The World Trade Center Health Registry, the largest post-disaster exposure health registry in U.S. history,is following a diverse cohort of 71,437 directly affected people who performed 9/11-related rescue/recoverywork or lived, worked or attended school in lower Manhattan on 9/11/01. The goals are to identify the long-term physical and mental health effects of the 9/11 WTC disaster; disseminate findings andrecommendations to enrollees and others exposed, the public, and the scientific community; shareinformation about 9/11-related resources and services; and inform healthcare policy and disaster responseplanning.
Specific aims are to: (1) Maintain the Registry as a valuable public health resource; (2) Expandknowledge about the long-term physical and mental health effects of 9/11 by continuing the Registryresearch program; (3) Conduct community activities to respond to the physical and mental health concernsand specific healthcare needs of enrollees and others exposed to 9/11; and (4) Maintain a TreatmentReferral Program to help enrollees find care for 9/11-related health problems.
Aim 1 activities will sustaincritical Registry infrastructure through communications and tracing activities to maintain contact withenrollees and maximize those with valid contact information; timely communications with enrollees toaddress concerns and keep them engaged and interested in participating in future research; outreachactivities to boost response to Registry studies; and consultation with scientific, community and laboradvisors.
Aim 2 entails conducting priority epidemiological analyses using data from the Wave 1 (2003-04)Wave 2 (2006-08) and Wave 3 (2011-12) surveys, including analyses to assess risk factors for thedevelopment or persistence of serious respiratory and mental health conditions over time; developing andconducting a Wave 4 survey using multiple survey modes (paper, web and telephone) to ascertain thehealth status and 9/11-related healthcare needs of the cohort 13-14 years after 9/11; extending assessmentof cancer and mortality incidence through 10 years post-9/11; and investigating potential emerging healthconditions through public health surveillance and follow-up studies. The Registry will also facilitateindependent and collaborative 9/11-related research by providing qualified external researchers with de-identified data and access to enrollee subgroups for recruitment.
Aim 3 will be achieved by disseminating(e.g., via a web-site, annual report, e-newsletters) Registry findings and recommendations together withinformation on 9/11-related services and resources to enrollees, the public and policy makers; developingand providing data resources such as de-identified Registry databases and online data tools for enrollees,the public and researchers;
Aim 4 will be achieved by offering healthcare referrals to enrollees with 9/11related health conditions and symptoms based on information from the Wave 3 and 4 surveys andevaluating the program and sharing findings with the WTC Health Program.

Public Health Relevance

The World Trade Center Health Registry contributes to public health by identifying the long-term physical and mental health effects of the 9/11 disaster and healthcare needs among people who performed rescue/recovery work or lived, worked or attended school in lower Manhattan on 9/11/01 and by informing response to future disasters. The Registry shares its health findings and recommendations with the 71,000 enrollees, the public, scientists, policy makers, WTC Health Program and others who may treat people affected by 9/11. The Registry also shares information on 9/11-related services and offers treatment referral and health promotion opportunities to enrollees with ongoing heath conditions.

National Institute of Health (NIH)
National Institute for Occupational Safety and Health (NIOSH)
Special Cooperative Investigations/Assessment of Control/Prevention Methods (U50)
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Special Emphasis Panel (ZOH1-GGB (50))
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Kubale, Travis
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New York City Health/Mental Hygiene
New York
United States
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Gargano, Lisa M; Thomas, Pauline A; Stellman, Steven D (2017) Asthma control in adolescents 10 to 11 y after exposure to the World Trade Center disaster. Pediatr Res 81:43-50
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Yu, Shengchao; Alper, Howard E; Nguyen, Angela-Maithy et al. (2017) The effectiveness of a monetary incentive offer on survey response rates and response completeness in a longitudinal study. BMC Med Res Methodol 17:77
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Li, Jiehui; Cone, James E; Alt, Abigail K et al. (2016) Performance of Self-Report to Establish Cancer Diagnoses in Disaster Responders and Survivors, World Trade Center Health Registry, New York, 2001-2007. Public Health Rep 131:420-9

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