An overview of 9/11 experiences and respiratory and mental health conditions among World Trade Center Health Registry enrollees

Mark Farfel, Laura DiGrande, Robert Brackbill, Angela Prann, James Cone, Stephen Friedman, Deborah J. Walker, Grant Pezeshki, Pauline Thomas, Sandro Galea, David Williamson, Thomas R. Frieden, Lorna Thorpe

Research output: Contribution to journalReview article

Abstract

To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied in specific groups, but no studies have estimated its impact across the different exposed populations. This report provides an overview of the World Trade Center Health Registry (WTCHR) enrollees, their exposures, and their respiratory and mental health outcomes 2-3 years post-9/11. Results are extrapolated to the estimated universe of people eligible to enroll in the WTCHR to determine magnitude of impact. Building occupants, persons on the street or in transit in lower Manhattan on 9/11, local residents, rescue and recovery workers/volunteers, and area school children and staff were interviewed and enrolled in the WTCHR between September 2003 and November 2004. A total of 71,437 people enrolled in the WTCHR, for 17.4% coverage of the estimated eligible exposed population (nearly 410,000); 30% were recruited from lists, and 70% were self-identified. Many reported being in the dust cloud from the collapsing WTC Towers (51%), witnessing traumatic events (70%), or sustaining an injury (13%). After 9/11, 67% of adult enrollees reported new or worsening respiratory symptoms, 3% reported newly diagnosed asthma, 16% screened positive for probable posttraumatic stress disorder (PTSD), and 8% for serious psychological distress (SPD). Newly diagnosed asthma was most common among rescue and recovery workers who worked on the debris pile (4.1%). PTSD was higher among those who reported Hispanic ethnicity (30%), household income <$25,000 (31%), or being injured (35%). Using previously published estimates of the total number of exposed people per WTCHR eligibility criteria, we estimate between 3,800 and 12,600 adults experienced newly diagnosed asthma and 34,600-70,200 adults experienced PTSD following the attacks, suggesting extensive adverse health impacts beyond the immediate deaths and injuries from the acute event.

Original languageEnglish (US)
Pages (from-to)880-909
Number of pages30
JournalJournal of Urban Health
Volume85
Issue number6
DOIs
StatePublished - Nov 2008

Fingerprint

world trade
Registries
Mental Health
mental health
Health
health
posttraumatic stress disorder
Post-Traumatic Stress Disorders
experience
Asthma
honorary office
event
September 11, 2001
Wounds and Injuries
Disasters
household income
Dust
Hispanic Americans
schoolchild
Population

Keywords

  • Asthma
  • Children
  • Environmental exposures
  • New York City
  • Population estimates of WTC disaster health outcomes
  • Posttraumatic stress disorder
  • Respiratory symptoms
  • Serious psychological distress
  • World Trade Center
  • World Trade Center Health Registry (WTCHR)

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

An overview of 9/11 experiences and respiratory and mental health conditions among World Trade Center Health Registry enrollees. / Farfel, Mark; DiGrande, Laura; Brackbill, Robert; Prann, Angela; Cone, James; Friedman, Stephen; Walker, Deborah J.; Pezeshki, Grant; Thomas, Pauline; Galea, Sandro; Williamson, David; Frieden, Thomas R.; Thorpe, Lorna.

In: Journal of Urban Health, Vol. 85, No. 6, 11.2008, p. 880-909.

Research output: Contribution to journalReview article

Farfel, M, DiGrande, L, Brackbill, R, Prann, A, Cone, J, Friedman, S, Walker, DJ, Pezeshki, G, Thomas, P, Galea, S, Williamson, D, Frieden, TR & Thorpe, L 2008, 'An overview of 9/11 experiences and respiratory and mental health conditions among World Trade Center Health Registry enrollees', Journal of Urban Health, vol. 85, no. 6, pp. 880-909. https://doi.org/10.1007/s11524-008-9317-4
Farfel, Mark ; DiGrande, Laura ; Brackbill, Robert ; Prann, Angela ; Cone, James ; Friedman, Stephen ; Walker, Deborah J. ; Pezeshki, Grant ; Thomas, Pauline ; Galea, Sandro ; Williamson, David ; Frieden, Thomas R. ; Thorpe, Lorna. / An overview of 9/11 experiences and respiratory and mental health conditions among World Trade Center Health Registry enrollees. In: Journal of Urban Health. 2008 ; Vol. 85, No. 6. pp. 880-909.
@article{ede798d97e7249429ff6cd4957a9858d,
title = "An overview of 9/11 experiences and respiratory and mental health conditions among World Trade Center Health Registry enrollees",
abstract = "To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied in specific groups, but no studies have estimated its impact across the different exposed populations. This report provides an overview of the World Trade Center Health Registry (WTCHR) enrollees, their exposures, and their respiratory and mental health outcomes 2-3 years post-9/11. Results are extrapolated to the estimated universe of people eligible to enroll in the WTCHR to determine magnitude of impact. Building occupants, persons on the street or in transit in lower Manhattan on 9/11, local residents, rescue and recovery workers/volunteers, and area school children and staff were interviewed and enrolled in the WTCHR between September 2003 and November 2004. A total of 71,437 people enrolled in the WTCHR, for 17.4{\%} coverage of the estimated eligible exposed population (nearly 410,000); 30{\%} were recruited from lists, and 70{\%} were self-identified. Many reported being in the dust cloud from the collapsing WTC Towers (51{\%}), witnessing traumatic events (70{\%}), or sustaining an injury (13{\%}). After 9/11, 67{\%} of adult enrollees reported new or worsening respiratory symptoms, 3{\%} reported newly diagnosed asthma, 16{\%} screened positive for probable posttraumatic stress disorder (PTSD), and 8{\%} for serious psychological distress (SPD). Newly diagnosed asthma was most common among rescue and recovery workers who worked on the debris pile (4.1{\%}). PTSD was higher among those who reported Hispanic ethnicity (30{\%}), household income <$25,000 (31{\%}), or being injured (35{\%}). Using previously published estimates of the total number of exposed people per WTCHR eligibility criteria, we estimate between 3,800 and 12,600 adults experienced newly diagnosed asthma and 34,600-70,200 adults experienced PTSD following the attacks, suggesting extensive adverse health impacts beyond the immediate deaths and injuries from the acute event.",
keywords = "Asthma, Children, Environmental exposures, New York City, Population estimates of WTC disaster health outcomes, Posttraumatic stress disorder, Respiratory symptoms, Serious psychological distress, World Trade Center, World Trade Center Health Registry (WTCHR)",
author = "Mark Farfel and Laura DiGrande and Robert Brackbill and Angela Prann and James Cone and Stephen Friedman and Walker, {Deborah J.} and Grant Pezeshki and Pauline Thomas and Sandro Galea and David Williamson and Frieden, {Thomas R.} and Lorna Thorpe",
year = "2008",
month = "11",
doi = "10.1007/s11524-008-9317-4",
language = "English (US)",
volume = "85",
pages = "880--909",
journal = "Journal of Urban Health",
issn = "1099-3460",
publisher = "Springer Science and Business Media Deutschland GmbH",
number = "6",

}

TY - JOUR

T1 - An overview of 9/11 experiences and respiratory and mental health conditions among World Trade Center Health Registry enrollees

AU - Farfel, Mark

AU - DiGrande, Laura

AU - Brackbill, Robert

AU - Prann, Angela

AU - Cone, James

AU - Friedman, Stephen

AU - Walker, Deborah J.

AU - Pezeshki, Grant

AU - Thomas, Pauline

AU - Galea, Sandro

AU - Williamson, David

AU - Frieden, Thomas R.

AU - Thorpe, Lorna

PY - 2008/11

Y1 - 2008/11

N2 - To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied in specific groups, but no studies have estimated its impact across the different exposed populations. This report provides an overview of the World Trade Center Health Registry (WTCHR) enrollees, their exposures, and their respiratory and mental health outcomes 2-3 years post-9/11. Results are extrapolated to the estimated universe of people eligible to enroll in the WTCHR to determine magnitude of impact. Building occupants, persons on the street or in transit in lower Manhattan on 9/11, local residents, rescue and recovery workers/volunteers, and area school children and staff were interviewed and enrolled in the WTCHR between September 2003 and November 2004. A total of 71,437 people enrolled in the WTCHR, for 17.4% coverage of the estimated eligible exposed population (nearly 410,000); 30% were recruited from lists, and 70% were self-identified. Many reported being in the dust cloud from the collapsing WTC Towers (51%), witnessing traumatic events (70%), or sustaining an injury (13%). After 9/11, 67% of adult enrollees reported new or worsening respiratory symptoms, 3% reported newly diagnosed asthma, 16% screened positive for probable posttraumatic stress disorder (PTSD), and 8% for serious psychological distress (SPD). Newly diagnosed asthma was most common among rescue and recovery workers who worked on the debris pile (4.1%). PTSD was higher among those who reported Hispanic ethnicity (30%), household income <$25,000 (31%), or being injured (35%). Using previously published estimates of the total number of exposed people per WTCHR eligibility criteria, we estimate between 3,800 and 12,600 adults experienced newly diagnosed asthma and 34,600-70,200 adults experienced PTSD following the attacks, suggesting extensive adverse health impacts beyond the immediate deaths and injuries from the acute event.

AB - To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied in specific groups, but no studies have estimated its impact across the different exposed populations. This report provides an overview of the World Trade Center Health Registry (WTCHR) enrollees, their exposures, and their respiratory and mental health outcomes 2-3 years post-9/11. Results are extrapolated to the estimated universe of people eligible to enroll in the WTCHR to determine magnitude of impact. Building occupants, persons on the street or in transit in lower Manhattan on 9/11, local residents, rescue and recovery workers/volunteers, and area school children and staff were interviewed and enrolled in the WTCHR between September 2003 and November 2004. A total of 71,437 people enrolled in the WTCHR, for 17.4% coverage of the estimated eligible exposed population (nearly 410,000); 30% were recruited from lists, and 70% were self-identified. Many reported being in the dust cloud from the collapsing WTC Towers (51%), witnessing traumatic events (70%), or sustaining an injury (13%). After 9/11, 67% of adult enrollees reported new or worsening respiratory symptoms, 3% reported newly diagnosed asthma, 16% screened positive for probable posttraumatic stress disorder (PTSD), and 8% for serious psychological distress (SPD). Newly diagnosed asthma was most common among rescue and recovery workers who worked on the debris pile (4.1%). PTSD was higher among those who reported Hispanic ethnicity (30%), household income <$25,000 (31%), or being injured (35%). Using previously published estimates of the total number of exposed people per WTCHR eligibility criteria, we estimate between 3,800 and 12,600 adults experienced newly diagnosed asthma and 34,600-70,200 adults experienced PTSD following the attacks, suggesting extensive adverse health impacts beyond the immediate deaths and injuries from the acute event.

KW - Asthma

KW - Children

KW - Environmental exposures

KW - New York City

KW - Population estimates of WTC disaster health outcomes

KW - Posttraumatic stress disorder

KW - Respiratory symptoms

KW - Serious psychological distress

KW - World Trade Center

KW - World Trade Center Health Registry (WTCHR)

UR - http://www.scopus.com/inward/record.url?scp=57049103988&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57049103988&partnerID=8YFLogxK

U2 - 10.1007/s11524-008-9317-4

DO - 10.1007/s11524-008-9317-4

M3 - Review article

C2 - 18785012

AN - SCOPUS:57049103988

VL - 85

SP - 880

EP - 909

JO - Journal of Urban Health

JF - Journal of Urban Health

SN - 1099-3460

IS - 6

ER -