Chronic and acute exposures to the World Trade Center disaster and lower respiratory symptoms: area residents and workers

Details

• Personal Author:
  Berger KI ; Farfel M ; Friedman SM ; Goldring R ; Maslow CB ; Pillai PS ; Reibman J ; Stellman SD
• Description:
  OBJECTIVES: We assessed associations between new-onset (post-September 11, 2001 [9/11]) lower respiratory symptoms reported on 2 surveys, administered 3 years apart, and acute and chronic 9/11-related exposures among New York City World Trade Center-area residents and workers enrolled in the World Trade Center Health Registry. METHODS: World Trade Center-area residents and workers were categorized as case participants or control participants on the basis of lower respiratory symptoms reported in surveys administered 2 to 3 and 5 to 6 years after 9/11. We created composite exposure scales after principal components analyses of detailed exposure histories obtained during face-to-face interviews. We used multivariate logistic regression models to determine associations between lower respiratory symptoms and composite exposure scales. RESULTS: Both acute and chronic exposures to the events of 9/11 were independently associated, often in a dose-dependent manner, with lower respiratory symptoms among individuals who lived and worked in the area of the World Trade Center. CONCLUSIONS: Study findings argue for detailed assessments of exposure during and after events in the future from which potentially toxic materials may be released and for rapid interventions to minimize exposures and screen for potential adverse health effects. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Environmental Monitoring Firefighters Hazardous Substances Health Care Facilities Workforce And Services Health Promotion Lung Diseases Occupational Exposure Occupational Health Public Health Respiratory Tract Diseases Safety Surveys And Questionnaires

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• Keywords:
  Acute-exposure Analytical-processes Chronic-exposure Dose-response Emergency-responders Exposure-assessment Fire-fighters Hazardous-materials Health-programs Health-surveys Lung-disorders Mathematical-models Medical-monitoring Medical-screening Public-health Pulmonary-system-disorders Rescue-workers Respiratory-system-disorders Surveillance-programs Toxic-materials

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• ISSN:
  0090-0036
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Grant ; Contract
• 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
• Volume:
  102
• Issue:
  6
• NIOSHTIC Number:
  nn:20041236
• Citation:
  Am J Public Health 2012 Jun; 102(6):1186-1194
• Contact Point Address:
  Carey B. Maslow, DrPH, MPH, Deputy Director of Research, World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Two Gotham Center, 42-09 28 St, Queens, NY 11101-4132
• Email:
  cmaslow@health.nyc.gov
• Federal Fiscal Year:
  2012
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  American Journal of Public Health
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3727d6bca5beff669c0e9a009c292de0342dd5fbb18e7de8b2edd7840cb6489f8a8937988ecdc3397af9f363b8df18034681fab7371e5e976eaca46fa7abe876
• Download URL:
  https://stacks.cdc.gov/view/cdc/193841/cdc_193841_DS1.pdf
• File Type:
  [PDF - 509.74 KB ]