recommended reading

VA kicks off massive study of veterans’ deaths

U.S. Army honor guards from Fort Hood, Sgt. Kristopher Tate, left, and Spc. Patrick Debord, right, fold a flag in front of the casket carrying the body of homeless veteran Harold Dean Harris.

U.S. Army honor guards from Fort Hood, Sgt. Kristopher Tate, left, and Spc. Patrick Debord, right, fold a flag in front of the casket carrying the body of homeless veteran Harold Dean Harris. // LM Otero/AP

The Veterans Affairs Department has kicked off a massive study in cooperation with the Centers for Disease Control and Prevention and the Defense Department to determine the cause of veterans’ deaths since 1979, an effort that requires matching records of 34 million service personnel with death certificates.

Aaron Schneiderman, acting director of VA’s epidemiology program, said the National Mortality Study will first focus on roughly 1 million veterans who served on active duty during the Afghanistan and Iraq wars from 2001 through 2010, which among other things will help the VA determine the scope of veteran suicides on a national basis. These matches only will include personal information such as name, date of birth and Social Security number; they will not include Defense health records.

A veteran commits suicide every 80 minutes, according to recent estimates from the VA. Suicides by active duty military personnel in 2012 hit 349, more than the 295 Americans who died in combat in Afghanistan.

CDC’s Division of Vital Statistics at the National Center for Health Statistics will match records provided by Defense with death certificate information from all 50 states contained in the National Death Index, said NDI director Lillian Ingster.

The NDI is a computerized index of death record information on file in state vital statistics offices and is used by epidemiologists and other health and medical investigators to help determine causes of death. Ingster said the 34 million records include everyone who has served in the military since 1979 -- when the NDI went into operation. The study will involve the largest matching exercise in which she has ever engaged.

“This is enormous,” Ingster said. Her division has been grinding through the data since the end of 2012, with completion of the 34 million matches expected in a matter of months. She said the veteran matching process encountered a few hiccups as the NDI was switched from a mainframe to a server-based environment.

Schneiderman said death certificates include standardized sources of information on causes of deaths, including drug overdoses and chronic diseases. Once the matches are completed, the results will help VA determine “how to care for veterans.”  

Schneiderman said once VA receives the data match file from CDC its first task will be to conduct a mortality study of Afghanistan and Iraq veterans that will include an evaluation of traumatic injury deaths (suicides and car crashes) and poisonings (drug overdose).       

He added that the study also will help VA determine if there are factors that result in a higher number of veteran deaths than in the general population. VA can then use information to “drive down” particular causes of death, he said.

Ingster agreed, and said the medical research community and VA can use the study to improve care.

Dr. Remington Nevin, a former Army epidemiologist who left the service this fall to pursue a degree in public health at the Johns Hopkins Bloomberg School of Public Health in Baltimore, said Defense and VA have made a good start in developing a national veteran mortality database, but cautioned that death certificates prepared by local coroners “can be pretty sloppy and there is no quality control.”

Nevin said VA could get better insight into veteran suicides if it also tapped into the CDC’s National Violent Death Reporting System, which covers only 18 states. Ingster said CDC is not using this system for the VA national mortality study.

If all 50 states signed on to the National Violent Death Reporting System it would be a valuable resource to help VA pinpoint veteran suicides, Nevin said.

Threatwatch Alert

Thousands of cyber attacks occur each day

See the latest threats

JOIN THE DISCUSSION

Close [ x ] More from Nextgov
 
 

Thank you for subscribing to newsletters from Nextgov.com.
We think these reports might interest you:

  • It’s Time for the Federal Government to Embrace Wireless and Mobility

    The United States has turned a corner on the adoption of mobile phones, tablets and other smart devices, outpacing traditional desktop and laptop sales by a wide margin. This issue brief discusses the state of wireless and mobility in federal government and outlines why now is the time to embrace these technologies in government.

    Download
  • Featured Content from RSA Conference: Dissed by NIST

    Learn more about the latest draft of the U.S. National Institute of Standards and Technology guidance document on authentication and lifecycle management.

    Download
  • A New Security Architecture for Federal Networks

    Federal government networks are under constant attack, and the number of those attacks is increasing. This issue brief discusses today's threats and a new model for the future.

    Download
  • Going Agile:Revolutionizing Federal Digital Services Delivery

    Here’s one indication that times have changed: Harriet Tubman is going to be the next face of the twenty dollar bill. Another sign of change? The way in which the federal government arrived at that decision.

    Download
  • Software-Defined Networking

    So many demands are being placed on federal information technology networks, which must handle vast amounts of data, accommodate voice and video, and cope with a multitude of highly connected devices while keeping government information secure from cyber threats. This issue brief discusses the state of SDN in the federal government and the path forward.

    Download
  • The New IP: Moving Government Agencies Toward the Network of The Future

    Federal IT managers are looking to modernize legacy network infrastructures that are taxed by growing demands from mobile devices, video, vast amounts of data, and more. This issue brief discusses the federal government network landscape, as well as market, financial force drivers for network modernization.

    Download

When you download a report, your information may be shared with the underwriters of that document.