Long-Term Lower Respiratory Symptoms Among World Trade Center Health Registry Enrollees Following Hurricane Sandy

Details

• Personal Author:
  Alper HE ; Brite J ; Gargano LM ; Locke SH
• Description:
  Several studies showed an association between lower respiratory tract symptoms (LRS) and exposure to the 9/11 terrorist attack. However, few studies have examined the long-term impact of natural disasters on those with prior respiratory distress. The present study aims to assess the impact of Hurricane Sandy on persistent LRS among people exposed to the World Trade Center (WTC) terrorist attack. The analytic sample consisted of WTC Health Registry enrollees who completed survey waves 1, 3, and 4 and the Hurricane Sandy Survey and did not report LRS before the WTC terrorist attack. The log binomial was used to assess the association between the impact of Hurricane Sandy and persistent LRS. Of 3277 enrollees, 1111 (33.9%) reported persistent LRS post-Sandy. Participants of older age, males, lower household income, current smokers, and those with previous asthma were more likely to report persistent LRS. In separate adjusted models, multiple Sandy-related inhalation exposures (relative risk (RR): 1.2, 95% CI: 1.06-1.37), Sandy-related PTSD (RR: 1.27, 95% CI: 1.15-1.4), and Sandy LRS (RR: 1.64, 95% CI: 1.48-1.81) were associated with persistent LRS post-Sandy. Our findings suggest that respiratory protection is important for everyone performing reconstruction and clean-up work after a natural disaster, particularly among those with previous respiratory exposures. [Description provided by NIOSH]
• Subjects:
  Cyclonic Storms Emergency Responders Occupational Health Respiratory Tract Diseases Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: 9/11 Disaster Disaster Clean-up Emergency Responders First Responders Hurricanes Lower Respiratory Symptoms Natural Disasters Post-traumatic Stress Disorder PTSD Respiratory System Disorders World Trade Center 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:20066365
• Citation:
  Int J Environ Res Public Health 2022 Nov; 19(21):13738
• Contact Point Address:
  Sean H. Locke, World Trade Center Health Registry, Division of Epidemiology, New York City Department of Health and Mental Hygiene, Long Island City, NY 11101, USA
• Email:
  slocke@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-512:5f6f0f7ee8e48672762fbb846ae4fec7e58c747584aaf776533e4b7b6279ec1e64898e4890a9ded19b723f5e65dee68efb1e67a874b035ac96d71c2536fb002f
• Download URL:
  https://stacks.cdc.gov/view/cdc/212830/cdc_212830_DS1.pdf
• File Type:
  [PDF - 291.63 KB ]