Lower Respiratory Symptoms Associated with Environmental and Reconstruction Exposures After Hurricane Sandy

Details

• Personal Author:
  Brackbill RM ; Gargano LM ; Jordan HT ; Locke S
• Description:
  Objective: In a population with prior exposure to the World Trade Center (WTC) disaster, this study sought to determine the relationship between Hurricane Sandy-related inhalation exposures and post-Sandy lower respiratory symptoms (LRS). Methods: Participants included 3835 WTC Health Registry enrollees who completed Wave 3 (2011-2012) and Hurricane Sandy (2013) surveys. The Sandy-related inhalational exposures examined were: (1) reconstruction exposure; (2) mold or damp environment exposure; and (3) other respiratory irritants exposure. LRS were defined as wheezing, persistent cough, or shortness of breath reported on =1 of the 30 days preceding survey completion. Associations between LRS and Sandy exposures, controlling for socio-demographic factors, post-traumatic stress disorder, and previously reported LRS and asthma were examined using multiple logistic regression. Results: Over one-third of participants (34.4%) reported post-Sandy LRS. Each of the individual exposures was also independently associated with post-Sandy LRS, each having approximately twice the odds of having post-Sandy LRS. We found a dose-response relationship between the number of types of Sandy-related exposures reported and post-Sandy LRS. Conclusions: This study provides evidence that post-hurricane clean-up and reconstruction exposures can increase the risk for LRS. Public health interventions should emphasize the importance of safe remediation practices and recommend use of personal protective equipment. [Description provided by NIOSH]
• Subjects:
  Asthma Demography Environmental Exposure Fungi Lung Diseases Occupational Health Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety September 11 Terrorist Attacks

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• Keywords:
  Author Keywords: Hurricane Sandy Bronchial Asthma Demographic Characteristics Environmental Exposure Exposure Levels Molds Natural Disasters Post-traumatic Stress Disorder PTSD Pulmonary System Disorders Respiratory Respiratory Irritants Respiratory System Disorders Risk Factors Sociological Factors World Trade Center WTC

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• ISSN:
  1935-7893
• 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:
  12
• Issue:
  6
• NIOSHTIC Number:
  nn:20052302
• Citation:
  Disaster Med Public Health Prep 2018 Dec; 12(6):697-702
• Contact Point Address:
  Lisa M. Gargano, PhD, MPH, New York City Department of Health and Mental Hygiene, 125 Worth Street, New York, NY
• Email:
  lgargano1@health.nyc.gov
• Federal Fiscal Year:
  2019
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Disaster Medicine and Public Health Preparedness
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e5e2fe4b73a0bde7fda301ae2b5fd2522a32cc702821021d1c38a62beaeb8a3ae814cddecbd5cd4b0bf50cf6c6582579226e81a84a6cbbb648a2e927e64e1b3d
• Download URL:
  https://stacks.cdc.gov/view/cdc/211847/cdc_211847_DS1.pdf
• File Type:
  [PDF - 192.26 KB ]