Oil well fires of Operation Desert Storm--defining troop exposures and determining health risks.

During Operation Desert Storm, in February 1991, Iraqi troops began burning Kuwaiti oil wells. Almost immediately there was concern about possible adverse health effects in U.S. personnel exposed to crude oil combustion products. Combustions products were predicted from the known composition of Kuwaiti crude oil. Monitoring sites were established in Saudi Arabia and Kuwait; about 5,000 environmental samples were studied. Data collected were used to develop health risk assessments for the geographic areas sampled. This initial approach to assessing risk had to be greatly expanded when Congress passed Public Law 102-190, requiring development of means to calculate environmental exposures for individual U.S. service members. To estimate daily exposure levels for the entire area over 10 months for all U.S. troops, air dispersion modeling was used in conjunction with satellite imagery and geographic information system technology. This methodology made it possible to separate the risk caused by oil fire smoke from the total risk from all sources for each service member. The U.S. military responses to health concerns related to the oil well fires and to Public Law 102-190 were reviewed. Consideration was given to changes in technology, practices, and policies over the last two decades that might impact a similar contemporary response.