Mortality among World Trade Center Rescue and Recovery Workers, 2002 – 2011

Details

• Alternative Title:
  Am J Ind Med
• Personal Author:
  Stein, Cheryl R ; Wallenstein, Sylvan ; Shapiro, Moshe ; Hashim, Dana ; Moline, Jacqueline M ; Udasin, Iris ; Crane, Michael A ; Luft, Benjamin J ; Lucchini, Roberto G ; Holden, William L
• Description:
  Background
  
  Rescue and recovery workers responding to the 2001 collapse of the World Trade Center (WTC) sustained exposures to toxic chemicals and have elevated rates of multiple morbidities.
  
  Methods
  
  Using data from the World Trade Center Health Program and the National Death Index for 2002 – 2011, we examined standardized mortality ratios (SMR) and proportional cancer mortality ratios (PCMR) with indirect standardization for age, sex, race, and calendar year to the U.S. general population, as well as associations between WTC-related environmental exposures and all-cause mortality.
  
  Results
  
  We identified 330 deaths among 28,918 responders (SMR 0.43, 95% CI 0.39 – 0.48). No cause-specific SMRs were meaningfully elevated. PCMRs were elevated for neoplasms of lymphatic and hematopoietic tissue (PCMR 1.76, 95% CI 1.06 – 2.75). Mortality hazard ratios showed no linear trend with exposure.
  
  Conclusions
  
  Consistent with a healthy worker effect, all-cause mortality among responders was not elevated. There was no clear association between intensity and duration of exposure and mortality. Surveillance is needed to monitor the proportionally higher cancer mortality attributed to lymphatic/hematopoietic neoplasms.
  
  
• Subjects:
  Adult Air Pollutants Cause Of Death Female Healthy Worker Effect Hematologic Neoplasms Humans Lymphoma Male Middle Aged Neoplasms Occupational Diseases Occupational Exposure Proportional Hazards Models Rescue Work September 11 Terrorist Attacks Time Factors

  More +
• Source:
  Am J Ind Med. 59(2):87-95.
• Pubmed ID:
  26727695
• Pubmed Central ID:
  PMC4715601
• Document Type:
  Journal Article
• Funding:
  U10 OH008232/OH/NIOSH CDC HHS/United States ; K01 ES019156/ES/NIEHS NIH HHS/United States ; 200-2011-39356/61/77/84/85/88/PHS HHS/United States ; U10 OH008239/OH/NIOSH CDC HHS/United States ; U10 OH008275/OH/NIOSH CDC HHS/United States ; U10-OH008216/23/25/32/39/75/OH/NIOSH CDC HHS/United States ; U10 OH008223/OH/NIOSH CDC HHS/United States ; U10 OH008216/OH/NIOSH CDC HHS/United States ; U10 OH008225/OH/NIOSH CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  59
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:41bc826100b0082a3d940c6f80deb184d51ab4dd4b57bccfc73d71fb6250f344
• Download URL:
  https://stacks.cdc.gov/view/cdc/37556/cdc_37556_DS1.pdf
• File Type:
  [PDF - 238.83 KB ]