WTC Responder Health Consortium Clinical Center

自2001年9月11日世界贸易中心遭受袭击以来，人们越来越关注 在世贸中心救援工作或志愿者中估计有40，000人患病和受伤， 恢复的努力。世贸中心的反应者持续暴露于一系列环境毒素，心理 创伤和身体危害。许多应答者从这些暴露中产生了健康影响; 长期健康影响将持续存在或发展成慢性疾病是未知的。该提案要求 资助在现有的世界贸易组织西奈山临床计划的基础上建立一个临床中心 中心工作人员和志愿者医疗筛查计划（MSP）。西奈山临床中心（MSCC） 将为估计8500名WTC响应者提供定期医疗筛查检查， 截至2004年3月31日，在西奈山MSP接受了基线检查，并将提供基线和 在5年内对另外500名WTC响应者进行后续检查，从而提供 每隔1年为9000名WTC响应者进行约27，000次医学筛查检查。 MSCC将评估每个应答者的新的或持续的WTC相关身体和/或心理健康状况 3.通知并告知每一位响应者他或她的检查结果。 支持对调查中发现的健康问题进行后续诊断检测和/或治疗， 筛选考试，并获得现有的福利。MSCC将提供持续的外展服务， 跟踪所有9000名WTC响应者的联系信息，我们预计他们将要求持续定期 在拟议项目的5年期间，在西奈山进行检查。标准化数据将发送至 数据和协调中心（DCC）和MSCC将参与质量保证计划， 由DCC设计。西奈山中心是唯一的MSP临床站点， MSCC将继续以参与者选择的语言提供临床评估。

Since the September 11, 2001 attacks on the World Trade Center, there has been growing concern about illness and injuries among the estimated 40,000 who worked or volunteered on the WTC rescue and recovery effort. WTC responders sustained exposures to a range of environmental toxins, psychological trauma and physical hazards. Many responders developed health effects from these exposures; whether long term health effects will persist or develop into chronic conditions is unknown. This proposal requests funding to establish a Clinical Center based in the existing Mount Sinai Clinical Program of the World Trade Center Worker and Volunteer Medical Screening Program (MSP). The Mount Sinai Clinical Center (MSCC) will provide periodic medical screening examinations for an estimated 8500 WTC responders who will have received baseline examinations at the Mount Sinai MSP as of March 31, 2004 and will provide baseline and follow up examinations for an additional 500 WTC responders over a 5 year period thus providing approximately a total of 27,000 medical screening exams for 9000 WTC responders at 1 ¿ year intervals. The MSCC will evaluate each responder for new or persistent WTC-related physical and/or mental health 3roblems and inform each responder about his or her examination results The MSCC will assist affected esponders with obtaining follow-up diagnostic testing and/or treatment for health problems identified in the screening exams, and in accessing available benefits. The MSCC will provide ongoing outreach to, and tracking of contact information for all 9000 WTC responders who we anticipate will request ongoing periodic examinations at Mount Sinai for the 5 year period of the proposed project. Standardized data will be sent to the Data and Coordinating Center (DCC), and the MSCC will participate in Quality Assurance programs as designed by the DCC. The Mount Sinai Center was the only MSP clinical site providing multilingual capacity; the MSCC will continue to provide clinical evaluations in the participant's language of choice.