TY - JOUR
T1 - The response to september 11
T2 - A disaster case study
AU - Crane, Michael A.
AU - Levy-Carrick, Nomi C.
AU - Crowley, Laura
AU - Barnhart, Stephanie
AU - Dudas, Melissa
AU - Onuoha, Uchechukwu
AU - Globina, Yelena
AU - Haile, Winta
AU - Shukla, Gauri
AU - Ozbay, Fatih
N1 - Funding Information:
Research reported in this article was supported by a contract with the National Institute of Occupational Safety and Health (NIOSH). Contract number: 200-2011-39356
Publisher Copyright:
© 2014 Icahn School of Medicine at Mount Sinai.
PY - 2014/7/1
Y1 - 2014/7/1
N2 - Background The response to 9/11 continues into its 14th year. The World Trade Center Health Program (WTCHP), a long-term monitoring and treatment program now funded by the Zadroga Act of 2010, includes >60,000 World Trade Center (WTC) disaster responders and community members ("survivors"). The aim of this review is to identify several elements that have had a critical impact on the evolution of the WTC response and, directly or indirectly, the health of the WTC-exposed population. It further explores post-disaster monitoring efforts, recent scientific findings from the WTCHP, and some implications of this experience for ongoing and future environmental disaster response. Findings Transparency and responsiveness, site safety and worker training, assessment of acute and chronic exposure, and development of clinical expertise are interconnected elements determining efficacy of disaster response. Conclusion Even in a relatively well-resourced environment, challenges regarding allocation of appropriate attention to vulnerable populations and integration of treatment response to significant medical and mental health comorbidities remain areas of ongoing programmatic development.
AB - Background The response to 9/11 continues into its 14th year. The World Trade Center Health Program (WTCHP), a long-term monitoring and treatment program now funded by the Zadroga Act of 2010, includes >60,000 World Trade Center (WTC) disaster responders and community members ("survivors"). The aim of this review is to identify several elements that have had a critical impact on the evolution of the WTC response and, directly or indirectly, the health of the WTC-exposed population. It further explores post-disaster monitoring efforts, recent scientific findings from the WTCHP, and some implications of this experience for ongoing and future environmental disaster response. Findings Transparency and responsiveness, site safety and worker training, assessment of acute and chronic exposure, and development of clinical expertise are interconnected elements determining efficacy of disaster response. Conclusion Even in a relatively well-resourced environment, challenges regarding allocation of appropriate attention to vulnerable populations and integration of treatment response to significant medical and mental health comorbidities remain areas of ongoing programmatic development.
KW - 9/11
KW - World Trade Center
KW - disaster response
KW - environmental disaster
KW - post-disaster health surveillance
UR - http://www.scopus.com/inward/record.url?scp=84927635928&partnerID=8YFLogxK
U2 - 10.1016/j.aogh.2014.08.215
DO - 10.1016/j.aogh.2014.08.215
M3 - Review article
C2 - 25459334
AN - SCOPUS:84927635928
SN - 0027-2507
VL - 80
SP - 320
EP - 331
JO - Annals of Global Health
JF - Annals of Global Health
IS - 4
ER -