Ten-year cancer incidence in rescue/recovery workers and civilians exposed to the September 11, 2001 terrorist attacks on the World Trade Center

Details

• Personal Author:
  Brackbill RM ; Cone, James E. ; Farfel MR ; Hadler JL ; Kahn AR ; Konty KJ ; Li J ; Liao TS ; Qiao B ; Stayner, Leslie T. ; Stellmen SD
• Description:
  Background: Cancer incidence in exposed rescue/recovery workers (RRWs) and civilians (non-RRWs) was previously reported through 2008. Methods: We studied occurrence of first primary cancer among World Trade Center Health Registry enrollees through 2011 using adjusted standardized incidence ratios (SIRs), and the WTC-exposure-cancer association, using Cox proportional hazards models. Results: All-cancer SIR was 1.11 (95% confidence interval (CI) 1.03-1.20) in RRWs, and 1.08 (95% CI 1.02-1.15) in non-RRWs. Prostate cancer and skin melanoma were significantly elevated in both populations. Thyroid cancer was significantly elevated only in RRWs while breast cancer and non-Hodgkin's lymphoma were significantly elevated only in non-RRWs. There was a significant exposure dose-response for bladder cancer among RRWs, and for skin melanoma among non-RRWs. Conclusions: We observed excesses of total and specific cancers in both populations, although the strength of the evidence for causal relationships to WTC exposures is somewhat limited. Continued monitoring of this population is indicated. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Environmental Exposure Neoplasms Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Cancer Incidence Cancer Emergency Responders Environmental Exposure Exposure Levels Models Rescue Workers Risk Factors September 11 Attacks Terrorism World Trade Center WTC

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; New York ; OSHA Region 2 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  59
• Issue:
  9
• NIOSHTIC Number:
  nn:20048597
• Citation:
  Am J Ind Med 2016 Sep; 59(9):709-721
• Contact Point Address:
  Jiehui Li, MBBS, MS, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Queens, NY 11101
• Email:
  jli3@health.nyc.gov
• Federal Fiscal Year:
  2016
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3dc0f971445523f73b6a0f17390496bec701014c99f9a9d4e72e7d45430aaa9d54cca4a5add0aa2cb227ed9055db7acef7dce4c851a40b982241b57a214e07b7
• Download URL:
  https://stacks.cdc.gov/view/cdc/203316/cdc_203316_DS1.pdf
• File Type:
  [PDF - 268.86 KB ]