Mortality among World Trade Center rescue and recovery workers, 2002-2011

Details

• Personal Author:
  Crane MA ; Hashim D ; Holden WL ; Lucchini RG ; Luft BJ ; Moline JM ; Shapiro M ; Stein CR ; Udasin I ; Wallenstein S
• Description:
  Background: Rescue and recovery workers responding to the 2001 collapse of the World Trade Center (WTC) sustained exposures to toxic chemicals and have elevated rates of multiple morbidities. Methods: Using data from the World Trade Center Health Program and the National Death Index for 2002-2011, we examined standardized mortality ratios (SMR) and proportional cancer mortality ratios (PCMR) with indirect standardization for age, sex, race, and calendar year to the U.S. general population, as well as associations between WTC-related environmental exposures and all-cause mortality. Results: We identified 330 deaths among 28,918 responders (SMR 0.43, 95%CI 0.39-0.48). No cause-specific SMRs were meaningfully elevated. PCMRs were elevated for neoplasms of lymphatic and hematopoietic tissue (PCMR 1.76, 95%CI 1.06-2.75). Mortality hazard ratios showed no linear trend with exposure. Conclusions: Consistent with a healthy worker effect, all-cause mortality among responders was not elevated. There was no clear association between intensity and duration of exposure and mortality. Surveillance is needed to monitor the proportionally higher cancer mortality attributed to lymphatic/hematopoietic neoplasms. [Description provided by NIOSH]
• Subjects:
  Ergonomics Mining Musculoskeletal Diseases Occupational Health Safety
• Keywords:
  Author Keywords: World Trade Center Attack, 2001 Cancer Rates Chemical Composition Cohort Study Emergency Responders Epidemiology Mortality Mortality Rates Occupational Exposure Rescue Workers Toxins

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  87-95
• Volume:
  59
• Issue:
  2
• NIOSHTIC Number:
  nn:20047227
• Citation:
  Am J Ind Med 2016 Feb; 59(2):87-95
• Contact Point Address:
  Cheryl R. Stein, PhD, World Trade Center Health Registry, Division of Epidemiology, NYC Department of Health and Mental Hygiene 42-09, 28th Street, Queens, NY 11101
• Email:
  cstein@health.nyc.gov
• Federal Fiscal Year:
  2016
• Performing Organization:
  State University of New York Stony Brook
• Peer Reviewed:
  True
• Start Date:
  20040715
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0262cf37eb006211d04139a7b2e8306d1e64ef620b1ed013e34647c18ddba048fa5f28b89aeabff39784da6239ec96bc1d82142359a827f4649a5807b77e8b3c
• Download URL:
  https://stacks.cdc.gov/view/cdc/202381/cdc_202381_DS1.pdf
• File Type:
  [PDF - 108.19 KB ]