Evacuating damaged and destroyed buildings on 9/11: behavioral and structural barriers

Details

• Personal Author:
  Brackbill RM ; Groeger JL ; Kravitt A ; Stellman SD
• Description:
  INTRODUCTION: Evacuation of the World Trade Center (WTC) twin towers and surrounding buildings damaged in the September 11, 2001 attacks provides a unique opportunity to study factors that affect emergency evacuation of high rise buildings. Problem The goal of this study is to understand the extent to which structural and behavioral barriers and limitations of personal mobility affected evacuation by occupants of affected buildings on September 11, 2001. METHODS: This analysis included 5,023 civilian, adult enrollees within the World Trade Center Health Registry who evacuated the two World Trade Center towers and over 30 other Lower Manhattan buildings that were damaged or destroyed on September 11, 2001. Multinomial logistic regression was used to predict total evacuation time (<30 to ≤60 minutes, >1 hour to <2 hours relative to ≤30 minutes) in relation to number of infrastructure barriers and number of behavioral barriers, adjusted for demographic and other factors. RESULTS: A higher percentage of evacuees reported encountering at least one behavioral barrier (84.9%) than reported at least one infrastructure barrier (51.9%). This pattern was consistent in all buildings except WTC 1, the first building attacked, where >90% of evacuees reported encountering both types of barriers. Smoke and poor lighting were the most frequently-reported structural barriers. Extreme crowding, lack of communication with officials, and being surrounded by panicked crowds were the most frequently-reported behavioral barriers. Multivariate analyses showed evacuation time to be independently associated with the number of each type of barrier as well as gender (longer times for women), but not with the floor from which evacuation began. After adjustment, personal mobility impairment was not associated with increased evacuation time. CONCLUSION: Because most high-rise buildings have unique designs, infrastructure factors tend to be less predictable than behavioral factors, but both need to be considered in developing emergency evacuation plans in order to decrease evacuation time and, consequently, risk of injury and death during an emergency evacuation. [Description provided by NIOSH]
• Subjects:
  Adolescent Aging Behavior Demography Emergencies Lighting Occupational Health Safety September 11 Terrorist Attacks Smoke
• Keywords:
  Adolescents Age-groups Author Keywords: Disaster Evacuation Demographic-characteristics Disaster Preparedness Emergency-shelters Smoke-inhalation World Trade Center
• ISSN:
  1049-023X
• 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
• Volume:
  28
• Issue:
  6
• NIOSHTIC Number:
  nn:20046537
• Citation:
  Prehosp Disast Med 2013 Dec; 28(6):556-566
• Contact Point Address:
  Robert M. Brackbill, PhD, MPH, World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York 11101
• Email:
  rbrackbi@health.nyc.gov
• Federal Fiscal Year:
  2014
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Prehospital and Disaster Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e763db9bf7f8368302c65330fff6b5288fbe1a50c7fc87ec82c7903c9ea47af8447ae328d70b838a6f2b407d02d2634b4c26bdb46a1ec286b64af7adee1e4473
• Download URL:
  https://stacks.cdc.gov/view/cdc/201557/cdc_201557_DS1.pdf
• File Type:
  [PDF - 298.69 KB ]