Occupational asthma and lower airway disease among World Trade Center workers and volunteers

Details

• Personal Author:
  de la Hoz RE
• Description:
  The World Trade Center (WTC) disaster and its recovery work involved a range of hazardous occupational exposures that have not been fully characterized but can be reasonably assumed to have the potential to cause mucosal inflammation in the upper and lower airways. A high prevalence of lower airway disease (LAD) symptoms was reported by several early surveys. Clinical studies further categorized the diagnoses as irritant-induced asthma (of subacute onset), nonspecific chronic bronchitis, chronic bronchiolitis, or aggravated preexistent obstructive pulmonary disease in a substantial proportion of patients. Risk factors for WTC-related LAD included early (on September 11 or 12, 2001) arrival at the WTC site and work at the pile of the collapsed towers. Cigarette smoking (but not atopy) also seemed to be a risk factor for LAD. No data thus far suggest an increased incidence of neoplastic or interstitial lung disease, but ongoing surveillance is clearly necessary. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Emergency Responders Environmental Exposure Irritants Lung Lung Diseases Occupational Health Respiratory System Respiratory Tract Diseases Safety

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• Keywords:
  Airway-obstruction Author Keywords: Occupational Medicine Bronchial-asthma Bronchiolitis Emergency-responders Environmental-exposure Inhalation Injury Lung-disease Lung-disorders Lung-irritants Occupational Lung Disease Pulmonary-congestion Pulmonary-disorders Pulmonary-system-disorders Respiratory-irritants Respiratory-system-disorders

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• ISSN:
  1529-7322
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  287-294
• Volume:
  10
• Issue:
  4
• NIOSHTIC Number:
  nn:20037737
• Citation:
  Curr Allergy Asthma Rep 2010 Jul; 10(4):287-294
• Contact Point Address:
  Rafael E. de la Hoz, MD, MPH, The Mount Sinai School of Medicine, WTC Monitoring and Treatment Program, One Gustave L. Levy Place, Box 1059, New York, NY 10029
• Email:
  rafael.delaHoz@mssm.edu
• Federal Fiscal Year:
  2010
• NORA Priority Area:
  Services
• Performing Organization:
  Mount Sinai School of Medicine of New York University
• Peer Reviewed:
  True
• Start Date:
  20040715
• Source Full Name:
  Current Allergy & Asthma Reports
• End Date:
  20090714
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ff335a601785b5ffa4622ed4360532b52cfe75aba196a587c89ace5c523d1d5e2b118c75e7fa6084f5edf187a17d45e17bbbb522c1b1384b8305c730f829f800
• Download URL:
  https://stacks.cdc.gov/view/cdc/191724/cdc_191724_DS1.pdf
• File Type:
  [PDF - 216.10 KB ]