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MMWR
Synopsis for September 10, 2004

The MMWR is embargoed until Thursday, 12 PM EDT.

  1. Physical Health Status of World Trade Center Rescue and Recovery Workers and Volunteers -- New York City, July 2002-August 2004
  2. Mental Health Status of World Trade Center Rescue and Recovery Responders -- New York City, July 2002-August 2004
  3. Preliminary Results from the World Trade Center Evacuation Study -- New York City, 2003
  4. Investigation of Acute Idiopathic Pulmonary Hemorrhage Among Infants -- Massachusetts, December 2002-June 2003
  5. Progress Towards Poliomyelitis Eradication -- Egypt, 2003-2004
  6. West Nile Virus Activity -- United States, September 1-7, 2004
No MMWR Telebriefing is scheduled for Thursday, September 9, 2004

Synopsis for September 10, 2004

Physical Health Status of World Trade Center
Rescue and Recovery Workers and Volunteers --
New York City, July 2002-August 2004

The preliminary findings among participants in the WTC Worker & Volunteer Medical Screening Program indicate high rates of WTC-related, persistent upper and lower respiratory effects, as well as persistent psychological effects, pointing to the need for comprehensive programs for the protection and medical monitoring of workers participating in disaster response teams. Such workers may include traditional first responders, such as policemen and firemen, as well as nontraditional responders, such as construction and utility workers.

PRESS CONTACT:
Office of Public Affairs

Mount Sinai Medical Center
(212) 241-9200

 

A study of World Trade Center (WTC) rescue and recovery workers and volunteers (non-FDNY) funded by the Centers for Disease Control and Prevention and carried out by the Mount Sinai School of Medicine found new or worsened respiratory health effects and signs of mental health effects. Sixty percent of participants had experienced new onset or worsened preexisting lower respiratory symptoms while engaged in WTC response work, and 74 percent had new or worsened upper respiratory symptoms. Participants also reported high rates of musculoskeletal symptoms. Of those who participated, 51 percent met criteria for referral for evaluation by a mental health professional. Only 3 percent reported accessing mental health services before participating in the screening program. These preliminary findings suggest the need for longer-term medical monitoring and treatment programs for this population, which included traditional first responders, such as policemen, as well as nontraditional responders, such as construction and utility workers.

 

Mental Health Status of World Trade Center
Rescue and Recovery Responders --
New York City, July 2002-August 2004

The preliminary findings among participants in the WTC Worker & Volunteer Medical Screening Program indicate high rates of WTC-related, persistent upper and lower respiratory effects, as well as persistent psychological effects, pointing to the need for comprehensive programs for the protection and medical monitoring of workers participating in disaster response teams. Such workers may include traditional first responders, such as policemen and firemen, as well as nontraditional responders, such as construction and utility workers.

PRESS CONTACT:
Office of Public Affairs

Mount Sinai Medical Center
(212) 241-9200

 

A study of World Trade Center (WTC) rescue and recovery workers and volunteers (non-FDNY) funded by the Centers for Disease Control and Prevention and carried out by the Mount Sinai School of Medicine found new or worsened respiratory health effects and signs of mental health effects. Sixty percent of participants had experienced new onset or worsened preexisting lower respiratory symptoms while engaged in WTC response work, and 74 percent had new or worsened upper respiratory symptoms. Participants also reported high rates of musculoskeletal symptoms. Of those who participated, 51 percent met criteria for referral for evaluation by a mental health professional. Only 3 percent reported accessing mental health services before participating in the screening program. These preliminary findings suggest the need for longer-term medical monitoring and treatment programs for this population, which included traditional first responders, such as policemen, as well as nontraditional responders, such as construction and utility workers.

 

Preliminary Results from the World Trade Center Evacuation Study -- New York City, 2003

Preliminary analysis of data from World Trade Center evacuees suggests that improved preparedness at the individual, organizational, and building environment levels can facilitate evacuation of high-rise buildings.

PRESS CONTACT:
Randee Sacks

Columbia University, Mailman School of Public Health
(212) 305-8044

 

This analysis, conducted by the Columbia University's Mailman School of Public Health, found that evacuees lacked familiarity with the building's safety features, including evacuation routes. Evacuees also reported insufficient workplace evacuation plans and training. Structural barriers such as heavy congestion and debris and lack of backup communications systems also impacted evacuation.

 

Investigation of Acute Idiopathic Pulmonary
Hemorrhage Among Infants -- Massachusetts,
December 2002-June 2003

A recent cluster of acute idiopathic pulmonary hemorrhage in the Boston area appears to be possibly associated with acquired or genetic von Willebrand disease in interaction with other unknown environmental and/or infectious factors.

PRESS CONTACT:
Clive M. Brown, MBBS, MPH

CDC, National Center for Environmental Health/Agency for Toxic Substances and Disease Registry
(404) 498-1000

 

An apparent cluster of acute idiopathic pulmonary hemorrhage occurred among four children in the Boston area. Hematologic tests confirmed or suggested a diagnosis of acquired or genetic von Willebrand disease in three of the four children, and this may be an important factor in interaction with environmental and/or infectious factors. Although fungal spore counts in the homes were observed at concentrations that may be associated with an increased risk of lower respiratory illness, the counts of Stachybotrys chartarum spores were very low, thus toxic and other non-allergic health effects hypothesized to occur with exposure to S. chartarum appear unlikely to have been a factor in this cluster.

 

Progress Towards Poliomyelitis Eradication --
Egypt, 2003-2004

Available evidence suggests that Egypt is closer than ever to interrupting transmission of wild poliovirus, however very high OPV coverage is required to definitively interrupt transmission. The highest levels of commitment and support of the Egyptian government and its partners is critical to achieving this goal.

PRESS CONTACT:
Linda Venczel, PhD

CDC, National Immunization Program
(404) 639-8252

 

Polio remains endemic in only six countries globally, of which Egypt is one. Egypt has made substantial progress towards polio eradication; only one of three types of wild poliovirus, type 1, has been detected in Egypt since December 2000. Ongoing improvements in the quality and increased frequency of supplemental immunization activities have reduced transmission of wild poliovirus type 1 during 2003 and 2004, with cases decreasing from 7 in 2002 to one in 2003, and one in 2004 (data as of June 2004). Data suggests that Egypt is closer than ever to interrupting transmission of wild poliovirus. However, very high OPV coverage must be sustained and the strong commitment and support of the Egyptian government and its partners maintained to definitively achieve the eradication goal.

 

West Nile Virus Activity -- United States,
September 1-7, 2004

PRESS CONTACT:
Division of Media Relations

CDC, Office of Communications
(404) 639-3286
 

No summary available.

 

 

 

 


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This page last reviewed September 9, 2004
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