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The World Trade Center Health Program: an introduction to best practices.

Geoffrey M Calvert1, Kristi Anderson1, John Cochran2

  • 1World Trade Center Health Program, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA.

Archives of Environmental & Occupational Health
|December 19, 2022
PubMed
Summary

Over 20 years after the September 11, 2001 (9/11) attacks, many survivors experience ongoing physical and mental health issues. Clinicians should screen patients for 9/11 exposures and provide appropriate care through the WTC Health Program.

Keywords:
9/11September 11World Trade Centeradultschemical exposurechemical mixturesclinical practice guidelineexposureoccupational diseasesqualityrespiratory diseasesworkers

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Area of Science:

  • Environmental Health
  • Public Health
  • Clinical Medicine

Background:

  • Over two decades post-9/11, individuals exposed to the World Trade Center (WTC) attacks face persistent physical and mental health challenges.
  • Exposure involved a complex mix of toxicants and psychological stressors at attack sites.

Purpose of the Study:

  • To provide updated clinical best practices for managing health conditions linked to 9/11 exposures.
  • To inform clinicians about the WTC Health Program, its beneficiaries, and relevant guidelines.

Main Methods:

  • Review and synthesis of clinical practice guidelines relevant to WTC-exposed populations.
  • Identification of conditions covered by the WTC Health Program.

Main Results:

  • Specific health conditions (cancer, respiratory, gastrointestinal, psychiatric, substance use) are frequently associated with 9/11 exposures.
  • A coordinated, multidisciplinary approach to care is recommended.

Conclusions:

  • Clinicians must inquire about 9/11 exposures, especially for patients with specific symptoms.
  • Referral to WTC Health Program-affiliated centers is crucial for comprehensive, multidisciplinary care.