Occupational Safety and Health Surveillance in New York

描述（由申请人提供）：纽约州（NYS）卫生部（DOH）建议继续作为世界贸易中心（WTC）响应者和志愿者之间发生的死亡事件的数据收集中心。有关每起死亡事故的信息将提供给国家职业安全与健康研究所（NIOSH）和WTC指导委员会。虽然有大量基于科学的文献与WTC暴露相关的疾病，但与WTC相关的死亡反应者却不能这么说。到目前为止，与WTC相关的响应者死亡的报告是虚假的，仅限于新闻媒体报道和医学检查员/病理学家的意见。因此，很难对有关这些案件的询问作出答复，无论是作为个别案件还是作为“集群”或“群组”案件。需要一种数据收集系统，该系统可以及时和完整地识别和跟踪事件发生后在世贸中心响应者中发生的所有死亡事件，使得可以开始系统地探索基于科学的根本原因调查。这些信息将用于提高对WTC相关发病率和死亡率的病理学的理解，并更好地了解WTC相关死亡的病因。这可能有助于改善目前正在经历或将来可能经历与WTC暴露相关的不良健康影响的个人的医疗。NYSDOH将试图确定自2001年9月12日以来在世界贸易中心发生的任何死亡事件。对于每例死亡病例，将尝试获得以下信息：死者的人口统计学资料;报告的死亡原因，包括根本原因; WTC前后的健康状况; 2001年9月11日至2002年6月30日期间WTC暴露的详细情况;以及尸检结果（如适用）。将对2006年1月1日以来发生的所有非创伤性/非自杀性死亡事件进行近亲访谈。将向州内和州外的团体提供关于世贸中心死亡调查项目的宣传和教育，以及提供世贸中心应急人员死亡信息的必要性。为了协助查明病例，卫生部将扩大与国家机构的现有关系，包括卫生部门、目前的世贸中心医疗监测和治疗方案、世贸中心登记处以及参与世贸中心活动的其他团体。

DESCRIPTION (provided by applicant): The New York State (NYS) Department of Health (DOH) proposes to continue its role as a data collection center for fatalities occurring among World Trade Center (WTC) responders and volunteers. Information on each fatality of interest will be provided to the National Institute for Occupational Safety and Health (NIOSH) and the WTC Steering Committee. Although there is significant science-based literature on illnesses associated with WTC exposures, the same cannot be said of responder WTC-related fatalities. To date, reports of WTC-related responder fatalities have been spurious and limited to news media reports and medical examiner/pathologist opinion. Therefore, it is difficult to respond to inquiries regarding these cases, both as individual cases and as "clusters" or "cohorts" of cases. There is a need for a data collection system that can identify and track all fatalities occurring among WTC responders, post-event, in a timely and complete manner such that science based investigations of root causes can begin to be systematically explored. This information will be used to improve the understanding of the pathology of WTC-related morbidity and mortality and to better understand the etiologies of WTC-related deaths. This may be helpful in improving the medical treatment of individuals who are currently experiencing, or may in the future experience, adverse health effects associated with WTC exposures. NYSDOH will attempt to identify any fatality that has occurred since September 12, 2001 to any responder or volunteer at the World Trade Center. For every fatality, an attempt will be made to obtain information on the decedent's demographics; reported cause of death, including underlying causes; health status prior to and after WTC, details of WTC exposure between September 11, 2001 and June 30, 2002; and autopsy results, when applicable. Next-of-kin interviews will be conducted on all non-traumatic/non-suicide fatalities that have occurred since January 1, 2006. Outreach and education will be provided to instate and out-of-state groups about the WTC Fatality Investigation project and about the need to provide information on any fatality that occurs to a WTC responder. To assist with case ascertainment, BOH will expand upon current relationships with state agencies including health departments, current WTC medical monitoring and treatment programs, the WTC Registry, and with other groups involved with WTC activities.