Clinical Services for World Trade Center Responders

这份申请是由斯托尼布鲁克大学长岛职业和环境学院提交的。 健康中心（LIOEHC）与拿骚大学医学中心（NUMC）合作， 指定为临床中心，为估计3,600名长岛居民提供医疗服务， 世界贸易中心（WTC）倒塌。自2002年以来，LIOEHC和NUMC一直在 正在进行的NIOSH申办项目中的主要临床研究中心，旨在提供基线评估 以及为响应者提供医疗/心理转诊。初步基线结果显示， 呼吸系统疾病和精神健康紊乱的风险， 情感创伤这项建议建立在我们为这个英雄群体建立的临床服务基础上， 为患者评估、跟踪、数据收集和转诊建立一个长期计划， 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服务，改善长岛急救人员获得护理的机会 地点，从而消除了响应者前往纽约市进行所需的许多小时的需要 服务在直接促进响应者的健康的同时，该项目也与发展有关。 国家适用的多重接触后监测、筛查和治疗模式， 庞大、多样化、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于以下条件而遭受的所有疾病和/或伤害： 世贸中心灾难现场; 2.通过提供医疗转诊，促进对反应者的及时治疗和预防护理， 心理和/或社会服务; 3.通过外展、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.