Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-10T11:49:29.577Z Has data issue: false hasContentIssue false

Injuries and Illnesses Treated at the World Trade Center, 14 September–20 November 2001

Published online by Cambridge University Press:  28 June 2012

Kara R. Perritt*
Affiliation:
Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA
Winifred L. Boal
Affiliation:
Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA
*
Chief, Special Studies TeamSurveillance and Field Investigations BranchDivision of Safety ResearchNational Institute for Occupational Safety and Health1095 Willowdale Road, M/S 1808Morgantown, WV 26505USA E-mail: kperritt@cdc.gov

Abstract

Introduction:

In response to the 11 September 2001 terrorist attacks on the World Trade Center (WTC), the United States Public Health Service (USPHS) deployed Disaster Medical Assistance Teams (DMATs) and the Commissioned Corps to provide on-site, primary medical care to anyone who presented. Patients included rescue and recovery workers, other responders, and some members of the general public.

Objective:

A descriptive analysis of WTC-USPHS patient records was conducted in order to better understandthe short-term impact of the WTC site on the safety and health of individuals who were at or near the site from 14 September–20 November 2001.

Methods:

The Patient Treatment Record forms that were completed for each patient visit to these USPHS stations over the 10-week deployment period were reviewed.

Results:

Patient visits numbered 9,349, with visits peaking during Week 2 (21–27 September). More than one-quarter of the visits were due to traumatic injuries not including eye injuries (n = 2,716; 29%). Respiratory problems comprised more than one-fifth of the complaints (n = 2,011; 22%). Eye problems were the third most frequent complaint (n = 1,120; 12%). With respect to the triage class, the majority of visits fell into the lowest category of severity (n = 6,237; 67%).

Conclusion:

USPHS visits probably were skewed to milder complaints when compared to analyses of employer medical department reports or hospital cases; however, given the close proximity of the USPHS stations to the damage, analysis of the USPHS forms provides a more complete picture of the safety and health impact on those who were at or near the WTC site.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Spadafora, R: Firefighter safety and health issues at the World Trade Center site. Am J Ind Med 2002;42:532538.Google Scholar
2.Levin, S, Herbert, R, Skloot, G, et al. : Health effects of World Trade Center site workers. Am J Ind Med 2002;42:545547.CrossRefGoogle ScholarPubMed
3.Lioy, PJ, Weisel, CP, Millette, JR, et al. : Characterization of the dust/smoke aerosol that settled east of the World Trade Center (WTC) in lower Manhattan after the collapse of the World Trade Centre 11 September 2001. Environ Health Perspect 2002;110:703714.Google Scholar
4.McGee, JK, Chen, LC, Cohen, MD, et al. : Chemical analysis of World Trade Center fine particulate matter for use in toxicologic assessment. Environ Health Perspect 2003;111:972980.Google Scholar
5.Offenberg, JH, Eisenreich, SJ, Chen, LC, et al. : Persistent organic pollutants in the dusts that settled across lower Manhattan after September 11, 2001. Environ Sci Technol 2003;37:502508.CrossRefGoogle ScholarPubMed
6.Centers for Disease Control and Prevention: Occupational exposures to air contaminants at the World Trade Center disaster site–New York, September–October, 2001. MMWR 2002;51:453456.Google Scholar
7.Wallingford, KM, Snyder, EM: Occupational exposures during the World Trade Center disaster response. Toxicol Ind Health 2001;17:247253.CrossRefGoogle ScholarPubMed
8.Centers for Disease Control and Prevention: Potential exposures to airborne and settled surface dust in residential areas of lower Manhattan following the collapse of the World Trade Center–New YorkCity, 04 November–11 December 2001. MMWR 2003;52:131136.Google Scholar
9.Holtz, TH, Leighton, J, Balter, S, et al. : The public health response to the World Trade Center disaster. In: Levy, BS, Sidel, VW, (eds): Terrorism and Public Health: A Balanced Approach to Strengthening Systems and Protecting People. New York: Oxford University Press, 2003, pp 1948.Google Scholar
10. Occupational Safety and Health Administration: Chao launches partnership to protect WTC site workers. OSHA National News Release. 20 November 2001. Available at http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=NEWS_RELEASES_id=35. Accessed 12 October 2003.Google Scholar
11. Department of Health and Human Services: US Public Health Service Office of Emergency Preparedness Emergency Operations Center–situation reports #1-#74 (SITREPs). Available at http://ndms.dhhs.gov/activations/Terror_Events_SEP2001/terror_events_sep2001.html. Accessed 13 October 2003.Google Scholar
12. US Public Health Service Disaster Medical Assistance Team (PHS-1 DMAT) website. Available at http://oep.osophs.dhhs.gov/dmat/. Accessed 08 October 2003.Google Scholar
13. Bureau of Labor Statistics: Occupational Injury and Illness Classification Manual. December 1992. Available at http://www.bls.gov/iif/oshoiics.htm. Accessed 03 June 2003.Google Scholar
14.Centers for Disease Control and Prevention: Injuries and illnesses among New York City Fire Department rescue workers after responding to the World Trade Center attacks. MMWR 2002;51 (Special issue):15.Google Scholar
15.Berríos-Torres, SI, Greenko, JA, Phillips, M, et al. :World Trade Center rescue worker injury and illness surveillance, New York, 2001. Am J Prev Med 2003;25:7987.CrossRefGoogle ScholarPubMed
16.Dellinger, AM, Waxweiler, RJ, Mallonee, S: Injuries to rescue workers following the Oklahoma City bombing. Am J Ind Med 1997;31:727732.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
17.Centers for Disease Control and Prevention: Self-reported increase in asthma severity after the September 11 attacks on the World Trade Center– Manhattan, New York, 2001. MMWR 2002;51:781784.Google Scholar
18.Centers for Disease Control and Prevention: Impact of September 11 attacks on workers in the vicinity of the World Trade Center–New York City. MMWR 2002;51 (Special issue):810.Google Scholar
19.Centers for Disease Control and Prevention: Community needs assessment of lower Manhattan residents following the World Trade Center attacks– Manhattan, New York City, 2001. MMWR 2002;51 (Special issue):1013.Google Scholar
20.Banauch, GI, Alleyne, D, Sanchez, R, et al. : Persistenthyperreactivity and reactive airway dysfunction in firefighters at the World Trade Center. Am J Respir Crit Care Med 2003;168:5462.CrossRefGoogle ScholarPubMed
21.Malievskaya, E, Rosenberg, N, Markowitz, S: Assessing the health of immigrant workers near ground zero: Preliminary results of the World Trade Center Day Laborer Medical Monitoring Project. Am J Ind Med 2002;42:548549.CrossRefGoogle ScholarPubMed
22.Prezant, DJ, Weiden, M, Banauch, GI, et al. : Cough and bronchial responsiveness in firefighters at the World Trade Center site. N Engl J Med 2002;347:806815.Google Scholar
23.Rom, WN, Weiden, M, Garcia, R, et al. : Acute eosinophilic pneumonia in a New York City firefighter exposed to World Trade Center dust. Am J Respir Crit CareMed 2002;166:797800.CrossRefGoogle Scholar
24.Kurup, SK, Que, ET, Kauffmann Jokl, DH: The World Trade Center disaster: Abrief on-site report from ground zero. Arch Ophthalmol 2002;120:395396.Google Scholar
25.Gavett, SH, Haykal-Coates, N, Highfill, JW, et al. : World Trade Center fine particulate matter causes respiratory tract hyperresponsiveness in mice. EnvironHealth Perspect 2003;111:981991.Google Scholar
26.Schuster, MA, Stein, BD, Jaycox, LH, et al. : A nationalsurvey of stress reactions after the September 11, 2001 terrorist attacks. N Engl J Med 2001;345:15071512.CrossRefGoogle Scholar
27. National Naval Medical Center: Service during Sept. 11: Comfort receives humanitarian medal for NYC mission. The Journal. August 21, 2003. Available at http://www.dcmilitary.com/navy/journal/8_33/local_news/24728-1.html. Accessed 25 May 2004.Google Scholar
28. American Red Cross: Red Cross nurses treat an injured city. In the News. 27 September 2001. Available at http://www.redcross.org/news/ds/0109wtc/010927nurses.html. Accessed 25 May 2004.Google Scholar
29.Clayer, JR, Bookless-Pratz, C., Harris, RL: Some health consequences of natural disaster. Med J Australia 1985;143:182184.Google Scholar
30.Kario, K, Matsuo, T, Shimada, K, Pickering, TG: Factors associatedwith the occurrence and magnitude of earthquake-induced increases in blood pressure. Am J Med 2001;111:379384.CrossRefGoogle Scholar
31.Kari, K, McEwen, BS, Pickering, TG: Disasters and the heart: A review of the effects of earthquake-induced stress on cardiovascular disease. Hypertens Res 2003;26:355367.CrossRefGoogle Scholar
32.Lipsky, SI, Pickering, TG, Gerin, W: World Trade Center disaster effect on blood pressure. Blood Press Monit 2002;7:249.Google Scholar
33.Logue, JN, Hansen, H: A case-control study of hypertensive women in a post-disaster community: Wyoming Valley, Pennsylvania. J Human Stress 1980;6:2834.CrossRefGoogle Scholar
34.Minami, J, Kawano, Y, Ishimitsu, T, et al. : Effect of the Hanshin-Awaji earthquake on home blood pressure in patients with essential hypertension. Am J Hypertens 1997;10:222225.Google Scholar
35.Pickering, TG: Terror strikes the heart–September 11, 2001. J Clin Hypertens 2002;4:5860.Google Scholar
36.Stalnikowicz, R: Acute psychosocial stress and cardiovascular events. Am J Emerg Med 2002;20:488491.Google Scholar