The Response to September 11: A Disaster Case Study

Background: The response to 9/11 continues into its 14th year. The World Trade Center Health Program (WTCHP), a long-term monitoring and treatment program now funded by the Zadroga Act of 2010, includes >60,000 World Trade Center (WTC) disaster responders and community members ("survivors&qu...

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Main Authors: Michael A. Crane (Author), Nomi C. Levy-Carrick (Author), Laura Crowley (Author), Stephanie Barnhart (Author), Melissa Dudas (Author), Uchechukwu Onuoha (Author), Yelena Globina (Author), Winta Haile (Author), Gauri Shukla (Author), Fatih Ozbay (Author)
Format: Book
Published: Ubiquity Press, 2014-11-01T00:00:00Z.
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Summary:Background: The response to 9/11 continues into its 14th year. The World Trade Center Health Program (WTCHP), a long-term monitoring and treatment program now funded by the Zadroga Act of 2010, includes >60,000 World Trade Center (WTC) disaster responders and community members ("survivors"). The aim of this review is to identify several elements that have had a critical impact on the evolution of the WTC response and, directly or indirectly, the health of the WTC-exposed population. It further explores post-disaster monitoring efforts, recent scientific findings from the WTCHP, and some implications of this experience for ongoing and future environmental disaster response. Findings: Transparency and responsiveness, site safety and worker training, assessment of acute and chronic exposure, and development of clinical expertise are interconnected elements determining efficacy of disaster response. Conclusion: Even in a relatively well-resourced environment, challenges regarding allocation of appropriate attention to <a title="Learn more about Vulnerable Populations" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vulnerable-populations">vulnerable populations</a> and integration of treatment response to significant medical and mental health comorbidities remain areas of ongoing programmatic development.
Item Description:2214-9996
10.1016/j.aogh.2014.08.215