more between the same dates. This includes the infants born of women pregnant on the base during this period.

What Does This Mean for Veterans and their Families?

The VA Rule 38 CFR 3 effective March 14, 2017 (final rule), added certain presumptive diseases associated with the contaminants associated with Camp Lejeune. The rule also includes former reservists and National Guard members who were at the base for no less than 30 days during the presumptive period.

While there are no provisions for the seven conditions that are not presumptive for veterans for disability compensation, that does not mean that veterans should not file a claim for compensation. The difference is that there will need to be medical evidence to show a link to the disability and the exposure to the toxins, which is not required for the 8 presumptive conditions. Claims filed within one year of the rule or pending will, according to the VA, have an effective date of the ruling or the date of claim, whichever is earlier. Therefore, if a veteran files a claim before March 13, 2018, the effective date of their claim will be retroactive back to March 14, 2017.

If you are not sure if toxin exposure at Camp Lejeune caused your medical condition or toxins at other military installations, please call us for a review of your case. Our experts can review your medical and service records and determine if the military installations you were assigned to have toxins related to them during the time periods of your assignments and if any conditions you are diagnosed with may be related.