The World Trade Center Health Program: An Introduction to Best Practices

Details

• Personal Author:
  Anderson, Kristi ; Calvert, Geoffrey M. ; Cochran, John ; Cone, James E. ; Harrison, Denise J. ; Haugen, Peter T. ; Lilly, Gerald ; Lowe, Sandra M. ; Luft, Benjamin J. ; Moline, Jacqueline M. ; Reibman, Joan ; Rosen, Rebecca ; Udasin, Iris G. ; Werth, Aditi S.
• Description:
  More than 20 years have elapsed since the September 11, 2001 (9/11) terrorist attacks on the World Trade Center (WTC), Pentagon and at Shanksville, PA. Many persons continue to suffer a variety of physical and mental health conditions following their exposures to a mixture of incompletely characterized toxicants and psychological stressors at the terrorist attack sites. Primary care and specialized clinicians should ask patients who may have been present at any of the 9/11 sites about their 9/11 exposures, especially patients with cancer, respiratory symptoms, chronic rhinosinusitis, gastroesophageal reflux disease, psychiatric symptoms, and substance use disorders. Clinicians, especially those in the NY metropolitan area, should know how to evaluate, diagnose, and treat patients with conditions that could be associated with exposure to the 9/11 attacks and its aftermath. As such, this issue of Archives contains a series of updates to clinical best practices relevant to medical conditions whose treatment is covered by the WTC Health Program. This first paper in the 14-part series describes the purpose of this series, defines the WTC Health Program and its beneficiaries, and explains how relevant Clinical Practice Guidelines were identified. This paper also reminds readers that because physical and mental health conditions are often intertwined, a coordinated approach to care usually works best and referral to health centers affiliated with the WTC Health Program may be necessary, since all such Centers offer multidisciplinary care. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Health Promotion Mental Health Nervous System Occupational Health Respiratory System Respiratory Tract Diseases Safety September 11 Terrorist Attacks
• Keywords:
  Adults Author Keywords: 9/11 Chemical Exposure Chemical Mixtures Clinical Practice Guideline Clinical Symptoms Exposure Health Programs Medical Care Medical Management Guidelines Mental Health Occupational Diseases Quality Respiratory Diseases September 11 Workers World Trade Center WTC

  More +
• ISSN:
  1933-8244
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; Ohio ; OSHA Region 2 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  WTCHP - World Trade Center Health Program
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  8 pdf pages
• Volume:
  78
• Issue:
  4
• NIOSHTIC Number:
  nn:20066661
• Citation:
  Arch Environ Occup Health 2023 Apr; 78(4):199-205
• Contact Point Address:
  Geoffrey M. Calvert, World Trade Center Health Program, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA
• Email:
  jac6@CDC.gov
• Federal Fiscal Year:
  2023
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Archives of Environmental & Occupational Health
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:77abaeebb0d344978e102587690d0c4283492749f80f96bfa2e62f7bbcaa1711cbcdd424b0d0484804e858d411ca7fce9586b60eb14d3a5cd26a4d49f9eb7b36
• Download URL:
  https://stacks.cdc.gov/view/cdc/230813/cdc_230813_DS1.pdf
• File Type:
  [PDF - 1.43 MB ]