Occupational Safety and Health Surveillance in New York

描述(由申请人提供)：纽约州(NYS)卫生部(DOH)建议继续发挥其作为世界贸易中心(WTC)反应人员和志愿者死亡数据收集中心的作用。将向国家职业安全与健康研究所(NIOSH)和WTC指导委员会提供有关每起感兴趣的死亡事件的信息。尽管有大量以科学为基础的文献介绍了与WTC暴露相关的疾病，但对于与WTC相关的应答者的死亡却不能说同样的话。到目前为止，关于WTC相关应答者死亡的报道一直是虚假的，仅限于新闻媒体报道和法医/病理学家的意见。因此，很难答复关于这些案件的询问，无论是作为个别案件，还是作为案件的“集群”或“群组”。需要一种数据收集系统，能够及时和完整地识别和跟踪WTC应答者在事件发生后发生的所有死亡事件，以便能够开始系统地探索以科学为基础的根本原因调查。这些信息将被用来提高对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未来可能经历与WTC暴露相关的不良健康影响的个人的医疗救治。Nysdoh将尝试识别自2001年9月12日以来发生在世贸中心的任何响应者或志愿者的任何死亡事件。对于每一起死亡事件，都会尝试获取以下信息：死者的人口统计数据；报告的死因，包括潜在原因；WTC前后的健康状况；2001年9月11日至2002年6月30日期间接触WTC的详细情况；以及尸检结果(如果适用)。亲属面谈将对2006年1月1日以来发生的所有非创伤性/非自杀死亡进行。将向本州和州外团体提供宣传和教育，使他们了解WTC死亡调查项目，并了解是否需要提供关于WTC应答者发生的任何死亡的信息。为了协助查明病例，卫生与公众服务部将扩大目前与州政府机构的关系，包括卫生部门、当前的WTC医疗监测和治疗项目、WTC注册中心以及参与WTC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.