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World Trade Center Health Impacts on FDNY Rescue Workers

World Trade Center Health Impacts on FDNY Rescue Workers Cover

Table of Contents

Cover

1

Highlights

1

Table of Contents

2

 

OFFICIAL LETTERS

3

 

Mayor Michael R. Bloomberg

3

 

Fire Commissioner Nicholas Scoppetta

4

 

Chief of Department Salvatore J. Cassano

5

 

Director of NIOSH Dr. John Howard

6

 

Bureau of Health Services

7

 

UFA & UFOA

8

 

UEP, UEMSO & SOA

9

 

SECTION 1: INTRODUCTION & TIME LINE

11

 

Mission

12

 

History of the FDNY WTC Program

12

 

Funding

13

 

Time Line: BHS WTC Program

14

 

SECTION 2: MEDICAL AND EXPOSURE ASSESSMENT

21

 

Medical Questionnaire Data

 

 

     Arrival Time at WTC

23

 

     Mask/Respirator Use

24

 

     Eye and Skin Irritation Post-WTC

25

 

     Respiratory Symptoms for Different Exposure Groups

26

 

     Lower Respiratory Symptoms

27

 

     Upper Respiratory Symptoms

28

 

Scientific Test Results

 

 

     Pulmonary Function Loss (by Arrival Time)

29

 

     Pulmonary Function Loss by Work Assignment (FIRE & EMS)

30

 

     Methacholine Challenge Testing Hyperreactive Subjects

31

 

Disease Surveillance

 

 

     “Sarcoid-Like” Granulomatous Pneumonitis

32

 

SECTION 3: MENTAL HEALTH ASSESSMENT

33

 

Mental Health Questionnaire Data

 

 

     FDNY WTC Survivors Closely Linked to Those Lost on 9/11/01

36

 

     WTC-Related Health Concerns by Arrival Time

37

 

     WTC-Related Concerns About Early Mortality by Arrival Time

37

 

     Change in Sleep-Related Issues After WTC

38

 

     Change in Mood After WTC

39

 

     Feelings of Distance and Detachment After WTC

40

 

     Reliving and Remembering the WTC Experience

41

 

     Change in Exercise Program After WTC

42

 

SECTION 4: FDNY RETIREMENT AND DISABILITY DATA

43

 

FDNY Retirements and Years of Service, Disability Pensions Received

45

 

     Number of Pulmonary Cases Under the Lung Bill

46

 

     Number of Permanent Psychological Impairment Cases

47

 

     Number of Cardiac Cases Under the Heart Bill

48

 

     Number of Cancer Cases

49

 

     NYCERS EMS “3/4” Disability Pension Applications Approved

50

 

SECTION 5: THE FDNY-WTC-MMTP POST-9/11

51

 

Number of Monitoring Exams Conducted

52

 

Annual Number of Patients in the FDNY-WTC Medical Treatment Program

53

 

Tobacco Cessation Success Rates

54

 

CSU Provides Counseling and Treatment

55

 

Annual Number of Patients in the FDNY-CSU WTC Mental Health Treatment Program

56

 

SECTION 6: CONCLUSION

57

 

Appendix A Publication List

60

 

Appendix B Wellness Self-Tests and Tips

61

 

Postscript

64

 

REPORT PHOTOS

 

 

Towers of Light

 

 

Ground Zero 9/11/2006 Ceremony

 

 

Ground Zero Recovery Site 2001

 

 

WTC Recovery Site

 

 

343 Parade Remembrance

 

 

Heroes Postscript

 

 

9/11 Supreme Sacrifice Members

 

 

Ten House 9/11 WTC Memorial

 

 

 

 

 

ATTACHMENT: FOR YOUR DOCTOR--NYC DOHMH CLINICAL GUIDELINES FOR ADULTS EXPOSED TO THE WORLD TRADE CENTER DISASTER

 

 

 

 

   

 

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