WTC Medical Monitoring and Treatment Program: Comprehensive Health Care Response in Aftermath of Disaster

Details

• Personal Author:
  Herbert R ; Landrigan, Philip J. ; Levin S ; Luft BJ ; Moline JM ; Stein D ; Udasin IG
• Description:
  The attack on the World Trade Center (WTC) on September 11th, 2001 exposed thousands of individuals to an unprecedented mix of chemicals, combustion products and micronized building materials. Clinicians at the Mount Sinai Irving Selikoff Center for Occupational and Environmental Medicine, in partnership with affected stakeholder organizations, developed a medical screening program to evaluate the health status of workers and volunteers who spent time at the WTC site and thus sustained exposure in the aftermath of September 11th. Standardized questionnaires were adapted for use in this unique population and all clinicians underwent training to ensure comparability. The WTC Worker and Volunteer Medical Screening Program (MSP) received federal funding in April 2002 and examinations began in July 2002. The MSP and the follow up medical monitoring program has successfully recruited nearly 22,000 responders, and serves as a model for the rapid development of a medical screening program to assess the health of populations exposed to environmental hazards as a result of natural and man-made disasters. The MSP constitutes a successful screening program for WTC responders. We discuss the challenges that confronted the program; the absence of a prior model for the rapid development of a program to evaluate results from mixed chemical exposures; little documentation of the size of the exposed population or of who might have been exposed; and uncertainty about both the nature and potential severity of immediate and long-term health effects. [Description provided by NIOSH]
• Subjects:
  Chemistry Construction Industry Construction Materials Disaster Planning Dust Fires Hazardous Substances Health Care Facilities Workforce And Services Health Personnel Health Promotion Occupational Exposure Occupational Health Particulate Matter Safety Surveys And Questionnaires Workplace

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• Keywords:
  Chemical-deposition Chemical-synthesis Construction-materials Disaster-planning Dust-exposure Dust-particles Dusts Fire-hazards Health-care-personnel Health-hazards Health-programs Health-services Medical-facilities Medical-monitoring Medical-personnel Medical-rescue-services Medical-screening Medical-services Medical-surveys Occupational-exposure Occupational-hazards Particle-aerodynamics Particulate-dust Particulates Work-analysis Work-environment Work-operations Worker-health Workplace-studies

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• ISSN:
  0027-2507
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  67-75
• Volume:
  75
• Issue:
  2
• NIOSHTIC Number:
  nn:20034599
• Citation:
  Mt Sinai J Med 2008 Mar-Apr; 75(2):67-75
• Contact Point Address:
  Jacqueline M. Moline, Mount Sinai School of Medicine, Department of Community & Preventive Medicine, New York, NY
• Email:
  jacqueline.moline@mssm.edu
• Federal Fiscal Year:
  2008
• NORA Priority Area:
  Services
• Performing Organization:
  Mount Sinai School of Medicine of New York University
• Peer Reviewed:
  True
• Start Date:
  20040715
• Source Full Name:
  Mount Sinai Journal of Medicine
• End Date:
  20090714
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:146f2fa0a30a75934393b4031f8cf9cf2176d3dc8812549963ebc83096f88789651070d7bf3f9983424313c5ee1ac9b79fecf23f726552cde67a436482f04408
• Download URL:
  https://stacks.cdc.gov/view/cdc/186751/cdc_186751_DS1.pdf
• File Type:
  [PDF - 98.35 KB ]