TY - JOUR
T1 - The World Trade Center Health Program
T2 - an introduction to best practices
AU - Calvert, Geoffrey M.
AU - Anderson, Kristi
AU - Cochran, John
AU - Cone, James E.
AU - Harrison, Denise J.
AU - Haugen, Peter T.
AU - Lilly, Gerald
AU - Lowe, Sandra M.
AU - Luft, Benjamin J.
AU - Moline, Jacqueline M.
AU - Reibman, Joan
AU - Rosen, Rebecca
AU - Udasin, Iris G.
AU - Werth, Aditi S.
N1 - Funding Information:
Drs. Calvert, Anderson and Lilly are employees of the US federal government and contributed to this paper as part of their official job duties. Work on this paper was also supported by the Centers for Disease Control and Prevention using the following funding mechanisms: contract 200-2017-93327 (Reibman); contract 200-2017-93427 (Reibman, Rosen); contract 200-2017-93430 (Harrison, Haugen, Werth); contract 75D30121C10118 (Cochran); contract 200-2016-88504 (Cochran); contract 200-2017-93428 (Lowe); contract 200-2017-93432 (Luft); contract 200-2017-93429 (Moline); contract 200-2017-93431 (Udasin); cooperative agreement 2U50/OH009739 (Cone); and, cooperative agreement 5U50/OH009739 (Cone). The authors thank the 9/11 rescue, response, recovery and cleanup workers and survivors who participate in the WTC Health Program, and the healthcare professionals dedicated to their care. The authors also sincerely thank Kenneth Rosenman, MD and Nicholas Newman, DO for generously providing technical expertise and review.
Publisher Copyright:
© This work was authored as part of the Contributor’s official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
PY - 2023
Y1 - 2023
N2 - More than 20 years have elapsed since the September 11, 2001 (9/11) terrorist attacks on the World Trade Center (WTC), Pentagon and at Shanksville, PA. Many persons continue to suffer a variety of physical and mental health conditions following their exposures to a mixture of incompletely characterized toxicants and psychological stressors at the terrorist attack sites. Primary care and specialized clinicians should ask patients who may have been present at any of the 9/11 sites about their 9/11 exposures, especially patients with cancer, respiratory symptoms, chronic rhinosinusitis, gastroesophageal reflux disease, psychiatric symptoms, and substance use disorders. Clinicians, especially those in the NY metropolitan area, should know how to evaluate, diagnose, and treat patients with conditions that could be associated with exposure to the 9/11 attacks and its aftermath. As such, this issue of Archives contains a series of updates to clinical best practices relevant to medical conditions whose treatment is covered by the WTC Health Program. This first paper in the 14-part series describes the purpose of this series, defines the WTC Health Program and its beneficiaries, and explains how relevant Clinical Practice Guidelines were identified. This paper also reminds readers that because physical and mental health conditions are often intertwined, a coordinated approach to care usually works best and referral to health centers affiliated with the WTC Health Program may be necessary, since all such Centers offer multidisciplinary care.
AB - More than 20 years have elapsed since the September 11, 2001 (9/11) terrorist attacks on the World Trade Center (WTC), Pentagon and at Shanksville, PA. Many persons continue to suffer a variety of physical and mental health conditions following their exposures to a mixture of incompletely characterized toxicants and psychological stressors at the terrorist attack sites. Primary care and specialized clinicians should ask patients who may have been present at any of the 9/11 sites about their 9/11 exposures, especially patients with cancer, respiratory symptoms, chronic rhinosinusitis, gastroesophageal reflux disease, psychiatric symptoms, and substance use disorders. Clinicians, especially those in the NY metropolitan area, should know how to evaluate, diagnose, and treat patients with conditions that could be associated with exposure to the 9/11 attacks and its aftermath. As such, this issue of Archives contains a series of updates to clinical best practices relevant to medical conditions whose treatment is covered by the WTC Health Program. This first paper in the 14-part series describes the purpose of this series, defines the WTC Health Program and its beneficiaries, and explains how relevant Clinical Practice Guidelines were identified. This paper also reminds readers that because physical and mental health conditions are often intertwined, a coordinated approach to care usually works best and referral to health centers affiliated with the WTC Health Program may be necessary, since all such Centers offer multidisciplinary care.
KW - 9/11
KW - September 11
KW - World Trade Center
KW - adults
KW - chemical exposure
KW - chemical mixtures
KW - clinical practice guideline
KW - exposure
KW - occupational diseases
KW - quality
KW - respiratory diseases
KW - workers
UR - http://www.scopus.com/inward/record.url?scp=85144252434&partnerID=8YFLogxK
U2 - 10.1080/19338244.2022.2156975
DO - 10.1080/19338244.2022.2156975
M3 - Article
C2 - 36533439
AN - SCOPUS:85144252434
SN - 1933-8244
VL - 78
SP - 199
EP - 205
JO - Archives of Environmental and Occupational Health
JF - Archives of Environmental and Occupational Health
IS - 4
ER -