Inbox: Are there treatments that work? #HavanaSyndrome

Note: We received the note below from a Foreign Service employee who asked not to be identified. The sender gave us permission to publish this note as long as we remove potential identifying information related to specific posts and dates. We are wondering how many more out there similarly had to deal with a non-responsive  Bureau of Medical Services whose mission is “to promote and safeguard the health and well-being of America’s diplomatic community.” How many are in limbo about their condition? How many never heard from anyone about what the next steps should be?
–DS
I brought up my symptoms to the Health Unit (HU) where I was posted, and asked to receive an assessment for those symptoms even though my “attack” did not happen within the time frame specified in the Management Notice that went out via all HUs around the world. I was given the assessment, and several of my symptoms were identified as being similar to the Havana syndrome symptoms that began after my 26 months in Post Z (2008 – 2010): sudden onset of chronic insomnia, loss of smell, difficulty concentrating, and tinnitus/loss of hearing. The results of my assessment were sent to State/MED over a year ago, and I requested the HU at Post to indicate I would like a follow up. Since then I have had no communications from MED on this, despite having sent emails to various different persons in MED asking what the next steps were.  
I continue to have these symptoms. I was medevac’d from one post whose HU thought it was PTSD from Baghdad; I tried to explain I had been taking OTC sleep aids since 2009 in Post Z and that slowly but surely their efficacy had diminished. I thought I had just spontaneously developed the condition because of stress or pollution in Country Z. Unfortunately, the various symptoms have had a significant quality of life impact, both professionally and personally, and at this point I am very frustrated with State and MED for the lack of follow up. At the very least I would like to have additional assessments to see if my brain shows the patterns that our colleagues in Moscow, Havana, and Guangzhou also exhibit. I would also like to have available to me whatever resources are available from State to help work through some of these symptoms. Are there treatments that work? It would be great to get some relief.

 

 


 

 

Snapshot: Qualifying Injury Under 3 FAM 3660 – Compensation For Certain Injuries

13 GoingOn 14: Help Keep the Blog Going For 2021 — GFM: https://gofund.me/32671a27

 

A section in the Foreign Affairs Manual was added on May 28, 2020 (see 3 FAM 3660 Compensation for Certain Injuries). It is based on Public Law 116-94, Division J, Title IX, section 901, where:
“Congress allows the Secretary of State to pay benefits to certain Department of State personnel under chief of mission authority who incurred a qualifying injury and are receiving benefits under section 8105 or 8106 of Title 5, United States Code.  It further authorizes the Secretary of State to pay for the costs of diagnosing and treating a qualifying injury of a covered employee, as defined in 3 FAM 3662, that are not otherwise covered by chapter 81 of Title 5, United States Code (the Federal Employees Compensation Act (FECA)) or other provision of Federal law; and to pay the costs of diagnosing and treating a qualifying injury of a covered individual or covered dependent, as defined in 3 FAM 3662, that are not otherwise covered by Federal law.”
3 FAM 3660 also includes definitions on who are covered employees, or covered individuals, what’s a “qualifying injury”, and the description of recognized and eligible qualifying injuries as of June 26, 2018.

3 FAM 3662  DEFINITIONS
(CT:PER-994;   05-28-2020)
(Uniform State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Foreign Service and Civil Service Employees)

Qualifying injury:  The term “qualifying injury” means the following:

(1)  With respect to a covered dependent, an injury listed in (3) below incurred

(a)  during a period in which a covered dependent is accompanying an employee to an assigned duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country designated by the Secretary of State under 3 FAM 3666;

(b)  in connection with war, insurgency, hostile act, terrorist activity, or other incident designated by the Secretary of State; and

(c)  that was not the result of the willful misconduct of the covered dependent.

(2)  With respect to a covered employee or a covered individual, an injury listed in (3) below incurred

(a)  during a period of assignment to a duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country designated by the Secretary of State under 3 FAM 3666;

(b)  in connection with war, insurgency, hostile act, terrorist activity, or other incident designated by the Secretary of State; and

(c)  that was not the result of the willful misconduct of the covered employee or covered individual.

(3)  Recognized and eligible qualifying injuries, as of 26 June 2018, based on the University of Pennsylvania-identified criteria, include the following:

        • sharp localized ear pain;
        • dull unilateral headache;
        • tinnitus in one ear;
        • vertigo,
        • visual focusing issues;
        • disorientation;
        • nausea;
        • extreme fatigue;
        • cognitive problems, including difficulty with concentration, working memory, and attention;
        • recurrent headache;
        • high-frequency unilateral hearing loss;
        • sleep disturbance;
        • and imbalance walking.

3 FAM 3666  SECRETARY OF STATE COUNTRY DESIGNATION
(CT:PER-994;   05-28-2020)
(Uniform State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Foreign Service and Civil Service Employees)

a. Under Public Law 116-94, Division J, Title IX, section 901, the Secretary of State may designate another foreign country for the purposes of this section, provided that the Secretary reports such designation to the Committee on Foreign Relations of the Senate and the Committee on Foreign Affairs of the House of Representatives, and includes in such report a rationale for each such designation.

b. The Secretary of State may not designate an added foreign country or duty station for the purposes of providing additional monetary benefit pursuant to 3 FAM 3663 or 3 FAM 3664 for a qualifying injury to covered employees, covered dependents, or covered individuals under this section unless the Secretary of State

(1)  provides to the Committees on Foreign Relations of the Senate and the Committee on Foreign Affairs of the House of Representatives 30 days’ notice of the designation of a particular additional country or duty station and the rationale for such an addition; and

(2)  provides no such additional monetary benefit pursuant to 3 FAM 3663 or 3 FAM 3664  to covered employees, covered dependents, or covered individuals for a qualifying injury until the 30-day notice period expires, unless there is written agreement by both the Chair and Ranking Members of both the Committee on Foreign Relations of the Senate and the Committee on Foreign Affairs of the House of Representatives that there is no objection to proceeding with provision of such monetary benefit compensation in less than 30 days.


 

 

Mystery Illness: “a much larger scale and widespread attack against our diplomatic corps, and our families”

Following the publication of ARB on Havana Syndrome Response: Pray Tell, Who Was in Charge? and Oh ARB China, Where Art Thou?, we received the following in our inbox:
This is an interesting piece though it cites only 15 cases in China. I personally know of more cases involving people posted in Beijing, Shanghai, and Shenyang. After the stories from Guangzhou broke, there was strong suppression by the Department in China. And yes, family members, including children, were victims of attacks.
This is a much larger scale and widespread attack against our diplomatic corps, and our families, than is being acknowledged and reported. If I hadn’t been so naive about the department’s willingness to take care of those injured and push to stop the attacks, I would have better documented all of the information I was coming across.
Please know that there are many more, in cities across China, that were attacked.
We asked a separate source who was acutely familiar of these attacks and he/she confirmed that there were attacks beyond Guangzhou in China and that there was suppression of information about the attacks in China by the State Department.
Also, what if Patient Zero in Havana, a CIA employee widely accepted to have been injured in December 2016 was not the  first attack?
What if an individual who served at an affected country had a mystery illness much earlier that doctors could not figure out?
There is a story there.
And what about foreign nationals injured in these attacks? This separate source told us:
“State knows that foreign nationals have been affected but has covered this up….There were certainly Chinese nationals injured in China and certain career officials at State know this very well and have gone to great lengths to cover up and suppress this.”
There are stories that still need to be told.
It would be so wrong and disgraceful to allow individuals to deal with this illness on their own.
On February 24, CNN reported that the CIA has set up its first-ever task force to focus on suspected microwave attacks on intelligence officers and diplomats:
“Sources familiar with the ongoing investigations out of the separate US agencies — including the CIA, the FBI, the Centers for Disease Control and Prevention (CDC), and the State Department — say that a major impediment to their efficacy is the fact that they are largely siloed efforts. Interagency coordination has been limited, in part due to the highly classified nature of some details and the privacy restrictions of health records, and that has hampered progress.
It is not clear if the Biden administration will bring the multiple investigations of these suspected microwave attacks under one roof, but officials at the National Security Council are discussing that possibility, two sources familiar with the discussions told CNN. “
Our government needs to get rid of the darn silos. It needs a real inter-agency investigation to get a full accounting of what happened. They also need to expand their timeline to 6-12 months earlier than the first reported incidents, and include any mystery illness reported by employees across the globe.
Just as important as learning about what happened, and about the government’s response  — how will our people be protected against the next attacks?

 


 

 

Havana Syndrome: @StateDept Says Investigation “Ongoing and Is a High Priority”

We recently posted ARB on Havana Syndrome Response: Pray Tell, Who Was in Charge?.  While reading that report, we requested an update from the State Department on actions the Secretary of State took in response to the ARB report. We were also interested in learning about any outstanding issues from the ARB Havana Report not addressed under the previous administration, and what actions Secretary Blinken intend to do to fully address the recommendations of the ARB Board.  And we were very interested if WHA, EUR, EAP and the Secretariat had been tasked with putting together a full timeline and lessons learned based on the official State Department response to the Havana syndrome incidents in Havana, Guangzhou and Tashkent?
So far, under new management, Foggy Bottom has responded to our inquiry.  The following is a response from a State Department spokesperson:

We have no higher priority than the safety and security of U.S. personnel, their families, and other U.S. citizens.

The U.S. Government is working to determine what happened to our staff and their families and to ensure the well-being and health of our officials going forward. That investigation is ongoing and is a high priority.

Secretary Blinken requested a comprehensive briefing on the issue during the transition, and he has received updates during his time in office. He has made clear that this is a priority for him, and those updates will continue on a regular basis.

The Department established an interagency task force to coordinate the U.S. government’s response to these incidents in May 2018. To reassert the Department’s leadership and responsibility for U.S. government personnel overseas, this week we elevated the coordinator role to a senior level position so that a high-level official will be empowered to advise senior Department leadership, coordinate the Department’s interagency response to the health security incidents, and provide continuing support to affected personnel.  This advisor will be positioned in a senior role and report directly to the Department’s senior leadership to ensure that we continue to make significant strides to address this issue and to ensure our people are receiving the treatment they need.

We will have additional details on this new role in the coming days.

We’ll be in the lookout!

 

 

ARB on Havana Syndrome Response: Pray Tell, Who Was in Charge?

On February 10, 2021, the GWU’s National Security Archive published the report of the Accountability Review Board (ARB) for Havana, Cuba dated June 2018. The ARB document was classified SECRET/NOFORN with declassification date of June 7, 2043. It was released via a Freedom of Information Act request. 
The report includes a timeline from the Bureau of Western Hemisphere compiled at the request of the Cuba Accountability Review Board.  We are working on merging that timeline with the personnel churn that occurred around the same time at the State Department. We should also note that the report includes other attachments like an unclassified 2-page Memorandum dated, April 11, 2018 from Deputy Legal Adviser Joshua L. Dorosin to ARB Chair Ambassador Peter Bodde entitled, “ARB Questions Related to the Exercise of M Authorities from January 21, 2017 to present. This memorandum was redacted under B(5). A 2-page document labeled (SBU) Department of State’s High Treat High Risk Post Review Process effective, January 2, 2018 was released with the ARB report but also redacted under B7(F)
Take aways from the ARB-Cuba Report:
—. ARB

The Cuba Accountability Review Board was convened on February 8, 2018, some thirteen months after individuals first visited Embassy Havana’s MED unit reporting of various symptoms including headache, ear pain, dizziness, and hearing problems in late December 2016. The ARB report is an interim response/findings. The ARB says, “a final review should be undertaken.” (Also see Coming Soon – Accountability Review Board Havana For Mysterious Attacks in Cuba)

—. WHAT WE DON’T KNOW

According to the ARB, the last Havana incidents resulting in medically confirmed injury took place at the end of August 2017. As of June 2018, the date of the report, the ARB writes “We do know that USG and Canadian diplomatic community members were injured, but we do not know how. We do not know what happened, when it happened, who did it, or why.”

—. CLOSE IT AND FORGET IT?

According to the Bureau of Western Hemisphere’s (WHA) timeline, Secretary Tillerson ordered the Departure of Non-Emergency Personnel from Havana on September 29, 2017. OD can be initiated by chief of mission or the Secretary of State. But. According to the ARB, “the decision to draw down the staff in Havana does not appear to have followed standard Department of State procedures and was neither preceded nor followed by any formal analysis of the risks and benefits of continued physical presence of U.S. government employees in Havana. After six months of ordered departure, Havana was designated an unaccompanied post in March 2018.” (Also see US Embassy #Cuba Now on Ordered Departure Over “Attacks of an Unknown Nature”).

(Can we revisit this for another blogpost? Reach out if you have some thoughts about our continuing presence in Havana).

The ARB adds, “Neither the Department’s High Threat High Risk Post Review (HTHR) Process nor the former Vital Presence Validation (VP2) Process were enacted.” No risk benefit analysis has been done for Cuba as of June 7, 2018. “Many Department leaders interviewed by the Board, no one could explain why this has not happened, except to suggest that [REDACTED].

—. LACK OF SENIOR LEADERSHIP AND ALL THAT

“The Department of State’s response to these incidents was characterized by a lack of senior leadership, ineffective communication, and systemic disorganization. No senior official was ever designated as having overall responsibility, which resulted in many of the other issues this reports presents. The interagency response was stove-piped and largely ad hoc. In our report, the Board makes recommendations on accountability, interagency coordination, communication and information sharing, medical issues, risk benefit calculations, and security operations.”

—. SERIOUS DEFICIENCIES

“For the period after February 15, 2017, the Board found serious deficiencies in the Department’s response in areas of accountability, interagency coordination, and communication, at all levels, both at Post and in Washington. These deficiencies contributed to the confusion surrounding the events, and delayed effective, coordinated action. The Board finds the lack of a designated official at the Under Secretary level to manage the response to be the single most significant deficiency in the Department’s response.

—. NO ONE IN CHAAAARGE, WHHHHY?

The ARB report says, “To this day no senior official at the Department has been assigned responsibility for leading and coordinating efforts to assess past incidents and prevent/mitigate future events. No Department of State task force was formed. There was no interagency working group [REDACTED].” Nor was a dedicated, internal State Department group was created.

—. EMERGENCY ACTION COMMITTEE (EAC)

The WHA Timeline indicates that Embassy Havana held an Emergency Action Committee (EAC) meeting (17 HAVANA31) on April 3, 2017 to assess the threat and holds an all hands meeting for cleared Americans. First Post EAC Meeting conducted more than 4 months after individuals believed they were first impacted. Wait, and it was over 6 weeks after officials at Post and in Washington had the first (unverified) information of injury?

The ARB says that “The Emergency Action Committee (EAC), an Embassy Front Office responsibility, is an essential element of security policy infrastructure REDACTED.” Still, “once the EAC cable was received, the Department’s response tempo increased, although in a stove-piped and inadequately coordinated manner in the absence of an Under Secretary for Management or a designated responsible Department official.”

—. FIRST BRIEFING DELAY AND EXCLUSION OF FAMILY MEMBERS

The ARB report says, “The Board finds the delay of almost six weeks between first knowledge of injury and the first briefing of Embassy staff to be unfortunate and the exclusion of family members from this knowledge to be unjustified, given the incidents were taking place at residences. According to the WHA timeline, on April 17, 2017, Embassy Havana held its first meeting with Embassy spouses [REDACTED].

–. UGH! WHAT WERE YOU THINKING, PEOPLE?

That Eligible Family Members, occasionally known as “just spouses” have no need to know anything that may turn their brains to mush?

-—. DOMESTIC MEDEVAC AUTHORITY, WHO DIS?

The ARB report says that “The lack of standing authority for the Department of State Medical Director to approve medical evacuations between domestic locations when required added additional steps and bureaucratic time requirements to the medevac process.” It also says that “To accomplish these medevacs the Medical Director was required to request special authority which was then granted specific only to the Cuba events. In the future when another event occurs which requires domestic medevacs State MED will need to repeat the same administrative process specific to that event.”

Required by whom? Request special authority from where?
—. DELEGATION OF AUTHORITY FIASCO.
In July 2017, this was posted on the blog: Tillerson Rescinds Delegated Authorities Department-Wide, Further Gums Up Foggy Bottom. Yep, remember that? Also Making Sense of Tillerson’s Rescinded Delegations of Authority @StateDept
Now, we’re reading about that decision in the ARB report: 

“The July 2017 decision rescinding many delegated State Department authorities by the then-Secretary of State, followed by the limited and poorly documented re-delegation of some of those authorities created widespread confusion about authorities. It resulted in understandable concern and hesitation on the part of persons in acting positions who feared exceeding their authorities.”

“Vacant senior positions and lack of clarity regarding delegated authorities delayed an effective response.”

“Individuals filling Under Secretary and Assistant Secretary Positions in an acting capacity during an extraordinarily prolonged transition were hampered by the rescinding of delegated authorities and the ensuing confusion regarding those authorities that were eventually re­-delegated.”

—. NSDD-38 PROCESS

One of ARB-Cuba’s recommendations says that “The Department should convene a high level review of the NSDD-38 process as it is currently implemented. Following the review, the Department should issue guidance to all employees and agencies regarding requirements and should hold agencies accountable.. In another recommendation, it says “The Department should ensure that the NSDD-38 processes are followed [REDACTED]”

Per 6 FAH-5 H-350, the National Security Decision Directive–38 (NSDD-38) process is the mechanism by which a COM exercises his or her authority to determine the size, composition, and mandate of U.S. Government executive branch agencies at his or her mission.

— WAITING FOR THE TICK TOCK

The ARB report says that “Given that this is an unprecedented event, it would be helpful to have an accurate record of what was done, by whom, when, and why. In order to learn the right lessons from this incident, it is essential to have an accurate written record.” 

Also that “WHA and S staff should create a timeline (tick tock) of communication, decisions, and actions taken to date (June 7, 2018) in response to the incidents. The investigation into the incidents and Department’s response should remain open until the Department determines what happened. This timeline is a critical part of the discussion and lessons-learned process.” 

—. CHIEF OF MISSION

The ARB report reveals: “In exploring the guidance given to the COM regarding his responsibility for the security of all executive branch employees, the Board learned the COM did not have a letter of instruction. Presidentially-appointed, Senate-confirmed ambassadors all receive a letter of instruction from the President detailing their responsibilities. Typically the responsibility for the safety and security of American citizens and U.S. government employees features prominently in these letters. In other posts where a COM is not Senate confirmed, the Department sometimes issues a letter of instruction from the Secretary of State which serves a similar purpose.”

Wait, Secretary Tillerson’s top notch advisers did not know enough to advise the issuance of the letter of instruction?
—. BUREAU DE-FACTO LEADERSHIP

The ARB report says, “The Bureau of Western Hemisphere Affairs was frequently cited by those interviewed as the “de facto” lead bureau within the State Department. WHA leaders attempted to fill some of the gap created by the lengthy vacancies at the Under Secretary level, and convened a number of meetings for the purpose of sharing information. They were largely unsuccessful at actual coordination, in part because they did not have the authority to direct action on the part of other bureaus. They were almost invariably in a reactive mode and never put forward a cohesive plan of action for the future. They were also hampered by their very limited access to the senior leadership of the Department.”

—. EXCESSIVE SECRECY!

Ah, the ARB report says that “Both at Post and in Washington, response to the incidents was characterized by excessive secrecy that contributed to a delayed response.”

Also that “WHA’s reliance on informal consultation with the Department’s leadership made it difficult for the Board to develop an accurate picture of decision making regarding the incident.”

The report says, “Informal communication between WHA and the senior leadership of the State Department contributed to the lack of coherence in the response. Normal Department reporting channels and methods were routinely disregarded in the response to the Cuba incidents. WHA officials were instructed to limit distribution of information to a select group of officials. As a result, accountability was never clearly established and there was no coordination within the Department. The most frequent communication with the senior leadership was to the Secretary of State’s chief of staff via email. Contemporaneous documentation of these interactions is scant.”

Now, don’t we all want to know who kept this very, very quiet? Why would WHA rely on “informal consultations”?  Who gave instruction to WHA to limit distribution of information to a select group of officials? State.gov emails are government records. How is it that the ARB had no access to the most frequent communication on this matter with senior leadership at State? What about Tillerson’s chief of staff’s emails? Wait, are these state.gov emails? Why are contemporaneous documentation of these interactions scant? What happened to memcons? Were there instructions not to put anything about these interactions in writing? If so, who gave those instructions? Who were the officials who downplayed these attacks?  Curious minds would like to know. 

 


 

 

 

@StateDept’s Mystery Illness: The “It Depends” Treatment of Injured Personnel

Via NYT:

According to a whistle-blower complaint filed by Mr. Lenzi, the State Department took action only after Ms. Werner’s visiting mother, an Air Force veteran, used a device to record high levels of microwave radiation in her daughter’s apartment. The mother also fell ill. That May, American officials held a meeting to reassure U.S. officers in Guangzhou that Ms. Werner’s sickness appeared to be an isolated case.
[…]
But Mr. Lenzi, a diplomatic security officer, wrote in a memo to the White House that his supervisor insisted on using inferior equipment to measure microwaves in Ms. Werner’s apartment, calling it a “check-the-box exercise.”

“They didn’t find anything, because they didn’t want to find anything,” Mr. Lenzi said.

He sent an email warning American diplomats in China that they might be in danger. His superiors sent a psychiatrist to evaluate him and gave him an official “letter of admonishment,” Mr. Lenzi said.

Months after he began reporting symptoms of brain injury, he and his family were medically evacuated to the University of Pennsylvania.
[…]

The State Department labeled only one China officer as having the “full constellation” of symptoms consistent with the Cuba cases: Ms. Werner, the first evacuee. In an internal letter, the department said 15 others in Guangzhou, Shanghai and Beijing had some symptoms and clinical findings “similar to those” in Cuba, but it had not determined they were suffering from “Havana syndrome.”

Doctors at the University of Pennsylvania said they did not share individual brain scans with the State Department, so the government lacked necessary information to rule out brain injuries in China.

“It seems to me and my doctors that State does not want any additional cases from China,” Mr. Garfield wrote, “regardless of the medical findings.”

@StateDept Updates Regulations to Include New Compensation For Certain Injuries #MysteryIllness #TheThing

 

On May 28, 2020, the State Department updated the Foreign Affairs Manual to include Compensation for Certain Injuries for State, USAID, USAGM, Commerce, Foreign Service Corps-USDA Foreign Service and Civil Service Employees who becomes injured “by reason of a qualifying injury and was assigned to a duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country as designated by the Secretary of State under 3 FAM 3666.”

3 FAM 3660 COMPENSATION FOR CERTAIN INJURIES
(CT:PER-994;   05-28-2020)
(Uniform State/USAID/USAGM/Commerce/Foreign Service Corps-USDA)
(Applies to Foreign Service and Civil Service Employees)

a. Pursuant to Public Law 116-94, Division J, Title IX, section 901, Congress allows the Secretary of State to pay benefits to certain Department of State personnel under chief of mission authority who incurred a qualifying injury and are receiving benefits under section 8105 or 8106 of Title 5, United States Code.  It further authorizes the Secretary of State to pay for the costs of diagnosing and treating a qualifying injury of a covered employee, as defined in 3 FAM 3662, that are not otherwise covered by chapter 81 of Title 5, United States Code (the Federal Employees Compensation Act (FECA)) or other provision of Federal law; and to pay the costs of diagnosing and treating a qualifying injury of a covered individual or covered dependent, as defined in 3 FAM 3662, that are not otherwise covered by Federal law.

b. The Bureau of Global Talent Management (GTM) administers this program.

c.  Under this program, covered employees, as defined in 3 FAM 3662, may qualify for a monthly monetary benefit if they are receiving benefits under section 8105 or 8106 of Title 5, United States Code.

d. Under this program, a covered employee, covered individual, or covered dependent, as defined below, may qualify for reimbursement for the costs of diagnosing and treating a qualifying injury which are not otherwise covered.

e. Payments made under this provision are not considered workers’ compensation payments.

[…]

Covered employee:  An employee of the Department of State who, on or after January 1, 2016, becomes injured by reason of a qualifying injury and was assigned to a duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country as designated by the Secretary of State under 3 FAM 3666.

(1)  For purposes of 3 FAM 3663, the following career-type employees are considered “employees of the Department of State” to whom this benefit may apply:  Department of State Foreign Service Officers, Department of State Foreign Service Specialists, and career Department of State Civil Service employees working overseas on detail or a Limited Non-Career Appointment (LNA).

Note that per FAM: The following are NOT considered “employees of the Department of State” for purposes of 3 FAM 3663:  retired employees and employees of other agencies; employees on limited appointments including LNAs (except as discussed above), Family Member Appointments (FMA), Foreign Service Family Reserve Corps (FSFRC), Expanded Professional Associates Program (EPAP), and Consular Affairs – Appointment Eligible Family Member (CA-AEFM) Adjudicator positions. Employees hired on a Personal Services Agreement (PSA) or Personal Services Contract (PSC) are also not employees under this section.     

 (2)  For purposes of 3 FAM 3664, the following employees are considered “employees of the Department of State” to whom this benefit may apply: Department of State Foreign Service Officers; Department of State Foreign Service Specialists; Department of State Civil Service employees; employees on Limited Non-Career Appointments (LNA), Family Member Appointments (FMA), Foreign Service Family Reserve Corps (FSFRC), Expanded Professional Associates Program (EPAP), and Consular Affairs – Appointment Eligible Family Member (CA-AEFM) Adjudicator positions.

Note that the following are not considered “employees of the Department of State” for purposes of 3 FAM 3664:  employees hired on a Personal Services Agreement (PSA) or Personal Services Contract (PSC); retired employees, and employees of other agencies.

Covered individual:  An individual who, on or after January 1, 2016, becomes injured by reason of a qualifying injury and is

(1)  detailed to a duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country designated by the Secretary of State under 3 FAM 3666; or

(2)  affiliated with the Department of State, as determined by the Secretary of State.

(3)  Per Memorandum signed 24 April 2020, the Under Secretary for Management has determined that other agency employees under chief of mission authority are “affiliated with the Department of State.”

Covered dependent:  A family member of a Federal employee who, on or after January 1, 2016,

(1)  accompanies the employee to an assigned duty station in the Republic of Cuba, the People’s Republic of China, or another foreign country designated by the Secretary of State under 3 FAM 3666; and

(2)  becomes injured by reason of a qualifying injury.

Family member:  An individual who is an “Eligible Family Member” as defined in 14 FAM 511.3.

Continue reading

Canada Study: Mosquito Fumigation May Have Caused ‘Havana Syndrome’

 

 

You may access the report here or read it below:

Wait, they want an employee to “prove causation” for a mystery illness?

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New Report: Scans Show Changes to Brains of U.S. Embassy Havana Staffers

 

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