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Showing posts with label 9/11. Show all posts
Showing posts with label 9/11. Show all posts

Wednesday, September 11, 2024

Re-Post of our 20 Year Anniversary of 9/11, 10-Year Anniversary of the World Trade Center Health Program. Lesson Learned?

On September 11, 2001, Future Environment Designs (FEDTC) was teaching an asbestos supervisor refresher and an asbestos inspector initial course at the Underhill Blvd. Syosset office.  We were some of the fortunate individuals who were not in New York City when terrorists hijacked airplanes and proceeded to fly them into the World Trade Centers (WTC), the Pentagon, and crashed another in Pennsylvania.  On that day hundreds of thousands of people were exposed to a massive cloud of toxic gases and particulates from the terrorist attack on the WTC.  Significant failings by the Occupational Safety and Health Administration (OSHA) and the Environmental Protection Agency (EPA) led to tens of thousands of people who participated in the ensuing rescue, recovery, and clean-up efforts being exposed to the WTC toxic dust.  Nearly a half million people are estimated to be at increased risk of adverse health effects from exposures to physical, psychological, and emotional stressors in the days, weeks, and months following the terrorist attacks.  This year we honor their sacrifice on the 20th Anniversary of the attack on the World Trade Center.  On January 2, 2011, the James Zadroga 9/11 Health and Compensation Act of 2012 (the Zadroga Act) created the World Trade Center Health Program (WTCHP).  The WTCHP is administered by the director of the National Institute for Occupational Safety and Health (NIOSH).  So this year is also the 10th Anniversary of the WTCHP.  

We have no intention of changing our logo which depicts the NYC skyline with the WTC.

The WTCHP provides medical monitoring and treatment of covered health conditions for emergency responders, survivors, recovery and cleanup workers, and volunteers who helped at the WTC, the Pentagon, and the crash site near Shanksville, Pennsylvania, and maintains a research program aimed to improve the care and well-being of the affected population.  The WTCHP serves four groups of people affected by the 9/11 attacks:

  • Fire Department of New York Responders,
  • World Trade Center General Responders,
  • World Trade Center Survivors (lived, worked, or went to school in NYC Disaster Area), and
  • Pentagon/Shanksville Responders

From Express - 9/11 firefighters still Dying 20 years on - Devastating graph exposes the harrowing impact

As of December 31, 2020, 108,666 individuals have enrolled in WTCHP.  The ten most common certified conditions are:

  • Chronic Rhinosinusitis
  • Gastroesophageal Reflux Disease (GERD)
  • Cancers
  • Asthma
  • Sleep Apnea
  • Post-Traumatic Stress Disorder (PTSD)
  • Chronic Respiratory Disorder - Fumes/Vapors
  • WTC-Exacerbated Chronic Obstructive Pulmonary Disease (COPD)
  • Anxiety Disorder (Not otherwise specified)
  • Major Depressive Disorder

As the years go by, it will be interesting to see if this list changes.  In FEDTC's asbestos training courses, we discuss the latency period for asbestos-related diseases (asbestosis, lung cancer, and mesothelioma) are 10-50 years from the date of the first exposure.  In the next 5-10 years we will hit the beginning of the latency period for lung cancer and mesothelioma.  Currently, cancers only account for about 13% of WTCHP certified conditions with non-melanoma skin cancer (27%) and prostate cancer (21%) being the top two cancers.  Comparison studies indicate that prostate and thyroid cancer are elevated compared to other groups (without WTC toxic dust exposure). Other excess cancers at this time include bladder cancer, malignant melanoma, multiple myeloma, leukemia, and non-Hodgkin lymphoma.

It was published after the completion of the rescue, recovery, and clean-up efforts that there were no fatalities.  However, that isn't quite correct since we are seeing rescue, recovery, and clean-up workers dying from their exposure to the WTC toxic dust.  It is good to see that what occurred during the rescue, recovery, and clean-up at the WTC was not repeated at the recent rescue, recovery, and clean-up efforts at the Miami condo collapse.  As the picture below, from The Guardian, shows, rescue crews are wearing respirators to protect them from the potentially toxic dust from the collapse of that building.  If this is the lesson learned from the WTC tragedy, it was a hard lesson but one that will protect workers in other rescues, recoveries, and clean-ups in the future.  
 

The Guardian
Miami condo collapse: death toll rises to nine as crews search pile for survivors | Miami condo collapse | The Guardian


Monday, September 12, 2016

Its Been 15 Years Since 9/11. 4 Things We Have Learned!

On September 11, 2001, two planes were flown into the twin towers of the World Trade Center.  Those two planes caused the collapse of the buildings and the killing of 2,996 people and injuring over 6,000 others.  When they collapsed, a massive plume of dust was released into the air.  In addition, fires burned at Ground Zero for more than 90 days continuing to spew contaminants into the air.  Then-EPA chief Christine Whitman encouraged workers and residents to head back to Lower Manhattan saying the air was "safe to breathe.."  Former New York City Mayor Rudy Giuliani repeated her claim by saying "to go back to normal" and the air around Ground Zero was "safe as far as we can tell, with respect to chemical and biological agents."  Though some experts, like Mount Sinai's Dr. Philip Landrigan, warned that it was not.

New York City pre-9/11
Will 15 years later we now know that Whitman did not have sufficient information to make that claim and recently has admitted she was wrong.  Studies of the dust have shown significant quantities of carcinogens, irritants, and poisons.  Contaminants like polyaromatic hydrocarbons, dioxin, polychlorinated biphenyls (PCBs), fiberglass, lead, asbestos, volatile organic compounds, etc.  The pH of the dust was basic.  Records have shown the City knew of the hazards of the dust and air.  Expediency of the cleanup and the recovery was more important at Ground Zero, than protecting workers from the toxic dust at the site.  The Occupational Safety and Health Administration (OSHA) was only onsite acting in an advisory role and obviously had little impact on the health consequences of the workers.  As has been printed in numerous articles and pictures many did not wear the respirators they were provided or were provided the incorrect respirator.
Various Respirators Worn During Recovery & Cleanup
The result from this lack of concern regarding the dust?  Will 15 years later we know, that the Centers for Disease Control (CDC) estimates roughly 400,000 people - including rescue and recovery workers, residents, students and school staff, building occupants and passersby - were exposed.   As of July 2016, nearly 75,000 were enrolled in the World Trade Center Health Program (this program was established by the James L. Zadroga 9/11 Health and Compensation Act of 2011).  56,580 of the people enrolled are from the Fire Department of New York and other responders.  8,881 are civilians that were exposed to the toxic dust.  Based on the CDC estimate that means hundreds of thousands of people remain unaccounted for and maybe untreated.  The World Trade Center Health Program is monitoring over 30,000 people and is treating 23,000 people.  On December 18, 2015, President Obama signed a law that reauthorized the Zadroga Act that extended funding for the World Trade Center Health Program through 2090.

English: New York, NY, September 28, 2001 -- D...

Photograph by Andrea Booher taken on 09-28-2001 in New York

The statistics from the program can be found on the CDC website for the program.  These responder statistics show 18,639 members suffer from rhinosinusitis; 16,418 members suffer from gastroesophageal reflux symptoms (GERD); 10,274 members suffer from asthma; 6,532 members suffer from respiratory disorders; 5,639 suffer from post traumatic stress disorder (PTSD), and 1,033 members suffer from prostate cancer.  The New York City Health Department's research found that for all cancer types more cancer cases were found among rescue/recovery workers and civilian survivors compared with the New York State general population between 2007-2011 (11% and 8% respectively).  A 2011 study found that 8 years after 9/11, the prevalence of several respiratory conditions among 10,999 World Trade Center exposed male firefighters remained high in comparison to men in the general population.
    
One World Trade Center
What have we learned?  First, we should heed the warnings of experts, not politicians.  Second, respirators are an essential and mandatory part of any emergency recovery/cleanup.  Third, safety is important but not if we sacrifice health.  Finally, dust generated by disasters, calamities, and emergencies cannot be underestimated in its potential health risk.  Yesterday, was a day to remember and mourn those who died at 9/11.  It was also a day to remember the mistakes made by those who disregarded the dust from the World Trade Center and make sure those mistakes don't happen again!
Related articles

Saturday, October 04, 2014

Zadroga Act Needs An Extension

Its interesting that two things that you wouldn't normally put together have been discussed in the newspapers recently.  In the sports sections of the newspapers, extensions have been announced for Sandy Alderson, the General Manager of the New York Mets and Hal Steinbrenner, owner of the New York Yankees, has announced they are negotiating an extension for Brian Cashman, their General Manager.  At roughly the same time Newsday and other media outlets reported on 4 recent deaths of 9/11 responders dying of cancer and leukemia.  These first responders are just a few of the many thousands who are covered under James Zadroga 9/11 Health and Compensation Act which is set to expire in 2016.  Their deaths have led to calls for an extension of the Zadroga Act.  Which is necessary to help deal with the 9/11-linked illnesses being suffered by workers who worked on Ground Zero pile and were exposed to toxic dust and fumes from the smoldering rubble.

These firefighters are the latest to die since the September 11, 2001 attacks.  As reported by Newsday, the current count is 92 members of the Uniformed Fire Officers Association have died and 875 have been diagnosed with 9/11-linked illnesses.  Of those diagnosed, 80 member's illnesses are at critical stage and 177 are in remission.  Another 280 members are in the early stages of their illnesses and 25 are awaiting confirmation that their illness is World Trade Center related.

September 11, 2001 attacks in New York City: V...
September 11, 2001 attacks in New York City: View of the World Trade Center and the Statue of Liberty. (Image: US National Park Service ) (Photo credit: Wikipedia)

The Zadroga Act has allowed the National Institute of Occupational Safety and Health (NIOSH) and others to study the effects of the toxic dust they were exposed to.  A recent blog post by NIOSH, "WTC Rescue/Recovery and Obstructive Airway Disease" discusses some of the information gathered from reviewing the medical records of the first responders such as:
  • The increased incidence of respiratory disease such as obstructive airway diseases (OAD), such as asthma and chronic bronchitis have been associated with intensity of exposure as measured by arrival time at the WTC site.
  • New onset OAD continues to be observed many years after exposure, contrary to conventional wisdom that irritant-induced asthma should be triggered within a relatively short time after exposure.

The above information is only touching the surface especially considering some of the other diseases we should be expecting, such as lung cancer and mesothelioma, can take 30 years or more to develop.  Some of these diseases if caught early enough can be survivable, but only with an excellent monitoring program.  In addition, it is our hope that this information will assist us in preventing first responders from being exposed to these toxic situations in any future terrorist act or environmental disaster.  The enforcement of the wearing of protective equipment including the use of proper respiratory protection would prevent the need for future Zadroga Acts.

The need to extend the Zadroga Act past 2016 is self-evident from the toxins these responders were exposed.  We hope Congress recognizes this and passes legislation and funding needed to extend the Act.

Monday, September 01, 2014

Wednesday, January 25, 2012

Toxic Dusts - Demolition Implications

We have posted our Winter-Spring 2012 Newsletter on our website.  The main article discusses the implications of toxic dusts on demolition, disaster relief, and emergency response workers.  This is an issue I feel really strongly about and if my recommendations are taken seriously, maybe there will be no need for any Zadroga Bills to deal with 9/11 type illnesses in the future.
Demolition, Emergency Response, and Disaster Relief Workers should wear respirators when they respond.

Related articles
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Thursday, September 15, 2011

Problems With 9/11 Health Bill


Their has been alot of discussion regarding the 9/11 health bill (known as the Zadroga Bill) that was supposed to provide medical care for first responders exposed to the various hazards at the World Trade Center site.  However, the bill did not cover cancer treatments.  The commission running the fund, has had hearings on this issue and have stated they will look at cancer treatments once the science indicates a link between the 9/11 exposure and cancer.  The Daily Show with Jon Stewart, as they usually do, makes us see the ridiculousness of this position.  We hope with a recent study by Lancet, "Early assessment of cancer outcomes in New York City firefighters after 9/11 attacks: an observational cohort study", indicating a modest excess of cancer cases among NYC firefighters exposed at 9/11, that the commission will consider covering cancer medical care.  This is the least the federal government could do for the first responders, considering the misleading information given to these individuals during their time at the site.
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Friday, August 12, 2011

White House and EPA Misled Public on Air Quality After 9/11 Attack.

NEW YORK, NY - JULY 08:  Construction continue...Image by Getty Images via @daylifeBased on a New York Times article "Public Misled on Air Quality After 9/11 Attack, Judge Says" - Federal judge Deborah A. Batts of Federal District Court in Manhattan, found that Christine Whitman, when she led the Environmental Protection Agency (EPA), made "misleading statements of safety" about the air quality near the World Trade Center in the days after the Sept. 11 attack.  These statements may have put the public in danger.  This pointed criticism of Mrs. Whitman came in a ruling by the judge in a 2004 class action lawsuit on behalf of residents and schoolchildren from downtown Manhattan and Brooklyn who say they were exposed to air contamination inside buildings near the trade center.  The suit, against Mrs. Whitman, other former and current EPA officials and the agency itself, charges that they failed to warn people of dangerous materials in the air and then failed to carry out an adequate cleanup.  The plaintiffs are seeking monetary damages and want the judge to order a thorough cleaning.  In her ruling, Judge Batts decided not to dismiss the case against Mrs. Whitman, who is being sued both as former administrator of the EPA and as an individual.

In a separate but similar article by CBS News titled "W. House Molded EPA's 9/11 Reports", the EPA's internal watchdog found that the White House influenced the statements released by the EPA and that the data did not support the statements that were released.  Making the 9/11 tragedy even deeper considering the amount of harm we did to ourselves by these actions.
 
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Wednesday, August 10, 2011

Rudy Giuliani and Air Quality After 9/11: Part 1 & Part 2

Mike Metzer, from the Environmental Protection...Image via WikipediaAfter listening and reading this newscast I found it interesting how everyone is pointing at the federal government experts (Giuliani, Cohen, etc.), as the reason why the first responders were allowed to expose themselves to the asbestos and other hazardous materials on the site.  A very interesting two part, newscast by WNYC titled Rudy Giuliani and Air Quality After 9/11: Part 1 & Part 2.  The 9/11 cleanup was a huge failure on the part of the Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA).  Especially, OSHA who should've been on the site making sure workers were wearing respirators and wearing them properly.  OSHA crowed about 0 injuries at the site after the cleanups were done.  Where are they now, that we know that some 20,000 workers at the site are ill from their exposure to the contaminants at 9/11?
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Wednesday, February 02, 2011

NIOSH Seeking Comments On The Draft Recommendations For Emergency Responder Health Monitoring and Surveillance

Csa-slsImage via WikipediaThe National Institute for Occupational Safety and Health (NIOSH) today invited public comment on a draft document titled, "Emergency Responder Health Monitoring and Surveillance."  This document was developed by a consortium of federal agencies, state health departments, and volunteer organizations, headed by the NIOSH with the goal of proposing a more comprehensive and systematic approach to worker safety and health for all emergency responders.

The set of guidelines and recommendations described in the document is the result of the collaborative efforts of the workgroup.  When final, it is expected that this document will serve as an interagency resource that is intended for review and possible publication by the National Response Team. 
"The gaps in our ability to ensure the safety and health of all workers involved in large scale and complex emergency responses have been documented through our responses to the World Trade Center disaster, Hurricane Katrina, and most recently, the Deepwater Horizon Oil Spill," said NIOSH Director John Howard, M.D.  "This document is the result of our shared learning from these events and our combined commitment to protect those workers who respond in times of need."
This draft document proposes a new framework for ensuring responder safety and health by monitoring and conducting surveillance of their health and safety during the entire cycle of emergency response, including the pre-deployment, deployment, and post-deployment phases of a response.  The proposed system is referred to as the "Emergency Responder Health Monitoring and Surveillance (ERHMS)" system, and includes a guidance section describing the principles involved in ensuring optimal responder safety and health, as well as tools which can be utilized to help facilitate the execution of these principles during an actual response.
The draft document is available at http://www.cdc.gov/niosh/docket/review/docket223/ for written public comment until April 4, 2011.
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Monday, November 15, 2010

Importance of Respiratory Protection at Demolition or Disaster Sites

The Newsday story "Ground Zero settlement tally delayed as deadline hits" had the above image as part of the story.  Based on this image we see workers at the sight wearing two different types of respirators and one worker wearing only a neckerchief (or something similar).  The predominant respirator worn in this picture is the filtering facepiece respirator.  This respirator is primarily meant to handle nuisance dusts and is not intended in handling hazardous materials or chemical vapors.  It has two straps and most have a metal nose clip that is meant to achieve a better seal around the nose.  It seems most are wearing these correctly except the individual in the background which appears to have only one strap on.  For this individual, the respirator is probably not providing the intended protection.  Three individuals have the half-mask air purifying respirators two are wearing them properly while the third is wearing it as jewelry.  The cartridges being worn are high efficiency particulate air (HEPA) filters.  The HEPA filter is the highest level filter you can get for particulates and will filter out asbestos, lead, and other hazardous dusts.  However, this filter will not filter chemical vapors.  Based on the contaminants previously published from 9/11, the standard respirator should have been a half-mask air purifying respirator with organic vapor, acid gas, and P100 (HEPA) filters.  So all the respirators in the picture were the wrong type to protect them, based on published reports of the contaminants at the 9/11 work sight.  Hopefully, the regulatory and disaster community learned the lessons of 9/11 and in the future we can ensure workers at the sight wear the proper respirator and wear it properly.  Maybe then in the future we will not have to pay these claims on people who got sick for not wearing a respirator or wearing the wrong type.
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Friday, September 17, 2010

9/11 Responder Helping First Responders And War Veterans Heal


Helping first responders heal from Long Island Business News on Vimeo.


John Sferazo, former 9/11 First Responder Ironworker, founded the non-profit organization American Greenlands Restoration.  John Sferazo as a first responder knows what 9/11 first responders went through, he himself suffers from severe lung problems and post-tramautic stress syndrome.  The American Greenlands Restoration uses 1,000 acres of land in Maine as a wildlife and nature retreat to help 9/11 first responders and veterans from the Iraq and Afganistan Wars sufferring from psychological and physical disabilities, heal through Nature Therapy.  Just a warning the video is not very good.  But you can hear the report all the same.
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Friday, April 13, 2007

9/11 Workers Compensation Deadline Approaching

To preserve the right to file a 9/11-related worker's compensation claim, you must register by August 14, 2007. Registering will allow you to make a claim no matter when a 9/11-related condition occurs. Considering that many of the contaminants that people were exposed to (such as asbestos) have long latency periods (the period of time from exposure to the occurrence of the disease) it is important to register to protect your rights (asbestos diseases can take anywhere from 10-40 years to develop). By registering before August 14, 2007 you can protect your right to free healthcare if you develop a 9/11 related illness. There is no residency or citizenship requirement to register with the New York Worker's Compensation Board. The New York Committee for Occupational Safety and Health has established a hotline (24-hour toll-free hotline is 1-866-WTC-2556) and a website (http://www.nycosh.org/911info) to promote registration

Tuesday, September 19, 2006

The Toxic Clouds of 9/11

On Sunday, September 17, we went to see the film "The Toxic Clouds of 9/11" at the Cinema Arts Centre in Huntington, NY (http://www.cinemaartscentre.org/september/911.html). After the film, their was a panel discussion, which brought new information to light regarding the Environmental Protection Agency's response during the clean-up and the fact that NYC Emergency Medical Technicians that responded to 9/11 are being left out of the loop on compensation for their illnesses. The film was produced and directed by Alison Johnson who has written several books on multiple chemical sensitivity and Prevention is the Cure (www.preventionisthecure.org) was the sponsor for this program.
Several points we took way from the film and panel discussion:
  • It's taking too long to compensate NYC EMTs (Unsung Heroes-Helping Heroes www.unsunghhh.org is an organization trying to remedy this problem) and other workers that worked at Ground Zero in the toxic dust.
  • Many chemicals being used have very little or no data on their effects on humans.
  • No surprise here, EPA lied about the air quality at Ground Zero.
  • Workers at Ground Zero were only provided N95 filtering facepieces.
  • No effort was made to contain the toxic dust to Ground Zero and prevent its spread to other parts of the City.
  • The health effects that Ground Zero workers are experiencing are similar to the reactions of multiple chemical sensitivity victims. These reactions have been seen in Gulf War Veterans, workers that worked on Exxon Valdez oil spill, and starting to see in workers that worked on cleaning up after the Hurricanes Rita & Katrina.

Considering the health effect information coming out regarding the handling of various catastrophies, it certainly seems we need better work procedures to protect first responders and the workers during these clean ups. We also need to make sure we provide adequate compensation for first reponders and the clean-up workers who work at these catastrophies and then get sick because of their work.

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