Clinical Services for World Trade Center Responders

描述：这份申请由石溪大学长岛职业和环境健康中心(LIOEHC)与拿骚大学医学中心(NUMC)合作提交，申请被指定为临床中心，为大约3600名因世贸中心(WTC)倒塌而做出反应的长岛居民提供医疗服务。自2002年以来，LIOEHC和NUMC一直是正在进行的NIOSH赞助计划的主要临床地点，旨在为应答者提供基线评估和医疗/心理转介。初步基线调查结果显示，由于接触有毒物质和情感创伤，呼吸系统疾病和精神健康障碍的发生率持续上升。这项建议建立在我们为这一英雄群体提供的既定临床服务的基础上，寻求为患者评估、跟踪、数据收集和转诊创建一个长期计划，以进一步阐明、描述和治疗这场灾难的医疗和心理后遗症。我们还寻求通过在当地地点提供全面服务，改善驻长岛的救援人员获得护理的机会，从而消除救援人员前往纽约市获得所需服务的需要。除了直接促进应答者的健康外，该项目还与制定国家适用的监测、筛查和治疗模式有关，以便在大量、多样化、地理分散的人口中进行多次接触后进行监测、筛查和治疗。具体目标是： 1.查明驻长岛的救援人员因暴露在世贸中心灾难现场而遭受的所有疾病和/或伤害； 2.通过为医疗、心理和/或社会服务提供转介，促进对应急者的及时治疗和预防性护理； 3.通过外联、教育和社区参与，促进获得护理和患者宣传。

DESCRIPTION: This application is being submitted by Stony Brook University's Long Island Occupational and Environmental Health Center (LIOEHC) in partnership with the Nassau University Medical Center (NUMC) to request designation as a Clinical Center to provide health services to the estimated 3,600 Long Island residents who responded to the World Trade Center (WTC) collapse. Since 2002, the LIOEHC and NUMC have been primary clinical sites in the ongoing NIOSH sponsored program aimed at providing baseline assessments and medical/psychological referrals for responders. Initial baseline findings reveal persistently elevated rates of respiratory disease and disturbances in mental health resulting from exposures to toxic substances and emotional trauma. This proposal builds upon our established clinical services for this heroic group, seeking to create a long-term program for patient assessment, tracking, data collection and referral to further elucidate, describe and treat the medical and psychological sequelae of this disaster. We seek also to improve access to care for Long Island-based responders by offering comprehensive services at local locations, thereby eliminating the need for responders to travel many hours into New York City for needed services. While directly promoting the health of responders, this project is also relevant to the development of a nationally applicable model for surveillance, screening and treatment following multiple exposures in large, diverse, geographically dispersed populations. Specific aims are to: 1. Identify all illness and/or injury sustained by Long Island-based responders as a result of exposures at the WTC disaster site; 2. Promote prompt treatment and preventive care for responders by providing referrals for medical, psychological and/or social services; 3. Promote access to care and patient advocacy through outreach, education and community involvement.