Depleted Uranium Panel

DEPLETED URANIUM PANEL (VA BALT)

Toxic Embedded Fragments

Uranium
ratio U235/U238
Ratio Uranium/Creatinine
Creatinine
Total Volume

Special Kit

Special kit will be given to patient by provider. Patient will drop off completed kits to the lab for sendout to VA Baltimore.

1. Collection kits for Depleted Uranium and Toxic Embedded Fragments are obtained by calling the Baltimore VA (800) 815-7533. This number is given in the handbooks and on the DU Program Specimen Collection Checklist. Kits will include a Questionnaire and the Checklist which must be faxed back to Baltimore and a copy included with the specimen. At some sites the OIF/OEF coordinators have kits and give them out to the patient directly. Other sites direct the patient to the lab for the kits. Please iron this out locally.

2. It is a VISN 1 decision to have the results go to the lab (Aug 2012 NCL EC). Per Jennifer at DU Program ,Baltimore: On the DU Checklist, sections 13 & 14 Referring facility contact name & number - this is usually the OEF/OIF coordinator - add a note in this section to "send copy to lab" and include your fax number so results will be faxed to lab also. You will need to do this for each specimen sent.

3. For DU & Embedded fragment program questions, call 800-815-7533 (same as for kits).

Test Value Interpretation Uranium, M/S (o) 0-0.0580 mcg/L Uranium in urine reference range: 0.0040 - 0.0580 mcg/L  Medley et al. Health Physics Vol 67(2)1994 0.0024 - 0.0232 mcg/L Dang et al.  Health Physics Vol 62(6)1992. Ratio U235/U238 (o) 0.006-0.009 g/g Ratio U235/U238 cannot be assayed if Uranium M/S <0.01 mcg/L  Ratio U235/U238 reference ranges: Natural uranium ore 0.006 - 0.009, Average  0.0072 Depleted uranium 0.002 - 0.0026, Average 0.0022 Mixture of DU & Natural  0.0026 - 0.006 Ratio Uranium/CRE (o) 0.001-0.050 mcg/g Uranium standardized adjusts for water intake.  The normal  range for 24 hour urines: 0.0010 - 0.0500 mcg/g Creatinine -Baltimore Cohort  0.0000 - 0.0349 mcg/g Ting et al, Env Research 81:45-51, 1999 0.0000 - 0.0340  mcg/g NCEH Pb 02-0716 www.cdc.gov/exposurereport VA BALT CREAT, 24 (o) 0.6-2.5 G/24hr Normal range is 15-25 mg/kg body weight/24 hrs. VA BALT VOL 24H (o) Measurement of 24hr urine