This application is being submitted by Stony Brook University's Long Island Occupational and Environmental Health Center (LIOEHC) in partnership with the Nassau University Medical Center (NUMC) to request designation as a Clinical Center to provide health services to the estimated 3,600 Long Island residents who responded to the World Trade Center (WTC) collapse. Since 2002, the LIOEHC and NUMC have been primary clinical sites in the ongoing NIOSH sponsored program aimed at providing baseline assessments and medical/psychological referrals for responders. Initial baseline findings reveal persistently elevated rates of respiratory disease and disturbances in mental health resulting from exposures to toxic substances and emotional trauma. This proposal builds upon our established clinical services for this heroic group, seeking to create a long-term program for patient assessment, tracking, data collection and referral to further elucidate, describe and treat the medical and psychological sequelae of this disaster. We seek also to improve access to care for Long Island-based responders by offering comprehensive services at local locations, thereby eliminating the need for responders to travel many hours into New York City for needed services. While directly promoting the health of responders, this project is also relevant to the development of a nationally applicable model for surveillance, screening and treatment following multiple exposures in large, diverse, geographically dispersed populations.
Specific aims are to: 1. Identify all illness and/or injury sustained by Long Island-based responders as a result of exposures at the WTC disaster site; 2. Promote prompt treatment and preventive care for responders by providing referrals for medical, psychological and/or social services; 3. Promote access to care and patient advocacy through outreach, education and community involvement.

Agency
National Institute of Health (NIH)
Institute
National Institute for Occupational Safety and Health (NIOSH)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
5U10OH008216-04
Application #
7255592
Study Section
Special Emphasis Panel (ZOH1-SPC (04))
Program Officer
Galvin, Michael J
Project Start
2004-07-15
Project End
2009-07-14
Budget Start
2007-07-15
Budget End
2008-07-14
Support Year
4
Fiscal Year
2007
Total Cost
$1,200,000
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
Dasaro, Christopher R; Holden, William L; Berman, Karen D et al. (2017) Cohort Profile: World Trade Center Health Program General Responder Cohort. Int J Epidemiol 46:e9
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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