CLINICAL CENTER FOR MONITORING HEALTH IN WTC RESPONDERS

世贸中心响应者健康监测临床中心

• 批准号: 7879699
• 负责人: Iris Greenberg Udasin
• 金额: $ 57.5万
• 依托单位: UNIV OF MED/DENT NJ-R W JOHNSON MED SCH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7879699
• 关键词: CLINICAL; CENTER; MONITORING; HEALTH; WTC

DESCRIPTION: In the aftermath of September 11, 2001, thousands of rescue and recovery workers joined the New York City Fire Department (FDNY) in working directly on and adjacent to the debris pile. Analysis of bulk samples of WTC dust indicated the presence of a mixture of toxic particulates, combustion products, and debris fibers. Analysis of sputum of firefighters ten months after exposure showed an excess of these particles, thought to be causally related to upper and lower respiratory illnesses. Preliminary studies performed in firefighters, in the month after September 1 I, 2001 , as well as six months after exposure, indicated an excess of upper and lower respiratory illness, and an excess of stress related incidents. Based upon these results, investigators at Mount Sinai University Medical Center, supported by the Centers for Disease Control and Prevention (CDC), established a consortium of clinics, including the Clinical Center of EOHSI, where WTC workers and volunteers could receive medical and psychological screening. Over 9000 examinations have been completed to date in all of the centers, and 350 examinations have been completed at EOHSI. These examinations indicate an excess of upper and lower respiratory abnormalities and mental health symptoms, still present more than two years after exposure. We propose to continue our role in the surveillance of VVTC workers and volunteers as a clinical center (CC) for further evaluation of WTC workers. This evaluation will include medical and occupational history, physical examination, pulmonary function testing with and without bronchodilators, routine blood tests, urinalysis, and chest x-ray. Workers will complete a self-administered battery of psychological tests designed to screen for psychiatric issues including posttraumatic stress disorder, generalized anxiety disorder, major depression, and alcohol addiction. In particular, workers who continue to manifest upper respiratory problems will receive a directed physical assessment including detailed diagnostic testing of nasal function and structure and referral when appropriate. Workers with persistent mental health symptoms that manifest on standardized questionnaires or are diagnosed by the examining physicians will receive formal evaluation by a mental health clinician and referral for treatment. Data will be collected on the electronic medical record system, Logician, and will be integrated with the data collected at the Data Collection Center.

描述： 在2001年9月11日之后，成千上万的救援和恢复工作者加入了纽约市消防局（FDNY）直接在碎片堆中工作。分析WTC粉尘样品的分析表明存在有毒颗粒，燃烧产物和碎屑纤维的混合物。 暴露后十个月对消防人员的痰液进行分析表明，这些颗粒过量过量，被认为与上和下呼吸道疾病有关。在2001年9月1日之后以及暴露后六个月后，在消防员中进行的初步研究表明上呼吸道疾病过多，并且与压力相关的事件过多。基于这些结果，在疾病控制与预防中心（CDC）支持的西奈大学医学中心的研究人员建立了一个临床财团，包括EOHSI的临床中心，WTC工人和志愿者可以接受医疗和心理筛查。迄今为止，所有中心已经完成了9000多次检查，EOHSI已完成350次检查。这些检查表明过量的下呼吸和心理健康症状过多，但仍出现在暴露后两年以上。我们建议继续在VVTC工人和志愿者作为临床中心（CC）的监视中继续发挥作用，以进一步评估WTC工人。该评估将包括医学和职业病史，体格检查，带有和没有支气管扩张剂的肺功能测试，常规的血液检查，尿液分析和胸部X射线。工人将完成一系列自我管理的心理测试，旨在筛查精神病学问题，包括创伤后应激障碍，广义焦虑症，严重抑郁症和酒精成瘾。特别是，继续表现出上呼吸道问题的工人将获得定向的身体评估，包括对鼻功能和结构的详细诊断测试以及在适当时转介。 具有持续性心理健康症状的工人在标准化问卷上表现出来，或者由检查医生诊断出，将由精神健康临床医生正式评估和转诊进行治疗。 数据将在电子病历系统（Logician）上收集，并将与数据收集中心收集的数据集成。