A war legacy priority: Addressing the impact of Agent Orange on the health and lives of the people of Vitenam

The war between the United States and Vietnam ended 35 years ago, but it reverberates today in the lives of millions of Americans and Vietnamese men, women and children. These included people affected - then and now, directly and indirectly - by the US campaign to spray Agent Orange and other herbicides over about one quarter of southern Vietnam. Progress has been made, individuals and organizations in the US and Vietnam are working in a joint effort to assess and then remedy the continuing impact of dioxin contamination on the environment of Vietnam and to prevent further human exposure. Since 2007 the US government has allocated $9 million “for environmental remediation of dioxin contaminated sites and related health activities in Vietnam” and is expected to increase their funding over the next decade. The Ford Foundation has invested $11 million in programs to mitigate the environmental and human health impacts of Agent Orange/dioxin, most recently funding a pilot program at the CDC to explore the development of the first birth defects registry in Vietnam. The good news of more resources begs the question of how can the proliferation of projects and funding be channeled strategically into the most effective long term program planning and best outcomes for people with disabilities and their families and communities. This discussion will address within the context of reviewing what is currently being done to address the impact of Agent Orange on the people of Vietnam, what needs to be done in the next decade, and what more needs to be learned to enable the Vietnamese and American partners the work effectively to mitigate the impacts of Agent Orange in Vietnam.