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Gulf War and Afghanistan infectious diseases
VA presumes that nine infectious diseases are connected to service in the Gulf War region or Afghanistan.
We built these lists with AI from the regulations, the U.S. Code and VA.gov, so please check the official text too.
← Presumptive Condition Checker
Who qualifies
On or after August 2, 1990, in one of these places: Iraq, Kuwait, Saudi Arabia, Bahrain, Qatar, the United Arab Emirates, Oman, the neutral zone between Iraq and Saudi Arabia, or the waters of the Persian Gulf, Red Sea, Arabian Sea, Gulf of Aden or Gulf of Oman. Afghanistan counts on or after September 19, 2001.
- Iraq, Kuwait, Saudi Arabia, Bahrain, Qatar, the United Arab Emirates, Oman, or the neutral zone between Iraq and Saudi Arabia (on or after August 2, 1990)38 CFR 3.317(c)(3)(ii), (e)(2)
- On a ship or aircraft over the Persian Gulf, Red Sea, Arabian Sea, Gulf of Aden or Gulf of Oman (on or after August 2, 1990)38 CFR 3.317(e)(2)
- Afghanistan (on or after September 19, 2001)38 CFR 3.317(c)(3)(ii)
Conditions VA presumes (9)
- BrucellosisWithin 1 year after you left that service.38 CFR 3.317(c)(2)(i)
- Campylobacter jejuniWithin 1 year after you left that service.38 CFR 3.317(c)(2)(ii)
- Q fever (Coxiella burnetii)Within 1 year after you left that service.38 CFR 3.317(c)(2)(iii)
- MalariaWithin 1 year after you left that service, or later if its incubation period started during service.38 CFR 3.317(c)(2)(iv)
- Tuberculosis (Mycobacterium tuberculosis)No time limit.38 CFR 3.317(c)(2)(v)
- Nontyphoid SalmonellaWithin 1 year after you left that service.38 CFR 3.317(c)(2)(vi)
- ShigellaWithin 1 year after you left that service.38 CFR 3.317(c)(2)(vii)
- Visceral leishmaniasisNo time limit.38 CFR 3.317(c)(2)(viii)
- West Nile virusWithin 1 year after you left that service.38 CFR 3.317(c)(2)(ix)
Time limit
Most must have appeared, at a level of at least 10%, within 1 year after you left that service. Malaria can be later if the time it takes to develop (the incubation period) started during service. Tuberculosis and visceral leishmaniasis have no time limit.
You'd still need to show
- A current diagnosis of the condition from a doctor or other medical provider.
- Records that show your qualifying service, such as your DD214, orders, or unit or ship records.
- A discharge that isn't dishonorable.
- For most of these, medical records showing the disease within the time limit.
Even when a condition is on a list, VA can still decide it was caused by something else if there is evidence of that (the presumption can be rebutted).
Some later health problems can be linked to these diseases. Examples are Guillain-Barré syndrome after Campylobacter, or reactive arthritis after Salmonella or Shigella. VA asks a doctor whether the disease caused the later problem (38 CFR 3.317(d)).
The law: 38 U.S.C. 1118 · 38 CFR 3.317(c), (d)
On VA.gov: Gulf War illnesses linked to Southwest Asia service
Regulation text current as of October 15, 2026. This is general information from a free tool, not legal or medical advice, and not a decision. Only VA decides claims.
What to do next
VetEZ Claim is free, from VetClaims Alliance, a nonprofit. You review, sign and send each form yourself.
1. File an Intent to File (VA Form 21-0966)
It tells VA you plan to file. If you file your claim within 1 year, VA can pay you back to the date of your Intent to File.
2. File your claim (VA Form 21-526EZ)
List each condition. You can attach your evidence or send it later.
Did VA deny this condition before?
If it was added to a presumptive list after VA denied it, you can ask VA to look again with a Supplemental Claim (VA Form 20-0995). Open in your browser
3. Gather your evidence
- A current diagnosis of the condition from a doctor or other medical provider.
- Records that show your qualifying service, such as your DD214, orders, or unit or ship records.
- A discharge that isn't dishonorable.
- For most of these, medical records showing the disease within the time limit.
- Medical records from the time you were sick, including any test results.