Clinical Services for World Trade Center Responders

为世贸中心急救人员提供的临床服务

• 批准号: 7923577
• 负责人: BENJAMIN J LUFT
• 金额: $ 674.48万
• 依托单位: STATE UNIVERSITY NEW YORK STONY BROOK
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-15 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7923577
• 关键词: Clinical; Services; World; Trade; Center

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.

描述：本申请由石溪大学长岛职业与环境健康中心 (LIOEHC) 与拿骚大学医学中心 (NUMC) 合作提交，请求指定为临床中心，为大约 3,600 名因世贸中心 (WTC) 倒塌事故做出反应的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 赞助计划的主要临床地点，该计划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情感创伤，呼吸系统疾病和心理健康障碍的发病率持续升高。该提案建立在我们为这个英雄群体建立的临床服务的基础上，寻求制定一个长期计划，用于患者评估、跟踪、数据收集和转诊，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全面的服务来改善长岛急救人员获得护理的机会，从而消除急救人员花费数小时前往纽约市以获得所需服务的需要。在直接促进响应者健康的同时，该项目还涉及开发一个全国适用的模型，用于对大量、多样化、地理分散的人群进行多次暴露后的监测、筛查和治疗。具体目标是： 1. 查明长岛救援人员因在世贸中心灾难现场暴露而遭受的所有疾病和/或伤害； 2. 通过提供医疗、心理和/或社会服务转介，促进对应对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。