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Respiratory protective equipment, mask use, and respiratory outcomes among World Trade Center rescue and recovery workers.

Authors
Antao-VC; Pallos-LL; Shim-YK; Sapp-JH II; Brackbill-RM; Cone-JE; Stellman-SD; Farfel-MR
Source
Am J Ind Med 2011 Sep; 54(12):897-905
NIOSHTIC No.
20039701
Abstract
Background: Serious respiratory illnesses have been reported among rescue/recovery workers (RRW) following the World Trade Center (WTC) attacks. Methods: We studied RRW enrolled in the WTC Health Registry to assess the effects of different respiratory protection equipment (RPE) types on respiratory outcomes, such as recurrent respiratory symptoms and diseases possibly associated with 9/11 exposures. We performed descriptive and multivariate analyses adjusting for demographics and exposure variables. Results: A total of 9,296 RRW met inclusion criteria. The strongest predictors of using adequate RPE were being affiliated with construction, utilities or environmental remediation organizations and having received RPE training. Workers who used respirators were less likely to report adverse respiratory outcomes compared to those who reported no/lower levels of respiratory protection. Conclusions: Level of respiratory protection was associated with the odds of reporting respiratory symptoms and diseases. Training, selection, fit testing, and consistent use of RPE should be emphasized among emergency responders.
Keywords
Emergency-response; Emergency-responders; Rescue-workers; Respiratory-system-disorders; Respiratory-protective-equipment; Respirators; Respiratory-equipment; Employee-exposure; Employee-health; Training; Protective-equipment; Protective-measures; Disease-prevention; Author Keywords: respiratory symptoms; respiratory protective equipment; asthma; COPD; disasters; disaster response; World Trade Center
Contact
Vinicius C. Antao, MD, MSc, PhD, 4770 Buford Highway NE, MSF-57, Atlanta, GA 30341
CODEN
AJIMD8
Publication Date
20111201
Document Type
Journal Article
Email Address
vantao@cdc.gov
Funding Type
Cooperative Agreement
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U50-OH-009739; B10122011
Issue of Publication
12
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
GA; NY; DC
Performing Organization
New York City Health/Mental Hygiene
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