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Showing posts with label toxic dusts. Show all posts
Showing posts with label toxic dusts. Show all posts

Sunday, September 12, 2021

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.

Wednesday, May 23, 2012

Worker Exposure to Silica Significant During Hydraulic Fracturing

Silicosis
Silicosis (Photo credit: Mr. Ducke)
Just read the National Institute of Occupational Safety and Health's (NIOSH's) blog regarding "Worker Exposure to Crystalline Silica during Hydraulic Fracturing".  Obviously, environmental concerns regarding this type of work are being fought in New York on what seems likely a daily or weekly basis.  Usually the arguement for hydraulic fracturing is, job creation and of course energy independence.  However, it is interesting how worker safety is rarely discussed when we talk about hydraulic fracturing.  This study done by NIOSH and discussed on their blog obviously discusses the need to ensure that workers are protected from being overexposed to respirable crystalline silica dust.  Overexposure to respirable crystalline silica dust can lead to the development of the uncurable respiratory disease silicosis, in addition to other diseases.    The typical view that filtering facepiece and half-mask respirators could protect the workers, according to the blog is not sufficient to protect the workers.  Meaning engineering, work practice controls, and administrative controls need to be implemented, making the process more complicated.
Since New York State Department of Environmental Conservation (NYS DEC) is working on drafting regulations for hydraulic fracturing, we hope they also take into account what is needed to protect worker safety on these sites as well as what is needed to protect the environment.
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Friday, April 13, 2012

More Dangers Related To Toxic Dusts

In our current newsletter (find it at www.futureenv.com), we discuss the hazards of toxic dust at demolition and disaster sites. Three new studies from California seem to support my points regarding the dangers of the dust. Indoor Environment Connections in the February 2012 issue discusses the findings of these studies linking exposure to fine-particulate matter to heart disease.

These study defined particulate matter as a complex blend of substances ranging from dry solid fragments, solid-core fragments with liquid coatings and small droplets of liquid. These particles vary in shape, size and chemical composition, and can contain metals, soot, nitrates, sulfates, and very fine dust. One source of particulate matter, including PM2.5 or fine-particulate matter is exhaust from vehicles, especially diesel engines (which are used frequently on demolition and disaster sites). PM2.5 is particulate matter smaller than 2.5 microns in diameter (making this particulate matter a respirable dust or dust that can enter into the deep lungs).
The California Air Resources Board (ARB) released three new studies, that indicate exposure to airborne fine-particulate matter significantly elevates the risk of premature deaths from heart disease among older adults and elevates incidence of strokes among post-menopausal women. The third study examined platelets of mice exposed to PM2.5. This study found that the exposed mice showed platelet activation which could promote clotting and lead to stroke and heart attacks. These studies add to the existing scienctific evidence that respirable airborne particulates pose a threat to public health. If these particles pose a threat to public health, what about the threat to workers who are exposed to PM2.5 at their worksites?
These studies further support my call, for the requirement that workers wear respirators on all demolition and disaster sites.
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Tuesday, March 13, 2012

Honoring Dr. Alice Hamilton For Women's History Month


Alice Hamilton, pioneer of occupational medici...
Image via Wikipedia
Recently saw a tweet by the Young Workers honoring Dr. Alice Hamilton (For Women's history month -- Alice Hamilton (NIOSH video 1988; http://www.youtube.com/watch?v=E75pST2QTEM&feature=colike).  It still surprises us when we see a video on the pioneers in the industrial hygiene field, discussing issues we are still dealing with today.  Dr. Hamilton was dealing with imigrant labor being mistreated similar to what we see today with undocumented/illegal aliens.  Dr. Hamilton also was dealing with workers being exposed to various toxic dusts and then the workers developing various diseases caused by these exposures.  Today we still see this happening as we've written about in our current newsletter (Toxic Dusts - Demolition Implications).  When will we learn from our previous mistakes?  When will we stop the exposures and the resulting illnesses?  When will we start to care?
 
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That Time of Year! Conferences, Posting Requirements, and OSHA Violations Increased!

It's that time of year again. We're between conferences.  February 15-16, 2024 was the Professional Abatement Contractors of New Yor...