Clinical Services for World Trade Center Responders

这份申请是由石溪大学长岛职业与环境学院提交的 卫生中心(LIOEHC)与拿骚大学医学中心(NUMC)合作，要求 被指定为临床中心，为约3,600名长岛居民提供医疗服务 应对世界贸易中心(WTC)的倒塌。自2002年以来，LIOEHC和NUMC一直 正在进行的NIOSH赞助计划中的主要临床站点，旨在提供基线评估 以及对应答者的医疗/心理转介。初步基线调查结果显示失业率持续高企 因接触有毒物质而引起的呼吸系统疾病和精神健康障碍 精神创伤。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、数据收集和转介创建一个长期计划，以进一步 阐明、描述和治疗这场灾难的医学和心理后遗症。我们还寻求 通过在当地提供全面的服务，改善长岛应急者获得护理的机会 ，从而消除了响应人员在需要的情况下前往纽约市数小时的需要 服务。在直接促进应急者健康的同时，该项目也与发展有关 建立一个全国适用的监测、筛查和治疗模式，用于监测、筛查和治疗 庞大、多样、地理上分散的人口。具体目标是： 1.确定长岛应急人员因暴露在以下地点而遭受的所有疾病和/或伤害 世贸中心灾难现场； 2.通过为医务人员提供转介，促进对应急者的及时治疗和预防性护理， 心理和/或社会服务； 3.通过外联、教育和社区参与，促进获得护理和患者宣传。

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.