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Physician-diagnosed respiratory conditions and mental health symptoms 7-9 years following the World Trade Center disaster.

Authors
Webber-MP; Glaser-MS; Weakley-J; Soo-J; Ye-F; Zeig-Owens-R; Weiden-MD; Nolan-A; Aldrich-TK; Kelly-K; Prezant-D
Source
Am J Ind Med 2011 Sep; 54(9):661-671
NIOSHTIC No.
20039418
Abstract
Background: 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). Methods: We analyzed Fire Department of New York (FDNY) physician and self-reported diagnoses by WTC exposure and quintiles of pulmonary function (FEV1 percent predicted). We used screening instruments to assess probable post-traumatic stress disorder (PTSD) and probable depression. Results: FDNY physicians most commonly diagnosed asthma (8.8 percent) and sinusitis (9.7 percent). The highest prevalence of physician-diagnosed obstructive airway disease (OAD) was in the lowest FEV1 percent predicted quintile. Participants who arrived earliest on 9/11 were more likely to have physician-diagnosed asthma (OR equals 1.4). Seven percent had probable PTSD. 19.4 percent had probable depression. Conclusions: 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
Keywords
Respiratory-system-disorders; Medical-examinations; Medical-monitoring; Medical-screening; Physicians; Diagnostic-tests; Emergency-responders; Employee-health; Fire-fighters; Rescue-workers; Pulmonary-system-disorders; Lung-disorders; Mental-disorders; Mental-health; Mental-illness; Mental-stress; Health-care; Health-surveys; Bronchial-asthma; Nasal-disorders; Airway-obstruction; Stress; Medical-treatment; Author Keywords: World Trade Center; respiratory health; mental health; occupational medicine; firefighters
Contact
Mayris P.Webber, DrPH, Bureau of Health Services, Fire Department of the City of New York, 9 Metrotech Center, Brooklyn, NY 11201
CODEN
AJIMD8
Publication Date
20110901
Document Type
Journal Article
Email Address
webberm@fdny.nyc.gov
Funding Type
Cooperative Agreement
Fiscal Year
2011
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U10-OH-008242; Cooperative-Agreement-Number-U10-OH-008243
Issue of Publication
9
ISSN
0271-3586
Priority Area
Services
Source Name
American Journal of Industrial Medicine
State
NY
Performing Organization
New York City Fire Department
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