Associations of World Trade Center exposures with pulmonary and cardiometabolic outcomes among children seeking care for health concerns

Details

• Alternative Title:
  Sci Total Environ
• Personal Author:
  Trasande, Leonardo ; Fiorino, Elizabeth Kajunski ; Attina, Teresa ; Berger, Kenneth ; Goldring, Roberta ; Chemtob, Claude ; Levy-Carrick, Nomi ; Shao, Yongzhao ; Liu, Mengling ; Urbina, Elaine ; Reibman, Joan
• Description:
  Objective
  
  Prior research on the physical health of children exposed to the World Trade Center (WTC) attacks has largely relied on parental report via questionnaire. We examined the impact of clinically-reported exposures on the physical health of children who lived and/or attended school in downtown Manhattan on September 11, 2001.
  
  Study design
  
  We performed a cross-sectional study of 148 patients who presented to the WTC Environmental Health Center/Survivors Health Program, and were ≤18 years old on September 11, 2001.
  
  Results
  
  38.5% were caught in the dust cloud from the collapsing buildings on September 11; over 80% spent ≥1 day in their home between September 11 and 18, 2001; and 25.7% reported home dust exposure. New-onset nasal/sinus congestion was reported in 52.7%, while nearly one-third reported new gastroesophageal reflux (GERD) symptoms. Prehypertension or hypertension was identified in 45.5%. Multivariable regression with exposure variables, body mass index category, and age as covariates identified strongest associations of dust cloud with spirometry (17.1% decrease in maximum midexpiratory flow). Younger children experienced increased peripheral eosinophils (+0.098% per year, p=0.023), while older children experienced more new-onset GERD (OR 1.17, p=0.004), headaches (OR 1.10, p=0.011), and prehypertension (OR 1.09, p=0.024). Home dust exposure was associated with reduced high-density lipoprotein (−10.3 mg/dL, p=0.027) and elevated triglycerides (+36.3 mg/dL, p=0.033).
  
  Conclusions
  
  While these findings cannot be assumed to generalize to all children exposed to the WTC attacks, they strongly suggest the need for more extensive study of respiratory, metabolic, and cardiovascu lar consequences.
  
  
• Subjects:
  Adolescent Asthma Blood Cell Count Body Mass Index Child Child, Preschool Cross-Sectional Studies Dust Eosinophils Female Gastroesophageal Reflux Headache Humans Hypertension Infant Infant, Newborn Male Multivariate Analysis Rhinitis September 11 Terrorist Attacks Spirometry Surveys And Questionnaires

  More +
• Keywords:
  Blood Pressure Children's Environmental Health Disaster Medicine Obesity World Trade Center
• Source:
  Sci Total Environ. 2012; 444:320-326
• Pubmed ID:
  23280289
• Pubmed Central ID:
  PMC4339112
• Document Type:
  Journal Article
• Funding:
  E11 OH009630/OH/NIOSH CDC HHSUnited States/ ; KL2 TR000078/TR/NCATS NIH HHSUnited States/ ; UL1 TR000077/TR/NCATS NIH HHSUnited States/
• Volume:
  444
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8ed767ba63e3241342c05008fed3ca4aa7d2e2e78c6f48a5c6aac3b5cd0889e3
• Download URL:
  https://stacks.cdc.gov/view/cdc/42024/cdc_42024_DS1.pdf
• File Type:
  [PDF - 243.01 KB ]