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Guidance Notes for Medical Practitioners

Guidance Notes for Medical Practitioners

Between the 1940s and 1980s some 20,000 servicemen volunteered to participate in various human trials at the Chemical and Biological Defence Establishment at Porton Down. Many of these volunteers were exposed to low levels of chemical agents, notably mustard gas and nerve agents.

It has been suggested that there are unusual patterns of ill health amongst this group which is directly related to their participation in the trials. The MOD has not seen any medical evidence that supports this, but because we take such concerns seriously we have decided to make our facilities at the Medical Assessment Programme (MAP), St Thomas' Hospital, London, available to these volunteers.

The MAP is staffed by two consultant physicians, together with support staff. Volunteers who are referred to the MAP will receive an extensive medical consultation, clinical examination, tests and investigations if required, and a discussion of symptoms or diagnoses and their relationship, if any, to the trials at Porton Down.

The results of the consultation will be reported back to the referring doctor with any recommendations for treatment. The MAP itself does not provide treatment.

Medical practitioners who believe that there would be any benefit in doing so are encouraged to refer to the MAP any of their patients who are concerned that their health may have suffered as a result of their participation in the Porton Down trials. We hope to be able to provide appointments to see patients within 5 weeks of referral. Patient referrals should be sent to:

Dr Ian Palmer
Head of Medical Assessment Programme
Baird Health Centre
Gassiot House
St Thomas’ Hospital
Lambeth Palace Road
London SE1 7EH

The examination and clinical tests will be provided free of charge. The cost of the patient's travel to the MAP, incidental expenses and, where necessary, accommodation costs will be met by the MOD. GPs should inform the MAP of any special requirements resulting from the volunteer's medical condition such as the need for him to be accompanied by a carer. A full copy of the patient's medical record will be required by the MAP physicians. Photocopying costs will be reimbursed.

Further information and advice can be obtained by ringing the MAP Freephone on 0800 169 5401.

Those who took part in the trials and have approached their doctors, worried that it has affected their health, should request details of their participation (including substances to which they were exposed) by ringing the Porton Down Helpline on 0800 783 2521.

All available information will be provided in writing by Porton Down. It will probably assist medical practitioners to make a judgement about a referral if they have access to such information. It would also greatly assist the MAP physicians if copies of this information were sent with the referral letter and patient notes.

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