Respiratory symptoms were associated with lower spirometry results during the first examination of WTC responders

Details

• Personal Author:
  Crowley L ; Enright, Paul L. ; Gochfeld M ; Harrison D ; Luft B ; Moline J ; Schechter C ; Sotolongo A ; Udasin I
• Description:
  OBJECTIVE: Determine if World Trade Center (WTC) disaster responders had lower lung function and higher bronchodilator responsiveness than those with respiratory symptoms and conditions. METHODS: We evaluated cardinal respiratory symptoms (dyspnea, wheezing, dry cough, productive cough) and determined the difference in FEV1, FVC, and bronchodilator responsiveness. RESULTS: All respiratory symptoms were associated with a lower FEV1 and FVC, and a larger bronchodilator response. Responders reporting chronic productive cough, starting during WTC work and persisting, had a mean FEV1 109 mL lower than those without chronic persistent cough; their odds of having abnormally low FEV1 was 1.40 times higher; and they were 1.65 times as likely to demonstrate bronchodilator responsiveness. CONCLUSIONS: Responders reporting chronic persistent cough, wheezing or dyspnea at first medical examination were more likely to have lower lung function and bronchodilator responsiveness. [Description provided by NIOSH]
• Subjects:
  Emergencies Emergency Responders Health Care Facilities Workforce And Services Lung Lung Diseases Occupational Exposure Occupational Health Respiratory System Respiratory Tract Diseases Safety
• Keywords:
  Breathing Emergency-responders Emergency-response Employee-exposure Employee-health Lung-disorders Lung-function Medical-examinations Medical-monitoring Pulmonary-function Pulmonary-system-disorders Respiration Respiratory-system-disorders

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Contract ; Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Arizona ; New Jersey ; New York ; OSHA Region 2 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  49-54
• Volume:
  53
• Issue:
  1
• NIOSHTIC Number:
  nn:20038823
• Citation:
  J Occup Environ Med 2011 Jan; 53(1):49-54
• Contact Point Address:
  Iris G. Udasin, MD, Department of Environmental and Occupational Medicine, Director of Employee Health Services, EOHSI Clinical Center, 170 Frelinghuysen Road, Piscataway, NJ 08854, USA
• Email:
  udasin@eohsi.rutgers.edu
• Federal Fiscal Year:
  2011
• NORA Priority Area:
  Services
• Performing Organization:
  Mount Sinai School of Medicine of New York
• Peer Reviewed:
  True
• Start Date:
  20040601
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20100531
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3ac43dfdf13ca9a834f4d04f4ff1e827f4e3c0035a3add5a66f2830c4c1cfe3462536cdfeee8a6d2f844b13eddec5b13090df41a64430178d260d3ee103f4c1d
• Download URL:
  https://stacks.cdc.gov/view/cdc/192389/cdc_192389_DS1.pdf
• File Type:
  [PDF - 114.70 KB ]