Published on December 15, 2023
Medically Reviewed
Litigation Guides
The historical context and ongoing repercussions of the Camp Lejeune Water Contamination, a significant incident dating back to 1942 when the U.S. Marine Corps established Camp Lejeune as a military training facility in North Carolina.
Medically Reviewed
1942: The US Marine Corps established Camp Lejeune, a base in North Carolina
1950s-80s: People living and/or working at the base were potentially exposed to contaminated drinking water
1982: The Marine Corps discovered specific volatile organic compounds (contaminants) in the drinking water at the base
1982-84: The Navy initiated a cleanup program to identify potentially contaminated sites at the base
1984-85: The base identified affected drinking wells and removed them from service, also notifying base residents
1987-89: Regulations for TCE, benzene, and vinyl chloride were published and became enforceable
1991-92: Regulations for PCE were published and became enforceable
1997: The Agency for Toxic Substances and Disease Registry (ATSDR) published a public health assessment identifying a past health hazard from exposures to contaminated water at the base
2007: The U.S. Marine Corps launched a notification and registration campaign for former residents to receive more information
2012: President Obama signed the “Honoring America’s Veterans and Caring for Camp Lejeune Families Act of 2012” into law and the VA started providing health care to those eligible
2016: The ATSDR begins the cancer incidence study to determine whether exposure to contaminated drinking water is associated with increased risks for specific cancers
2017: The ATSDR published the final public health assessment on the health effects of exposure to contaminated drinking water at the base
In 1942, the U.S. Marine Corps founded Camp Lejeune as a military training facility in North Carolina. Inhabitants of the base not only consisted of military personnel but families and workers as well.1
In 1982, contaminants were discovered in two of Camp Lejeune's water treatment plants.2
The Agency for Toxic Substances and Disease Registry (ATSDR) played a crucial role in assessing and addressing the health effects of water contamination at Camp Lejeune. According to ATSDR, three water distribution systems (Hadnot Point, Tarawa Terrace, and Holcomb Boulevard) supplied Camp Lejeune with water contaminated with volatile organic compounds (VOC).1
Inhabitants between 1953 and 1987 may have been exposed to contaminants3,4,5, including trichloroethylene (TCE), perchloroethylene (PCE), benzene, and vinyl chloride. TCE, PCE, benzene, and vinyl chloride were found in various concentrations, with TCE having a maximum detected level exceeding the EPA limit for drinking water.1
TCE is a volatile, colorless, synthetic compound used as a metal degreaser before the 1990s.6
Vinyl chloride is a known human carcinogen, and highly flammable gas used in plastic manufacturing.7
Benzene is a known human carcinogen, and a colorless organic solvent used in various industries.8
PCE is a volatile liquid used in the dry cleaning industry and as a degreaser.
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TCE, vinyl chloride, and benzene are known to cause cancer, while PCE is categorized as a "likely" or "probably" human carcinogen. Humans can be exposed to TCE, vinyl chloride, and benzene through occupational exposure, air, soil, or drinking water.3,5
The ATSDR conducted studies on the health effects of water contamination at Camp Lejeune, finding elevated risks of mortality and certain cancers in exposed individuals.9
Limited research exists on the health consequences of these substances in drinking water, with associations found between TCE and PCE and certain cancers in specific studies.
In their 2017 assessment, the ATSDR noted "below equipose evidence for causation" for PCE, TCE, and vinyl chloride and prostate cancer.10
Additionally, in research conducted on Cape Cod, MA, PCE-contaminated drinking water was linked to the development of:1,6,11-13
TCE is carcinogenic to humans through all routes of exposure, and it can cause non-cancerous damage in the:14
Adverse Health Effects
1.
Bove FJ, Ruckart PZ, Maslia M, Larson TC. Mortality study of civilian employees exposed to contaminated drinking water at USMC Base Camp Lejeune: a retrospective cohort study. Environ Health. 2014;13:68. URL
2.
Camp Lejeune, North Carolina: Hadnot Point Water Modeling Reports and Studies | ATSDR. Published May 9, 2019. URL
3.
Agency for Toxic Substances and Disease Registry. Camp Lejeune Overview and History | Camp Lejeune | ATSDR. Published February 14, 2020. Accessed May 4, 2022. URL
4.
US Marine Corps. Camp Lejeune|Historic Drinking water-Timeline. Accessed May 4, 2022. URL
5.
Agency for Toxic Substances and Disease Registry. ATSDR - Camp Lejeune, North Carolina: Water Modeling - Summary. Published December 16, 2019. Accessed May 5, 2022. URL
6.
Ruckart PZ, Bove FJ, Shanley E, Maslia M. Evaluation of contaminated drinking water and male breast cancer at Marine Corps Base Camp Lejeune, North Carolina: a case control study. Environ Health. 2015;14:74. URL
7.
Guha N, Loomis D, Grosse Y, et al. Carcinogenicity of trichloroethylene, tetrachloroethylene, some other chlorinated solvents, and their metabolites. Lancet Oncol. 2012;13(12):1192-1193. URL
8.
National Center for Biotechnology Information. PubChem Compound Database | Benzene | Accessed May 4, 2022 URL
9.
Guyton KZ, Hogan KA, Scott CS, et al. Human health effects of tetrachloroethylene: key findings and scientific issues. Environ Health Perspect. 2014;122(4):325-334. URL
10.
ATSDR Assessment of the Evidence for the Drinking Water Contaminants at Camp Lejeune and Specific Cancers and Other Diseases. Agency for Toxic Substances and Disease Registry. Published January 13, 2017. Accessed May 9, 2022. URL
11.
Aschengrau A, Ozonoff D, Paulu C, et al. Cancer risk and tetrachloroethylene-contaminated drinking water in Massachusetts. Arch Environ Health. 1993;48(5):284-292. URL
12.
Paulu C, Aschengrau A, Ozonoff D. Tetrachloroethylene-contaminated drinking water in Massachusetts and the risk of colon-rectum, lung, and other cancers. Environ Health Perspect. 1999;107(4):265-271. URL
13.
Vieira V, Aschengrau A, Ozonoff D. Impact of tetrachloroethylene-contaminated drinking water on the risk of breast cancer: using a dose model to assess exposure in a case-control study. Environ Health Glob Access Sci Source. 2005;4(1):3. URL
14.
Chiu WA, Jinot J, Scott CS, et al. Human Health Effects of Trichloroethylene: Key Findings and Scientific Issues. Environ Health Perspect. 2013;121(3):303-311. URL
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