Clinical guidelines for adults exposed to World Trade Center disaster

Details

• Personal Author:
  Clark N ; Cone, James E. ; Eros-Sarnyai M ; Friedman S ; Gillio R ; Levin S ; Milek D ; Prezant D ; SzeinukJ
• Description:
  The World Trade Center (WTC) terrorist attack and its aftermath exposed hundreds of thousands of people to debris, dust, smoke, and fumes. Studies conducted after September 11, 2001, among rescue and clean-up workers, office workers, building evacuees, and residents of lower Manhattan showed an increase in respiratory and other physical and mental health problems, including post-traumatic stress disorder. Many New Yorkers have health problems that could be associated with - or made worse by - exposure to the attack and its aftermath. Primary care physicians need to know how to identify, evaluate, treat, and if necessary, refer these individuals to expert care. This publication suggests how clinicians can take a brief exposure history and describes common health problems that could be caused or exacerbated by exposure to the disaster. It offers algorithms to evaluate and care for exposed individuals, and provides brief tools to assess and treat physical and mental health disorders. Resources are also featured, including information about free (or need-based) treatment programs that may benefit WTC-exposed individuals (Resources). While these recommendations are targeted to adults, some principles and diagnostic methods may be applicable to children and adolescents. Consult appropriate resources such as the American Academy of Pediatrics for general (non-WTC-specific) pediatric guidelines. [Description provided by NIOSH]
• Subjects:
  Air Pollutants, Occupational Dust Emergency Responders Lung Lung Diseases Men Mental Health Occupational Health Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety Smoke Women

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• Keywords:
  Children Dust-exposure Dusts Exposure-levels Force Fumes Health-care Humans Mental-health Psychological-effects Psychology Pulmonary-disorders Pulmonary-system Pulmonary-system-disorders Rescue-workers Respiratory-system-disorders Risk-factors Smoke-inhalation

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• Publisher:
  The New York City Department of Health and Mental Hygiene
• 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:
  47-58
• Volume:
  25
• Issue:
  7
• NIOSHTIC Number:
  nn:20046190
• Citation:
  City Health Info 2006 Aug; 25(7):47-58
• Federal Fiscal Year:
  2006
• Performing Organization:
  New York City Fire Department
• Peer Reviewed:
  False
• Start Date:
  20040701
• Source Full Name:
  City Health Information
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:27d0405afdc5191d73b52a14a83808098d677ededa3c00e9a2cf78cfd23055610e01e51c9c4bab2547db37158bdf677512d854056dee573564e6ac966a7dd37c
• Download URL:
  https://stacks.cdc.gov/view/cdc/201316/cdc_201316_DS1.pdf
• File Type:
  [PDF - 554.79 KB ]