NYU World Trade Center Responder Health Consortium

说明： 这项提议是纽约大学与执法组织之间的合作，包括兄弟会警察秩序、金属贸易部，以及社区组织，包括拉丁美洲工人项目和超越世贸中心网络。肺和重症监护医学部、贝尔维尤/纽约大学职业和环境医学项目以及纽约大学/贝尔维尤精神病学系都参与了世贸中心(WTC)被毁后应急人员和当地居民的健康评估。这些项目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、参与清理活动的临时工和当地居民。这些初步研究揭示了严重的呼吸系统和精神健康问题，并确定了暴露人群中的呼吸系统发现。我们现在建议通过对参与曼哈顿下城救援和恢复工作的三个目标群体提供长期的医疗和心理健康评估，来扩大我们评估世贸中心被毁对健康影响的努力。我们将与警察兄弟会合作，招募执法人员，包括纽约警察局成员和过境人员，进行长期检查。我们将与包括拉丁美洲工人项目和超越世贸中心网络在内的社区组织合作，监测临时工的医疗和心理健康，他们负责清除市中心建筑中的世贸中心废墟，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WTC粉尘的救援或恢复活动所产生的潜在的积极或潜在的不良健康影响进行长期筛查。这项筛查将以下列目的进行： 具体目标1.对WTC响应人员(警察和纽约市警察局兄弟会成员、纽约市临时工和金属贸易委员会成员)进行纵向健康评估，以筛查与WTC灾难有关的医疗并发症，重点是鼻窦疾病、上呼吸道和下呼吸道疾病以及胃食道疾病。 具体目的2.对WTC应答者中持续性创伤后应激障碍和抑郁症的人群进行长期心理健康筛查。 具体目标3.为有医疗或精神健康投诉的应答者制定一项转介计划，转介给具有WTC相关健康问题经验的医疗和精神健康专家。 具体目标4.为响应人员及其家人和当地医生制定响应外展和教育方案，以提高对与WTC灾难有关的医疗和心理健康问题的了解。

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.