WTC Responder Health Consortium Clinical Center

自2001年9月11日世贸中心遇袭以来，人们越来越担心 在WTC救援和志愿工作的估计40,000人中的疾病和受伤 恢复工作。WTC反应人员持续暴露于一系列环境毒素，心理 创伤和身体危险。许多应答者从这些暴露中产生了健康影响； 对健康的长期影响是否会持续或发展为慢性病尚不清楚。本建议书要求 根据世界贸易组织现有的西奈山临床方案建立临床中心的资金 中心工作人员和志愿者医疗筛查计划(MSP)。西奈山临床中心(MSCC) 将为约8500名WTC应答者提供定期体检，这些应答者将 截至2004年3月31日，在西奈山MSP收到了基线检查，并将提供基线和 在5年内对另外500名WTC应答者进行跟踪检查，从而提供 每隔一年对9000名WTC应答者进行大约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/或心理健康 3问题，并告知每个应答者他或她的检查结果，MSCC将帮助受影响的人 对在以下方面发现的健康问题获得后续诊断测试和/或治疗的思考 筛选考试，以及在获得可用福利方面。MSCC将持续提供外展服务， 跟踪所有9000名WTC响应者的联系信息，我们预计这些响应者将要求持续定期 在拟议项目的5年期间在西奈山进行考试。标准化数据将发送到 数据和协调中心(DCC)和MSCC将作为 由DCC设计。西奈山中心是唯一的MSP临床站点，提供多语言 能力；MSCC将继续以参与者选择的语言提供临床评估。

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 ¿ 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 esponders 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.