ACTS OF PARLIAMENT XVII PARLIAMENT CHAMBER OF DEPUTIES Doc. XXII-bis N. 23 PARLIAMENTARY COMMISSION OF INQUIRY INTO CASES OF DEATH AND SEVERE ILLNESSES AFFECTING ITALIAN PERSONNEL ASSIGNED TO MILITARY MISSIONS ABROAD, FIRING RANGES AND THE SITES WHERE MUNITIONS ARE STOCKED, ON THE EXPOSURE TO PARTICULAR CHEMICAL, TOXIC AND RADIOLOGICAL FACTORS WITH A POSSIBLE PATHOGENIC EFFECT AND ADMINISTRATION OF VACCINES, WITH SPECIAL ATTENTION TO THE EFFECTS OF DEPLETED URANIUM SHELLS AND OF THE DISPERSION IN THE ENVIRONMENT OF NANOPARTICLES OF HEAVY MINERALS PRODUCED BY THE EXPLOSION OF WARFARE MATERIAL AND ANY RELATED INTERACTION (Established by the Chamber of Deputies resolution of 30 June 2015 amended with subsequent resolution of November 15, 2017) (Composition: Scanu, Chairperson; Catalano, Duranti, Deputy Chairpersons; Boldrini Paola, Rizzo, Secretaries; Amato, Capelli, Carrozza, Causin, Cirielli, Cova, Crivellari, Grillo, Lacquaniti, Massa, Pili, Simonetti, Vito, Zardini) INQUIRY REPORT (Rapporteur: Honourable Gian Piero SCANU) Approved by the Commission at its meeting on 7 February 2018 Sent to the Presidency of the Chamber of Deputies on February 7, 2018, pursuant to article 4, paragraph 2, of the resolution of the Chamber of Deputies of 30 June 2015, amended by subsequent resolution of 15 November 2017 STABILIMENTI TIPOGRAFICI CARLO COLOMBO BLANK PAGE Acts of Parliament - 3 - Chamber of Deputies XVII LEGISLATURE — DRAFT LAWS AND REPORTS — DOCUMENTS — DOC. XXII - BIS # 23 INDEX No more a forbidden peninsula, no more soldiers who died for no reason page 7 Chapter 1. » 10 INVESTIGATION CARRIED OUT BY THE COMMISSION OF INQUIRY 17th 1. Introduction » 10 2. The Commissions of Inquiry on depleted uranium established in the XIV and XV Parliament » 11 3. Results of the investigation carried out by the Commission of Inquiry on depleted uranium established in the XVI Parliament » 12 4. The institutional activity of the Uranium Commission in the XVII Parliament: temporal and methodological scanning » 13 5. Investigating strands » 14 6. Auditions » 16 7. Hearings of witnesses » 19 8. Transmission of documents to the judicial authority » 20 9. The missions » 21 9.1. Site visit at the NRTF - MUOS station of Niscemi » 22 10. Technical support activities to the Commission: working groups » 24 11. Progress reports » 25 12. Conclusive phase of the Commission investigatory works » 30 Chapter 2. » 32 CRITICALITIES AND PROPOSALS ON SAFETY AT WORK 1. CRITICALITIES » 32 1.1. The parliamentary inquiry and the judicial inquiries » 32 1.2. The lurking risks » 34 1.3. Strategic choices on workplace safety in the military world » 39 1.3.1. Employers without autonomous decision-making and spending powers » 40 1.3.2. "Domestic" inspectors » 43 Acts of Parliament - 4 - Chamber of Deputies XVII LEGISLATURE — DRAFT LAWS AND REPORTS — DOCUMENTS — DOC. XXII - BIS # 23 1.3.3. DVR and DUVRI omitted or inadequate page 44 1.3.4. RSPP and Competent Physician between inertias and language notes » 46 1.3.5. RLS appointed by the employer » 56 1.3.6. The CISAM and CETLI crisis » 57 1.3.7. A scientifically unacceptable epidemiological defence observatory » 59 1.3.8. Sanctions paid by the State » 63 1.4. From the "denialism" of the military summits to the "subservience" of the commission of inquiry » 64 1.4.1. The "denialism" of the military summits » 64 1.4.2. The request of the Commission of Inquiry » 70 2. THE PROPOSALS » 71 2.1. Occupational safety in the draft law A.C. 3925 » 71 2.2. Third party and efficient inspection services » 73 2.3. A National Labor Security Office » 74 2.4. Looking for the de facto employer » 75 2.5. RSPP and competent physicians prepared and self-employed » 75 2.6. Regenerated technical-operational bodies » 76 2.7. An RLS elected or designated by military workers » 77 2.8. An epidemiological research entrusted to the Istituto Superiore di Sanità (ISS - National Institute of Health) » 77 Chapter 3. » 80 CRITICAL ISSUES AND PROPOSALS ON THE SUBJECT OF WELFARE 1. For adequate welfare protection of armed forces personnel » 80 1.1 Fair compensation » 80 1.2 Compensation guaranteed by a mandatory insurance against work- related injuries and occupational diseases » 81 1.3 Comparison results » 83 2. Verification of causality and practical application, with particular reference to multifactorial diseases » 83 3. The proposed A.C. [Act of the Chamber] law 3925 » 87 Acts of Parliament - 5 - Chamber of Deputies XVII LEGISLATURE — DRAFT LAWS AND REPORTS — DOCUMENTS — DOC. XXII - BIS # 23 Chapter 4. page 90 FIRING RANGES 1. Introduction » 90 2. Safety at work and risk assessment » 92 3. Environmental safety: critical issues » 98 4. Regulatory changes » 106 Chapter 5. » 117 EFFECTS OF THE METHODS OF MILITARY PERSONNEL VACCINATION 1. Premise » 117 2. Work of the Commission on the topic. » 117 3. Investigation of the components of the vaccines administered to military personnel, regardless of the tasks assigned to said personnel » 118 4. Checks required on risks related to problems of immunosuppression, hyperimmunization, autoimmunity and hypersensitivity » 119 5. Hypersensitivity and allergies » 122 6. Undesirable effects, adverse reactions and contraindications » 126 7. Monitoring of the immune conditions of the observed subjects. Data analysis on the follow-up of the project called Study of genotoxic impact on military units (Studio sull'impatto genotossico nelle unità militari - SIGNUM) » 139 8. The methods of administration of vaccines. Article 1, lett. e) of the Commission decision » 143 9. Conclusions on the methods of administering vaccines » 144 Chapter 6. » 145 PARLIAMENT, GOVERNMENT AND ARMED FORCES FINAL REMARKS » 150 Acts of Parliament - 6 - Chamber of Deputies XVII LEGISLATURE — DRAFT LAWS AND REPORTS — DOCUMENTS — DOC. XXII - BIS # 23 ANNEXES page 153 ANNEX 1 » 153 Remarks by Vice-president Ivan Catalano on the analysis of the components of the authorised vaccines for mandatory military immunization policy, on data analysis of the follow-up of SIGNUM and on the data relating to neoplastic diseases affecting Italian servicemen ANNEX 2 Reports on missions carried out by the Commission » 203 ANNEX 3 List of hearings held by the Commission » 239 ANNEX 4 List of testimonial examinations held by the Commission » 244 ANNEX 5 External collaborators of the Commission » 249 Acts of Parliament - 7 - Chamber of Deputies XVII LEGISLATURE — DRAFT LAWS AND REPORTS — DOCUMENTS — DOC. XXII - BIS # 23 No more a forbidden peninsula, no more soldiers who died for no reason. It has become the emblem of the curse that for too many decades has weighed heavily upon the Army universe: a piece of land of our country, of rare beauty, where in Capo Teulada men was banned by itself; the Delta Peninsula used for over 50 years as the area of arrival of shots (from 2009 to 2013 about 24,000 between heavy artillery, missiles, rockets), that one where the movement of people and vehicles are permanently banned. Satellite images depict an uncontrolled landfill: 30,000 craters up to 19-20 meters in diameter. On the surface, tons of debris containing large quantities of pollutants able to contaminate soil, water, air, vegetation, animals. And, men. In Foxi, part of the municipality of Sant'Anna Arresi, near the area where military exercises, using armoured vehicles and live-fire activities including long range missiles, were carried out in the period 2000-2013, there is a doubled mortality rate due to all causes, and at least three times greater risk of cardiovascular disease (CVD) mortality and morbidity. And in other areas located near the firing range, such as Sa Portedda and Gutturu Saidu, excesses due to respiratory and digestive diseases, urinary system and tumours. A drainage was imposed by the Decree of the Minister of Defence of 22 October 2009, but the area continued to be a target for the exercises. At this point, inquiries carried out by the Public Prosecutor at the Court of Cagliari for the crime of wilful disaster were not surprising, following the "submission of complaints from citizens of Teulada or Sant'Anna Arresi, who reported that some relatives or themselves had contracted serious cancer diseases and assumed that this had happened as a result of having come into contact with contaminants spread by the exercise activities that took place into the firing range of Capo Teulada." A disaster involving the Delta Firing Range and the opposite seaside stretch, which was caused by military exercises even increased after and in violation of the Ministerial Decree of 2009. A disaster that is not surprising if we only reflect on the rules adopted by the Administration of Defence on the drainage of the Delta Firing Range under the banner of a disappointing "advantage": I. Rules for using the Firing Range of Capo Teulada (approved on 11 August 1987 by the Chief of Defence Staff) "D Range" (peninsula of Capo Teulada) has been permanently banned to the movement of men and means. In fact, it is used exclusively as an area of arrival of shots (bullets, rockets and bombs) and no drainage operations are carried out on it”. II. Regulation of the environment protection of the Firing Range of Capo Teulada (approved on 12 May 2008 by the Commander General of the Military Command of Sardinia) “D Range” Acts of Parliament - 8 - Chamber of Deputies XVII LEGISLATURE — DRAFT LAWS AND REPORTS — DOCUMENTS — DOC. XXII - BIS # 23 Located in south, on the Capo Teulada peninsula, which is permanently banned to transit of means and persons due to the presence of explosive debris of which the drainage is not possible nor advantageous”. III. Rules for using the permanent Range of Capo Teulada (approved on 30 March 2010 by the Commander General of the Autonomous Military Command of Sardinia) Section I “D Range” Located in south, on the Capo Teulada peninsula, which is permanently banned to transit of means and persons due to the presence of explosive debris of which the drainage is not possible nor advantageous.