Physician-Diagnosed Respiratory Conditions and Mental Health Symptoms Seven to Nine Years Following the World Trade Center Disaster
Published Date:Sep 2011
Source:Am J Ind Med. 54(9):661-671.
Emergency Medical Technicians
Mass Casualty Incidents
New York City
Pulmonary Disease, Chronic Obstructive
Respiratory Function Tests
September 11 Terrorist Attacks
World Trade Center
Pubmed Central ID:PMC3181470
Funding:3U10-OH008242/OH/NIOSH CDC HHS/United States
3U10-OH008243/OH/NIOSH CDC HHS/United States
K23 HL084191/HL/NHLBI NIH HHS/United States
K23HL08419/HL/NHLBI NIH HHS/United States
K24 AI080298/AI/NIAID NIH HHS/United States
K24 AI080298-01A1/AI/NIAID NIH HHS/United States
K24A1080298/PHS HHS/United States
This study examines the prevalence of physician-diagnosed respiratory conditions and mental health symptoms in firefighters and emergency medical service workers up to 9 years after rescue/recovery efforts at the World Trade Center (WTC).
We analyzed FDNY physician and self-reported diagnoses by WTC exposure and quintiles of pulmonary function (FEV1%predicted). We used screening instruments to assess probable PTSD and probable depression.
FDNY physicians most commonly diagnosed asthma (8.8%) and sinusitis (9.7%). The highest prevalence of physician-diagnosed obstructive airway disease (OAD) was in the lowest FEV1%predicted quintile. Participants who arrived earliest on 9/11 were more likely to have physician-diagnosed asthma (OR=1.4). 7% had probable PTSD. 19.4% had probable depression.
Self-reported and physician-diagnosed respiratory conditions remain common, especially among those who arrived earliest at the WTC site. OAD was associated with the lowest pulmonary function. Since respiratory and mental health conditions remain prevalent, ongoing monitoring and treatment is important.
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