WASHINGTON (AP) -- Dozens of U.S. troops in Iraq fell sick at bases using "unmonitored and potentially unsafe" water supplied by the military and a contractor once owned by Vice President Dick Cheney's former company, the Pentagon's internal watchdog says.
A report obtained by The Associated Press said soldiers experienced skin abscesses, cellulitis, skin infections, diarrhea and other illnesses after using discolored, smelly water for personal hygiene and laundry at five U.S. military sites in Iraq.
The Defense Department's inspector general's report, which could be released as early as Monday, found water quality problems between March 2004 and February 2006 at three sites run by contractor KBR Inc., and between January 2004 and December 2006 at two military-operated locations.
It was impossible to link the dirty water definitively to all the illnesses, according to the report. But it said KBR's water quality "was not maintained in accordance with field water sanitary standards" and the military-run sites "were not performing all required quality control tests."
The report said KBR took corrective steps and was providing adequate water quality by November 2006. But military units at the two sites they controlled were still failing to perform required quality control tests and maintain appropriate records by that time.
"Therefore, water suppliers exposed U.S. forces to unmonitored and potentially unsafe water," at the military sites by late 2006, the report said.
The problems did not extend to troops' drinking water, but rather to water used for washing, bathing, shaving and cleaning. Water used for hygiene and laundry must meet minimum safety standards under military regulations because of the potential for harmful exposure through the eyes, nose, mouth, cuts and wounds.
The KBR sites were Camp Ar Ramadi, Camp Q-West and Camp Victory. The military sites were Logistics Support Area Anaconda and Camp Ali.
The inspector general's study confirmed AP reports on the contaminated water in early 2006 and provided additional details on the scope of the problem at the Iraq bases. In January that year, interviews and internal company documents disclosed the problems at Ar Ramadi and showed that KBR employees could not get the company to inform base residents.
Halliburton Co., then KBR's parent company, disputed the allegations even though they were made by its own employees and documented in company e-mails. In March 2006, the AP obtained an internal Halliburton report that, in one instance, the company missed contamination that could have caused "mass sickness or death" at Ar Ramadi.
The report said the event at Ar Ramadi could have been prevented if KBR's reverse osmosis units on the site had been assembled, instead of relying on the military's water production facilities.
Halliburton is the oil services conglomerate that Cheney once led. Congressional Democrats long have complained that KBR has benefited from its former ties to Cheney.
KBR, responding to the inspector general's report, said its water treatment "has met or exceeded all applicable military and contract standards." The company took exception to many of the inspector general's assertions. "KBR's commitment to the safety of all of its employees remains unwavering," the company said in a statement to the AP.
KBR provided water treatment to U.S. troops under a large-scale defense contract that also included housing and food to soldiers in Iraq, Afghanistan, Kuwait, Djbouti and Georgia.
The military has "taken the appropriate measures to correct the problem and ensure we provide the appropriate oversight of the system," said Navy Capt. James Graybeal of the U.S. Central Command, which oversees U.S. troops in the Middle East.
North Dakota Sen. Byron Dorgan, who has led Democratic inquiries into contracting abuses in Iraq, said the inspector general has backed up what those earlier hearings uncovered. "KBR was not doing its job" and U.S. forces had water that did not meet Army standards, Dorgan said.
"I think it's outrageous that KBR tried to deny that there was a problem, especially when it turned out that there were dozens of U.S. troops reporting water-related illnesses," he said.
The inspector general investigated the 2006 reports at Dorgan's request.
The inspector general's report said some troops noticed problems with the water. Between October 2004 and May 2005, troops at Camp Ar Ramadi said bathwater was discolored and had an unusual odor. The report said KBR failed to treat the nonpotable water and monitor water quality during the same period.
At Camp Q-West, KBR inappropriately delivered chlorinated wastewater for showers and latrines without informing military preventive medicine officials, the report said. "KBR did not monitor or record the quality of water at point-of-use containers before April 2006, even though the ... contract required the company to do so," the report added.
Medical records for troops at Camp Q-West indicated 38 cases of illnesses commonly attributed to problem water. These include skin abscesses, cellulitis, skin infections and diarrhea. Doctors diagnosed 24 of the cases in January and February 2006, the same period when medical officials warned of a rise in bacterial infections at the base.
In addition, military medical records -- tied to no particular base in Iraq -- showed 26 cases of food and waterborne diseases, including hepatitis, giardiasis (an intestinal illness caused by a microscopic parasite) and typhoid fever.
By Henry Weinstein and Ashley Powers
LAS VEGAS -- The American Civil Liberties Union filed a class-action suit against the governor of Nevada and other state officials Thursday, alleging that they had failed to rectify "a pervasive pattern of grossly inadequate medical care" at the state's maximum-security prison in Ely.
"These deprivations are so extreme that they subject all the men confined there to constant significant risk of serious injury, medical harm [and] premature death," according to the suit filed in federal court in Reno by ACLU lawyers from Washington and Nevada.
In December, a Los Angeles Times investigation based on records and interviews described how prisoners at Ely had been denied care for heart problems, diabetes and other serious medical conditions. Last year, a nurse was fired after complaining about substandard care at the facility, which she said led to one inmate needlessly dying of gangrene.
At the time, the ACLU submitted to prison officials a scathing report about inadequate medical care at the facility written by Dr. William K. Noel of Boise, Idaho.
Noel, who had reviewed medical records of 35 inmates at the prison, concluded that the conditions at Ely amounted to "the grossest possible medical malpractice, and the most shocking and callous disregard for human life and human suffering that I have ever encountered in my 35 years of practice."
After Noel's report, ACLU lawyers said they met with state officials seeking swift change, but none came.
Amy Fettig of the ACLU's National Prison Project said the lawsuit was necessary because "the state just hasn't shown a sense of urgency in addressing the crisis at Ely. They assured us that they were going to carry out far-reaching reforms to address the problems . . . but that was months ago, and they've made only half-hearted gestures to fix their broken system."
Greg Smith, a spokesman for the Nevada Department of Corrections, said prison officials had been attempting to respond to the ACLU's concerns and were blindsided by the suit.
"Frankly, we're shocked by this development," Smith said. Nonetheless, he said, prison officials think the medical care at Ely is "more than adequate."
A spokesman for Gov. Jim Gibbons did not comment on the suit.
The suit names six inmates as plaintiffs but was filed on behalf of every inmate at the prison, including 60 men on death row. It alleges that Nevada officials have violated the inmates' right to due process and have inflicted cruel and unusual punishment on them.
Among the plaintiffs is inmate David Riker, who suffers from rheumatoid arthritis and fibromyalgia, conditions "which cause debilitating and chronic pain," the suit said.
A doctor who examined Riker in August 2006 prescribed medications and X-rays, but the prison's medical staff did not follow her orders, the suit said.
Instead, Max Carter, the prison's physician assistant, took him off the medications ordered by the doctor and stated that Riker did not have rheumatoid arthritis, even though he had been previously treated and diagnosed by several rheumatologists, the suit said.
Noel's report said Riker's untreated nerve pain was "a living hell." Noel said he found it "simply unimaginable" that a medical professional would refuse to treat severe, chronic pain of this type.
When another prisoner, John O. Snow, asked for pills in July to ease pain from his deteriorating joints, Carter's denial came with a missive saying that he was "gonna let you suffer," according to internal prison records.
ACLU lawyers said they were even more troubled by the response Carter sent to death row inmate Charles Randolph last year when he asked for a specific medicine to address his heart condition.
Carter said the medication was the wrong kind and potentially lethal, but he would be happy to prescribe it "so that your chances of expiring sooner are increased."
"The level of medical care provided at Ely is as horrific as any we have ever seen at any of the prison systems that we track across the country," said Margaret Winter of the ACLU's National Prison Project.
Lawyers for some Ely inmates say they think the lack of medical care has played a role in a high percentage of death row inmates giving up their appeals and "volunteering" to be executed. All but two of the 12 inmates executed in the state have been volunteers.
No other state in the nation has had close to that percentage of volunteers, records show.
By Jane Harman
The stories are shocking in their simplicity and brutality: A female military recruit is pinned down at knifepoint and raped repeatedly in her own barracks. Her attackers hid their faces but she identified them by their uniforms; they were her fellow soldiers. During a routine gynecological exam, a female soldier is attacked and raped by her military physician. Yet another young soldier, still adapting to life in a war zone, is raped by her commanding officer. Afraid for her standing in her unit, she feels she has nowhere to turn.
These are true stories, and, sadly, not isolated incidents. Women serving in the U.S. military are more likely to be raped by a fellow soldier than killed by enemy fire in Iraq.
The scope of the problem was brought into acute focus for me during a visit to the West Los Angeles VA Healthcare Center, where I met with female veterans and their doctors. My jaw dropped when the doctors told me that 41% of female veterans seen at the clinic say they were victims of sexual assault while in the military, and 29% report being raped during their military service. They spoke of their continued terror, feelings of helplessness and the downward spirals many of their lives have since taken.
Numbers reported by the Department of Defense show a sickening pattern. In 2006, 2,947 sexual assaults were reported -- 73% more than in 2004. The DOD's newest report, released this month, indicates that 2,688 reports were made in 2007, but a recent shift from calendar-year reporting to fiscal-year reporting makes comparisons with data from previous years much more difficult.
The Defense Department has made some efforts to manage this epidemic -- most notably in 2005, after the media received anonymous e-mail messages about sexual assaults at the Air Force Academy. The media scrutiny and congressional attention that followed led the DOD to create the Sexual Assault and Response Office. Since its inception, the office has initiated education and training programs, which have improved the reporting of cases of rapes and other sexual assaults. But more must be done to prevent attacks and to increase accountability.
At the heart of this crisis is an apparent inability or unwillingness to prosecute rapists in the ranks. According to DOD statistics, only 181 out of 2,212 subjects investigated for sexual assault in 2007, including 1,259 reports of rape, were referred to courts-martial, the equivalent of a criminal prosecution in the military. Another 218 were handled via nonpunitive administrative action or discharge, and 201 subjects were disciplined through "nonjudicial punishment," which means they may have been confined to quarters, assigned extra duty or received a similar slap on the wrist. In nearly half of the cases investigated, the chain of command took no action; more than a third of the time, that was because of "insufficient evidence."
This is in stark contrast to the civilian trend of prosecuting sexual assault. In California, for example, 44% of reported rapes result in arrests, and 64% of those who are arrested are prosecuted, according to the California Department of Justice.
The DOD must close this gap and remove the obstacles to effective investigation and prosecution. Failure to do so produces two harmful consequences: It deters victims from reporting, and it fails to deter offenders. The absence of rigorous prosecution perpetuates a culture tolerant of sexual assault -- an attitude that says "boys will be boys."
I have raised the issue with Defense Secretary Robert Gates. Although I believe that he is concerned, thus far, the military's response has been underwhelming -- and the apparent lack of urgency is inexcusable.
Congress is not doing much better. Although these sexual assault statistics are readily available, our oversight has failed to come to grips with the magnitude of the crisis. The abhorrent and graphic nature of the reports may make people uncomfortable, but that is no excuse for inaction. Congressional hearings are urgently needed to highlight the failure of existing policies. Most of our servicewomen and men are patriotic, courageous and hardworking people who embody the best of what it means to be an American. The failure to address military sexual assault runs counter to those ideals and shames us all.