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Parasite from Vietnam may be killing vets

VA study looks into link between liver flukes and cancer

By MARGIE MASON and ROBIN McDOWELL, Associated Press
Published: November 22, 2017, 10:22am
3 Photos
Mike Baughman, center, plays the bass Oct. 12 with Sam Gibson, left, on guitar at a cabin in Herald, W.Va. Baughman is fighting a rare bile duct cancer he believes is a result of ingesting a parasite inside raw fish while serving in the Vietnam War.
Mike Baughman, center, plays the bass Oct. 12 with Sam Gibson, left, on guitar at a cabin in Herald, W.Va. Baughman is fighting a rare bile duct cancer he believes is a result of ingesting a parasite inside raw fish while serving in the Vietnam War. Margie Mason/Associated Press Photo Gallery

HEROLD, W.Va. — A half century after serving in Vietnam, hundreds of veterans have a new reason to believe they may be dying from a silent bullet — test results show some men may have been infected by a slow-killing parasite while fighting in the jungles of Southeast Asia.

The Department of Veterans Affairs this spring commissioned a small pilot study to look into the link between liver flukes ingested through raw or undercooked fish and a rare bile duct cancer. It can take decades for symptoms to appear. By then, patients are often in tremendous pain, with just a few months to live.

Of the 50 blood samples submitted, more than 20 percent came back positive or bordering positive for liver fluke antibodies, said Sung-Tae Hong, the tropical medicine specialist who carried out the tests at Seoul National University in South Korea.

“It was surprising,” he said, stressing the preliminary results could include false positives and that the research is ongoing.

Northport VA Medical Center spokesman Christopher Goodman confirmed the New York facility collected the samples and sent them to the lab. He would not comment on the findings, but said everyone who tested positive was notified.

Gerry Wiggins, who served in Vietnam from 1968 to 1969, has already lost friends to the disease. He was among those who got the call.

“I was in a state of shock,” he said. “I didn’t think it would be me.”

The 69-year-old, who lives in Port Jefferson Station, N.Y., didn’t have any symptoms when he agreed to take part in the study, but hoped his participation could help save lives. He immediately scheduled further tests, discovering he had two cysts on his bile duct, which had the potential to develop into the cancer, known as cholangiocarcinoma. They have since been removed and — for now — he’s doing well.

Though rarely found in Americans, the parasites infect an estimated 25 million people worldwide, mostly in Asia.

Endemic in the rivers of Vietnam, the worms can easily be wiped out with a handful of pills early on, but left untreated they can live for decades without making their hosts sick. Over time, swelling and inflammation of the bile duct can lead to cancer. Jaundice, itchy skin, weight loss and other symptoms appear only when the disease is in its final stages.

The VA study, along with a call by Senate Minority Leader Charles Schumer of New York for broader research into liver flukes and cancer-stricken veterans, began after The Associated Press raised the issue in a story last year.

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