FDNY and 9/11: Clinical services and health outcomes in World Trade Center-exposed firefighters and EMS workers from 2001 to 2016

Am J Ind Med. 2016 Sep;59(9):695-708. doi: 10.1002/ajim.22631. Epub 2016 Jul 18.

Abstract

Background: After the World Trade Center (WTC) attacks on September 11, 2001, the Fire Department of the City of New York (FDNY) instituted a WTC medical monitoring and treatment program and established a data center to document health outcomes in the WTC-exposed workforce of ∼16,000 firefighters and EMS workers.

Methods: FDNY schedules routine monitoring exams every 12-18 months and physical and mental health treatment appointments, as required.

Results: FDNY research studies have consistently found that early arrival to work and/or prolonged work at the WTC-site increased the risks for adverse physical and mental health outcomes. To date, a substantial proportion has been diagnosed with obstructive airways disease, chronic rhinosinusitis, and gastroesophageal reflux disease; a quarter has two or more of these conditions.

Conclusions: While much has been learned, the entire spectrum and trajectory of WTC-related disorders and their mechanisms of onset and persistence remain to be fully described. Am. J. Ind. Med. 59:695-708, 2016. © 2016 Wiley Periodicals, Inc.

Keywords: September 11 terrorist attacks; ems workers; firefighters; occupational health; world trade center.

Publication types

  • Review

MeSH terms

  • Comorbidity
  • Emergency Medical Services / statistics & numerical data*
  • Firefighters / statistics & numerical data*
  • Gastroesophageal Reflux / epidemiology*
  • Health Services / statistics & numerical data
  • Humans
  • Mental Health
  • Nasal Obstruction / epidemiology
  • Neoplasms / epidemiology*
  • New York City / epidemiology
  • Occupational Diseases / epidemiology*
  • Population Surveillance*
  • Respiratory Tract Diseases / epidemiology*
  • Respiratory Tract Diseases / physiopathology
  • Retirement
  • September 11 Terrorist Attacks
  • Syndrome