Diagnosed Asthma Among Persons Exposed to the September 11, 2001 Terrorist Attacks

Details

• Personal Author:
  Brackbill R ; Ekenga CC ; Farfel MR ; Friedman S ; Hadler J ; Stellman S ; Thorpe L
• Description:
  Background: The objective of this study is to characterize and examine risk factors for new asthma diagnoses among highly exposed adults 5-6 years post-attack. Methods: The World Trade Center Health Registry (WTCHR) contains data on a longitudinal cohort with baseline enrollment of 71,437 individuals (September, 2003-November, 2004); 46,322 adults (68%) completed the adult follow-up survey (November, 2006-December, 2007). We conducted descriptive and multivariable analyses to assess the impact of exposures associated with 9/11 on self-reported diagnosed asthma post-9/11. Results: 10.1% of follow-up participants with no asthma history reported new asthma diagnoses post-9/11; highest rates were in the first 16 months. Intense dust cloud exposure on 9/11 was a major contributor to new reported asthma diagnoses for all eligibility groups (adjusted odds ratios [aORs], 1.4-1.5). Asthma risk was highest among rescue/recovery workers working on the WTC pile on 9/11 (12.2%, aOR, 2.2, 95% confidence interval, 1.9-2.6). Prolonged risk exposures included working longer at the WTC site, not evacuating homes, and experiencing a heavy layer of dust in one's home or office. Conclusions: Both acute and prolonged exposures resulted in a large burden of asthma 5-6 years after 9/11. Continued surveillance, outreach and treatment are needed to mitigate the burden and inform long-term disaster response planning. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Cohort Studies Dust Emergency Responders Occupational Health Respiratory System Respiratory Tract Diseases Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Asthma Cohort Studies Disaster Response Disasters Dust Exposure Rescue Workers Respiratory Diseases World Trade Center WTC
• Publisher:
  American Public Health Association
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  Connecticut ; New York ; OSHA Region 1 ; OSHA Region 2 ; OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• NIOSHTIC Number:
  nn:20062355
• Citation:
  APHA 137th Annual Meeting and Exposition, November 7-11, 2009, Philadelphia, Pennsylvania. Washington, DC: American Public Health Association, 2009 Nov; :213198
• Contact Point Address:
  Steven Stellman, PhD MPH, New York City Dept. of Health and Mental Hygiene, World Trade Center Health Registry, 233 Broadway, New York, NY, USA 10279
• Email:
  sstellma@health.nyc.gov
• Federal Fiscal Year:
  2010
• NORA Priority Area:
  Services
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  False
• Start Date:
  20090430
• Source Full Name:
  APHA 137th Annual Meeting and Exposition, November 7-11, 2009, Philadelphia, Pennsylvania
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2b7b9474832464f041c847ae9b940e19f49216af062ff5c0af2c2472e28ec793821a6d26a71ef6674c6f5c3d24c0f4550a350499250537faee409d530b6b710e
• Download URL:
  https://stacks.cdc.gov/view/cdc/225622/cdc_225622_DS1.pdf
• File Type:
  [PDF - 154.84 KB ]