Clinical Services for World Trade Center Responders

描述：此申请由石溪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，为世界贸易中心（WTC）倒塌后的约3600名长岛居民提供医疗服务。自2002年以来，LIOEHC和NUMC一直是NIOSH赞助项目的主要临床站点，该项目旨在为应急人员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，呼吸系统疾病和精神健康紊乱的发生率持续上升。这项建议建立在我们为这一英雄群体建立的临床服务的基础上，寻求建立一个长期的病人评估、跟踪、数据收集和转诊计划，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地点提供全面的服务来改善长岛应急人员获得护理的机会，从而消除了应急人员前往纽约市进行所需服务的需要。在直接促进应对者健康的同时，该项目还与制定适用于全国的监测、筛查和治疗模式有关，以便在大量、多样化、地理分散的人群中进行多次接触。具体目标是：

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.