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The response to September 11: a disaster case study.

Michael A Crane1, Nomi C Levy-Carrick2, Laura Crowley1

  • 1Mount Sinai School of Medicine, World Trade Center Health Program, New York, NY.

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|December 3, 2014
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Summary

The World Trade Center Health Program (WTCHP) review highlights key elements like transparency and safety in disaster response. Ongoing challenges include addressing vulnerable populations and integrating care for medical and mental health comorbidities.

Keywords:
9/11World Trade Centerdisaster responseenvironmental disasterpost-disaster health surveillance

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Area of Science:

  • Environmental Health
  • Disaster Medicine
  • Public Health Policy

Background:

  • The World Trade Center (WTC) Health Program (WTCHP) continues to monitor and treat over 60,000 survivors 14 years post-9/11, funded by the Zadroga Act.
  • This review examines critical factors influencing the WTC response and the health of the exposed population.
  • It also explores post-disaster monitoring, WTCHP scientific findings, and implications for future disaster response.

Purpose of the Study:

  • To identify critical elements impacting the evolution of the WTC response.
  • To analyze the direct and indirect effects on the health of the WTC-exposed population.
  • To explore post-disaster monitoring, scientific findings, and future disaster response implications.

Main Methods:

  • Review of the World Trade Center Health Program's evolution and impact.
  • Analysis of scientific findings related to WTC-exposed populations.
  • Examination of post-disaster monitoring and response strategies.

Main Results:

  • Transparency, responsiveness, site safety, worker training, exposure assessment, and clinical expertise are interconnected elements crucial for effective disaster response.
  • These factors critically influence the health outcomes of disaster-affected populations.

Conclusions:

  • Despite a well-resourced environment, challenges persist in allocating attention to vulnerable populations within the WTCHP.
  • Integrating treatment for significant medical and mental health comorbidities remains an area for ongoing programmatic development.