TL;DR — Quick Summary
- Who qualifies: Veterans with documented FULL BODY exposure to mustard gas or Lewisite
- Key evidence: Military records MUST indicate contact with these agents
- Timing: Covered conditions can develop at any point during your lifetime
- 12 presumptive conditions: Respiratory diseases, eye conditions, skin scarring, and certain cancers
Exposure Must Be Documented
Unlike some other presumptive categories, your military records MUST indicate that you had contact with mustard gas or Lewisite. The VA cannot grant presumptive service connection based solely on your statement.
Eligibility Requirements
Your military records must indicate full body exposure to mustard gas or Lewisite. The DoD has identified the following locations where these agents were stored or tested:
Army Locations
- Bari, Italy
- Bushnell, FL
- Camp Lejeune, NC
- Camp Sibert, AL
- Dugway Proving Ground, UT
- Edgewood Arsenal, MD
- Naval Research Lab, Washington, DC
- Ondal, India
- Rocky Mountain Arsenal, CO
- San Jose Island, Panama Canal Zone
Merchant Marine Locations
- Bari, Italy
Navy Locations
- Bari, Italy
- Camp Lejeune, NC
- Charleston, SC
- Great Lakes Naval Training Center, IL
- Hart's Island, NY
- Naval Training Center, Bainbridge, MD
- Naval Research Laboratory, VA
- Naval Research Laboratory, Washington, DC
- USS Eagle Boat 58
Additional Exposure Sources
The above list is NOT all-inclusive. Veterans may also have been exposed through:
- Allied mustard agent testing in Finschhafen, New Guinea
- Testing at Porton Down, England
- Manufacturing, handling, or destruction of vesicant agents
- Demolishing or handling explosive ordnance during Operation Iraqi Freedom
Presumptive Diseases
The veteran may develop any of these diseases at any point before their death.
Agent-Specific Limitations
- RED = Disease is presumptive ONLY for nitrogen mustard gas exposure
- BLUE = Disease is NOT presumptive for Lewisite exposure
Presumptive Conditions
Cancers
- Laryngeal Cancer
- Lung Cancer (except mesothelioma)
- Nasopharyngeal Cancer
- Squamous Cell Carcinoma of the Skin
Blood Conditions (Nitrogen Mustard Only)
- Acute Non-Lymphocytic Leukemia (nitrogen mustard only)