COVID-19-Specific Mortality Among World Trade Center Health Registry Enrollees Who Resided in New York City

Details

• Personal Author:
  Cone, James E. ; Farfel MR ; Huynh M ; Kehm RD ; Li J ; Parton H ; Yung J
• Description:
  We examined the all-cause and COVID-19-specific mortality among World Trade Center Health Registry (WTCHR) enrollees. We also examined the socioeconomic factors associated with COVID-19-specific death. Mortality data from the NYC Bureau of Vital Statistics between 2015-2020 were linked to the WTCHR. COVID-19-specific death was defined as having positive COVID-19 tests that match to a death certificate or COVID-19 mentioned on the death certificate via text searching. We conducted step change and pulse regression to assess excess deaths. Limiting to those who died in 2019 (n = 210) and 2020 (n = 286), we examined factors associated with COVID-19-specific deaths using multinomial logistic regression. Death rate among WTCHR enrollees increased during the pandemic (RR: 1.70, 95% CL: 1.25-2.32), driven by the pulse in March-April 2020 (RR: 3.38, 95% CL: 2.62-4.30). No significantly increased death rate was observed during May-December 2020. Being non-Hispanic Black and having at least one co-morbidity had a higher likelihood of COVID-19-associated mortality than being non-Hispanic White and not having any co-morbidity (AOR: 2.43, 95% CL: 1.23-4.77; AOR: 2.86, 95% CL: 1.19-6.88, respectively). The racial disparity in COVID-19-specific deaths attenuated after including neighborhood proportion of essential workers in the model (AOR:1.98, 95% CL: 0.98-4.01). Racial disparities continue to impact mortality by differential occupational exposure and structural inequality in neighborhood representation. The WTC-exposed population are no exception. Continued efforts to reduce transmission risk in communities of color is crucial for addressing health inequities. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Emergency Responders Epidemiology Healthcare Disparities Mortality Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: COVID-19 COVID-19 Disease Transmission Emergency Responders First Responders Health Disparities Health Inequity Mortality Mortality Rates Racial Disparity World Trade Center World Trade Center Disaster WTC

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• ISSN:
  1660-4601
• 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:
  19
• Issue:
  21
• NIOSHTIC Number:
  nn:20066363
• Citation:
  Int J Environ Res Public Health 2022 Nov; 19(21):14348
• Contact Point Address:
  Janette Yung, New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, New York, NY 11101, USA
• Email:
  jyung@health.nyc.gov
• Federal Fiscal Year:
  2023
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:abc36f03163d816c7b834c5e0cb15a83971cba63a6551651f3826483aeb0118a8f71bc4b22d41f8266adad35a6b26dfd8397aeda3d6a50aa23959c878beac982
• Download URL:
  https://stacks.cdc.gov/view/cdc/212828/cdc_212828_DS1.pdf
• File Type:
  [PDF - 490.12 KB ]