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Calvert GM, Anderson K, Cochran J, Cone JE, Harrison DJ, Haugen PT, Lilly G, Lowe SM, Luft BJ, Moline JM, Reibman J, Rosen R, Udasin IG, Werth AS. The World Trade Center Health Program: an introduction to best practices. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2022; 78:199-205. [PMID: 36533439 PMCID: PMC10277307 DOI: 10.1080/19338244.2022.2156975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
More than 20 years have elapsed since the September 11, 2001 (9/11) terrorist attacks on the World Trade Center (WTC), Pentagon and at Shanksville, PA. Many persons continue to suffer a variety of physical and mental health conditions following their exposures to a mixture of incompletely characterized toxicants and psychological stressors at the terrorist attack sites. Primary care and specialized clinicians should ask patients who may have been present at any of the 9/11 sites about their 9/11 exposures, especially patients with cancer, respiratory symptoms, chronic rhinosinusitis, gastroesophageal reflux disease, psychiatric symptoms, and substance use disorders. Clinicians, especially those in the NY metropolitan area, should know how to evaluate, diagnose, and treat patients with conditions that could be associated with exposure to the 9/11 attacks and its aftermath. As such, this issue of Archives contains a series of updates to clinical best practices relevant to medical conditions whose treatment is covered by the WTC Health Program. This first paper in the 14-part series describes the purpose of this series, defines the WTC Health Program and its beneficiaries, and explains how relevant Clinical Practice Guidelines were identified. This paper also reminds readers that because physical and mental health conditions are often intertwined, a coordinated approach to care usually works best and referral to health centers affiliated with the WTC Health Program may be necessary, since all such Centers offer multidisciplinary care.
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Affiliation(s)
- Geoffrey M. Calvert
- World Trade Center Health Program, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA
| | - Kristi Anderson
- World Trade Center Health Program, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA
| | | | - James E. Cone
- New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, New York, NY, USA
| | - Denise J. Harrison
- NYU Grossman School of Medicine, World Trade Center Health Program Clinical Center of Excellence, New York, NY, USA
| | - Peter T. Haugen
- NYU Grossman School of Medicine, World Trade Center Health Program Clinical Center of Excellence, New York, NY, USA
- Department of Psychiatry, New York University Grossman School of Medicine, New York, New York, USA
| | - Gerald Lilly
- World Trade Center Health Program, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA
| | - Sandra M. Lowe
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Icahn School of Medicine at Mount Sinai Clinical Center of Excellence, World Trade Center Health Program, New York, NY, USA
| | - Benjamin J. Luft
- Department of Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Jacqueline M. Moline
- Department of Occupational Medicine, Epidemiology and Prevention, World Trade Center Health Program Clinical Center of Excellence, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
| | - Joan Reibman
- World Trade Center Environmental Health Center, NYC Health + Hospitals, New York, NY, USA
- Department of Medicine and Environmental Medicine, Division of Pulmonary Medicine, NYU Grossman School of Medicine, New York, NY, USA
| | - Rebecca Rosen
- Department of Psychiatry, New York University Grossman School of Medicine, New York, New York, USA
- World Trade Center Environmental Health Center, NYC Health + Hospitals, New York, NY, USA
| | - Iris G. Udasin
- World Trade Center Health Program Clinical Center of Excellence, Environmental and Occupational Health Sciences Institute, Rutgers University Biomedical Sciences, Piscataway, NJ, USA
| | - Aditi S. Werth
- NYU Grossman School of Medicine, World Trade Center Health Program Clinical Center of Excellence, New York, NY, USA
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Calvert GM, Reissman D, Howard J. World Trade Center Health Program: 20 years after 9/11. Occup Environ Med 2021; 78:697-698. [PMID: 34507964 DOI: 10.1136/oemed-2021-107770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 06/29/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Geoffrey M Calvert
- World Trade Center Health Program, NIOSH, Washington DC, District of Columbia, USA
| | - Dori Reissman
- World Trade Center Health Program, NIOSH, Washington DC, District of Columbia, USA
| | - John Howard
- World Trade Center Health Program, NIOSH, Washington DC, District of Columbia, USA
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