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Lower Respiratory Symptoms Associated With Environmental and Reconstruction Exposures After Hurricane Sandy

Published online by Cambridge University Press:  21 January 2018

Lisa M. Gargano ,
Sean Locke ,
Hannah T. Jordan  and
Robert M. Brackbill
Lisa M. Gargano*
Affiliation:
New York City Department of Health and Mental Hygiene, New York, NY
Sean Locke
Affiliation:
New York City Department of Health and Mental Hygiene, New York, NY
Hannah T. Jordan
Affiliation:
New York City Department of Health and Mental Hygiene, New York, NY
Robert M. Brackbill
Affiliation:
New York City Department of Health and Mental Hygiene, New York, NY
*
Correspondence and reprints request to Lisa M. Gargano, PhD, MPH, New York City Department of Health and Mental Hygiene, 125 Worth Street, New York, NY (e-mail: lgargano1@health.nyc.gov)
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Abstract

Objective

In a population with prior exposure to the World Trade Center (WTC) disaster, this study sought to determine the relationship between Hurricane Sandy-related inhalation exposures and post-Sandy lower respiratory symptoms (LRS).

Methods

Participants included 3835 WTC Health Registry enrollees who completed Wave 3 (2011-2012) and Hurricane Sandy (2013) surveys. The Sandy-related inhalational exposures examined were: (1) reconstruction exposure; (2) mold or damp environment exposure; and (3) other respiratory irritants exposure. LRS were defined as wheezing, persistent cough, or shortness of breath reported on ≥1 of the 30 days preceding survey completion. Associations between LRS and Sandy exposures, controlling for socio-demographic factors, post-traumatic stress disorder, and previously reported LRS and asthma were examined using multiple logistic regression.

Results

Over one-third of participants (34.4%) reported post-Sandy LRS. Each of the individual exposures was also independently associated with post-Sandy LRS, each having approximately twice the odds of having post-Sandy LRS. We found a dose-response relationship between the number of types of Sandy-related exposures reported and post-Sandy LRS.

Conclusions

This study provides evidence that post-hurricane clean-up and reconstruction exposures can increase the risk for LRS. Public health interventions should emphasize the importance of safe remediation practices and recommend use of personal protective equipment. (Disaster Med Public Health Preparedness. 2018;12:697-702)

Keywords

Hurricane SandyWorld Trade Centerrespiratory
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 6 , December 2018 , pp. 697 - 702
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

1. Landsea, C. The thirty costliest mainland United States tropical cyclones 1900-2013. NOAA HRD Frequently Asked Questions, 2013; http://www.aoml.noaa.gov/hrd/tcfaq/E13.html. Accessed March 24, 2016.Google Scholar
2. Abramson, DM, Redlener, I. Hurricane Sandy: lessons learned, again. Disaster Med Public Health Prep. 2012;6(4):328-329.Google Scholar
3. Freund, A, Zuckerman, N, Luo, H, Hsu, HH, Lucchini, R. Diesel and silica monitoring at two sites following Hurricane Sandy. J Occup Environ Hyg. 2014;11(9):D131-D143.Google Scholar
4. Kim, HK, Takematsu, M, Biary, R, Williams, N, Hoffman, RS, Smith, SW. Epidemic gasoline exposures following Hurricane Sandy. Prehosp Disaster Med. 2013;28(6):586-591.Google Scholar
5. Mandigo, AC, DiScenza, DJ, Keimowitz, AR, Fitzgerald, N. Chemical contamination of soils in the New York City area following Hurricane Sandy. Environ Geochem Health. 2016;38(5):1115-1124.Google Scholar
6. Johanning, E, Auger, P, Morey, PR, Yang, CS, Olmsted, E. Review of health hazards and prevention measures for response and recovery workers and volunteers after natural disasters, flooding, and water damage: mold and dampness. Environ Health Prev Med. 2014;19(2):93-99.Google Scholar
7. ALIGN, Community Voices Heard, Faith in New York, Make the Road New York, New York Communities for Change, and VOCAL-NY. Sandy’s mold legacy: The unmet need six months after the storm. Brooklyn, NY, 2013; http://digitalcommons.ilr.cornell.edu/cgi/viewcontent.cgi?article=1021&context=institutes. Accessed December 15, 2017.Google Scholar
8. Institute of Medicine Committee on Damp Indoor Spaces Health. Damp indoor spaces and health. Washington, D.C.: National Academies Press; 2004.Google Scholar
9. Federal Emergency Management Agency (FEMA). New York harbor at the b attery hydrograph. NOAA Advanced Hydrologic Prediction Service, 2016. http://water.weather.gov/ahps2/hydrograph.php?wfo=okx&gage=batn6. Accessed March 24, 2016.Google Scholar
10. Barbeau, DN, Grimsley, LF, White, LE, El-Dahr, JM, Lichtveld, M. Mold exposure and health effects following Hurricanes Katrina and Rita. Annu Rev Public Health. 2010;31:165-178.Google Scholar
11. Quast, T, Mortensen, K. Emergency department utilization in the Texas Medicaid emergency waiver following Hurricane Katrina. Medicare Medicaid Res Rev. 2012;2(1):E1-E6.Google Scholar
12. Rando, RJ, Lefante, JJ, Freyder, LM, Jones, RN. Respiratory health effects associated with restoration work in post-Hurricane Katrina New Orleans. J Environ Public Health. 2012;2012:1-8.Google Scholar
13. Mount Sinai Irving J. Selikoff, Center for Occupational & Environmental Medicine. Diesel exhaust exposure: what to do. 2012; http://www.usa829.org/Portals/0/Documents/Health-and-Safety/Safety-Library/Diesel-Exhaust-Exposure_What-To-Do.pdf. Accessed February 3, 2017.Google Scholar
14. Kim, H, Schwartz, RM, Hirsch, J, Silverman, R, Liu, B, Taioli, E. Effect of Hurricane Sandy on Long Island emergency departments visits. Disaster Med Public Health Prep. 2016;10(3):344-350.Google Scholar
15. Gotanda, H, Fogel, J, Husk, G, et al. Hurricane Sandy: impact on emergency department and hospital utilization by older adults in Lower Manhattan, New York (USA). Prehosp Disaster Med. 2015;30(5):496-502.Google Scholar
16. Brackbill, RM, Caramanica, K, Maliniak, M, et al. Nonfatal injuries 1 week after Hurricane Sandy-New York City metropolitan area, October 2012. Morb Mortal Wkly Rep. 2014;63(42):950-954.Google Scholar
17. Caramanica, K, Brackbill, RM, Stellman, SD, Farfel, MR. Posttraumatic stress disorder after Hurricane Sandy among persons exposed to the 9/11 disaster. Int J Emerg Mental Health. 2015;17(1):356-362.Google Scholar
18. Friedman, SM, Farfel, MR, Maslow, CB, Cone, JE, Brackbill, RM, Stellman, SD. Comorbid persistent lower respiratory symptoms and posttraumatic stress disorder 5-6 years post-9/11 in responders enrolled in the World Trade Center Health Registry. Am J Indus Med. 2013;56(11):1251-1261.Google Scholar
19. Luft, BJ, Schechter, C, Kotov, R, et al. Exposure, probable PTSD and lower respiratory illness among World Trade Center rescue, recovery and clean-up workers. Psychol Med. 2012;42(5):1069-1079.Google Scholar
20. Nair, HP, Ekenga, CC, Cone, JE, Brackbill, RM, Farfel, MR, Stellman, SD. Co-occurring lower respiratory symptoms and posttraumatic stress disorder 5 to 6 years after the World Trade Center terrorist attack. Am J Public Health. 2012;102(10):1964-1973.Google Scholar
21. Ruggiero, KJ, Del Ben, K, Scotti, JR, Rabalais, AE. Psychometric properties of the PTSD Checklist-Civilian Version. J Trauma Stress. 2003;16(5):495-502.Google Scholar
22. Brackbill, RM, Hadler, JL, DiGrande, L, et al. Asthma and posttraumatic stress symptoms 5 to 6 years following exposure to the World Trade Center terrorist attack. JAMA. 2009;302(5):502-516.Google Scholar
23. New York State. Respiratory concerns and mold cleanup after Hurricane Sandy. 2013; https://www.health.ny.gov/environmental/emergency/weather/hurricane/docs/respiratory_health_flyer.pdf. Accessed November 10, 2016.Google Scholar
24. Occupational Safety and Health Administration. OSAH FactSheet: Mold Hazards during Hurricane Sandy cleanup. 2012; https://www.osha.gov/Publications/OSHA-FS-3619.pdf. Accessed November 10, 2016.Google Scholar