J.H. Lange raises many issues related to suspected health effects among workers and Manhattan residents who were directly or indirectly involved with the World Trade Center disaster. Many of the issues raised in the letter are beyond the scope of our focused evaluation. The objective of our evaluation was to assess occupational exposures and the prevalence of symptoms among workers in an office building near the disaster site at a point in time 3 months after the disaster. Information from our evaluation may have been useful in assisting in the delivery of appropriate occupational health services to office workers in the area of the World Trade Center site, and may be useful if similar situations arise in the future.
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