NYU World Trade Center Responder Health Consortium

纽约大学世界贸易中心响应者健康联盟

• 批准号: 7104856
• 负责人: Denise Harrison
• 金额: $ 57.29万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-13 至 2009-08-12
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7104856
• 关键词: allied health education; behavioral /social science research tag; bioterrorism /chemical warfare; clinical research; cooperative study; depression; disasters; dust; educational resource design /development; environmental exposure; gastrointestinal sign /symptom; health care referral /consultation; health care service; human subject; interdisciplinary collaboration; longitudinal human study; medical outreach /case finding; mental disorder diagnosis; mental disorders; mental health education; mental health epidemiology; occupational disease /disorder; police; posttraumatic stress disorder; psychological shock; questionnaires; reflux esophagitis; respiratory disorder; respiratory disorder diagnosis; respiratory disorder epidemiology

DESCRIPTION: This proposal is a collaboration between New York University and law enforcement organizations including the Fraternal Order of Police, the Metal Trades Department, and community organizations including the Latin American Workers Project and the Beyond Ground Zero network. The Division of Pulmonary and Critical Care Medicine, the Bellevue/NYU Occupational and Environmental Medicine Program, and the NYU/Bellevue Department of Psychiatry have all participated in health evaluations of responders and local residents after the destruction of the World Trade Center (WTC). The populations evaluated in these programs included workers involved in rescue and recovery activities, including firefighters in the Fire Department of New York (FDNY), day laborers involved in clean-up activities, and local residents. These initial studies have revealed significant respiratory and mental health complaints and identified respiratory findings in the exposed population. We now propose to extend our efforts of evaluating health effects of the destruction of the WTC by providing long-term medical and mental health evaluations of three target groups involved in the rescue and recovery efforts of lower Manhattan. Working with the Fraternal Order of Police, we will recruit law enforcement officers including members of the New York Police Department and transit officers for long-term screening. Working with community organizations including the Latin American Workers Project and the Beyond Ground Zero network, we will monitor the medical and mental health of day laborers, who were responsible for the removal of the WTC debris from downtown buildings, and therefore the economic recovery of New York City. Our third target group will include members of the Metal Trades Department, a coalition of seventeen unions. We now propose long-term screening for potential active or latent adverse health effects resulting from rescue or recovery activities with exposures to WTC dusts. This screening will be performed with the following aims: Specific Aim 1. To perform longitudinal health evaluations in a population of WTC responders, (members of the Fraternal Order of Police and New York City Police Department, New York City day laborers, and Metal Trades Council) to screen for medical complications associated with the WTC disaster with a focus on sinus disease, upper and lower respiratory diseases, and gastroesophageal diseases. Specific Aim 2. To perform long-term mental health screening of a population of WTC responders for persistent post traumatic stress disorders and depression. Specific Aim 3. To develop a referral program for responders with medical or mental health complaints to medical and mental health specialists with experience with WTC-associated health issues. Specific Aim 4. To develop responsive outreach and educational programs for responders and their families and for local physicians to improve understanding of medical and mental health issues associated with the WTC disaster.

产品说明： 该提案是纽约大学与包括警察兄弟会、金属贸易部在内的执法组织以及包括拉丁美洲工人项目和超越归零地网络在内的社区组织之间的合作。肺部和重症监护医学科，贝尔维尤/纽约大学职业和环境医学计划，以及纽约大学/贝尔维尤精神病学系都参与了世界贸易中心（WTC）摧毁后的响应者和当地居民的健康评估。在这些项目中评估的人群包括参与救援和恢复活动的工人，包括纽约消防局（FDNY）的消防员、参与清理活动的日工和当地居民。这些初步研究揭示了暴露人群中严重的呼吸和精神健康问题，并确定了呼吸系统检查结果。我们现在建议扩大我们的努力，评估世界贸易中心的破坏对健康的影响，对参与下曼哈顿救援和恢复工作的三个目标群体进行长期的医疗和心理健康评估。我们将与警察兄弟会合作，招募包括纽约警察局成员和交通官员在内的执法人员进行长期筛查。我们将与包括拉丁美洲工人项目和超越归零地网络在内的社区组织合作，监测日工的医疗和心理健康，他们负责从市中心建筑物中清除世贸中心的碎片，从而促进纽约市的经济复苏。我们的第三个目标群体将包括金属贸易部的成员，这是一个由17个工会组成的联盟。我们现在建议对暴露于世贸中心粉尘的救援或恢复活动造成的潜在活性或潜在不良健康影响进行长期筛查。该筛选的目的如下： 具体目标1.对世贸中心应急人员（警察兄弟会和纽约市警察局成员、纽约市日工和金属行业理事会成员）进行纵向健康评估，以筛查与世贸中心灾难相关的医疗并发症，重点关注鼻窦疾病、上下呼吸道疾病和胃食管疾病。 具体目标2。对WTC反应人群进行长期心理健康筛查，以确定是否存在持续性创伤后应激障碍和抑郁症。 具体目标3。为有医疗或心理健康投诉的响应者制定一个转诊计划，让他们向具有WTC相关健康问题经验的医疗和心理健康专家求助。 具体目标4。为响应者及其家人以及当地医生制定响应性的外展和教育计划，以提高对与世贸中心灾难相关的医疗和心理健康问题的理解。