As early as 1997, British Army doctors warned the Ministry of Defence that exposure to depleted uranium increased the risk of developing lung, lymph and brain cancer, and recommended a series of safety precautions. According to a report issued summarizing the advice of the doctors, "Inhalation of insoluble uranium dioxide dust will lead to accumulation in the lungs with very slow clearance—if any. ... Although chemical toxicity is low, there may be localised radiation damage of the lung leading to cancer." The report warns that "All personnel ... should be aware that uranium dust inhalation carries a long-term risk ... dust has been shown to increase the risks of developing lung, lymph and brain cancers." In 2003, the Royal Society called, again, for urgent attention to be paid to the possible health and environmental impact of depleted uranium, and added its backing to the United Nations Environment Programme's call for a scientific assessment of sites struck with depleted uranium. In early 2004, the UK Pensions Appeal Tribunal Service attributed birth defect claims from a February 1991 Gulf War combat veteran to depleted uranium poisoning. Also, a 2005 epidemiology review concluded: "In aggregate the human epidemiological evidence is consistent with increased risk of birth defects in offspring of persons exposed to DU." Studies using cultured cells and laboratory rodents continue to suggest the possibility of leukemogenic, genetic, reproductive, and neurological effects from chronic exposure.