Clinical Services for World Trade Center Responders

产品说明：该申请由斯托尼布鲁克大学长岛职业和环境健康中心（LIOEHC）与拿骚大学医学中心（NUMC）合作提交，要求指定为临床中心，为应对世界贸易中心（WTC）倒塌的约3，600名长岛居民提供医疗服务。自2002年以来，LIOEHC和NUMC一直是正在进行的NIOSH赞助项目的主要临床研究中心，旨在为响应者提供基线评估和医疗/心理转诊。初步基线调查结果显示，由于接触有毒物质和精神创伤，呼吸道疾病和精神健康紊乱的发病率持续上升。该提案建立在我们为这一英雄群体建立的临床服务基础上，寻求为患者评估，跟踪，数据收集和转诊建立一个长期计划，以进一步阐明，描述和治疗这场灾难的医疗和心理后遗症。我们还寻求通过在当地提供综合服务，改善长岛急救人员获得护理的机会，从而消除急救人员为获得所需服务而花费数小时前往纽约市的需要。该项目在直接促进反应者健康的同时，还有助于制定一个全国适用的模式，用于在大量、多样化和地理分散的人群中进行多重接触后的监测、筛查和治疗。具体目标是： 1.确定长岛应急人员因暴露于世贸中心灾难现场而遭受的所有疾病和/或伤害; 2.通过提供医疗、心理和/或社会服务的转诊，促进对反应者的及时治疗和预防性护理; 3.通过外展、教育和社区参与，促进获得护理和患者宣传。

DESCRIPTION: 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.