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Geriatric Mental Health Disaster and Emergency Preparedness

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Chapter 16 The Experience of Vulnerability in <strong>Geriatric</strong> Combat Veterans 331<br />

SUMMARY OF VIETNAM WAR CASUALTIES<br />

Vietnam War (1964 –1975)<br />

Total U.S. Service Members (Worldwide) 8,744,000<br />

Deployed to Southeast Asia 3,403,000<br />

Battle Deaths 47,434<br />

Other Deaths (in Theater) 10,786<br />

Other Deaths in Service (Non-Theater) 32,000<br />

Non-Mortal Woundings 153,303<br />

Living Veterans 7,125,000<br />

Table 16.3<br />

From “America’s Wars,” U.S. Department of Veterans Affairs, Offi ce of Public<br />

Affairs, 2008.<br />

tory that perhaps opened the door to larger questions about government<br />

policy. This generation grew up in a time of changing values <strong>and</strong> turmoil<br />

as the rules of society, old values, ideals, <strong>and</strong> st<strong>and</strong>ards were slowly challenged.<br />

They lived in that uncomfortable liminal place between the old<br />

<strong>and</strong> the yet undefined new. This generation returned <strong>and</strong> opted in or out<br />

of society. Many sought to do as their fathers, uncles, <strong>and</strong> gr<strong>and</strong>fathers<br />

had done—pick up where they had left off <strong>and</strong> attempt to live the life they<br />

had expected to have before going off to war. This generation experienced<br />

entire neighborhoods <strong>and</strong> zip codes targeted for the draft <strong>and</strong> found those<br />

neighborhoods dramatically changed upon their return. This generation<br />

returned home to find a different kind of war at home: the awakening of<br />

a country to civil rights for all. The effects of war were experienced more<br />

deeply <strong>and</strong> dramatically than in previous cohorts partially due to exposure<br />

to war at a younger age, increased exposure to the widespread use of<br />

chemical hazards such as dioxin (Agent Orange), increasing resistance to<br />

the war at home, <strong>and</strong> a lack of world stability.<br />

Many in all three generations have complex medical profiles. Of these<br />

generations, the Vietnam veterans often are in poorer health compared<br />

with Korean War <strong>and</strong> WWII veterans during similar ages. The effects of

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