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Toxic Embedded Fragment Surveillance Center

Doctor with Veteran patient

VA's Toxic Embedded Fragment Surveillance Center at the Baltimore VA Medical Center offers medical surveillance for post-9/11 Veterans with embedded fragments as the result of injury received while serving in an area of conflict.

The Center:

  • Provides special testing for metals that might be released from the fragments
  • Maintains a registry of Veterans who have had a fragment removed or who still have a fragment in their body
  • Uses information from the registry to write guidelines for medical care
  • Provides guidelines for medical care to other VA health care providers across the country

Contact your local VA Environmental Health Coordinator, OEF/OIF Clinical Coordinator, or VA Primary Care Team about getting a registry evaluation.


All post-9/11 Veterans who have, or likely have, an embedded fragment as the result of injury received while serving in an area of conflict are eligible for the Toxic Embedded Fragment program and registry.

Download a fact sheet about the Center in English or Spanish

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VA - OEF OIF and OND team locator. Get a direct link to your local OEF OIF OND program office


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