This proposal builds upon our established Medical Monitoring Program for the WTC responders, seeking to create a long-term program for patient assessment, tracking, data collection, treatment and coordination to further elucidate, describe and treat the medical, social and psychological sequelae of this disaster. We seek also to improve access for care for LI responders by offering comprehensive services at local locations. Specifically, we will:
SPECIFIC AIMS 1. To provide comprehensive health monitoring and treatment services of World Trade Center (WTC) - related conditions for WTC responders, including out-patient and, when needed, in-patient treatment, through the participation in a coordinated network of clinical facilities; 2. To identify, implement, evaluate, and revise as needed, appropriate protocols, procedures, and outcomes for treatment of WTC-related health conditions, using best available evidence from all relevant WTC responder clinical and research programs; 3. To characterize the evolution of WTC-related health conditions, including the detection of new health conditions, among WTC responders; 4. To assist WTC responders and their families to secure health benefits, workers' compensation and other appropriate services; 5. To engage in bi-directional communication of program results, i.e., a) to provide individual health and other monitoring and treatment program data to the WTC Data Coordination Center for aggregation and analysis, and b) to disseminate program results to WTC responders, other relevant parties, and the general public. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute for Occupational Safety and Health (NIOSH)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
3U10OH008216-03S1
Application #
7297591
Study Section
Special Emphasis Panel (ZOH1-EEO (90))
Program Officer
Galvin, Michael J
Project Start
2004-07-15
Project End
2009-07-14
Budget Start
2006-10-30
Budget End
2007-10-29
Support Year
3
Fiscal Year
2007
Total Cost
$2,520,794
Indirect Cost
Name
State University New York Stony Brook
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
804878247
City
Stony Brook
State
NY
Country
United States
Zip Code
11794
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Jiang, Jieying; Icitovic, Nikolina; Crane, Michael A et al. (2016) Sex differences in asthma and gastroesophageal reflux disease incidence among the World Trade Center Health Program General Responder Cohort. Am J Ind Med 59:815-22
Stein, Cheryl R; Wallenstein, Sylvan; Shapiro, Moshe et al. (2016) Mortality among World Trade Center rescue and recovery workers, 2002-2011. Am J Ind Med 59:87-95
Icitovic, Nikolina; Onyebeke, Lynn C; Wallenstein, Sylvan et al. (2016) The association between body mass index and gastroesophageal reflux disease in the World Trade Center Health Program General Responder Cohort. Am J Ind Med 59:761-6
Kotov, Roman; Bromet, Evelyn J; Schechter, Clyde et al. (2015) Posttraumatic stress disorder and the risk of respiratory problems in World Trade Center responders: longitudinal test of a pathway. Psychosom Med 77:438-48
Kim, Hyun; Herbert, Robin; Landrigan, Philip et al. (2012) Increased rates of asthma among World Trade Center disaster responders. Am J Ind Med 55:44-53
Luft, B J; Schechter, C; Kotov, R et al. (2012) Exposure, probable PTSD and lower respiratory illness among World Trade Center rescue, recovery and clean-up workers. Psychol Med 42:1069-79
Woskie, Susan R; Kim, Hyun; Freund, Alice et al. (2011) World Trade Center disaster: assessment of responder occupations, work locations, and job tasks. Am J Ind Med 54:681-95
Crowley, Laura E; Herbert, Robin; Moline, Jacqueline M et al. (2011) ""Sarcoid like"" granulomatous pulmonary disease in World Trade Center disaster responders. Am J Ind Med 54:175-84
Skloot, Gwen S; Schechter, Clyde B; Herbert, Robin et al. (2009) Longitudinal assessment of spirometry in the World Trade Center medical monitoring program. Chest 135:492-498

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