When Natalie White found her husband unresponsive the morning after his 41st birthday, she thought it was just another bump in what had been a very rough road. She assumed heโd wake up like he had before when something similar happened.
At 30 weeks pregnant with what she calls their miracle baby, White couldnโt fathom anything different.
โI should have known he was already gone,โ she said.
Air Force veteran Clayton White never woke up. His death followed years of mysteriousย illnesses that Natalie believes were linked to his service at a U.S. military baseย contaminated with a litany of known toxins.
Between 2001 and 2005, more than 15,000 service members deployed to Karshi-Khanabad Air Base in Uzbekistan in support of military operations into northernย Afghanistan following 9/11. Known as K2 or Camp Stronghold Freedom, the former Soviet air base contained residuals of chemical weapons, radioactive depleted uranium and jet fuel, among nearly 400 other chemical compounds.
The Department of Defense knew that service members there were exposed to dangerous toxins, and a 2015 U.S. Army study found that K2 veterans have a 500% greater chance of developing certain cancers. Hundreds of veterans surveyed by the Stronghold Freedom Foundationโa nonprofit that advocates on behalf of toxic-exposed K2 veteransโreported illnesses ranging from neurological and autoimmune in nature toย respiratory and urological.
Still, the Department of Veterans Affairs does not recognize the majority of K2 exposures. Even the recently enacted PACT Actโthe most comprehensive toxic-exposure veterans bill in history and one DAV was instrumental in pushing throughโdoes little for K2ย veterans.
โWhile the PACT Act includes K2 veterans in the burnย pit presumptives, the VA still has not recognized theย other toxic exposures and potential diseases unique toย K2,โ Deputy National Legislative Director Shane Liermann said. โBecause of these gaps, many veterans willย be denied access to life-changing health careย and benefits.
โThatโs why DAV, veterans and their survivors will continue to fight for recognition and meaningful action.โ
โThis place is toxicโ
When Mark Jackson deployed to K2 in summer 2003, he kept daily journals. Dozens of neon yellow tabs protrude from the pages, marking each day he felt sick.
โThe very first thing I write about is my throat and my eyes stinging from โฆ this rotten smell,โ said the Army veteran, who now serves as the acting executive director for the Stronghold Freedom Foundation. โThe next day, my journal entry said, โThisย place is toxic.โโ
Jackson soon found himself logging various symptoms: coughs, headaches, rashes, shortness of breath, fatigue.
โWe called it the โKarshi crud,โโ DAV member and Air Force veteran Andrea LaForce said.
LaForce deployed to K2 in 2003, more than a decade into what would become a 29-year military career. Along with the Karshi crud, sheย developed eczema while at K2.
K2โs toxicity wasnโt a secret. Signs warned of chemical agents and radiation hazards. A pond ominously changed colors, earning the moniker โSkittles Pond.โ In some places, black goo emerged from the ground. And, as if transported into a sci-fi movie, Jackson and LaForce remember when workers dressed in hazmat suits and carrying Geiger counters visited the base.
But LaForce said she figured any potential exposures were a fair trade-off. After all, they werenโt being shot at, and the aircraft returned relatively safely. Jackson said that, despite the clear signs of danger, heโd do it all over again.
โAnd I donโt know anyone who wouldnโt,โ he said. โTheย basic terms of service when you sign up are that youโre going to give all the way up to and including your life, but theyโre going to take care of you and your family. And theyโre not honoring their end of the bargain.โ
โWheels coming offโ
Soon after leaving K2, and at just 27 years old, Jacksonโs thyroid effectively died. At 30, he was diagnosed with irritable bowel syndrome. At 43, his doctor told him he had the bones of an 80-year-old.
Last summer, he was hospitalized for a month due to aย blood infection. Treatment required three surgeries and a catheter to his heart.
โIโm 45 years old, and Iโll go ahead and assume that Iโm pretty well beyond middle-aged at this point based on the wheels coming off,โ he said.
Jackson has only received a service connection and a disability rating for his thyroid. That means itโs up to him to cover the costs of treatments for his other conditions, whether out of pocket or through private insurance.
Six months after leaving K2, LaForce suffered severe abdominal pain caused by a large ovarian cyst that burst. Nearly 20 years later, she continues to develop cysts and experience chronic pain. Her condition is manageable but takes constant care and monitoring. LaForce is also keenly aware that it could one day develop into ovarian cancer.
She received service connection for the ovarian cysts but with a 0% disability rating.
โWhile Iโm thankful I havenโt had cancer and havenโt had some truly debilitating issues, chronic pain ainโt no joke either,โ she said.
White said her husband Clayton looked like a โshell of a personโ when he returned from K2. His watch spun around his wrist, an indication of how much weight heโd lost. Soon after, he started suffering from migraines and couldnโt concentrate on tasks he once enjoyed.
The list of Claytonโs ailments came to include thyroid disease, chronic hypertension, gastrointestinal issues, seizures, respiratory problems, pancreatitis and tinnitus.
โI became his caregiver,โ White said. โWe hadย to change our lives completely around.โ
Clayton only received a service connection for tinnitus. In the wake of his death, his wife has been unable to obtain survivors benefits asย she raises the daughter he never had the chance to meet.
The time is now
In the years since the U.S. ceased operations at K2, much has been learned about the toxic exposures there, but little has been done. In 2020, at the urging of Congress, the DOD declassified K2 environmental hazard surveys and health risk assessments. Those documents revealed that, asย early as 2001, the government knew about the potential for exposures and the negative health consequences associated with them.
Since then, different measures have called for short- and long-term studies of toxic exposure at K2. Jackson supports those measures but said veterans and survivors need action sooner rather than later.
โThe one thing that toxic exposures and diseases like these donโt allow for is time,โ he said. โDo the study[ing]. In the meantime, err on the side of the veteran.โ
The PACT Act established nearly two dozen presumptive diseases related to burn pit exposure, meaning veterans who served in overseas locations with active burn pits no longer have to prove their exposure or direct service connection for presumptive diseases established by the law. DAV wants the same for K2 veterans.
โToxic exposuresโand specifically recognition of theย exposures at K2โwill be part of DAVโs critical policy goals in 2023. We wonโt stop beating that drum,โ Liermannย said. โWe will seek legislation that concedes K2 exposures, orders studies on those exposures and establishes presumptive diseases.
โAnd we expect Congress and the VA to act with the urgency required to keep our promise to these veterans and their families.โ
For updates on DAV-sponsored K2 legislation and to learn how you canย support such measures, join the Commanderโs Actionย Network at DAVCAN.org.