WTC Responder Health Consortium Clinical Center

说明： 自2001年9月11日世贸中心遇袭以来，在世贸中心救援和恢复工作中工作或志愿工作的大约4万人中，人们对疾病和受伤的担忧日益加剧。WTC反应人员持续暴露在一系列环境毒素、心理创伤和身体危害中。许多应答者从这些暴露中产生了健康影响；长期健康影响是否会持续或发展为慢性病尚不清楚。这项提案要求提供资金，在世界贸易中心工人和志愿者医疗筛查计划(MSP)现有的西奈山临床计划的基础上建立一个临床中心。西奈山临床中心(MSCC)将为大约8500名WTC应答者提供定期体检，他们将拥有 截至2004年3月31日，在西奈山MSP接受了基线检查，并将在5年内为另外500名WTC应答者提供基线和后续检查，从而每隔1年半为9000名WTC应答者提供总计约27,000次体检。MSCC将评估每个应答者与WTC相关的新的或持续的身体和/或精神健康问题，并告知每个应答者他或她的检查结果。MSCC将帮助受影响的应答者获得筛查检查中发现的健康问题的后续诊断测试和/或治疗，并获得可用的福利。MSCC将为所有9000名WTC响应者提供持续的外联和跟踪联系信息，我们预计这些应答者将要求在拟议项目的5年期间在西奈山进行持续的定期检查。标准化数据将被发送到数据和协调中心(DCC)，MSCC将参与DCC设计的质量保证计划。西奈山中心是唯一提供多语言能力的MSP临床站点；MSCC将继续以参与者选择的语言提供临床评估。

DESCRIPTION: Since the September 11, 2001 attacks on the World Trade Center, there has been growing concern about illness and injuries among the estimated 40,000 who worked or volunteered on the WTC rescue and recovery effort. WTC responders sustained exposures to a range of environmental toxins, psychological trauma and physical hazards. Many responders developed health effects from these exposures; whether long term health effects will persist or develop into chronic conditions is unknown. This proposal requests funding to establish a Clinical Center based in the existing Mount Sinai Clinical Program of the World Trade Center Worker and Volunteer Medical Screening Program (MSP). The Mount Sinai Clinical Center (MSCC) will provide periodic medical screening examinations for an estimated 8500 WTC responders who will have received baseline examinations at the Mount Sinai MSP as of March 31, 2004 and will provide baseline and follow up examinations for an additional 500 WTC responders over a 5 year period thus providing approximately a total of 27,000 medical screening exams for 9000 WTC responders at 1 1/2 year intervals. The MSCC will evaluate each responder for new or persistent WTC-related physical and/or mental health 3roblems and inform each responder about his or her examination results The MSCC will assist affected responders with obtaining follow-up diagnostic testing and/or treatment for health problems identified in the screening exams, and in accessing available benefits. The MSCC will provide ongoing outreach to, and tracking of contact information for all 9000 WTC responders who we anticipate will request ongoing periodic examinations at Mount Sinai for the 5 year period of the proposed project. Standardized data will be sent to the Data and Coordinating Center (DCC), and the MSCC will participate in Quality Assurance programs as designed by the DCC. The Mount Sinai Center was the only MSP clinical site providing multilingual capacity; the MSCC will continue to provide clinical evaluations in the participant's language of choice.