Respiratory symptoms were associated with lower spirometry results during the first examination of WTC responders.
Udasin-I; Schechter-C; Crowley-L; Sotolongo-A; Gochfeld-M; Luft-B; Moline-J; Harrison-D; Enright-P
J Occup Environ Med 2011 Jan; 53(1):49-54
OBJECTIVE: Determine if World Trade Center (WTC) disaster responders had lower lung function and higher bronchodilator responsiveness than those with respiratory symptoms and conditions. METHODS: We evaluated cardinal respiratory symptoms (dyspnea, wheezing, dry cough, productive cough) and determined the difference in FEV1, FVC, and bronchodilator responsiveness. RESULTS: All respiratory symptoms were associated with a lower FEV1 and FVC, and a larger bronchodilator response. Responders reporting chronic productive cough, starting during WTC work and persisting, had a mean FEV1 109 mL lower than those without chronic persistent cough; their odds of having abnormally low FEV1 was 1.40 times higher; and they were 1.65 times as likely to demonstrate bronchodilator responsiveness. CONCLUSIONS: Responders reporting chronic persistent cough, wheezing or dyspnea at first medical examination were more likely to have lower lung function and bronchodilator responsiveness.
Emergency-response; Emergency-responders; Employee-exposure; Employee-health; Respiratory-system-disorders; Pulmonary-function; Pulmonary-system-disorders; Lung-disorders; Lung-function; Breathing; Respiration; Medical-examinations; Medical-monitoring
Iris G. Udasin, MD, Department of Environmental and Occupational Medicine, Director of Employee Health Services, EOHSI Clinical Center, 170 Frelinghuysen Road, Piscataway, NJ 08854, USA
Contract; Cooperative Agreement
Cooperative-Agreement-Number-U10-OH-008232; Contract-200-2002-00384; Cooperative-Agreement-Number-U10-OH-008216; Cooperative-Agreement-Number-U10-OH-008275; Contract-200-2011-39377; Contract-200-2011-39356
Journal of Occupational and Environmental Medicine
Mount Sinai School of Medicine of New York