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Beginning with the19901991 Gulf War, more than 3.7 million U.S. service members have been deployed to Southwest Asia, where they have been exposed to a number ofairborne hazards, including oil-well fire smoke,emissions from open burn pits, dust and sand, diesel exhaust, andpoor-quality ambient air. Many service members, particularly those whoserved in Iraq and Afghanistan, have reported health problems theyattribute to their exposure to emissions from open-airburn pits on military installations.In 2013, Congressdirected the Department of Veterans Affairs (VA) to establish andmaintain the Airborne Hazards and Open Burn Pit (AH&OBP) Registry to "ascertain and monitor" the health effects of such exposures.This report serves as a follow-up to an initial assessment of theAH&OBP Registry completed by an independent committee of theNational Academies in 2017. This reassessment does not include anystrength-of-the-evidence assessments of potential relationshipsbetween exposures to burn pits or airborne hazards and health effects.Rather, this report assesses the ability of the registry to fulfill theintended purposes that Congress and VA have specified for it.